The Use of an Online Culturally Oriented Marital Enrichment Package on the Sexual Behaviors of Sexually Distressed Women: A Randomized Clinical Trial

Document Type : Original Article


1 Department of Psychology, Islamic Azad University, Bushehr Branch, Bushehr, Iran

2 Department of Sexology, National Center for Addiction Studies of Iran, Tehran University of Medical Sciences, Tehran, Iran

3 Department of Biostatistics and Epidemiology, Faculty of Health, Kerman University of Medical Sciences, Kerman, Iran


Introduction: This study was carried out in order to investigate the online "marital enrichment package with a cultural approach" on the sexual behaviors of women suffering from sexual distress.
Method: In this randomized clinical trial, 79 women were recruited. Forty were assigned to the experimental group and attended the four-week program (6 hours), and 39 were assigned to the control group. Sexual behaviours, sexual scripts, and sexual distress were determined by a questionnaire that was completed before and after, eight and 12 weeks post intervention. The control group received the intervention based on the sexual health model post experiment. Independent samples t-test were used for statistical analysis.
Results: According to the findings of the present study, significant differences were observed between the groups for the scores of sexual behavior in the follow-ups (P=.001; F=26.582).
Conclusion: The utilization of the four-session culture-oriented marital enrichment packa significantly improved sexual behaviors, altered sexual scripts, and decreased sexual distress. Our findings provide the basis for a larger Randomized-Controlled Trial (RCT) with a longer follow-up period among couples.


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