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Jul 2018, Vol 6, Issue 3
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Original Article
The Effect of Assertiveness-based Sexual Counseling on Sexual Function Among Married Female Students in Southeast of Iran
Ameneh Safarzadeh1, Ali Navidian1, Neda Dastyar2
1Department of Midwifery, Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
2MSc Student of Midwifery Counseling, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran

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Keywords : Sexual function, Sexual counselling, Assertiveness, Students, Iran
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Objectives: Sexual decency is a false belief among women about sexuality, and women with this belief choose an inactive and passive sexual role. In the current study, the effect of assertiveness-based sexuality counseling on sexual function was evaluated among married female students at Sistan and Baluchestan University, Zahedan, Iran.

Materials and Methods: In this quasi-experimental study, a pretest-posttest design was applied. The study was performed on 80 married female students, who were selected and divided into control (n=40) and intervention (n=40) groups in a random manner. The data collection tool was Rosen's Female Sexual Functioning Index. After the pretest, the intervention group participated in 4 weekly sessions of assertiveness-based sexual counseling (2 sessions per week; 90-120 minutes). Both groups completed the questionnaires after the end of the waiting period (2 months; posttest). For comparing the mean values of quantitative variables among the groups, Chi square, analysis of covariance, and independent paired t test were performed.

Results: The mean sexual function score increased in the intervention group after sexual counseling, while it decreased in the control group. Based on the independent t test results, no significant difference was found between the groups in the mean scores of sexual function after sexual counseling. However, the mean change in the total score was significantly different between the groups (P= 0.0001).

Conclusion: Assertiveness-based sexual counseling significantly influenced sexual function and expression of sexual rights and could reduce feelings of shame and contempt in women. It is safe to admit that this method can be used as a way to promote sexuality and to establish a more intimate relationship in marital life.

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