The Effect of Individual and Group Sexual Skills Training on Sexual Satisfaction and Sexual Self-Esteem in Women: A Quasi-Experimental Study on the Effectiveness of Individual Sexual Skills Training on Sexual Satisfaction
Keywords:
sexual self-esteem, sexual satisfaction, sexual skills, group training, Individual trainingAbstract
Objective: The aim of this study was to compare the effects of individual and group training in sexual skills on sexual satisfaction and sexual self-esteem among women attending comprehensive health centers in Sanandaj.
Methods: This quasi-experimental study was conducted on 60 women attending comprehensive health centers in Sanandaj, who were randomly assigned to three groups: individual training, group training, and control. Data collection tools included a demographic and obstetric questionnaire, the Hudson Sexual Satisfaction Questionnaire, and the Sexual Self-Esteem Inventory–Short Form (SSEI-W-SF). Data were collected according to the objectives of the study and analyzed using STATA version 12. The significance level was set at 0.05.
Findings: Based on the results, all three study groups were homogeneous in terms of demographic and clinical characteristics. Four weeks after the intervention, the mean and standard deviation of sexual satisfaction in the individual training group showed a statistically significant difference (p < 0.05; p = 0.00). However, the mean satisfaction scores in the group training and control groups did not show a statistically significant difference. In all three groups, the mean and standard deviation of sexual self-esteem scores four weeks after training did not show a significant difference.
Conclusion: The results of this study demonstrated that individual-based training leads to an increase in sexual satisfaction. Utilizing this educational approach in comprehensive health centers can enhance women's sexual health and improve the dysfunctional cycle of family clinical relationships.
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References
Abedi, P., Jafarzadeh, M., Abbaspoor, Z., Bastami, P., Haghighizadeh, M. H., & Hassani, M. (2017). Education for sexual satisfaction promotion in postmenopausal women: individual or group education? The Iranian Journal of Obstetrics, Gynecology and Infertility, 20(9), 16-23.
Banaei, M., Hosseini, S., Alizadeh, S., Roozbeh, N., Jahanshahloo, B., Ghasemi, E., & Ghasemi, V. (2025). The effect of sexual health literacy on sexual function mediated by sexual satisfaction and sexual self-efficacy: Structural equation modeling approach. PLoS One, 20(1), e0318002. https://doi.org/10.1371/journal.pone.0318002
Bennett-Brown, M., & Denes, A. (2023). Testing the Communication During Sexual Activity Model: An examination of the associations among personality characteristics, sexual communication, and sexual and relationship satisfaction. Communication Research, 50(1), 106-127.
Dashtestannejad, A., Eshghi, R., & Afkhami, E. (2015). Effectiveness of premarital sex education on sexual dysfunctional beliefs of couples, Isfahan.
Finzi‐Dottan, R., Riff, A. R., & Dagan, G. (2025). Mirror, Mirror on the Wall, Who Loves You Above All: Navigating Vulnerable Narcissism, Intimacy, and Marital &Amp; Sexual Satisfaction. The Family Journal. https://doi.org/10.1177/10664807251321510
Ghavam-Nasiri, M.-R., Heshmati Nabavi, F., Anvari, K., Habashi Zadeh, A., Moradi, M., Neghabi, G., & Omidvar, M. (2012). The effect of individual and group self-care education on quality of life in patients receiving chemotherapy: A randomized clinical trial. Iranian Journal of Medical Education, 11(8), 874-884.
Guyon, R., Fernet, M., Girard, M., Cousineau, M.-M., Tardif, M., & Godbout, N. (2023). Who am I as a sexual being? The role of sexual self-concept between dispositional mindfulness and sexual satisfaction among child sexual abuse survivors. Journal of interpersonal violence, 38(7-8), 5591-5612.
Hakimi, R., Kheirkhah, M., Abolghasemi, J., & Hakimi, M. (2019). The Effect of Face-to-face Sex Education on the Sexual Function of Adolescent Female Afghan Immigrants. Journal of Client-Centered Nursing Care, 5(4), 257-268.
Hezbiiyan, Z., Khodakarami, B., Parsa, P., & Faradmal, M. J. (2016). The effect of postnatal counseling on sexual function in women referred to health centers in Hamedan in 1392. Avicenna Journal of Nursing and Midwifery Care, 24(4), 272-280.
Kargar, M., Yousefzadeh, S., Behnam, H. R., & Vaghee, S. (2021). Comparing the Effect of Solution-Focused Group Counseling and Individual Counseling Based on PLISSIT Model on Sexual Satisfaction of Women with High Body Mass Index. Journal of Midwifery & Reproductive Health, 9(2).
Kelley, E. L., Cannell, M. B., Gass, M., Sealy-Jefferson, S., Woods, N. F., Bird, C. E., Stefanick, M. L., & Weitlauf, J. C. (2019). Is interpersonal abuse associated with sexual (dis) satisfaction among postmenopausal women? Women's Health Issues, 29(4), 299-307.
Khayatan, F. (2017). Effectiveness of sexual skills training on women's sexual schemas, sexual self-esteem and sexual satisfaction of women referring to Isfahan counseling centers. Scientific Journal of Nursing, Midwifery and Paramedical Faculty, 2(4), 45-55.
Moore, E. (2024). Sexual Self Discrepancies, Sexual Satisfaction, and Relationship Satisfaction in a Cross-Sectional Sample of Women Who Experience Chronic Vaginal Pain During Sexual Intercourse. Healthcare, 12(7), 798. https://doi.org/10.3390/healthcare12070798
Nazari, A. (2024). Sexual satisfaction and attitude toward marital infidelity among married people in Iran: the role of social media and entertainment preferences. BMC public health, 24(1). https://doi.org/10.1186/s12889-024-19073-w
Nicolosi, A., Laumann, E. O., Glasser, D. B., Moreira Jr, E. D., Paik, A., & Gingell, C. (2004). Sexual behavior and sexual dysfunctions after age 40: the global study of sexual attitudes and behaviors. Urology, 64(5), 991-997.
Null, N., Hatami, M., Tajik, A. A., Zahrakar, K., & HASANI, J. (2018). The effectiveness of problem-solving oriented sex therapy based on the Islamic approach for couple's sexual problems (Feasibility study, compilation of conceptual model and initial therapeutic outcomes). Women Studies, 9(23), 37-71.
Pathmendra, P., Raggatt, M., Lim, M. S., Marino, J. L., & Skinner, S. R. (2023). Exposure to pornography and adolescent sexual behavior: Systematic review. Journal of medical Internet research, 25, e43116.
Rausch, D., & Rettenberger, M. (2021). Predictors of sexual satisfaction in women: A systematic review. Sexual Medicine Reviews, 9(3), 365-380.
Rhodes, R., & Carlson, J. (2001). Patient teaching tips for Acute care Nurse practitioners. Nurse practitioner forum-current topics and communications,
Werner, M., Borgmann, M., & Laan, E. (2023). Sexual pleasure matters–and how to define and assess it too. A conceptual framework of sexual pleasure and the sexual response. International Journal of Sexual Health, 35(3), 313-340.
Ziaei, T., Gorzin, M., Rezaei Aval, M., & Behnampour, N. (2018). The effect of Individual Self-awareness Skills’ based Counseling on Correlation between Self-awareness and Sexual Satisfaction of Women at Reproductive age. Iranian Journal of Psychiatric Nursing, 6(5), 57-63.
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Copyright (c) 2025 Mahsa Fadakar (Author); Kajal Hesamy (Corresponding Author); Roonak Shahoie, Bijan Nouri (Author)

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