The Effectiveness of Systemic Couple Therapy and Cognitive-Behavioral Couple Therapy on Sexual Intimacy and Sexual Function in Distressed Couples
Keywords:
Systemic couple therapy, cognitive-behavioral couple therapy, sexual intimacy, sexual function, distressed couplesAbstract
Distress in marital relationships can lead to diminished intimacy and the emergence of problems in sexual functioning, which over time may adversely affect psychological well-being and marital quality of life. The present study aimed to investigate the effectiveness of systemic couple therapy and cognitive-behavioral couple therapy on sexual intimacy and sexual function in distressed couples. This research employed a quasi-experimental method using a pre-test–post-test control group design. The statistical population consisted of distressed couples referred to counseling centers in Tehran, from which 30 couples were selected using convenience sampling and randomly assigned to two experimental groups and one control group. The experimental groups received ten 90-minute sessions of systemic couple therapy and cognitive-behavioral couple therapy interventions, respectively, while the control group did not receive any intervention. The findings indicated that both types of interventions led to increased sexual intimacy and improved sexual function among the couples. However, cognitive-behavioral couple therapy had a greater impact on enhancing these components. The results suggest that addressing maladaptive beliefs and behavioral patterns in cognitive-behavioral couple therapy may play a more effective role in improving the quality of sexual relationships. Accordingly, it is recommended that this approach be incorporated into intervention programs for distressed couples.
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Agha Mirzaei, R., Abdollahi, M., & Sadeghian, S. (2023). Comparison of the effectiveness of schema therapy based on enrichment program and Integrative-systemic couple therapy on interpersonal forgiveness of betrayed women. Rooyesh-e-Ravanshenasi Journal (RRJ), 12(7), 83-92. http://frooyesh.ir/browse.php?a_id=4602&slc_lang=en&sid=1&printcase=1&hbnr=1&hmb=1
Ammari, S., Deyreh, E., Keykhosrovani, M., & Ganji, K. (2023). The Effectiveness of Couple Therapy on Depressive Symptoms and Sexual Function in Women Affected by Infidelity. Razi Journal of Medical Sciences, 29(7), 54-63. https://www.magiran.com/paper/2520730
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
Cinek, B. Y. (2025). Cognitive Emotion Regulation and Its Impact on Sexual Function, Body Image, and Depression in Breast Cancer Survivors. Psychiatry Investigation, 22(3), 330-339. https://doi.org/10.30773/pi.2024.0349
Dale Ii, J., Harberson, M. T., & Hill, J. W. (2024). From Parental Behavior to Sexual Function: Recent Advances in Oxytocin Research. Current Sexual Health Reports, 16(3), 119-130. https://doi.org/10.1007/s11930-024-00386-1
EbadiRad, S. M., & Kariminejad, K. (2017). The effectiveness of Gottman's cognitive systemic couple therapy on marital commitment of Mashhad'couples. Family Pathology, Counseling and Enrichment Journal, 3(1), 75-92. https://civilica.com/doc/681817
Ebrahimi, F., Barghi irani, Z., & Ali Akbari, M. (2023). Comparison of Cognitive-Behavioral Therapy and Acceptance and Commitment Therapy in Reducing Mood Swings, Sleep Quality and Sexual Performance in Postmenopausal Women. Health Psychology, 11(44), 73-88. https://doi.org/10.30473/hpj.2023.59513.5289
Graziani, C., & Chivers, M. L. (2024). Sexual Shame and Women’s Sexual Functioning. Sexes, 5(4), 739-757. https://doi.org/10.3390/sexes5040047
Haghani, M., Abedi, A., Fatehizade, M., & Aghaei, A. (2019). A Comparison of the Effectiveness of Combined Systemic Couple Therapy (Bowen) and Emotion-focused Therapy (Johnson) Packages and Integrated Couple Therapy on the Quality of Marital Life of Couples Affected by Infidelity. Sadra Medical Journal, 8(1), 11-28. https://doi.org/10.30476/smsj.2020.82902.1040
Homaei, F., Shahlapour, S., Omidbakhtiari, N., & Mirzaei, Z. (2023). The Effectiveness of McMaster's Systemic Couple Therapy on Self-Differentiation and Marital Boredom and Intimacy of Couples With Emotional Divorce. Jarac, 5(2), 41-47. https://doi.org/10.61838/kman.jarac.5.2.6
Minou Sepehr, S., Karbalaei Mohammad Migouni, A., Nikoo Goftar, M., & Gholamali Lavasani, M. (2022). Predicting Marital Burnout Based on Sexual Intimacy and Mediating Role of Sexual Self-Concept. Applied Family Therapy, 3(11), 360-334. https://doi.org/10.61838/kman.aftj.3.2.17
Moghtaderi Esfahani, S., Nayeb Darban, N., Ghasemi, M., Ejlal Noubarian, M., & Alimardani, S. (2024). The Relationship between Sleep Quality and Sexual Function in Married Women: The Mediating Role of Stress. Psychology of Woman Journal, 5(4), 12-17. https://doi.org/10.61838/kman.pwj.5.4.2
Nezamalmolki, M. (2024). Effectiveness of integrative couple therapy on sexual function, marital intimacy, and impulsivity in women affected by marital infidelity. Jarac, 6(2), 19-26. https://doi.org/10.61838/kman.jarac.6.2.3
Scheinkman, M., Iasenza, S., Ludwig, K., Cronin, T., Lemor, S., & Papp, P. (2022). Sexual intimacy and aging: An integrative framework to promote intimacy resilience in couple therapy. Family Process, 61(2), 456-475. https://doi.org/10.1111/famp.12767
Settegast, S. (2024). What Is Sexual Intimacy? Think, 23(67), 53-58. https://doi.org/10.1017/s1477175623000489
Turner, J. J., Crapo, J. S., Kopystynska, O., Bradford, K., & Higginbotham, B. J. (2023). Economic Distress and Perceptions of Sexual Intimacy in Remarriage. Frontiers in psychology, 13. https://doi.org/10.3389/fpsyg.2022.1056180
Ziapour, A., Hajiazizi, A., Ahmadi, M., & Dehghan, F. (2023). Effect of short-term dynamic psychotherapy on sexual function and marital satisfaction in women with depression: Clinical trial study. Health Science Reports, 6(6), e1370. https://doi.org/10.1002/hsr2.1370
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Copyright (c) 2025 Nazanin Haghighat Bayan, Maryam Ghorbani Gherkhloo, Elahe Sadeghi (Author); Mehdi Soltani (Corresponding Author); Reza Reyhani, Kamran Pourmohammad Ghouchani, Roksana Nakhaei Moghadam (Author)
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