The Effectiveness of Mindfulness-Based Sex Therapy on Sexual Aversion and Sexual Self-Efficacy
Keywords:
Mindfulness-based sex therapy, sexual self-efficacy, sexual aversion, sex therapy, mindfulness interventions, sexual dysfunctionAbstract
This study aimed to investigate the effectiveness of mindfulness-based sex therapy (MBST) in improving sexual self-efficacy and reducing sexual aversion among individuals experiencing sexual dysfunction. A quasi-experimental design with a pre-test, post-test, and control group was employed. The study sample consisted of 30 couples (15 in the experimental group and 15 in the control group) selected from counseling centers in Karaj. Participants in the experimental group underwent an eight-session MBST intervention, while the control group received no intervention. Data were collected using the Sexual Self-Efficacy Questionnaire (Vaziri & Lotfi, 2013) and the Sexual Desire Inventory (Ayit & Halbert, 1992), both of which demonstrated high reliability. Data analysis was performed using SPSS 24, applying multivariate analysis of covariance (MANCOVA) with repeated measures to examine within-group and between-group differences. The results revealed a significant increase in sexual self-efficacy in the experimental group compared to the control group (p < 0.001), with mean scores rising from 8.73 in the pre-test to 14.77 in the post-test. Additionally, a significant reduction in sexual aversion was observed in the experimental group, with mean scores decreasing from 50.93 in the pre-test to 44.03 in the post-test (p < 0.001). Follow-up assessments indicated that these improvements were maintained over time, while no significant changes were observed in the control group. The findings suggest that MBST is an effective intervention for enhancing sexual self-efficacy and reducing sexual aversion. The results highlight the importance of mindfulness-based approaches in addressing sexual dysfunction, providing evidence for their integration into clinical practice and sex therapy. Future research should explore the long-term effects of MBST and its applicability to diverse populations.
Downloads
References
Altafi, R., Vaziri, S., & Sabet, M. (2023). Comparing Acceptance and Commitment Therapy and Rational Emotional BehaviorTherapy Effectiveness on Couples' Avoidance, Marital Satisfaction, Communication Skills, and Sexual Self-Efficacy. Clinical psychology and personality, 20(2), 61-75. https://cpap.shahed.ac.ir/article_3936_en.html?lang=en
Arora, N., & Brotto, L. A. (2017). How Does Paying Attention Improve Sexual Functioning in Women? A Review of Mechanisms. Sexual Medicine Reviews, 5(3), 266-274. https://doi.org/10.1016/j.sxmr.2017.01.005
Brotto, L. A., & Basson, R. (2014). Group mindfulness-based therapy significantly improves sexual desire in women. Behaviour research and therapy, 57, 43-54. https://doi.org/10.1016/j.brat.2014.04.001
Brotto, L. A., Bergeron, S., Zdaniuk, B., Driscoll, M., Grabovac, A., Sadownik, L. A., Smith, K. B., & Basson, R. (2019). A Comparison of Mindfulness-Based Cognitive Therapy Vs Cognitive Behavioral Therapy for the Treatment of Provoked Vestibulodynia in a Hospital Clinic Setting. The Journal of Sexual Medicine, 16(6), 909-923. https://doi.org/10.1016/j.jsxm.2019.04.002
Brotto, L. A., Stephenson, K. R., & Zippan, N. (2022). Feasibility of an Online Mindfulness-Based Intervention for Women With Sexual Interest/Arousal Disorder. Mindfulness, 13(3), 647-659. https://doi.org/10.1007/s12671-021-01820-4
Dehnavi, H., Sadeghi, M., & Sepahvandi, M. A. (2020). The Effectiveness of an Integrated Reality Therapy-Emotion-Focused Approach on Sleep Quality and Sexual Self-Efficacy in Women with Hypothyroidism. Sadra Medical Sciences Journal, 8(2), 91-102. https://smsj.sums.ac.ir/article_46679.html?lang=en
Fatehi, N., Gholami Hosnaroudi, M., & Abed, N. (2021). The Mediating Role of Marital Forgiveness and Mental Well-being in the Relationship between Mindfulness and Sexual Satisfaction in Married Women and Men of Tehran City: A Descriptive Study. RUMS_JOURNAL, 20(6), 660-645. https://doi.org/10.52547/jrums.20.6.660
Hosseinnezhad Hallaji, S., Khademi, A., Alivandi Vafa, M., & Esmali, A. (2021). The efficacy of mindfulness in sex therapy on sexual sensation seeking, extramarital relationships and marital disillusionment of couples [Research]. Journal of Psychological Science, 20(106), 1865-1879. https://doi.org/10.52547/jps.20.106.1865
Ismaeilzadeh, N., Akbari, Bahman. (2021). The effectiveness of schema therapy on sexual self-efficacy, marital satisfaction and early maladaptive schemas in couples with marital conflicts. medical journal of mashhad university of medical sciences, 64(1), 2286-2296. https://doi.org/10.22038/mjms.2021.18525
Jąderek, I., Obarska, K., & Lew–Starowicz, M. (2023). Assessment of the Effect of Mindfulness Monotherapy on Sexual Dysfunction Symptoms and Sex-Related Quality of Life in Women. Sexual Medicine, 11(3). https://doi.org/10.1093/sexmed/qfad022
Janicka, I. L. (2024). Sexual Satisfaction and Oversexualization Among Adults. The Moderating Role of Self-Esteem. Current Issues in Personality Psychology. https://doi.org/10.5114/cipp/185627
Karimpoor, S., Tourani, F., & Khalatbari, J. (2023). The effectiveness of sex therapy on sexual self-efficacy and marital intimacy in couples with sexual dysfunction. Journal of Consulting Excellence and Psychotherapy, 44(11), 33-45. https://www.semanticscholar.org/paper/The-Effectiveness-of-Sex-therapy-on-Sexual-and-of-Hajinia-Khalatbari/d8d53776489286cf5cef24e54dcd0123865e4f8d
Kazem Zadeh Atoofi, M., Naziry, G., Mohammadi, M., & Behzadi poor, S. (2023). The Comparison of The Effectiveness of Mindfulness-Based Sexual Relationship Therapy and Cognitive-Behavioral Sex Therapy on Disorder’s Symptoms in Women with Orgasmic Disorder: A Double-Blind Randomized Clinical Trial [Research]. Journal of Research in Behavioural Sciences, 20(4), 746-759. https://doi.org/10.52547/rbs.20.4.14
Khazaeian, S., Navidian, A., & Rahiminezhad, M. (2023). Effect of Mindfulness on Sexual Self-Efficacy and Sexual Satisfaction Among Iranian Postmenopausal Women: A Quasi-Experimental Study. Sexual Medicine, 11(3). https://doi.org/10.1093/sexmed/qfad031
Kocsis, A., & Newbury-Helps, J. (2016). Mindfulness in Sex Therapy and Intimate Relationships (MSIR): Clinical Protocol and Theory Development. Mindfulness, 7(3), 690-699. https://doi.org/10.1007/s12671-016-0506-z
Leavitt, C. E., Maurer, T. F., Clyde, T. L., Clarke, R. W., Busby, D. M., Yorgason, J. B., Holmes, E. K., & James, S. (2021). Linking Sexual Mindfulness to Mixed-Sex Couples’ Relational Flourishing, Sexual Harmony, and Orgasm. Archives of Sexual Behavior, 50(6), 2589-2602. https://doi.org/10.1007/s10508-021-02054-0
Lin, C. Y., Potenza, M. N., Broström, A., Blycker, G. R., & Pakpour, A. H. (2019). Mindfulness-Based Cognitive Therapy for Sexuality (MBCT-S) Improves Sexual Functioning and Intimacy Among Older Women With Epilepsy: A Multicenter Randomized Controlled Trial. Seizure, 73, 64-74. https://doi.org/10.1016/j.seizure.2019.10.010
Meyers, M., Margraf, J., & Velten, J. (2020). Psychological Treatment of Low Sexual Desire in Women: Protocol for a Randomized, Waitlist-Controlled Trial of Internet-Based Cognitive Behavioral and Mindfulness-Based Treatments. Jmir Research Protocols, 9(9), e20326. https://doi.org/10.2196/20326
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
Nezamnia, M., Iravani, M., Sayah Bargard, M., & Latify, M. (2020). Effectiveness of cognitive-behavioral therapy on sexual function and sexual self-efficacy in pregnant women: An RCT. Int J Reprod Biomed, 18(8), 625-636. https://doi.org/10.18502/ijrm.v13i8.7504
Paterson, L. Q. P., Handy, A. B., & Brotto, L. A. (2017). A Pilot Study of Eight-Session Mindfulness-Based Cognitive Therapy Adapted for Women’s Sexual Interest/Arousal Disorder. The Journal of Sex Research, 54(7), 850-861. https://doi.org/10.1080/00224499.2016.1208800
Peixoto, M. M. (2023). Mindfulness, Self-Compassion, and Acceptance as Predictors of Sexual Satisfaction in Cisgender Heterosexual Men and Women. Healthcare, 11(13), 1839. https://doi.org/10.3390/healthcare11131839
Pulverman, C. S., Kilimnik, C. D., & Meston, C. M. (2018). The Impact of Childhood Sexual Abuse on Women's Sexual Health: A Comprehensive Review. Sexual Medicine Reviews, 6(2), 188-200. https://doi.org/10.1016/j.sxmr.2017.12.002
Reissing, E. D., Laliberté, G. M., & Davis, H. J. (2005). Young women's sexual adjustment: The role of sexual self-schema, sexual self-efficacy, sexual aversion and body attitudes. Canadian Journal of Human Sexuality, 14(3-4), 77-85. https://psycnet.apa.org/record/2006-05104-003
Sadeghian, B. (2024). The Effect of 8‐week Mindfulness Counseling on Sexual Self‐efficacy of Women Suffering From Human Immunodeficiency Syndrome: A Randomized Controlled Trial in Iran. Health Science Reports, 7(3). https://doi.org/10.1002/hsr2.1956
Safar Mohammadlou, N., Mollazadeh, A. R., & Meschi, F. (2021). Comparison of the effectiveness of emotion-focused therapy and cognitive behavioral therapy on sexual self-efficacy in women with breast cancer. Middle Eastern Journal of Disability Studies, 11, 71-71. https://doi.org/10.30483/RIJM.2021.254313.1143
Salehi, H., Sheykholeslami, A., & Taklavi, S. (2024). The effectiveness of behavioral activation training on sexual satisfaction and sexual assertiveness of women suffering from sexual problems. Journal of Research in Psychopathology, 5(15), 31-38. https://doi.org/10.22098/jrp.2023.13004.1179
Samakoush, A. N. (2023). Effectiveness of Schema Therapy on Marital Exhaustion, Sexual Self-Efficacy and Women's Feeling of Loneliness in the Family. PWJ, 4(3), 19-27. https://doi.org/10.61838/kman.pwj.4.3.3
Tardast, K., & Changi, M. A. C. (2021). The relationship between mindfulness and sexual satisfaction in married women of Payame Noor University of Ahvaz. Journal of New Strategies in Psychology and Educational Sciences, 4(11), 94-102. https://www.magiran.com/paper/2368693
Downloads
Additional Files
Published
Submitted
Revised
Accepted
License
Copyright (c) 2025 Hosna Ahmadzadeh (Author); Mehrnaz Azadyekta (Corresponding Author); Fariborz Bagheri (Author)

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

