The Effect of Sexual Assertiveness Training on women’s genital self-image: A Randomized Clinical Trial

Fatemeh Sayyadi, N. Golmakani, Amin Karim Abadi
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引用次数: 1

Abstract

Background & aim: The genital self-image refers to women's attitudes, beliefs, and feelings about their genitalia and genital system that are involved in sexual intercourse. Sexual assertiveness is individuals' ability to meet their sexual needs. Considering the dearth of study on women’s genital self-image, this study aimed to evaluate the effectiveness of a sexual assertiveness training program on women’s genital self-image. Methods: This parallel randomized clinical trial was performed on 60 married women referred to Imam Reza Health Center in Mashhad during September and October 2016. A sample size of 30 subjects was assigned to intervention and control groups. The training classes including two 90 minutes sessions were held once a week for 2 consecutive weeks. The tools for data collection consisted of Hulbert sexual assertiveness and women’s genital self-image questionnaires. A pretest was completed in two groups at the beginning of the study and a post-test was done for both groups one week after training the intervention group. To analyze data student t-test, paired t-test, Mann-Whitney, Wilcoxon, Chi-square and one-way analysis of variance were used. Results: The score of genital self-image was the same in two groups before carrying out the intervention (z= -1.762, p= 0.780). However, following the implementation of training program the two groups showed significant differences and the score of genital self-image  was higher in intervention group (z = - 4.077, p ˂ 0.001). Conclusion: Sexual assertiveness training can improve women’s genital self-image. So it is recommended to tailor training programs to enhance women's genital self-image, particularly, in women with sexual dysfunction in order to improve their sexual health.
性自信训练对女性生殖器自我形象的影响:一项随机临床试验
背景与目的:生殖器自我意象是指女性在性交过程中对自身生殖器和生殖系统的态度、信念和感受。性自信是个人满足性需求的能力。考虑到女性生殖器自我形象研究的缺乏,本研究旨在评估性自信训练计划对女性生殖器自我形象的有效性。方法:对2016年9月至10月在马什哈德伊玛目礼萨健康中心转诊的60名已婚妇女进行平行随机临床试验。30名受试者被分为干预组和对照组。培训课程包括两次90分钟的课程,每周一次,连续两周。数据收集工具包括Hulbert性自信问卷和女性生殖器自我形象问卷。两组在研究开始时完成了前测,两组在干预组训练一周后都进行了后测。数据分析采用学生t检验、配对t检验、Mann-Whitney、Wilcoxon、卡方和单因素方差分析。结果:干预前两组患者生殖器自我形象评分相同(z= -1.762, p= 0.780)。然而,在实施培训计划后,两组表现出显著差异,干预组生殖器自我形象得分更高(z = - 4.077, p小于0.001)。结论:性自信训练能提高女性生殖器自我形象。因此,建议量身定制培训计划,以提高女性生殖器的自我形象,特别是对于性功能障碍的女性,以改善她们的性健康。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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