{"title":"Group Sex Counseling Based on a Modified \"Good Enough Sex\" Model: A Randomized Trial on Sexual Health Variables among Breast Cancer Survivors in Iran.","authors":"Samira Barjasteh, Violeta Lopez, Farnaz Farnam","doi":"10.1080/0092623X.2024.2357141","DOIUrl":null,"url":null,"abstract":"<p><p>A randomized controlled clinical trial conducted in Iran from April 2020-2021 involved 100 eligible breast cancer survivors (BCSs). The study examined the impact of sexual counseling using a modified \"Good Enough Sex\" (GES) model on BCSs' sexual health variables. The intervention group, consisting of BCSs and their spouses, participated in four weekly group counseling sessions lasting 90-120 min each. The control group attended routine medical checkups. The intervention was designed based on a previous qualitative study assessing sexual needs and concerns in BCSs, as well as the GES model. Sexual satisfaction, function, and communication were evaluated at baseline, two, and three months follow-ups. Most participants (77%) had undergone a mastectomy, with diagnoses typically occurring between ages 39-49 and 5-7 years post-diagnosis. Initially low sexual satisfaction and function significantly improved in the intervention group (<i>p</i> < 0.001), reaching high satisfaction and moderate function levels. After three months, significant differences in sexual health variables were observed between the intervention and control groups (<i>p</i> < 0.001), indicating substantial positive effects, particularly in sexual satisfaction (0.99). Given the challenges in improving sexual function due to cancer complications, sex education based on sexual dialogue and realistic expectations can promote sexual well-being.</p><p><p><b>RCT Number</b>: IRCT20120609009975N8, dated 2020-04-18, https://en.irct.ir/trial/42030.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":null,"pages":null},"PeriodicalIF":2.1000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Sex & Marital Therapy","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1080/0092623X.2024.2357141","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/5/31 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"FAMILY STUDIES","Score":null,"Total":0}
引用次数: 0
Abstract
A randomized controlled clinical trial conducted in Iran from April 2020-2021 involved 100 eligible breast cancer survivors (BCSs). The study examined the impact of sexual counseling using a modified "Good Enough Sex" (GES) model on BCSs' sexual health variables. The intervention group, consisting of BCSs and their spouses, participated in four weekly group counseling sessions lasting 90-120 min each. The control group attended routine medical checkups. The intervention was designed based on a previous qualitative study assessing sexual needs and concerns in BCSs, as well as the GES model. Sexual satisfaction, function, and communication were evaluated at baseline, two, and three months follow-ups. Most participants (77%) had undergone a mastectomy, with diagnoses typically occurring between ages 39-49 and 5-7 years post-diagnosis. Initially low sexual satisfaction and function significantly improved in the intervention group (p < 0.001), reaching high satisfaction and moderate function levels. After three months, significant differences in sexual health variables were observed between the intervention and control groups (p < 0.001), indicating substantial positive effects, particularly in sexual satisfaction (0.99). Given the challenges in improving sexual function due to cancer complications, sex education based on sexual dialogue and realistic expectations can promote sexual well-being.
期刊介绍：
The Journal of Sex and Marital Therapy is one of the top independent journals in the field. Under the prestigious leadership of R. Taylor Seagraves, M.D. - one of the world" foremost experts in sex and marital therapy -- JSMT is an active and contemporary forum reflecting the most viable developments emanating from the U.S. and abroad. JSMT continues to break new ground with innovative research and clinical writing, and the editor is committed to showcasing the most far-reaching traditional and contemporary thinking from all sources. You will read about therapeutic techniques, outcome, special clinical and medical problems, and the theoretical parameters of sexual functioning, and marital relationships.
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