A Comparison of the Effectiveness of Cognitive-Behavioral Sexual Skills Training (Masters & Johnson) and Sexual Mindfulness Training on Sexual Satisfaction and Sexual Intimacy in Married Women

Authors

    Marzieh Poosti Department of Psychology, Ker.C., Islamic Azad University, Kermanshah, Iran.
    Hassan Amiri * Department of Psychology, Ker.C., Islamic Azad University, Kermanshah, Iran. ahasan.amiri@iau.ac.ir
    Saeedeh Al-Sadat Hosseini Department of Psychology, Ker.C., Islamic Azad University, Kermanshah, Iran.

Keywords:

Cognitive-behavioral sexual skills training , sexual mindfulness training, sexual intimacy, sexual satisfaction, married women

Abstract

The present study aimed to compare the effectiveness of cognitive-behavioral sexual skills training (Masters & Johnson) and sexual mindfulness training on sexual satisfaction and sexual intimacy among married women attending healthcare centers in Tehran. The study employed an applied, quasi-experimental research design featuring a pretest-posttest format with a control group and random assignment. The research sample consisted of 45 married women who attended healthcare centers across various regions of Tehran. These participants were selected utilizing a convenience sampling method and were subsequently randomly assigned into three equal groups of 15 participants each: two experimental groups and one control group. At the baseline, all three groups underwent a pretest assessment using the Sexual Satisfaction Questionnaire (Hudson, Harrison, & Crosscup, 1998) and the Sexual Intimacy Questionnaire (Bagarozzi, 2001). Following this, the first experimental group received cognitive-behavioral sexual skills training based on the Masters and Johnson (1996) method, and the second experimental group received sexual mindfulness training (Kocsis et al., 2016). The control group received no intervention during this period. The collected data were processed and analyzed using SPSS version 26. The data analysis indicated that both the cognitive-behavioral sexual skills training (Masters & Johnson) and the sexual mindfulness training exerted a statistically significant positive effect on improving the levels of sexual satisfaction and sexual intimacy among the participating married women ( ). Furthermore, when comparing the comparative efficacy of the two distinct intervention methods, the results demonstrated no significant difference between them concerning their impact on enhancing sexual satisfaction and sexual intimacy. Empowering women through cognitive-behavioral sexual skills and sexual mindfulness training leads to positive and lasting changes in their sexual satisfaction and intimacy, which ultimately enhances overall relationship quality and marital satisfaction.

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References

1. Naskar A, Mukherjee A. Love and Home: Exploring Gender Differences in Romantic and Family Life Satisfaction. International Journal of Indian Psychology. 2025;13(3):4543-52.

2. Pollard AE, Cero I, Rogge RD. Conceptual Frameworks Linking Sexual Health to Physical, Mental, and Interpersonal Well-Being: A Comprehensive Systematic Review and Meta-Analysis. Behavioral Sciences. 2025;15(12):1636.

3. Collaço N, Bolliger C, Cairns C, Sodergren S, Husson O, van der Graaf WTA, et al. Navigating Romantic Relationships and Sexual Intimacy: Challenges and Opportunities for Adolescents and Young Adults With Cancer - A Literature Review of Qualitative Studies. Psycho-oncology. 2025;34(9):e70285.

4. Peters S, Maner J, Meltzer AL. The evolved psychology of mate preferences: Sexual desire underlies the prioritization of attractiveness in long-term partners. Journal of Experimental Social Psychology. 2025;121:104791.

5. Kokka I, Sotiropoulou P, Mourikis I. The Attachment Type, Relationship Characteristics, and Sexual Function of Women: Insights from a Cross-Sectional Analysis. International Journal of Environmental Research and Public Health. 2025;22(5):794.

6. Muise A, Emery L, Hughes E. Self‐Expansion Theory: Origins, Current Evidence, and Future Horizons. Social and Personality Psychology Compass. 2025;19(9):e70082.

7. Sowan W, Gewirtz-Meydan A, Engdau S, Dror R, Masarwe S, Wivstok Z. Sexual Reward in an Intimate Relationship. Sexes. 2025;6(3):33.

8. Sharma A, Saxena T. Sexual behaviour and relationship satisfaction in young adults. International Journal For Multidisciplinary Research. 2025;7.

9. Jamea EN, McCaskill LA, Needle RB. Sexual satisfaction: Exploring the role of flow. Journal of Sex & Marital Therapy. 2021;23:1-11.

10. Álvarez-Muelas A, Gómez-Berrocal C, Sierra JC. Study of sexual satisfaction in different typologies of adherence to the sexual double standard. Frontiers in Psychology. 2021;11:609571.

11. Attaky A, Schepers J, Kok G, Dewitte M. The role of sexual desire, sexual satisfaction, and relationship satisfaction in the sexual function of Arab couples living in Saudi Arabia. Sexual Medicine. 2021;9(2):100303.

12. Khatibi S, Gudarzi M, Yarahmadi Y. Effectiveness of satisfactory marriage training intervention in marital conflicts and marital disillusionment. Avicenna Journal of Neuro Psycho Physiology. 2021;8(1):13-8.

13. Bokaie M, Mirshafieian N, Jafari M. The Effectiveness of Solution-Focused Brief Counseling on Marital Intimacy in Mothers of Children with Down Syndrome: A Randomized Clinical Trial. Galen Medical Journal. 2023;12:e2747.

14. Vazirnia F, Karimi J, Goodarzi K, Sadeghi M. Effects of integrative behavioral couple therapy on infertility self-efficacy, dyadic adjustment, and sexual satisfaction in infertile couples. Journal of Client-Centered Nursing Care. 2021;7(1):43-54.

15. Kasian SJ, Désilets SE, Michael A. Integrative Sexual Wellness: A Collaborative Concierge Medicine Model for Optimizing Sexual Function and Enhancing Intimacy. Health. 2025;17:695-746.

16. Brotto LA, Atallah S, Carvalho J, Gordon E, Pascoal PM, Reda M, et al. Psychological and interpersonal dimensions of sexual function and dysfunction: recommendations from the fifth international consultation on sexual medicine (ICSM 2024). Sexual Medicine Reviews. 2025;13(2):118-43.

17. Léonard DP, Rosen NO, Bigras N, Massé-Pfister M, Bergeron S. Intimacy and sexual well-being in couples coping with sexual interest/arousal disorder: the importance of perceived partner responsiveness. The Journal of Sexual Medicine. 2025;22(7):1093-105.

18. Samadi P, Alipour Z, Maasoumi R. Evaluating an Integrated Approach to Improve the Couple Sexual Desire Disorders: A Randomized Clinical Trial Study. Iranian Journal of Public Health. 2024;53(6):1457-66.

19. Janssen AK, Csako RI, Rowland DL, Hevesi K. The Satisfaction of Women’s Orgasms: The Relationship Between Women’s Orgasmic Pleasure and Sexual Relationship Satisfaction in Aotearoa/New Zealand. International Journal of Sexual Health. 2025;37(2):251-62.

20. Kharaghani R, Esm Khani M, Mahmoodi Dangesaraki M, Damghanian M. The effects of psychological interventions on sexual function of women: A systematic review and meta-analysis. Nursing Practice Today. 2020;7(3):169-82.

21. Latifi M, Attarha M, Shayganfard M, Sharbafchi MR. The Effect of Cognitive-Behavioral Counseling on Sexual Function in Women with Breast Cancer: An Interventional Study. Asian Pacific Journal of Cancer Prevention. 2025;26(5):1745-51.

22. Jangi S, Nourizadeh R, Sattarzadeh-Jahdi N, Farvareshi M, Mehrabi E. The effect of cognitive-behavioral therapy and sexual health education on sexual assertiveness of newly married women. BMC Psychiatry. 2023;23(1):201.

23. Jangi S, Nourizadeh R, Sattarzadeh-Jahdi N, Farvareshi M, Mehrabi E. The effect of cognitive-behavioral therapy and sexual health education on sexual assertiveness and sexual satisfaction of newly married women. BMC Psychiatry. 2023;23:201.

24. Lerner T, Bagnoli VR, de Pereyra EAG, Fonteles LP, Sorpreso ICE, Júnior JMS, et al. Cognitive-behavioral group therapy for women with hypoactive sexual desire: A pilot randomized study. Clinics. 2022;77:100054.

25. Brotto LA, Basson R, Smith KB. A randomized trial comparing group mindfulness-based cognitive therapy versus supportive sex education and therapy for female sexual interest/arousal disorder. Journal of Consulting and Clinical Psychology. 2021;89(6):626-39.

26. Adam F, De Sutter P, Day J, Grimm E. A Randomized Study Comparing Video-Based Mindfulness-Based Cognitive Therapy With Video-Based Traditional Cognitive Behavioral Therapy in a Sample of Women Struggling to Achieve Orgasm. J Sex Med. 2020;17(2):312-24.

27. Omidvar Z. Comparison of cognitive therapy based on mindfulness and cognitive-behavioral therapy on sexual satisfaction in women with vaginismus disorder. Journal of Education and Health Promotion. 2021.

28. Eka G. Evaluating the effectiveness of mindfulness-based sexual therapy on sexual function and intimacy. Journal of Innovative Psychology & Therapeutic Practices. 2024.

29. Banbury S. A systematic review exploring the effectiveness of brief mindfulness-based interventions on sexual functioning. Behavioral Sciences. 2023;5(1):194-208.

30. Ciaurriz Larraz AM, Villena Moya A, Chiclana Actis C. Mindfulness-based intervention and sexuality: a systematic review. Trends in Psychiatry and Psychotherapy. 2024;46:e20210459.

31. Kocsis B. Mindfulness-based interventions for sexual functioning and satisfaction. Sexual and Relationship Therapy. 2019;34(3):252-69.

32. Lin CY, Potenza MN, Broström A. Mindfulness-based cognitive therapy for sexuality (MBCT-S) improves sexual functioning and intimacy. Seizure. 2019.

33. Leavitt C, Waterman E. The Role of Sexual Mindfulness in Sexual Wellbeing, Relational Wellbeing, and Self-Esteem. Journal of Sex & Marital Therapy. 2019;45(6):1-12.

34. Goldberg S. Daily sexual mindfulness is linked with greater sexual well-being in couples [Thesis]: University of British Columbia; 2024.

35. Sánchez-Sánchez LC, Rodríguez MFV, García-Montes JM, Petisco-Rodríguez C, Fernández-García R. Mindfulness in Sexual Activity, Sexual Satisfaction and Erotic Fantasies in a Non-Clinical Sample. International Journal of Environmental Research and Public Health. 2021;18(3):1161.

36. Smedley DK, Leavitt CE, Allsop DB, Nance M, James SL, Holmes EK. Mindfulness and Sexual Mindfulness as Moderators Between Conflict Resolution and Sexual and Relationship Satisfaction. Journal of Sex & Marital Therapy. 2021;47(8):814-28.

37. Jarvis E, Huberman JS, Rosen NO. Mindfulness and daily sexual function: a dyadic diary study. The Journal of Sexual Medicine. 2025;22(9):1658-64.

38. Du J, Dobson K, Impett EA, Stanton SCE. Turning Down, Tuning In: How Mindfulness Shapes Sexual Rejection, Relationship Satisfaction, and Sexual Satisfaction. The Journal of Sex Research. 2025:1-17.

39. Ortega-Otero M, Montesinos F, Charrabe L. Influence of psychological inflexibility and mindfulness on hypersexuality and sexual satisfaction in a Spanish sample. Frontiers in Psychology. 2023;14:1182222.

40. Khazaeian S, Navidian A, Rahiminezhad M. Effect of mindfulness on sexual self-efficacy and sexual satisfaction among Iranian postmenopausal women: a quasi-experimental study. Sexual Medicine. 2023;11(3):qfad031.

41. Ahmadzadeh H, Azadyekta M, Bagheri F. The Effectiveness of Mindfulness-Based Sex Therapy on Sexual Self-Efficacy and Sexual Quality of Life in Couples. Journal of Assessment and Research in Applied Counseling (JARAC). 2025;7(1):65-73.

42. Saavedra SM, Tavares IM. Mindfulness and sexual satisfaction in postpartum couples: the mediating role of sexual function and sexual distress. The Journal of Sexual Medicine. 2025;22(11):1937-45.

43. Pan W, Gau M, Lee T, Jou H, Liu Ch, Wen T. Mindfulness-based programme on the psychological health and intimacy of pregnant women. Women and Birth. 2019;32(1):e102-9.

44. Karremans JC, Kappen G, Schellekens M, Schoebi D. Comparing the effects of a mindfulness versus relaxation intervention on romantic relationship wellbeing. Scientific Reports. 2020;10(1):21696.

45. Krieger JF, Kristensen E, Marquardsen M, Ofer S, Mortensen EL, Giraldi A. Mindfulness in sex therapy and intimate relationships: a feasibility and randomized controlled pilot study in a cross-diagnostic group. Sexual Medicine. 2023;11(3):qfad033.

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Published

2026-07-01

Submitted

2026-01-12

Revised

2026-03-31

Accepted

2026-04-02

Issue

Section

Articles

How to Cite

Poosti, M., Amiri, H., & Hosseini, S. A.-S. (2026). A Comparison of the Effectiveness of Cognitive-Behavioral Sexual Skills Training (Masters & Johnson) and Sexual Mindfulness Training on Sexual Satisfaction and Sexual Intimacy in Married Women. Mental Health and Lifestyle Journal, 1-15. https://www.mhljournal.com/index.php/mhlj/article/view/203

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