{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T17:07:29Z","timestamp":1791479249374,"version":"4.3.4"},"reference-count":49,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2024,1,4]],"date-time":"2024-01-04T00:00:00Z","timestamp":1704326400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100004484","name":"Tehran University of Medical Sciences","doi-asserted-by":"publisher","award":["99-2-100-49095"],"award-info":[{"award-number":["99-2-100-49095"]}],"id":[{"id":"10.13039\/501100004484","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,30]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Female sexual interest\/arousal disorder (FSIAD) is the most common female sexual disorder with adverse effects on women\u2019s health and interpersonal relationships.<\/jats:p>\n <\/jats:sec>\n \n Aim<\/jats:title>\n This survey evaluated the effects of sexual counseling based on the \u201cgood enough sex\u201d (GES) model on the sexual health variables of women with FSIAD.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A randomized clinical trial with a 1:1 allocation ratio was conducted among 80 women with FSIAD in Iran in 2021. Eligible participants were randomly assigned to group A (women) and group B (couples). Women attended 4 weekly online group sexual counseling sessions based on the GES model, each lasting 120\u00a0minutes. In group B, husbands participated in sessions 2 and 3.<\/jats:p>\n <\/jats:sec>\n \n Outcomes<\/jats:title>\n Women\u2019s sexual health parameters\u2014including sexual desire, sexual satisfaction, sexual function, sexual distress, sexual communication, frequency of sexual intercourse, and dysfunctional beliefs\u2014were evaluated before and 3 months after counseling. The significance threshold considered P\u2009&lt;\u2009.007 due to Bonferroni correction.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n After the intervention, all sexual parameters except sexual dysfunctional beliefs showed significant improvement (P\u2009&lt;\u2009.001) in both groups. During the follow-up period, the average scores for all sexual variables were slightly higher in group B vs group A. The between-group difference was significant only for frequency of sexual intercourse (P\u2009&lt;\u2009.01).<\/jats:p>\n <\/jats:sec>\n \n Clinical Implications<\/jats:title>\n This study reaffirms the impact of the GES model as biopsychosocial therapy in managing female sexual problems. Considering men\u2019s reluctance to accompany their wives to sex clinics, counseling for women alone can play a significant role in solving sexual problems, especially in the case of FSIAD. Online sexual consultation offers cost and time savings, provides a secure space for discussing sensitive topics, and facilitates group program coordination. It ensures universal access to counseling, thereby addressing gender incompatibility issues. It is a powerful, interactive, and acceptable alternative to in-person visits, providing convenience and confidentiality for clients seeking sexual health support.<\/jats:p>\n <\/jats:sec>\n \n Strengths and Limitations<\/jats:title>\n The following were among the survey strengths: conducting a randomized controlled trial on women with FSIAD by applying an appropriate model and scales, involving spouses, and evaluating online group sexual counseling. However, the results of this study may not be generalizable to women without partners.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The GES model, emphasizing intimacy and sexual dialogue, reduces unrealistic sexual expectations and improves women\u2019s sexual desire and overall health. Our results showed that instead of insisting on the physical presence of husbands in counseling sessions, clinicians should emphasize their emotional support and companionship during the treatment process.<\/jats:p>\n <\/jats:sec>","DOI":"10.1093\/jsxmed\/qdad168","type":"journal-article","created":{"date-parts":[[2024,1,5]],"date-time":"2024-01-05T19:28:07Z","timestamp":1704482887000},"page":"153-162","source":"Crossref","is-referenced-by-count":11,"title":["Sexual counseling for female sexual interest\/arousal disorders: a randomized controlled trial based on the \u201cgood enough sex\u201d model"],"prefix":"10.1093","volume":"21","author":[{"given":"Zahra","family":"Farahi","sequence":"first","affiliation":[{"name":"Department of Reproductive Health and Midwifery , School of Nursing and Midwifery, , Tehran 1416634793 , Iran"},{"name":"Tehran University of Medical Sciences , School of Nursing and Midwifery, , Tehran 1416634793 , 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