effectiveness of group psychosexual training for marital adjustment and sexual self-efficacy of infertile women: a randomized controlled trial

Objective: infertility can be associated with unfavorable psychological consequences such as a sense of marital incompatibility and sexual inadequacy. to address these issues, this study aimed to assess the effectiveness of group psycho-sexual training in improving marital adjustment and sexual self-efficacy of infertile women.method: a randomized controlled clinical trial (rct) study was conducted in babol, iran, with 72 infertile women, randomly assigned to either the intervention group (n = 36) or the control group (n = 36). the intervention group underwent psychosexual training, while the control group received routine care. the dyadic adjustment scale (das) and sexual self-efficacy scale (sses) were used to assess their marital adjustment and sexual self-efficacy. data analysis was performed using various tests, including the independent t-test, chi-squared test, paired t-test, ancova, and mancova.results: most infertile women had moderate sexual self-efficacy (80%). the intervention group had a significantly better response to group psycho-sexual training compared to the control group. this intervention improved sexual self-efficacy and marital adjustment and its subscales including marital consensus, satisfaction, cohesion (p<0.0001), and affectional expression (p<0.001). the mean pre-to-post treatment scores of sexual self- efficacy, marital adjustment, and its subscales increased significantly in the intervention group, while no significant difference was observed in the control group (p<0.0001).conclusion: based on the findings, it is recommended to provide educational services alongside the infertility treatment process for enhancing the quality of marital adjustment and promoting sexual self-efficacy.