Journal of Modern Psychology

Journal of Modern Psychology

The Role of Intimacy and Sexual Knowledge in Predicting Marital Quality with the Mediation of Attachment Style in Iranian Couples

Document Type : Research Article

Authors
Department of Psychology, Faculty of Psychology and Educational Sciences, University of Mohaghegh Ardabili, Ardabil, Iran
10.22034/jmp.2025.541997.1143
Abstract
 
Objective: This study aimed to investigate the role of intimacy and sexual knowledge in predicting marital quality, with attachment style as a mediator, among Iranian couples.
Methods: The research employed a correlational design using structural equation modeling (SEM). The statistical population consisted of couples referred to psychotherapy and welfare centers in Tabriz in 2023, from which 250 participants were selected via multistage random sampling. Data were collected using the Revised Dyadic Adjustment Scale (RDAS), Intimacy Scale (IS), Sexual Knowledge Questionnaire (SKQ), and Experiences in Close Relationships-Revised (ECR-R). For data analysis, SPSS version 26 was used for descriptive and correlation analyses, and AMOS version 24 was applied for structural equation modeling to test the hypothesized relationships between variables.
Results: The sample size was found to be adequate for structural equation modeling (KMO=0.89). Intimacy (β=0.41, P<0.001) and sexual knowledge (β=0.20, P<0.01) had direct effects on marital quality, while attachment style significantly mediated these relationships (P<0.001). The proposed model showed a good fit to the data (χ²/df=2.15, RMSEA=0.06).
Conclusions: They suggest that counselors and therapists should prioritize integrating these essential elements into their therapeutic approaches and interventions to promote healthier, more fulfilling partnerships.
Keywords

Subjects


Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development. Routledge. A Secure Base Paperback – January 1, 1988 by John Bowlby
Busby, D. M., Crane, D. R., Larson, J. H., & Christensen, C. (1995). A revision of the Dyadic Adjustment Scale. Journal of Marital and Family Therapy, 21(4), 419–430. https://doi.org/10.1111/j.1752-0606.1995.tb00163.x
Byers, E. S. (2011). Beyond the birds and the bees and was it good for you?: Thirty years of research on sexual communication. Canadian Psychology/Psychologie Canadienne52(1), 20. https://doi.org/10.1037/a0022048
Chan, J. F. W., Yuan, S., Kok, K. H., To, K. K. W., Chu, H., Yang, J., ... & Yuen, K. Y. (2020). A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. The lancet395(10223), 514-523. DOI: 10.1016/S0140-6736(20)30154-9
Dew, J., & Bradford Wilcox, W. (2013). Generosity and the maintenance of marital quality. Journal of marriage and family75(5), 1218-1228.   https://doi.org/10.1111/jomf.12066
Fraley, R. C., Waller, N. G., & Brennan, K. A. (2005). An item response theory analysis of self-report measures of adult attachment. Journal of Personality and Social Psychology, 78(2), 350–365. https://doi.org/10.1037/0022-3514.78.2.350
Gott, M., & Hinchliff, S. (2003). Barriers to seeking treatment for sexual problems in primary care: a qualitative study with older people. Family practice20(6), 690-695. https://doi.org/10.1093/fampra/cmg612
Greeley, A., Anderson, J., & Wilson, K. (2021). Intimacy and reduction of marital conflict: A longitudinal study of American couples. Journal of Marriage and Family, 83(3), 456–470. https://doi.org/10.1111/jomf.12760
Hazan, C., & Shaver, P. R. (1990). Love and work: An attachment-theoretical perspective. Journal of Personality and Social Psychology, 59(2), 270–280. https://doi.org/10.1037/0022-3514.59.2.270
Holist, S., Miller, R., & Falson, J. (2005). Reliability and validity of the Revised Dyadic Adjustment Scale. Family Relations, 54(2), 211–223. https://doi.org/10.1111/j.0197-6664.2005.00017.x
Hooper, J., Gardner, R., & Brown, M. (1992). The Sexual Knowledge Scale: A tool for assessing sexual awareness. Journal of Sex Research, 29(3), 321–335. https://doi.org/10.1080/00224499209551648
Hosseini, S., Mohammadi, R., & Karimi, A. (2021). The role of attachment style in marital satisfaction among couples in Isfahan. Applied Psychology, 14(3), 123–140. https://doi.org/10.1111/jomf.12066
King, P., Rutherford, M., & Burton, J. (2022). Intimacy and marital quality: The role of emotional factors in couples’ relationships. Journal of Family Psychology, 36(5), 678–689. https://doi.org/10.1037/fam0000901
Kline, R. B. (2020). Principles and practice of structural equation modeling (5th ed.). Guilford Press. Rex B. Kline, ISBN 9781462551910
Knobloch-Fedders, L. M., Knobloch, L. K., Scott, S., & Fiore, H. (2020). Relationship changes of military couples during reintegration: A longitudinal analysis. Journal of Social and Personal Relationships37(7), 2145-2165. https://doi.org/10.1177/0265407520917461
Maboudi, M., Homaei, M., Song, S., Malihi, S., Saadatseresht, M., & Gerke, M. (2023). A review on viewpoints and path planning for UAV-based 3-D reconstruction. IEEE Journal of Selected Topics in Applied Earth Observations and Remote Sensing16, 5026-5048.  https://doi.org/10.48550/arXiv.2205.03716
May, R. W., Cooper, A. N., & Fincham, F. D. (2020). Prayer in marriage to improve wellness: Relationship quality and cardiovascular functioning. Journal of Religion and Health59(6), 2990-3003. https://doi.org/10.4103/0019-5545.58288.
McCarthy, B. (2021). Sexual knowledge and marital satisfaction: The role of awareness in improving relationships. Sexual and Relationship Therapy, 36(2), 123–135. https://doi.org/10.1080/14681994.2020.1834997
Mikulincer, M., & Shaver, P. R. (2019). Attachment orientations and emotion regulation. Current opinion in psychology, 25, 6-10. https://doi.org/10.1016/j.copsyc.2018.02.006
Nouranipour, R., Besharat, M., & Yousefi, N. (2017). The relationship between intimacy and marital quality among Iranian couples. Counseling and Psychotherapy Quarterly, 8(1), 45–62. DOI: 10.30473/hpj.2025.67397.5778 
Proulx, Felix A., (2025). The Longitudinal Impact of Emotional, Cognitive and Physical Demands on Nurses’ Affective Occupational Commitment. Available at SSRN: https://ssrn.com/abstract=5354883 or http://dx.doi.org/10.2139/ssrn.5354883
Rahimi, N., Alizadeh, M., & Rezaei, Sh. (2022). The relationship between marital quality and mental health among Iranian couples. Applied Psychology Quarterly, 15(1), 89–105. http://umj.umsu.ac.ir/article-1-1853-en.html
Sadeghi, A., Ali Asgari, A., Norouzi, A., Kheiri, Z., Anushirvani, A., Montazeri, M., ... & Merat, S. (2020). Sofosbuvir and daclatasvir compared with standard of care in the treatment of patients admitted to hospital with moderate or severe coronavirus infection (COVID-19): a randomized controlled trial. Journal of Antimicrobial Chemotherapy75(11), 3379-3385.  https://doi.org/10.1093/jac/dkaa334
Sanaei, B. (2000). Family and marriage assessment scales. Besat Publications.
Shokarkan, H., Khoshestemehr, R., & Attari, Y. (2006). Validity and reliability of the Adult Attachment Questionnaire in Iran. Clinical Psychology Journal, 2(4), 15–28. http://zanko.muk.ac.ir/article-1-25-en.html
Torabi, M., Ahmadi, S., & Hosseini, F. (2023). The effect of sexual knowledge education on marital satisfaction among couples in Tehran. Family Research Quarterly, 19(2), 45–60. http://hsr.mui.ac.ir/article-1-183-en.html
Troxel, W. M. (2006). Marital quality, communal strength, and physical health (Doctoral dissertation, University of Pittsburgh). Wendy M Troxel
Walker, E., & Thompson, L. (1983). The Intimacy Scale: A measure of emotional closeness. Personal Relationships, 1(1), 45–60. DOI:10.18844/gjpr.v12i1.6854
Waller, N. G., Fraley, R. C., & Brennan, K. A. (2000). An adult attachment measure: The Experiences in Close Relationships–Revised (ECR-R). Journal of Personality Assessment, 74(2), 350–377. https://doi.org/10.1207/S15327752JPA7402_9
Yousefi, N. (2011). Validation of the Revised Dyadic Adjustment Scale among Iranian couples. Family Psychology, 5(2), 33–48. DOI:10.1186/s40359-020-0375-z

  • Receive Date 18 June 2025
  • Revise Date 28 August 2025
  • Accept Date 29 September 2025