Nathan E P, Joanning H H
J Sex Marital Ther. 1985 Fall;11(3):157-64. doi: 10.1080/00926238508405441.
The popular but little researched sexual enrichment program developed by LoPiccolo and Miller was modified and the revised Enhancing Marital Sexuality (EMS) program was evaluated using the Sexual Interaction Inventory (SII) and the Dyadic Adjustment Scale (DAS). A pretest-posttest-follow-up control group design was used to assess the effectiveness of EMS in improving couples' sexual and marital satisfaction. Thirty-four couples were randomly assigned (with replacements) to either the no-treatment control condition or the 11-hour EMS program. Results indicated extensive short-term improvements in sexual satisfaction for both sexes and some short-term gains in marital satisfaction for couples. At 3-month follow-up, improvement was sustained on SII scales of perceptual accuracy for both sexes, and on self-acceptance and pleasure scales for females. No marital satisfaction gains were evident at follow-up. It was concluded that long-term sexual satisfaction gains, especially for females, justify the continued use and refinement of the EMS program. Findings also indicated that marital satisfaction may be too broad a category to be affected by educational training with as specific a focus as sexual enhancement. Suggestions are made for further research.
由洛皮科洛和米勒开发的广受欢迎但研究较少的性充实计划进行了修改，并使用性互动量表（SII）和二元调整量表（DAS）对修订后的增强婚姻性行为（EMS）计划进行了评估。采用前测-后测-随访对照组设计来评估EMS在提高夫妻性满意度和婚姻满意度方面的有效性。34对夫妻被随机分配（可重复）到无治疗对照组或11小时的EMS计划组。结果表明，男女双方的性满意度在短期内都有广泛提高，夫妻的婚姻满意度也有一些短期提升。在3个月的随访中，男女双方在SII感知准确性量表上的改善得以维持，女性在自我接纳和愉悦量表上的改善也得以维持。随访时婚姻满意度没有明显提高。研究得出结论，长期的性满意度提高，尤其是对女性而言，证明了继续使用和完善EMS计划的合理性。研究结果还表明，婚姻满意度可能是一个过于宽泛的类别，难以受到像性增强这样特定重点的教育培训的影响。文中提出了进一步研究的建议。
