ISSN: 1735-1308
May-June 2023
Vol. 20 No. 03 (2023)
Predictor Factors of Female Sexual Distress in a Population-Based Sample of Iranian Women: a Path Analysis Predictors of Female Sexual Distress
Urology Journal,
Vol. 20 No. 03 (2023),
,
Page 173-180
https://doi.org/10.22037/uj.v20i.7375
Abstract
Purpose: To investigate the direct and indirect effects of demographic characteristics, relationship satisfaction, and psychological factors on female sexual distress (FSD) using path analysis.
Materials and Methods: This study was conducted in two stages. Initially we obtained the FSD predictor factor's conceptual model through a literature review and expert panel. In the Second stage, a population-based cross-sectional study on 207 non-pregnant and married women (without any age restriction) in Zanjan, Iran was conducted. FSDs-R, FSFI-6, DASS-21, and GEMREL Standard questionnaires and the demographic researcher-made questionnaire were used in this study. The data undergone path analysis based on the initial conceptual model.
Results: Sexual function (SF) had the strongest relationship with FSD from the direct path (β = -.49) and overall effect (β = -.58). The highest indirect effect belonged to depression-anxiety-stress level (β = .284) mediated by SF (β = -.42) and relationships satisfaction with spouse (β = -.20). Age difference (β = -.13) and relationships satisfaction with spouse (β = -.19) had only a direct effect on FSD. Marriage Duration had only indirect effect on FSD through mediating role on SF (β = -.26) and depression-anxiety-stress level (β = -.15).
Conclusion: Among the predictor factors investigated in this study, sexual dysfunction is the most important predictor of FSD. In addition; men older than their spouses, longer marriage duration, relationship dissatisfaction with the spouse and higher rate of depression-anxiety-stress have positive correlation with SD. Therefore, we should offer a combination of the mentioned factors in providing care for women with SD.
- Sexual health, Sexual Dysfunction, Psychological Factors, Path Analysis
How to Cite
References
DeRogatis L, Clayton A, Lewis-D'Agostino D, Wunderlich G, Fu Y. Validation of the female sexual distress scale-revised for assessing distress in women with hypoactive sexual desire disorder. JSM. 2008;5:357-64.
Blumenstock SM, Papp LM. Sexual distress and marital quality of newlyweds: An investigation of sociodemographic moderators. Fam Relat . 2017;66:794-808.
Edition F. Diagnostic and statistical manual of mental disorders. Am Psychiatric Assoc. 2013;21:591-643.
Ghiasi A, Keramat A. Prevalence of sexual dysfunction among reproductive-age women in Iran: a systematic review and meta-analysis. JMRH . 2018;6:1390-8.
Shifren JL, Monz BU, Russo PA, Segreti A, Johannes CB. Sexual problems and distress in United States women: prevalence and correlates. OBGYN. 2008;112:970-8.
Burri A, Rahman Q, Spector T. Genetic and environmental risk factors for sexual distress and its association with female sexual dysfunction. Psychol Med. 2011;41:2435-45.
Khorshidi M, Alimoradi Z, Bahrami N, Griffiths MD. Predictors of women’s sexual quality of life during the COVID-19 pandemic: An Iranian cross-sectional study. Sex Relatsh Ther. 2022;37:1-14
Alizadeh A, Farnam F. Coping with dyspareunia, the importance of inter and intrapersonal context on women’s sexual distress: a population-based study. Reprod Health. 2021;18:1-11.
Evangelia N, Kirana P-S, Chiu G, Link C, Rosen R, Hatzichristou D. Level of Bother and Treatment-Seeking Predictors Among Male and Female in-Patients with Sexual Problems: A Hospital-Based Study. Arch Sex Behav. 2010;7:700-11.
Bancroft J, Loftus J, Long JS. Distress about sex: A national survey of women in heterosexual relationships. Archives of sexual behavior. 2003;32:193-208.
Graham CA, Štulhofer A, Lange T, Hald GM, Carvalheira AA, Enzlin P, et al. Prevalence and predictors of sexual difficulties and associated distress among partnered, sexually active older women in Norway, Denmark, Belgium, and Portugal. Arch Sex Behav. 2020;49:2951-61.
Hendrickx L, Gijs L, Janssen E, Enzlin P. Predictors of Sexual Distress in Women With Desire and Arousal Difficulties: Distinguishing Between Personal, Partner, and Interpersonal Distress. JSM. 2016;13:1662-75.
noorani m, Jazayeri R, Fatehizadeh M. Discovering the factors of dissatisfaction in older women-younger men marriages. Psychol Sci. 2021;20:1331-44.
Witting K, Santtila P, Varjonen M, Jern P, Johansson A, Von Der Pahlen B, et al. ORIGINAL RESEARCH—COUPLES' SEXUAL DYSFUNCTIONS: Female Sexual Dysfunction, Sexual Distress, and Compatibility with Partner. JSM. 2008;5:2587-99.
Wooldredge J. Path Analysis. The Encyclopedia of Research Methods in Criminology and Criminal Justice. 2021;2:515-22.
Kline R. Principles and practice of structural equation modeling Second edition New York. New York: Guilford Press; 2005.
Azimi Nekoo E, Burri A, Ashrafti F, Fridlund B, Koenig HG, Derogatis LR, et al. Psychometric Properties of the Iranian Version of the Female Sexual Distress Scale‐Revised in Women. JSM. 2014;11:995-1004.
Isidori AM, Pozza C, Esposito K, Giugliano D, Morano S, Vignozzi L, et al. Outcomes assessment: Development and validation of a 6-item version of the Female Sexual Function Index (FSFI) as a diagnostic tool for female sexual dysfunction. JSM. 2010;7:1139-46.
Ghassami m, Shairi MR, Asghari Moghadam MA, Rahmati N. The Study of The Psychometric Properties of The 6-Item Version of The Female Sexual Function Index (Fsfi-6) Amongest Iranian Women. Nursing and Midwifery Journal. 2014;12:532-43.
Lawrance K-a, Byers ES. Development of the interpersonal exchange model of sexual satisfaction in long term relationships. CJHS. 1992;1:123-8.
Pascoal PM, Oliveira LB, Raposo CF. Evidências de validade da Global Measure of Relationship Satisfaction (GMREL) em três amostras da população portuguesa. Psicol: Reflex Crit. 2015;28:41-8.
Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995;33:335-43.
Kiani Z, Simbar M, Dolatian M, Zayeri F. Correlation between social determinants of health and women’s empowerment in reproductive decision-making among Iranian women. Glob J Health Sci. 2016;8:312.
Forbes MK, Baillie AJ, Schniering CA. A structural equation modeling analysis of the relationships between depression, anxiety, and sexual problems over time. JSR. 2016;53:942-54.
Pascoal PM, Raposo CF, Roberto MS. A Transdiagnostic Approach to Sexual Distress and Sexual Pleasure: A Preliminary Mediation Study with Repetitive Negative Thinking. IJERPH. 2020;17:7864.
Hamilton LD, Julian AM. The relationship between daily hassles and sexual function in men and women. J Sex Marital Ther. 2014;40:379-95.
Pâquet M, Rosen NO, Steben M, Mayrand M-H, Santerre-Baillargeon M, Bergeron S. Daily Anxiety and Depressive Symptoms in Couples Coping With Vulvodynia: Associations With Women's Pain, Women's Sexual Function, and Both Partners' Sexual Distress. J Pain Res. 2018;19:552-61.
Burri A, Spector T, Rahman Q. The etiological relationship between anxiety sensitivity, sexual distress, and female sexual dysfunction is partly genetically moderated. JSM. 2012;9:1887-96.
Tutelman PR, Dawson SJ, Schwenck GC, Rosen NO. A longitudinal examination of common dyadic coping and sexual distress in new parent couples during the transition to parenthood. Fam Process. 2022;61:278-93.
Abbas J, Aqeel M, Abbas J, Shaher B, Jaffar A, Sundas J, et al. The moderating role of social support for marital adjustment, depression, anxiety, and stress: Evidence from Pakistani working and nonworking women. J Affect Disord. 2019;244:231-238.
Alidost F, Pakzad R, Dolatian M, Abdi F. Sexual dysfunction among women of reproductive age: A systematic review and meta-analysis. Int J Reprod BioMed. 2021;19:421.
Erens B, Mitchell KR, Gibson L, Datta J, Lewis R, Field N, et al. Health status, sexual activity and satisfaction among older people in Britain: A mixed methods study. PLoS One. 2019;14:e0213835.
Hayes RD, Dennerstein L, Bennett CM, Sidat M, Gurrin LC, Fairley CK. Risk factors for female sexual dysfunction in the general population: Exploring factors associated with low sexual function and sexual distress. JSM. 2008;5:1681-93.
Rosen RC, Shifren JL, Monz BU, Odom DM, Russo PA, Johannes CB. Epidemiology: Correlates of sexually related personal distress in women with low sexual desire. JSM. 2009;6:1549-60.
Howard J, O'Neill S, Travers C. Factors affecting sexuality in older Australian women: sexual interest, sexual arousal, relationships and sexual distress in older Australian women. Climacteric. 2006;9:355-67.
Shahvary Z, Gholizade L, Hoseiny SM. Determination of some related factors on women sexual satisfaction Gachsaran (South-West of Iran). GOUMS. 2010;11:51-109.
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