Karamidehkordi Akram, Roudsari Robab Latifnejad
Department of Midwifery, Shahrekord University of Medical Science, Shahrekord, Iran.
Research Centre for Patient Safety, Mashhad University of Medical Science, Mashhad, Iran.
Iran J Nurs Midwifery Res. 2014 Feb;19(7 Suppl 1):S51-8.
Body image is related to cognitive, emotional, and physical aspects of women's life. Therefore, it is expected to have an important role in women's sexual health and marital adjustment too. This issue seems to be salient in infertile women who suffer from psychological consequences of infertility. This study was conducted to investigate the relationship of body image with sexual function and marital adjustment in infertile women in 2011 in Mashhad, Iran.
This correlational study was performed on 130 infertile women who referred to Montaserieh Infertility Research Centre in Mashhad, Iran. Subjects were selected using convenient sampling method. To collect data, valid and reliable questionnaires including demographic and infertility-related data tool, modified Younesi Body Image Questionnaire, Rosen Female Sexual Function Index (FSFI), and Spanier Dyadic Adjustment Scale (DAS) were used. Data analysis was performed by SPSS software using Student's t-test, correlation, analysis of variance (ANOVA), and Tukey post-hoc test.
The mean scores of body image, sexual function, and marital adjustment in women were 308.1 ± 45.8, 27.23 ± 3.80, and 113.8 ± 19.73, respectively. There was a direct correlation between overall body image and subscales of sexual function including sexual arousal (P = 0.003), sexual desire (P = 0.024), vaginal moisture (P = 0.001), orgasm (P < 0.001), sexual satisfaction (P < 0.001), and dyspareunia (P = 0.007). A direct correlation was also observed between overall body image and subscales of marital adjustment including agreement and consent (P < 0.001), satisfaction with life (P < 0.001), continuity of life (P = 0.007), and expressing emotions within the family environment (P < 0.001).
Improved sexual function and marital adjustment in cases with higher body image provides evidence that one of the solutions to reduce sexual dysfunction and marital dispute in infertile women could be planning educational and counseling programs to improve women's body image.
身体意象与女性生活的认知、情感和生理方面相关。因此，预计其在女性性健康和婚姻调适方面也发挥着重要作用。这一问题在遭受不孕心理影响的不孕女性中似乎尤为突出。本研究于2011年在伊朗马什哈德进行，旨在调查不孕女性的身体意象与性功能及婚姻调适之间的关系。
本相关性研究对130名转诊至伊朗马什哈德蒙塔塞里耶不孕研究中心的不孕女性进行。采用便利抽样法选取研究对象。为收集数据，使用了有效且可靠的问卷，包括人口统计学和不孕相关数据工具、改良的尤内西身体意象问卷、罗森女性性功能指数（FSFI）以及斯帕尼尔二元调适量表（DAS）。数据分析通过SPSS软件进行，采用学生t检验、相关性分析、方差分析（ANOVA）和图基事后检验。
女性身体意象、性功能和婚姻调适的平均得分分别为308.1±45.8、27.23±3.80和113.8±19.73。整体身体意象与性功能各子量表之间存在直接相关性，包括性唤起（P = 0.003）、性欲（P = 0.024）、阴道湿润度（P = 0.001）、性高潮（P < 0.001）、性满意度（P < 0.001）和性交疼痛（P = 0.007）。整体身体意象与婚姻调适各子量表之间也存在直接相关性，包括一致与同意（P < 0.001）、生活满意度（P < 0.001）、生活连续性（P = 0.007）以及在家庭环境中表达情感（P < 0.001）。
身体意象较高的情况下性功能和婚姻调适得到改善，这表明减少不孕女性性功能障碍和婚姻纠纷的解决方案之一可能是制定教育和咨询计划以改善女性的身体意象。
