Nowosielski Krzysztof, Kurpisz Jacek, Kowalczyk Robert
a Department of Physiotherapy , Medical School in Opole , Opole , Poland.
b Department and Clinic of Psychiatry , Pomeranian Medical University , Szczecin , Poland.
Eur J Contracept Reprod Health Care. 2019 Aug;24(4):280-287. doi: 10.1080/13625187.2019.1615617. Epub 2019 May 16.
The aim of the study was to examine sexual self-schema in women using different methods of contraception. Women ( = 560) aged 18-55 years were divided into two groups: those who used hormonal contraception ( = 285) and those who used non-hormonal contraception ( = 275). Participants were assessed using the Sexual Self-Schema Scale (SSSS), the Well-Matched Marriage Questionnaire and the Hospital Anxiety and Depression Scale and were also asked to fill in a structured questionnaire, giving information on their socioeconomic status, reproductive and medical history, sexual behaviours, psychosexual orientation, sexual experience and type of contraception used. Women in the hormonal group scored lower on romantic, passionate and direct subscales of the SSSS, compared with women in the non-hormonal group. Of the total sample, 35% were classified as positive schematic. Women in the hormonal group were found to be more negative schematic and aschematic as well as less co-schematic compared with women in the non-hormonal group. Furthermore, women in the hormonal group were significantly less religious and perceived their self-evaluated weight to be higher compared with women in the non-hormonal group. Logistic regression revealed that negative schematic (odds ratio [OR] 6.6) and aschematic women (OR 3.7), as well as women with more deliveries (OR 1.6), were more likely to choose hormonal contraception. A sexual self-schema might be a relevant factor affecting the choice of contraceptive method. All women seeking hormonal contraception who are aschematic or negative schematic should consult with a sexual medicine specialist, because those individuals may have more profound reasons underlying their need for this type of contraception.
该研究的目的是使用不同的避孕方法来研究女性的性自我图式。18至55岁的女性（n = 560）被分为两组：使用激素避孕的女性（n = 285）和使用非激素避孕的女性（n = 275）。使用性自我图式量表（SSSS）、匹配良好婚姻问卷和医院焦虑抑郁量表对参与者进行评估，还要求她们填写一份结构化问卷，提供有关其社会经济状况、生殖和病史、性行为、性心理取向、性经历以及所使用避孕方法类型的信息。与非激素组的女性相比，激素组的女性在SSSS的浪漫、激情和直接子量表上得分更低。在总样本中，35%被归类为积极图式。与非激素组的女性相比，发现激素组的女性更消极图式、无图式，并且共同图式更少。此外，与非激素组的女性相比，激素组的女性宗教信仰明显更低，并且认为自己的自评体重更高。逻辑回归显示，消极图式的女性（优势比[OR] 6.6）、无图式的女性（OR 3.7）以及生育次数更多的女性（OR 1.6）更有可能选择激素避孕。性自我图式可能是影响避孕方法选择的一个相关因素。所有寻求激素避孕的无图式或消极图式的女性都应该咨询性医学专家，因为这些个体可能有更深刻的原因导致她们需要这种类型的避孕。
