Department of Midwifery, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.
Midwifery and Reproductive Health Research Center, Department of Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Urol J. 2023 May 21;20(3):173-180. doi: 10.22037/uj.v20i.7375.
To investigate the direct and indirect effects of demographic characteristics, relationship satisfaction, and psychological factors on female sexual distress (FSD) using path analysis.
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.
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).
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.
采用路径分析研究人口统计学特征、关系满意度和心理因素对女性性困扰（FSD）的直接和间接影响。
本研究分两个阶段进行。首先，我们通过文献回顾和专家小组获得了 FSD 预测因素的概念模型。在第二阶段，我们在伊朗赞詹对 207 名未怀孕和已婚的非孕妇（无任何年龄限制）进行了一项基于人群的横断面研究。本研究使用了 FSDs-R、FSFI-6、DASS-21 和 GEMREL 标准问卷以及人口统计研究人员制作的问卷。数据根据初始概念模型进行路径分析。
性功能（SF）与 FSD 的直接关系最强（β=-.49），总效应（β=-.58）最强。抑郁-焦虑-压力水平（β=.284）通过 SF（β=-.42）和配偶关系满意度（β=-.20）的间接影响最大。年龄差异（β=-.13）和配偶关系满意度（β=-.19）仅对 FSD 有直接影响。婚姻持续时间仅通过 SF（β=-.26）和抑郁-焦虑-压力水平（β=-.15）的中介作用对 FSD 有间接影响。
在所研究的预测因素中，性功能障碍是 FSD 的最重要预测因素。此外，配偶年龄较大、婚姻持续时间较长、与配偶关系不满意以及抑郁-焦虑-压力水平较高与 SD 呈正相关。因此，我们应该在为 SD 妇女提供护理时综合考虑这些因素。
