Department of Psychiatry, Maltepe University Faculty of Medicine, Ataturk Street, Baglarbası District no:3/A, 34840, Istanbul, Turkey.
Arch Sex Behav. 2024 Jan;53(1):375-382. doi: 10.1007/s10508-023-02729-w. Epub 2023 Nov 21.
Sexual self-schemas (SSSs) are cognitive generalizations about one's sexual aspects. The aim of this study was to explore the possible effects of intimate partner violence (IPV) and the sexual myths about sexual behavior or roles on women's sexual self-schemas. The research had a cross-sectional and observational design. Fifty women from a psychiatry outpatient clinic between the ages of 18-50 were given the Sexual Self-Schema Scale, sexual myths questionnaire, Beck Depression Inventory, Beck Anxiety Inventory, Golombok-Rust Inventory of Sexual Satisfaction, and Domestic Violence Against Women Scale. A significant relationship was found between the duration of marriage (years) and "Direct/Outspoken" schema (p = .020, r = 0.29). This schema was also correlated with emotional (p = .037, r = - 0.29), total violence score (p = .028, r = - 0.27), and sexual myth score (p = .033, r = 0.26). After the regression analysis, it was observed that the effect of emotional violence and sexual myth score on the "Direct/Outspoken" schema remained significant. Correcting sexual myths through sexual education can make women's SSSs into positive way. In addition, interventions can be made to increase SSSs positively in women exposed to IPV. It is recommended that clinicians take a holistic approach by questioning the sexual functions and schemas of women in addition to IPV in women who experience it and have depression or anxiety disorders. As a policy implication, education about women's rights and sexuality should also be given. Adequate psychological support should be provided to reduce the impact of IPV on SSS.
性自我图式(SSS)是关于一个人性行为方面的认知概括。本研究旨在探讨亲密伴侣暴力(IPV)和有关性行为或角色的性神话对女性性自我图式的可能影响。研究采用了横断面和观察性设计。在一家精神病门诊诊所,年龄在 18-50 岁之间的 50 名女性接受了性自我图式量表、性神话问卷、贝克抑郁量表、贝克焦虑量表、戈洛姆鲁斯特性满意度量表和针对妇女的家庭暴力量表。研究发现,婚姻持续时间(年)与“直接/直言不讳”图式之间存在显著关系(p = 0.020,r = 0.29)。该图式还与情绪暴力(p = 0.037,r = -0.29)、总暴力评分(p = 0.028,r = -0.27)和性神话评分(p = 0.033,r = 0.26)相关。在回归分析后,观察到情绪暴力和性神话评分对“直接/直言不讳”图式的影响仍然显著。通过性教育纠正性神话可以使女性的 SSS 朝着积极的方向发展。此外,可以针对遭受 IPV 的女性进行干预,以积极增加 SSS。建议临床医生在为患有抑郁或焦虑症的经历过 IPV 的女性进行诊疗时,不仅要询问她们的 IPV 问题,还要整体评估她们的性功能和 SSS。作为政策影响,还应该对妇女权利和性行为进行教育。应提供充分的心理支持,以减轻 IPV 对 SSS 的影响。