برازش روابط علّی- ساختاری اضطراب و افسردگی با عملکرد جنسی با میانجی¬گری کیفیت خواب در زنان یائسه مبتلا به دیابت نوع دو
محورهای موضوعی : سلامت زنانمریم شجاعیان 1 , ناصر صبحی قراملکی 2 * , حسین ابراهیمی مقدم 3
1 - دانشجوی دکتری روانشناسی عمومی، دانشکده روانشناسی، واحد قم، دانشگاه آزاد اسلامی، قم، ایران.
2 - . (نویسنده مسئول)، دانشیار، گروه رفتار حرکتی و روانشناسی ورزشی، دانشکده تربیت بدنی و علوم ورزشی، دانشگاه علامه طباطبایی، تهران، ایران sobhi@atu.ac.ir Tel: 09141529565
3 - دانشیار، گروه روانشناسی، واحد رودهن، دانشگاه آزاد اسلامی، رودهن، ایران
کلید واژه: اضطراب, افسردگی, دیابت نوع دو, عملکرد جنسی, کیفیت خواب, یائسگی,
چکیده مقاله :
چکیده مقدمه: عملکرد جنسی جزء مهمی از زندگی زنان یائسه مبتلا به دیابت نوع دو است و تغییر در آن به خصوص در یائسگی، می تواند بر سلامت ایشان تاثیرگذار باشد. عملکرد جنسی این زنان می¬تواند تحت تاثیر عوامل مختلفی قرار گیرد. هدف از پژوهش حاضر بررسی برازش روابط علّی- ساختاری اضطراب و افسردگی با عملکرد جنسی با میانجی¬گری کیفیت خواب در زنان یائسه مبتلا به دیابت نوع دو بود. روش¬ پژوهش: مطالعه حاضر از نوع همبستگی بود. جامعه آماری شامل زنان یائسه مبتلا به دبابت نوع 2 ساکن شهر تهران در سال 1402 بودند. حجم نمونه بر اساس مدل Kline و با روش نمونهگیری در دسترس 300 نفر انتخاب شد. ابزار گردآوری دادههای پژوهش شامل پرسشنامه عملکرد جنسی زنان، سیاهه افسردگی، سیاهه اضطراب و پرسشنامه کیفیت خواب پیتزبورگ بود. تحلیل آماری دادهها با استفاده از نرم¬افزار SPSS و AMOS نسخه 28 انجام گرفت. یافته¬ها: یافته¬های پژوهش نشان داد که اثرات مستقیم اضطراب، افسردگی و کیفیت خواب بر عملکرد جنسی معنادار بود. همچنین نتایج نشان داد که کیفیت خواب در رابطه بین اضطراب و افسردگی با عملکرد جنسی نقش میانجی و معنادار دارد. همچنین مدل نهایی پژوهش از برازش مطلوبی برخوردار بود(030/0=RMSEA و 05/0>P-value) و 93 درصد عملکرد جنسی به وسیله اضطراب و افسردگی با نقش میانجی کیفیت خواب تبیین میشود. نتیجه¬گیری: بنابراین عملکرد جنسی زنان یائسه مبتلا به دیابت نوع دو می¬تواند متاثر از اضطراب، افسردگی و کیفیت خواب آنان باشد. لذا نتیجهگیری می¬شود که اضطراب و افسردگی با تاثیرگذاری بر کیفیت خواب موجب نقص در عملکرد جنسی زنان یائسه مبتلا به دیابت نوع دو می-شود که بر این اساس پیشنهاد می¬شود در مداخلات روانشناختی برای این زنان اقدام به کاهش اضطراب و افسردگی آنان کرد.
© 2020 The Author(s). This work is published by family and health as an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc/4.0/). Non-commercial uses of the work are permitted, provided the original work is properly cited.
Abstract Introduction: Sexual function is an important part of the life of menopause women with type 2 diabetes and changes in it, especially in menopause, can affect their health. The sexual function of these women can be affected by various factors. The purpose of the present study was to investigate fittness the causal-structural relationships of anxiety and depression with sexual function with the mediating role of sleep quality in menopause women with type 2 diabetes. Methods: The present research is the correlation. The statistical population in this research included postmenopausal women with type 2 diabetes in Tehran city in year 2023. The sample size was selected based on Kline model and with convenience sampling of 300 people. Data collection tools included the female sexual function index, depression inventory-II, anxiety inventory, Pittsburgh sleep quality index. Statistical analysis of data was performed using SPSS and AMOS-28 software. Results: The findings showed that the direct effect of anxiety, depression and sleep quality were significant on sexual function. Also, the results showed that sleep quality has a mediating role in relationship between anxiety and depression with sexual function. Also, proposed model had an acceptable fitness to the data (RMSEA=0/030, P-value<0/05) and analyses also revealed that %93 of variance of sexual function was explained by anxiety and depression through the mediating role of sleep quality. Conclusion: Therefore, it is concluded that anxiety and depression affect the sleep quality and cause defects in the sexual function of postmenopausal women with type 2 diabetes, so it is suggested to reduce their anxiety and depression in psychological interventions for these women.
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