بررسی نقش پریشانی جنسی، عملکرد جنسی و سبک‌های عشقورزی در پیش‌بینی رضایت‌مندی جنسی زنان متأهل شاغل در معاونت‌های وزارت بهداشت، درمان و آموزش پزشکی: یک مطالعه مقطعی
محورهای موضوعی : روانشناسی زوجینالهه محمودی مقدم 1 , فرحناز کیان ارثی 2
1 - کارشناسی ارشد روانشناسی بالینی، دانشگاه آزاد اسلامی، واحد علوم و تحقیقات، تهران، ایران
2 - استادیار، گروه روانشناسی، دانشکده روانشناسی و علوم تربیتی، دانشگاه سمنان، سمنان، ایران
کلید واژه: پریشانی جنسی, رضایت‌مندی جنسی, سبک‌های عشقورزی, عملکرد جنسی ,
چکیده مقاله :
مقدمه: رضایت‌مندی زناشویی یک نگرش و ویژگی نسبتاً پایدار است که ارزیابی کلی فرد از رابطه را منعکس می‌کند. این ویژگی یک رابطه نیست، بلکه یک تجربه و نظر ذهنی است که با متغیرهای بسیاری در ارتباط است، لذا، هدف پژوهش حاضر تعیین نقش پریشانی جنسی، عملکرد جنسی و سبک‌های عشقورزی در پیش‌بینی رضایت‌مندی جنسی زنان ایرانی بود.
روش پژوهش: پژوهش حاضر یک مطالعه توصیفی- همبستگی بود. جامعه آماری زنان متأهل شاغل در معاونت‌های وزارت بهداشت، درمان و آموزش پزشکی در شهر تهران بودند که از این تعداد 196 نفر از زنان متأهل به روش نمونه‌گیری در دسترس انتخاب شدند و به پرسش‌نامه‌های پریشانی جنسی زنان دروگاتیس (2008)، عملکرد جنسی زنان روزن (2000)، سبک‌های عشقورزی استرنبرگ (1986) و رضایت‌مندی جنسی زنان مستون (2005) پاسخ دادند. جهت تجزیه و تحلیل یافته‌ها از روش آماری رگرسیون خطی چندمتغیری با استفاده از نرم‌افزار SPSS نسخه 25 استفاده شد.
یافته‌ها: نتایج نشان داد، متغیر پریشانی جنسی به‌صورت منفی (392/0-)، عملکرد جنسی به‌صورت مثبت (344/0) در پیش‌بینی رضایت جنسی زنان نقش داشتند. با این حال سبک‌های عشقورزی نقش معناداری در تعیین رضایت‌مندی جنسی زنان نداشت. در نهایت از بین سبک‌های عشقورزی، مؤلفه تعهد، رابطه منفی و معناداری با پریشانی جنسی و رابطه مثبت و معناداری با عملکرد جنسی داشت.
نتیجه‌گیری: با توجه به نتایج این پژوهش پیشنهاد می‌شود که در مداخلات مرتبط با رضایت جنسی زنان، بر روی کاهش پریشانی جنسی و عملکرد جنسی تمرکز شود.
Introduction: Marital satisfaction is a relatively stable attitude and characteristic that reflects an individual's overall evaluation of the relationship. This characteristic is not a relationship, but rather a subjective experience and opinion that is associated with many variables. Therefore, the aim of the present study was to determine the role of sexual distress, sexual function, and lovemaking styles in predicting sexual satisfaction in Iranian women.
Research Method: The present study was a descriptive-correlational study. The statistical population was married women working in the deputy departments of the Ministry of Health, Treatment, and Medical Education in Tehran, of which 196 married women were selected using convenience sampling and responded to the questionnaires of Drogatis's (2008) Female Sexual Distress, Rosen's (2000) Female Sexual Function, Sternberg's (1986) Love Styles Scale, and Meston's (2005) Sexual Satisfaction Scale for Women (SSS-W). To analyze the findings, the statistical method of multivariate linear regression using SPSS version 25 software was used.
Results: The results showed that the variables of sexual distress negatively (-0.392) and sexual female positively (0.344) played a role in predicting women's sexual satisfaction. However, lovemaking styles did not play a significant role in determining women's sexual satisfaction. Finally, among the lovemaking styles, the commitment component had a negative and significant relationship with sexual distress and a positive and significant relationship with sexual function.
Conclusion: According to the results of this study, it is suggested that interventions related to women's sexual satisfaction should focus on reducing sexual distress and sexual function.
1. Costello W, Rolon V, Thomas AG, Schmitt DP. The Mating Psychology of Incels (Involuntary Celibates): Misfortunes, Misperceptions, and Misrepresentations. J Sex Res. 2024 Sep;61(7):989-1000. doi: 10.1080/00224499.2023.2248096. Epub 2023 Sep 7. PMID: 37676789.
2. Shahrahmani N, Babazadeh R, Ebadi A. Sexual satisfaction of postmenopausal women: An integrative review. PLoS One. 2024 Jul 30;19(7):e0306207. doi: 10.1371/journal.pone.0306207. PMID: 39078815; PMCID: PMC11288452.
3. Long JR, Damle LF. Adolescent Sexuality. Obstet Gynecol Clin North Am. 2024 Jun;51(2):299-310. doi: 10.1016/j.ogc.2024.02.004. Epub 2024 Apr 4. PMID: 38777485; PMCID: PMC11116809.
4. Grandjean L, Rahier J, Coucke P. Santé sexuelle et oncologie [Sexual health and oncology]. Rev Med Liege. 2024 May;79(S1):49-55. French. PMID: 38778650.
5. Hong C, Brandenburg D, Pushpanadh S, Bermoy KK. Sexual Satisfaction Among Sexual Minority Men During the COVID-19 Pandemic: A Scoping Review. J Sex Res. 2025 Feb 13:1-13. doi: 10.1080/00224499.2025.2460669. Epub ahead of print. PMID: 39945606.
6. Bayuo J, Wong AKC, Wong FKY, Baffour PK, Kuug AK. Sexual Role Functioning, Sexual Satisfaction, and Intimacy After Surviving Burn Injuries: A Scoping Review of Associated Factors, Screening Tools, and Burn Care Staff Preparedness. J Burn Care Res. 2024 Aug 6;45(4):990-1000. doi: 10.1093/jbcr/irae004. PMID: 38267022.
7. Bilawal M, Shafique R, Ansari RS, Bashir MA, Nadeem MA, Qayyum SN, Shah HH, Tehseen A, Alnemr L, Noori S. Exploring the Quality of Life (QOL) of medical students in Karachi, Pakistan. BMC Med Educ. 2024 May 3;24(1):495. doi: 10.1186/s12909-024-05481-4. PMID: 38702657; PMCID: PMC11069173.
8. Andualem F, Melkam M, Tadesse G, Nakie G, Tinsae T, Fentahun S, Rtbey G, Takelle GM, Mengistie BA, Gedef GM. Quality of life and associated factors among people with epilepsy in Ethiopia: a systematic review and meta-analysis. BMC Public Health. 2024 Jun 7;24(1):1529. doi: 10.1186/s12889-024-19018-3. PMID: 38844872; PMCID: PMC11157882.
9. Lee H, Higgins MK, Song MK. Sexual Satisfaction and Associated Factors Among Older Cancer Survivors. Res Nurs Health. 2025 Feb;48(1):85-94. doi: 10.1002/nur.22430. Epub 2024 Dec 5. PMID: 39632701.
10. Eskandar K. Genetic contributions to the stability and satisfaction in Sexual Relationships. Glob Med Genet. 2025 Feb 20;12(2):100043. doi: 10.1016/j.gmg.2025.100043. PMID: 40093333; PMCID: PMC11910089.
11. Starc A, Enea V, Racz A, Palatin K, Gabrovec B, Đido V, Dahmane R, Rotim K. Predictors of sexual satisfaction: An international study.Acta Clin Croat. 2022 Nov;61(3):449-486. doi: 10.20471/acc.2022.61.03.10. PMID: 37492368; PMCID: PMC10364113.
12. Mangas P, Sierra JC. Sexual satisfaction in people and couples belonging to sexual orientation and gender diversities: a bibliometric analysis. Sex Med Rev. 2025 Mar 30:qeaf019. doi: 10.1093/sxmrev/qeaf019. Epub ahead of print. PMID: 40158200.
13. Pablo M, Juan C. Sexual satisfaction in people and couples belonging to sexual orientation and gender diversities: a bibliometric analysis, Sexual Medicine Reviews, 2025. qeaf019, https://doi.org/10.1093/sxmrev/qeaf019
14. Nahavandipour J, Johansen C, Giraldi A, Rafn BS, Von Heymann A. Sexual distress among men with cancer - a cross-sectional study. Acta Oncol. 2025 Feb 9;64:214-221. doi: 10.2340/1651-226X.2025.42525. PMID: 39924958; PMCID: PMC11833328.
15. Karaosmanoğlu AB, Erkal Aksoy Y, Dereli Yilmaz S. Pelvic pain, sexual distress and satisfaction: cross-sectional study. J Sex Med. 2025 Mar 13:qdaf042. doi: 10.1093/jsxmed/qdaf042. Epub ahead of print. PMID: 40080636.
16. Roshan Chesli R, Mirzaei S, Nikazin A. Validity and reliability of multidimensional sexual satisfaction scale for women (SSSW) in one sample of Iranian women. Clinical Psychology and Personality. 2014 Aug 23;12(1):129-40. doi: 20.1001.1.23452188.1393.12.1.11.4
17. Briken P, Bőthe B, Carvalho J, Coleman E, Giraldi A, Kraus SW, Lew-Starowicz M, Pfaus JG. Assessment and treatment of compulsive sexual behavior disorder: a sexual medicine perspective. Sex Med Rev. 2024 Jun 26;12(3):355-370. doi: 10.1093/sxmrev/qeae014. PMID: 38529667; PMCID: PMC11214846.
18. Meyers S, Landsberger SA. Direct and indirect pathways between adult attachment style and marital satisfaction. Personal Relationships. 2002; 9(2), 159-172. doi:10.1111/1475- 6811.00010
19. Strizzi JM, Hald GM, Pavan S, Heymann-Szlachcinska A, Øllgaard M, Winding C, Dilling-Hansen D, Møller Jensen A, Frøslev M, Larsen H, Andersen PAS, Arendt M. Predictors of Sexual Dysfunction, Associated Distress, and Sexual Satisfaction Among Male and Female Patients Living with Anxiety Disorders in Denmark. J Sex Res. 2024 Dec 13:1-16. doi: 10.1080/00224499.2024.2432608. Epub ahead of print. PMID: 39670954.
20. Stockman D, Uzieblo K, Fomenko E, Littleton H, Keygnaert I, Lemmens G, Verhofstadt L. Psychological Distress and Relational Intimacy following Sexual Violence: A Longitudinal Study. Psychol Belg. 2024 Dec 17;64(1):185-200. doi: 10.5334/pb.1240. PMID: 39712937; PMCID: PMC11661156.
21. Derogatis L, Clayton A, Lewis-D’Agostino D, Wunderlich G, Fu Y. Validation of the female sexual distress scale-revised for assessing distress in women with hypoactive sexual desire disorder. J Sex Med. 2008;5(2):357-64. DOI: 10.1111/j.1743-6109.2007.00672.x PMID: 18042215
22. Izadi Dehnavi S, Yaghubi H, Heydari Nasab L. Simultaneous Changes of Depression and Anxiety Symptoms with Variations in Sexual Function of Young Married Women. Avicenna J Clin Med 2016; 23 (3) :227-236URL: http://sjh.umsha.ac.ir/article-1-1275-fa.html
23. Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, Ferguson D, D'Agostino R Jr. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000 Apr-Jun;26(2):191-208. doi: 10.1080/009262300278597. PMID: 10782451.
24. Mohammadi kh., Heydari M., Faghihzadeh S.. The Female Sexual Function Index (FSFI): validation of the Iranian version. Payesh 2008; 7 (3): 11-17. URL: http://payeshjournal.ir/article-1-658-fa.html
25. Sternberg RJ. Construct validation of a triangular love scale. European Journal of Social Psychology. 1996; 27(3): 313 – 335. https://doi.org/10.1177/0305735620961143
26. Maghsoodi S, Bazmandeh T, Mousavi Nasab SMH. the relationship between husbands' lovemaking style and marital adjustment in working women in Kerman. Women's Strategic Studies, 2021; 23(90): 133-150. doi: 10.22095/jwss.2021.225181.2308
27. Nowosielski K. Predictors of Sexual Function and Performance in Young- and Middle-Old Women. Int J Environ Res Public Health. 2022 Apr 1;19(7):4207. doi: 10.3390/ijerph19074207. PMID: 35409888; PMCID: PMC8999058.
28. Dennerstein L, Guthrie JR, Hayes RD, DeRogatis LR, Lehert P. Sexual function, dysfunction, and sexual distress in a prospective, population-based sample of mid-aged, Australian-born women. J Sex Med. 2008 Oct;5(10):2291-9. doi: 10.1111/j.1743-6109.2008.00936.x. Epub 2008 Jul 14. PMID: 18638008.
29. Byers ES. Relationship satisfaction and sexual satisfaction: a longitudinal study of individuals in long-term relationships. J Sex Res. 2005 May;42(2):113-8. doi: 10.1080/00224490509552264. PMID: 16123841.
30. Christopher FS, Sprecher S. Sexuality in marriage, dating, and other relationships: A decade review. Journal of Marriage and Family. 2000;62(4):999-1017. 10.1111/j.1741-3737.2000.00999.x
31. Whiting SE, Jenkins WS, May AC, Rudy BM, Davis TE 3rd, Reuther ET. The role of intolerance of uncertainty in social anxiety subtypes. J Clin Psychol. 2014 Mar;70(3):260-72. doi: 10.1002/jclp.22024. Epub 2013 Jul 10. PMID: 23843207.
32. Gillett CB, Bilek EL, Hanna GL, Fitzgerald KD. Intolerance of uncertainty in youth with obsessive-compulsive disorder and generalized anxiety disorder: A transdiagnostic construct with implications for phenomenology and treatment. Clin Psychol Rev. 2018 Mar;60:100-108. doi: 10.1016/j.cpr.2018.01.007. Epub 2018 Feb 2. PMID: 29426573.
33. Hedayati Dana S, Saberi H. Predicting Marital Satisfaction According to Love-Making Styles (Intimacy, Desire, Commitment) and Anxiety. Journal of Family Research. 2014 Apr 21;10(4):511-27. https://jfr.sbu.ac.ir/article_96480.html?lang=en
34. Ahmed K, Bhugra D. The role of culture in sexual dysfunction. Psychiatry. 2007;6(3):115-20. doi:10.1383/psyt.3.2.23.30308
35. Ahmed K, Bhugra D. The role of culture in sexual dysfunction. Psychiatry. 2004;3(2):23-5.
