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Covid-19 pandemisi sürecinde evli kadınlarda çift uyumu, yaşam doyumu, depresyon ve kadın cinsel işlev bozukluğunun belirlenmesi

Year 2022, Volume: 16 Issue: 4, 751 - 760, 23.12.2022
https://doi.org/10.21763/tjfmpc.1023758

Abstract

Amaç: COVID-19 (Coronavirus disease- 2019) pandemisi kadınların psikolojik sağlıklarının yanı sıra cinsel fonksiyonlarını da olumsuz etkilemektedir. Çalışmanın amacı, COVID-19 pandemisi sırasında evli Türk kadınlarında çift uyumu, yaşam doyumu, depresyon ve kadın cinsel işlev bozukluğunu (CİB) değerlendirmektir. Yöntem: Bu tanımlayıcı bir çalışmadır. Veriler, Yenilenmiş Çift Uyum Ölçeği (YÇUÖ), Yaşam Doyumu Ölçeği (YDÖ), Epidemiyolojik Araştırmalar Merkezi Depresyon Ölçeği (EAMDÖ), Kadın Cinsel Fonskiyon Ölçeği (KCFÖ) ile 29 Mayıs 2020 - 22 Haziran 2020 tarihleri arasında 210 evli kadından çevrimiçi anket formu ile toplanmıştır. Bulgular: Kadınların ortalama YÇUÖ ve YDÖ puanları sırasıyla 50.55 ± 9.68 ve 16.51 ± 4.96 idi. Kadınların %63.3'ünde 'depresyon', %88.1'inde cinsel işev bozukluğu vardı. Çalışmada kadın cinsel kadın cinsel disfonksiyonu varlığı ile YÇUÖ (p < 0.001) ve SYDÖ (p < 0.001) arasında istatistiksel olarak anlamlı bir fark vardı. Kadın cinsel disfonksiyonu varlığı ile depresyon arasında istatistiksel olarak anlamlı bir fark yoktu (p = 0.078). Sonuç: Bu çalışma sağlık profesyonellerinin (özellikle kadın sağlığı hemşireleri, psikiyatri hemşireleri, cinsel ve aile terapistleri) COVID-19 döneminde evli kadınlarda cinsel kadın cinsel disfonksiyonu varlığını, çift uyumunu, yaşam doyumunu ve depresyon düzeylerini değerlendirmelerini ve farkında olmalarını sağlayacaktır.

References

  • 1. Republic of Turkey Ministry of Health. Covid-19 number of cases in Turkey. 2020. Accessed from https://covid19bilgi.saglik.gov.tr/tr/gunluk-vaka.html. Accessed date 10.11.2021.
  • 2. Worldometer. Covıd-19 coronavirus pandemic. 2020. Accessed from https://www.worldometers.info/coronavirus/. Accessed date 14.12.2021.
  • 3. Li S, Wang Y, Xue J, Zhao N, Zhu, T. The impact of COVID-19 epidemic declaration on psychological consequences: a study on active Weibo users. Int. J. Environ. Res. Public Health 2020; 17: 1-9.
  • 4. Liu S, Yang L, Zhang C, et al. Online mental health services in China during the COVID-19 outbreak. Lancet Psychiat, 2020;7: 17-18.
  • 5. Arafat SY, Mohamed AA, Kar SK, Sharma P, Kabir R. Does COVID-19 pandemic affect sexual behaviour? A cross-sectional, cross-national online survey. Psychiat Res 2020; https://doi:10.1016/j.psychres.2020.113050. Accessed date 10.10.2021.
  • 6. Li W, Li G, Xin C, Wang Y, Yang S. Changes in sexual behaviors of young women and men during the coronavirus disease 2019 outbreak: a convenience sample from the epidemic area. J Sex Med 2020b; https://doi.org/10.1016/j.jsxm.2020.04.380. Accessed date 06.10.2021.
  • 7. Maretti C, Privitera S, Arcaniolo D, et al. COVID-19 pandemic and its implications on sexual life: Recommendations from the Italian Society of Andrology. Arch Ital Urol Androl 2020; 92:73-77.
  • 8. McCabe MP, Sharlip ID, Atalla E, et al., Definitions of sexual dysfunctions in women and men: a consensus statement from the fourth international consultation on sexual medicine. J. Sex. Med 2015;13: 135–143.
  • 9. Nappi RE, Cucinella L, Martella S, et al. Female sexual dysfunction (FSD): Prevalence and impact on quality of life (QoL). Maturitas 2016; 94:87-91.
  • 10. Murtagh J. Female sexual function, dysfunction, and pregnancy: implications for practice. JMWG 2010;55:438-446. https://doi.org/10.1016/j.jmwh.2009.12.006.
  • 11. Kucukdurmaz F, Efe E, Malkoc Ö, et al. Prevalence and correlates of female sexual dysfunction among Turkish pregnant women. Turk J Urol 2016;42(3):178-183. https://doi.org/10.5152/tud.2016.49207.
  • 12. Aydin S, Onaran ÖI, Topalan K, et al. Development and validation of Turkish version of the female sexual distress scale-revised. Sex Med 2016;4(1):43-50. https://doi.org/10.1016/j.esxm.2015.12.003.
  • 13. Ahmed MR, Madny EH, Sayed Ahmed WA. Prevalence of female sexual dysfunction during pregnancy among E gyptian women. J Obstet Gynaecol Res 2014;40(4):1023-1029. https://doi.org/10.1111/jog.12313.
  • 14. Tehrani FR, Farahmand M, Simbar M, Afzali HM. Factors associated with sexual dysfunction; a population based study in Iranian reproductive age women. Arch Iran Med 2014;17:679-684.
  • 15. Amidu N, Owiredu WK, Gyasi-Sarpong CK, Woode E, Quaye L. Sexual dysfunction among married couples living in Kumasi metropolis, Ghana. BMC Urol 2011; 11(3); 1-7.
  • 16. Jaafarpour M, Khani A, Khajavikhan J, Suhrabi Z. Female sexual dysfunction: prevalence and risk factors. Journal of clinical and diagnostic research: JCDR 2013; 7(12):2877-2880.
  • 17. Khazaei M, Rostami R, Zaryabi A. The relationship between sexual dysfunctions and marital satisfaction in Iranian married students. Procedia Soc Behav Sci 2011; 30: 783-785.
  • 18. Tunc D. Evli bireylerde cinsel doyumun depresyon düzeyi ve evlilik uyumu ile ilişkisinin incelenmesi [The investigation of relationship between sexual satisfaction and the level of depression and marital adjustment in married individuals] 2019; 52-53. Istanbul University, Institute of Social Sciences, Department of Psychology, Master Thesis, Istanbul.
  • 19. Trudel G, Goldfarb MR. Marital and sexual functioning and dysfunctioning, depression and anxiety. Sexologies, 2010;19: 137-142.
  • 20. Erdinc I. Evli çiftlerde, evlilik uyumu, cinsel yaşam doyumu ve yaşam doyumu arasındaki ilişkinin incelenmesi [The examination of the meaningfulness of the relationship between sexual satisfaction, life satisfaction, and marital adjustment levels of married individuals]. 2018;35-38. Istanbul University, Institute of Social Sciences, Department of Psychology, Master Thesis, Istanbul.
  • 21. Daglı A, Baysal N. Yaşam doyumu ölçeğinin Türkçe'ye uyarlanması: geçerlik ve güvenirlik calışması [Adaptation of the satisfaction with life scale into Turkish: the study of validity and reliability]. ESOSDER, 2016; 15: 1250-1262.
  • 22. Thompson WK, Charo L, Vahia IV, et al. Association between higher levels of sexual function, activity, and satisfaction and self-rated successful aging in older postmenopausal women. J Am Geriatr Soc 2011; 59: 1503–1508.
  • 23. Woloski-Wruble AC, Oliel Y, Leefsma M, Hochner-Celnikier D. Sexual activities, sexual and life satisfaction, and successful aging in women. J. Sex. Med 2010; 7: 2401-2410.
  • 24. Stephenson KR, Meston CM. The conditional importance of sex: exploring the association between sexual well-being and life satisfaction. J. Sex Marital Ther 2015; 41: 25-38.
  • 25. Spanier GB. Measuring dyadic adjustment: A new scales for assessing the quality of marriage and similar dyads. J Marriage Fam 1976; 38: 15-28.
  • 26. Busby DM, Christensen C, Crane RD, Larson JH. Are vision of the dyadic adjustment scale for use with distressed and non distressed couples: Construct hierarchy and multidimensional scales. J. Sex Marital Ther 1995; 21:289-298.
  • 27. Gundogdu A. Relationship’s betweenself-construals and marital quality. 2007; 30-36. Middle East Technical University Institute of Social Sciences Department of Psychology, Master Thesis, Ankara.
  • 28. Bayraktaroglu HT, Cakıcı ET. Psychometric properties of Revised form Dyadic Adjustment Scale in a sample from North Cyprus. Int. J. Educ. Sci 2017; 19: 113-119.
  • 29. Diener E, Emmons RA, Larsen RJ, Griffi, S. The satisfaction with life scale. J. Pers. Assess 1985; 49: 71-75.
  • 30. Koker S. Normal ve sorunlu ergenlerin yaşam doyumu düzeylerinin karşılaştırılması [Comparison of life satisfaction levels of normal and problematic adolescents]. 1991; 31-35. Ankara University Institute of Social Sciences, Master Thesis, Ankara.
  • 31. Radloff LS. The CES-D scale: A self-report depression scale for research in the general population. Appl Psych Meas 1977; 1: 385-401.
  • 32. Tatar A, Saltukoglu G. The adaptation of the CES-Depression Scale into Turkish through the use of confirmatory factor analysis and item response theory and the examination of psychometric characteristics. Klin Psikofarmakol B, 2010; 20: 213-227.
  • 33. Rosen C, Brown J, Heiman S, Leiblum C, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J. Sex Marital Ther 2000; 26: 191-208.
  • 34. Aygin D, Aslan FE. Kadın cinsel işlev ölçeği'nin Türkçeye uyarlaması [The Turkish Adaptation of the female sexual function index]. Turkiye Klinikleri J Med Sci 2005; 25: 393-399.
  • 35. Rodoplu A. Evli çiftlerde evlilik uyumu ile cinsel doyum arasındakı ilişkinin incelenmesi [Examining the relationship between marital adjustment and sexual satisfaction in married couples]. 2019;48-52. Istanbul University, Institute of Social Sciences, Department of Psychology, Master Thesis, Istanbul.
  • 36. Wang C, Pan R, Wan X, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int. J. Environ. Res. Public Health 2020; 17: 1729; https://doi.org/10.3390/ijerph17051729
  • 37. Qiu J, Shen B, Zhao M, et al. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. Gen Psychiatr, 2020; 33(2).
  • 38. Ozturk CS, Arkar H. Evli çiftlerde evlilik uyumu ve cinsel doyum arasındaki iliskiler [The relationships between marital adjustment and sexual satisfaction in married couples]. Literatur Sempozyum 2014; 1: 16-24.
  • 39. Yavuz F. Kişilik inanclarının ve depresif belirtilerin evlilik uyumuna etkisinin incelenmesi [Examining the effect of personality beliefs and depressive symptoms on marital adjustment]. 2019; 40-43. Fatih Sultan Mehmet Vakif University, Graduate Education Institute, Department of Psychology, Master Thesis, Istanbul.

Determination of Dyadic adjustment, life satisfaction, depression, and female sexual dysfunction in married women during the COVID-19 pandemic

Year 2022, Volume: 16 Issue: 4, 751 - 760, 23.12.2022
https://doi.org/10.21763/tjfmpc.1023758

Abstract

Aim: The COVID-19 (Coronavirus disease- 2019) pandemic negatively affects the sexual functions of women as well as their psychological health. The purpose of the study was to evaluate dyadic adjustment, life satisfaction, depression, and female sexual dysfunction (FSD) in married Turkish women during the COVID-19 pandemic. Methods: This is a descriptive study. Data were collected online between May 29th, 2020 and June 22th, 2020 with the Revised Dyadic Adjustment Scale (RDAS), Satisfaction with Life Scale (SWLS), Center for Epidemiologic Studies Depression Scale (CES-D), Female Sexual Function Index (FSFI), and questionnaire form from 210 married women. Results: The average RDAS and SWLS scores of the women were 50.55 ± 9.68 and 16.51 ± 4.96, respectively. While 63.3% of the women had 'depression', there was FSD in 88.1%. In the study, there was a statistically significant difference between FSD presence and RDAS (p < 0.001) and SWLS (p < 0.001). There was no statistically significant difference between the presence of FSD and depression (p = 0.078). Conclusion: This study will enable health professionals (especially female health nurses, psychiatric nurses, and sexual and family therapists) to evaluate and be aware of the presence of FSD, and dyadic adjustment, life satisfaction, and depression levels in married women during the COVID-19 pandemic.

References

  • 1. Republic of Turkey Ministry of Health. Covid-19 number of cases in Turkey. 2020. Accessed from https://covid19bilgi.saglik.gov.tr/tr/gunluk-vaka.html. Accessed date 10.11.2021.
  • 2. Worldometer. Covıd-19 coronavirus pandemic. 2020. Accessed from https://www.worldometers.info/coronavirus/. Accessed date 14.12.2021.
  • 3. Li S, Wang Y, Xue J, Zhao N, Zhu, T. The impact of COVID-19 epidemic declaration on psychological consequences: a study on active Weibo users. Int. J. Environ. Res. Public Health 2020; 17: 1-9.
  • 4. Liu S, Yang L, Zhang C, et al. Online mental health services in China during the COVID-19 outbreak. Lancet Psychiat, 2020;7: 17-18.
  • 5. Arafat SY, Mohamed AA, Kar SK, Sharma P, Kabir R. Does COVID-19 pandemic affect sexual behaviour? A cross-sectional, cross-national online survey. Psychiat Res 2020; https://doi:10.1016/j.psychres.2020.113050. Accessed date 10.10.2021.
  • 6. Li W, Li G, Xin C, Wang Y, Yang S. Changes in sexual behaviors of young women and men during the coronavirus disease 2019 outbreak: a convenience sample from the epidemic area. J Sex Med 2020b; https://doi.org/10.1016/j.jsxm.2020.04.380. Accessed date 06.10.2021.
  • 7. Maretti C, Privitera S, Arcaniolo D, et al. COVID-19 pandemic and its implications on sexual life: Recommendations from the Italian Society of Andrology. Arch Ital Urol Androl 2020; 92:73-77.
  • 8. McCabe MP, Sharlip ID, Atalla E, et al., Definitions of sexual dysfunctions in women and men: a consensus statement from the fourth international consultation on sexual medicine. J. Sex. Med 2015;13: 135–143.
  • 9. Nappi RE, Cucinella L, Martella S, et al. Female sexual dysfunction (FSD): Prevalence and impact on quality of life (QoL). Maturitas 2016; 94:87-91.
  • 10. Murtagh J. Female sexual function, dysfunction, and pregnancy: implications for practice. JMWG 2010;55:438-446. https://doi.org/10.1016/j.jmwh.2009.12.006.
  • 11. Kucukdurmaz F, Efe E, Malkoc Ö, et al. Prevalence and correlates of female sexual dysfunction among Turkish pregnant women. Turk J Urol 2016;42(3):178-183. https://doi.org/10.5152/tud.2016.49207.
  • 12. Aydin S, Onaran ÖI, Topalan K, et al. Development and validation of Turkish version of the female sexual distress scale-revised. Sex Med 2016;4(1):43-50. https://doi.org/10.1016/j.esxm.2015.12.003.
  • 13. Ahmed MR, Madny EH, Sayed Ahmed WA. Prevalence of female sexual dysfunction during pregnancy among E gyptian women. J Obstet Gynaecol Res 2014;40(4):1023-1029. https://doi.org/10.1111/jog.12313.
  • 14. Tehrani FR, Farahmand M, Simbar M, Afzali HM. Factors associated with sexual dysfunction; a population based study in Iranian reproductive age women. Arch Iran Med 2014;17:679-684.
  • 15. Amidu N, Owiredu WK, Gyasi-Sarpong CK, Woode E, Quaye L. Sexual dysfunction among married couples living in Kumasi metropolis, Ghana. BMC Urol 2011; 11(3); 1-7.
  • 16. Jaafarpour M, Khani A, Khajavikhan J, Suhrabi Z. Female sexual dysfunction: prevalence and risk factors. Journal of clinical and diagnostic research: JCDR 2013; 7(12):2877-2880.
  • 17. Khazaei M, Rostami R, Zaryabi A. The relationship between sexual dysfunctions and marital satisfaction in Iranian married students. Procedia Soc Behav Sci 2011; 30: 783-785.
  • 18. Tunc D. Evli bireylerde cinsel doyumun depresyon düzeyi ve evlilik uyumu ile ilişkisinin incelenmesi [The investigation of relationship between sexual satisfaction and the level of depression and marital adjustment in married individuals] 2019; 52-53. Istanbul University, Institute of Social Sciences, Department of Psychology, Master Thesis, Istanbul.
  • 19. Trudel G, Goldfarb MR. Marital and sexual functioning and dysfunctioning, depression and anxiety. Sexologies, 2010;19: 137-142.
  • 20. Erdinc I. Evli çiftlerde, evlilik uyumu, cinsel yaşam doyumu ve yaşam doyumu arasındaki ilişkinin incelenmesi [The examination of the meaningfulness of the relationship between sexual satisfaction, life satisfaction, and marital adjustment levels of married individuals]. 2018;35-38. Istanbul University, Institute of Social Sciences, Department of Psychology, Master Thesis, Istanbul.
  • 21. Daglı A, Baysal N. Yaşam doyumu ölçeğinin Türkçe'ye uyarlanması: geçerlik ve güvenirlik calışması [Adaptation of the satisfaction with life scale into Turkish: the study of validity and reliability]. ESOSDER, 2016; 15: 1250-1262.
  • 22. Thompson WK, Charo L, Vahia IV, et al. Association between higher levels of sexual function, activity, and satisfaction and self-rated successful aging in older postmenopausal women. J Am Geriatr Soc 2011; 59: 1503–1508.
  • 23. Woloski-Wruble AC, Oliel Y, Leefsma M, Hochner-Celnikier D. Sexual activities, sexual and life satisfaction, and successful aging in women. J. Sex. Med 2010; 7: 2401-2410.
  • 24. Stephenson KR, Meston CM. The conditional importance of sex: exploring the association between sexual well-being and life satisfaction. J. Sex Marital Ther 2015; 41: 25-38.
  • 25. Spanier GB. Measuring dyadic adjustment: A new scales for assessing the quality of marriage and similar dyads. J Marriage Fam 1976; 38: 15-28.
  • 26. Busby DM, Christensen C, Crane RD, Larson JH. Are vision of the dyadic adjustment scale for use with distressed and non distressed couples: Construct hierarchy and multidimensional scales. J. Sex Marital Ther 1995; 21:289-298.
  • 27. Gundogdu A. Relationship’s betweenself-construals and marital quality. 2007; 30-36. Middle East Technical University Institute of Social Sciences Department of Psychology, Master Thesis, Ankara.
  • 28. Bayraktaroglu HT, Cakıcı ET. Psychometric properties of Revised form Dyadic Adjustment Scale in a sample from North Cyprus. Int. J. Educ. Sci 2017; 19: 113-119.
  • 29. Diener E, Emmons RA, Larsen RJ, Griffi, S. The satisfaction with life scale. J. Pers. Assess 1985; 49: 71-75.
  • 30. Koker S. Normal ve sorunlu ergenlerin yaşam doyumu düzeylerinin karşılaştırılması [Comparison of life satisfaction levels of normal and problematic adolescents]. 1991; 31-35. Ankara University Institute of Social Sciences, Master Thesis, Ankara.
  • 31. Radloff LS. The CES-D scale: A self-report depression scale for research in the general population. Appl Psych Meas 1977; 1: 385-401.
  • 32. Tatar A, Saltukoglu G. The adaptation of the CES-Depression Scale into Turkish through the use of confirmatory factor analysis and item response theory and the examination of psychometric characteristics. Klin Psikofarmakol B, 2010; 20: 213-227.
  • 33. Rosen C, Brown J, Heiman S, Leiblum C, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J. Sex Marital Ther 2000; 26: 191-208.
  • 34. Aygin D, Aslan FE. Kadın cinsel işlev ölçeği'nin Türkçeye uyarlaması [The Turkish Adaptation of the female sexual function index]. Turkiye Klinikleri J Med Sci 2005; 25: 393-399.
  • 35. Rodoplu A. Evli çiftlerde evlilik uyumu ile cinsel doyum arasındakı ilişkinin incelenmesi [Examining the relationship between marital adjustment and sexual satisfaction in married couples]. 2019;48-52. Istanbul University, Institute of Social Sciences, Department of Psychology, Master Thesis, Istanbul.
  • 36. Wang C, Pan R, Wan X, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int. J. Environ. Res. Public Health 2020; 17: 1729; https://doi.org/10.3390/ijerph17051729
  • 37. Qiu J, Shen B, Zhao M, et al. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. Gen Psychiatr, 2020; 33(2).
  • 38. Ozturk CS, Arkar H. Evli çiftlerde evlilik uyumu ve cinsel doyum arasındaki iliskiler [The relationships between marital adjustment and sexual satisfaction in married couples]. Literatur Sempozyum 2014; 1: 16-24.
  • 39. Yavuz F. Kişilik inanclarının ve depresif belirtilerin evlilik uyumuna etkisinin incelenmesi [Examining the effect of personality beliefs and depressive symptoms on marital adjustment]. 2019; 40-43. Fatih Sultan Mehmet Vakif University, Graduate Education Institute, Department of Psychology, Master Thesis, Istanbul.
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Details

Primary Language English
Subjects Health Care Administration
Journal Section Orijinal Articles
Authors

Hacer Alan Dikmen 0000-0001-9617-4897

Publication Date December 23, 2022
Submission Date November 15, 2021
Published in Issue Year 2022 Volume: 16 Issue: 4

Cite

Vancouver Alan Dikmen H. Determination of Dyadic adjustment, life satisfaction, depression, and female sexual dysfunction in married women during the COVID-19 pandemic. TJFMPC. 2022;16(4):751-60.

English or Turkish manuscripts from authors with new knowledge to contribute to understanding and improving health and primary care are welcome.