@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2019;25(1):29-36
ISSN: 2252-0805 The Horizon of Medical Sciences 2019;25(1):29-36
Effectiveness of Attachment Style and Sexual Dysfunction on Marital Commitment and Sexual Beliefs in Married Female Students of Ahvaz City: A Path Analysis
ARTICLE INFO
Article Type
Original ResearchAuthors
Jazini Sh. (*)Abdollahi N. (1)
Aslani Kh. (2)
Amanellahi A. (3)
(*) Student research committe; Department of conseling, Educational& Psychology Sciences Faculty, Shahid Chamran University of Ahvaz, Ahvaz, Iran
(1) Department of conseling, Educational& Psychology Sciences Faculty, Shahid Chamran University of Ahvaz, Ahvaz, Iran
(2) Department of conseling, Educational& Psychology Sciences Faculty, Shahid Chamran University of Ahvaz, Ahvaz, Iran
(3) Department of conseling, Educational& Psychology Sciences Faculty, Shahid Chamran University of Ahvaz, Ahvaz, Iran
Correspondence
Address: Ahvaz, Golestan St, Golestan Blvd.Chamran shahid of Ahwaz University, College of Psychology and Educational SciencesPhone: + 09162379576
Fax: 03136674343
Shadi.jazini@yahoo.com
Article History
Received: February 6, 2018Accepted: June 26, 2018
ePublished: January 22, 2019
BRIEF TEXT
... [1, 2]. Marital commitment is the strongest and most stable predictor of quality and stability of marital relationship [3]. Marital commitment can be defined as the continuity of feeling found in gravity and constraints [4]. Women and husbands who have a higher commitment have less problem in solving their marital problems and are more active in maintaining their relationships [5].
... [6-19]. Research has shown that unsafe people are skeptical about investing in their romantic relationships, so they have the lowest level of commitment [20]. Research has shown that avoidant attachment and anxiety attachment have a negative relationship with personal commitment [21]. There was also a significant effect of the interaction between the avoidant attachment style and commitment [22]. ... [23-27]. Stephen and McCabe have also argued that higher levels of insecure attachment are associated with less satisfying sexual relationships and higher levels of sexual dysfunction. Higher levels of insecure attachment are associated with less satisfying sexual relationships and higher levels of sexual dysfunction. The results confirm that both sexually disadvantaged women and men have more ineffective beliefs [28]. In contrast, the findings support the fact that inefficient sexual beliefs play the role of vulnerability factor in sexual impotence [11].
The purpose of this study was to measure the relationship between attachment styles with the moderating role of sexual malfunction and marital commitment and sexual beliefs.
This research is a descriptive-correlational study.
The population of this study included all married female students of Ahvaz universities in the academic year of 2015-2016.
183 students from Shahid Chamran University of Ahwaz, University of Research and Science, Islamic Azad University, Ahvaz Branch and Payam-e-Noor University of Ahwaz were selected by convenience sampling method. The Cochran formula was used to determine the sample size. Since the female population of married students was approximately 350, 183 were selected using the Cochran formula for the present study. The conditions for conducting this research were: 1- Having age range of 18 to 35 years old 2-being married female student 3- Passing at least one year of their marriage 4- Having at least five years of residence in Ahwaz. This research was carried out after obtaining the necessary permissions from the relevant unit of Ahwaz Shahid Chamran University, University of Research and Science, Ahwaz Islamic Azad University, Ahwaz Payam-e-Noor University. While explaining the importance of the research, all participants were assured that their information would be confidential and the results would be only published in general.
... [29-33]. In this research, four questionnaires were used: Marital Commitment Questionnaire (MCQ): This questionnaire was developed by Adams and Jones and measures three aspects of marital commitment that includes personal commitment, moral commitment, and structural commitment. In Zarei and Hosseinqholi's research, Cronbach's alpha coefficient was 0.80 [34]. In the present study, the reliability coefficient of Cronbach's alpha for marital commitment was 0.86 which indicates the reliability of the questionnaire. ... [35]. Sexual Dysfunctional Beliefs Questionnaire (SDBQ): This questionnaire was made by Nober et al. and consists of 34 items that assess the specific stereotypes related to dysfunctional sexual beliefs of men and women. As two questions related to this questionnaire were in contrast with Iranian culture, they were removed and the questionnaire turned to have 32 items. The options are from 1 (totally disagree) to 5 (totally agree). The validity and reliability of this test were 0.81 for women and 0.93 for men [36]. Also, Cronbach's alpha coefficient in the present study was 0.70. Behavioral Styles Questionnaire (BSQ): This questionnaire was developed by Farman and Wonner. The questionnaire has three subscales of secure attachment, distracted attachment and discrete attachment subscale, which is based on the Likert scale of 7 degrees [37]. In the present study, the reliability coefficient using Cronbach`s alpha for the subscales of secure attachment style, and insecure were 0.71 and 0.85 respectively, which indicates the acceptable reliability of the questionnaire. Female Sexual Function Index (FSFI): This index has 19 options and measures female sexual function in 6 dimensions (desire, arousal, humidity, orgasm, satisfaction and sexual pain). Individuals who score 26 or more are identified as having sexual dysfunctional signs. The reliability of the test-retest with a 4-week interval was correlated and satisfactory (0.79) [36]. Also, Cronbach's alpha coefficient was 0.88 in the present study. SPSS 20 software was used to analyze the data and to calculate the descriptive indices and correlation. Amous 20 software was used to calculate the fitness indices of the model for evaluating the proposed model by path analysis. Finally, Bootstrap method has been used in Macro Preacher and Hayes to check the results of indirect coefficients.
The correlation coefficients of the dependent variables of the model (marital commitment and sexual beliefs) were significant with other variables (Table 1). Significance of the coefficients provide the necessary precondition for model analysis. Also, the proposed model indexes had a good fit with the data (Table 2). Values above 90% in all of these items showed good fit with the data. RMSEA of the model was also 0.0001. Due to the suitability of all the fitness indexes of the model, there was no need to modify the proposed model. The path coefficients are shown in Fig. 2. All the paths were meaningful in the proposed model. Also, the results of the indirect coefficients of the modified model using the methods of bootstrap macro by Preacher and Hayes method, which are presented in Table 3, showed that at the confidence level of 0.95, sexual dysfunction mediates the relationship between secure attachment style and marital commitment (with lower and upper limit 0.1833 and 0.5683), insecure attachment style and marital commitment (with upper and lower limit -0.3035 and -0.0811), safe attachment style and sexual beliefs (upper and lower limit -0.1257 and -0.3493) and insecure attachment style and sexual beliefs (with higher and lower limit of 0.1840 and 0.0704). The equivalence of upper and lower limits meant a meaningful indirect route.
... [38]. The results of this study were consistent with the results of Ho et al., Pace et al., Tran et al., Morgan et al. For insecure people, it's important to see their independence in close relationship. These people tend to be close to others, but they are scared to hurt these relationships. Therefore, they tend to leave an intimate interaction with others [39]. ... [40]. There was a significant negative relationship between secure attachment style and sexual beliefs. The results of this study were consistent with the results of Sticker et al. Safe people, can easily have sexual intercourse wellvbecause they are able to maintain their intimacy and proximity in their relationship [41]. On the other hand, there was a significant positive relationship between insecure attachment style and sexual beliefs. The results of this study were consistent with the results of Sticker et al. and Bogart et al. Sexual activity is one of the important dimensions of spouses' life, which greatly affects their quality of life [11], and there is a meaningful positive correlation between sexual malfunction and sexual beliefs. The results of this study were in line with the results of the research by Nouber et al. ... [42-47].
It is suggested that educational workshops be organized to inform families about the importance of the sensitivity of childhood and early years of life and its impact on marital life in the future.
Some of the intervening variables such as socioeconomic status, type of culture, etc. were not controlled by the researcher.
Attachment style has a relationship with marital commitment and sexual beliefs, and women's sexual dysfunction fosters this relationship. Persons who are insecure are unwittingly exposed to their sexual problems very soon, which affects their sexual beliefs and increases the likelihood of betrayal.
Thank you for all the people who accompany us in this research with good faith and sincerity despite their high concerns.
No conflicts of interest have been expressed by the authors.
None declared.
There was no support from any institution.
TABLES and CHARTS
Show attach fileCITIATION LINKS
[1]Givertz M, Segrin C, Woszidlo A. Direct and indirect effects of commitment on interdependence and satisfaction in married couples. J Fam Psychol. 2016;30(2):214-20.
[2]Greene KH. Awareness of parental infidelity on college students’ reported commitment in romantic relationships [Dissertation]. Tallahassee FL: The Florida State University; 2006.
[3]Karimian N, Karimi Y, Bahmani B. The relationship of mental health dimensions and guilt feeling with marital commitment in married people. J Fam Couns Psychother. 2011;1(2):243-56. [Persian]
[4]Nelson JA, Kirk AM, Ane P, Serres SA. Religious and spiritual values and moral commitment in marriage: Untapped resources in couples counseling?. Couns Values. 2011;55(2):228-46.
[5]Davarniya R, Shakarami M, Zahrakar K, Mohammadi B. Predicting marital commitment on the basis of relationship maintenance behaviors and attachment styles. J Res Health. 2016;6(2):247-55.
[6]Talaizadeh F, Bakhtiyarpour S. The relationship between marital satisfaction and sexual satisfaction with couple mental health. J Thought Behav Clin Psychol. 2016;10(40):37-46. [Persian]
[7]French JE, Meltzer AL, Maner JK. Men’s perceived partner commitment and mate guarding: The moderating role of partner’s hormonal contraceptive use. Evol Behav Sci. 2017;11(2):173-86.
[8]Morton H, Gorzalka BB. Cognitive aspects of sexual functioning: Differences between East Asian-Canadian and Euro-Canadian women. Arch Sex Behav. 2013;42(8):1615-25.
[9]Clarke MJ, Marks AD, Lykins AD. Effect of normative masculinity on males' dysfunctional sexual beliefs, sexual attitudes, and perceptions of sexual functioning. J Sex Res. 2015;52(3):327-37.
[10]Willoughby BJ, Hall SS, Luczak HP. Marital paradigms: A conceptual framework for marital attitudes, values, and beliefs. J Fam Issues. 2015;36(2):188-211.
[11]Nobre PJ, Pinto‐Gouveia J. Dysfunctional sexual beliefs as vulnerability factors to sexual dysfunction. J Sex Res. 2006;43(1):68-75.
[12]Jenaabadi H, Nazari A. The relationship between attachment styles and parenting styles of elementary students' mothers. J Psychol Stud. 2014;3(9):472-86. [Persian]
[13]Fearon RMP, Roisman GI. Attachment theory: Progress and future directions. Curr Opin Psychol. 2017;15:131-6.
[14]Jiang L. Perception of and reactions to job insecurity: The buffering effect of secure attachment. Work Stress. 2017;31(3):256-75.
[15]Niolu C, Bianciardi E, Di Lorenzo G, Nicolai S, Celi M, Ribolsi M, et al. Insecure attachment style predicts low bone mineral density in postmenopausal women, a pilot study. Rivista di Psichiatria. 2016;51(4):143-8.
[16]Echeverry MC, Arango A, Castro B, Raigosa G. Study of the prevalence of female sexual dysfunction in sexually active women 18 to 40 years of age in Medellín, Colombia. J Sex Med. 2010;7(8):2663-9.
[17]Chao JK, Lin YC, Ma MC, Lai CJ, Ku YC, Kuo WH, et al. Relationship among sexual desire, sexual satisfaction, and quality of life in middle-aged and older adults. J Sex Marital Ther. 2011;37(5):386-403.
[18]American Psychiatric Association. Diagnostic and statistical manual of mental disorders. Sayed Mohammadi Y, translator. Tehran: Ravan; 2014. [Persian]
[19]Nascimento ER, Maia AC, Nardi AE, Silva AC. Sexual dysfunction in arterial hypertension women: The role of depression and anxiety. J Affect Disord. 2015;181:96-100.
[20]Morgan HJ, Shaver PR. Attachment processes and commitment to romantic relationships. In: Adams JM, Jones WH, editors. Handbook of interpersonal commitment and relationship stability, perspectives on individual differences. Boston MA: Springer; 1999. pp. 109-24.
[21]Ho MY, Chen SX, Bond MH, Hui CM, Chan C, Friedman M. Linking adult attachment styles to relationship satisfaction in Hong Kong and the United States: The mediating role of personal and structural commitment. J Happiness Stud. 2012;13(3):565-78.
[22]Pace U, Zappulla C. Problem behaviors in adolescence: The opposite role played by insecure attachment and commitment strength. J Child Fam Stud. 2011;20(6):854-62.
[23]Bogaert AF, Sadava S. Adult attachment and sexual behavior. Pers Relatsh. 2002;9(2):191-204.
[24]Stackert RA, Bursik K. Why am I unsatisfied? adult attachment style, gendered irrational relationship beliefs, and young adult romantic relationship satisfaction. Personal Individ Differ. 2003;34(8):1419-29.
[25]Brassard A, Péloquin K, Dupuy E, Wright J, Shaver PR. Romantic attachment insecurity predicts sexual dissatisfaction in couples seeking marital therapy. J Sex Marital Ther. 2012;38(3):245-62.
[26]Leclerc B, Bergeron S, Brassard A, Bélanger C, Steben M, Lambert B. Attachment, sexual assertiveness, and sexual outcomes in women with provoked vestibulodynia and their partners: A mediation model. Arch Sex Behav. 2015;44(6):1561-72.
[27]Butzer B, Campbell L. Adult attachment, sexual satisfaction, and relationship satisfaction: A study of married couples. Pers Relatsh. 2008;15(1):141-54.
[28]Stefanou C, Mc Cabe MP. Adult attachment and sexual functioning: A review of past research. J Sex Med. 2012;9(10):2499-507.
[29]Middleton LS, Kuffel SW, Heiman JR. Effects of experimentally adopted sexual schemas on vaginal response and subjective sexual arousal: A comparison between women with sexual arousal disorder and sexually healthy women. Arch Sex Behav. 2008;37(6):950-61.
[30]Mc Carthy BW. Sexual dysfunction. In: Hersen M. Clinical behavior therapy: Adults and children. Hersen M, editor. New York: Wiley; 2002. pp. 198-9.
[31]Nichols MP. Concurrent discriminant validity of the Kansas marital satisfaction scale. J Marriage Fam. 2005;48(2):381-7.
[32]Wakley G. Sexual dysfunction. Curr Obstet Gynaecol. 2005;15(1):38-45.
[33]Farzadi F, Faramarzi H, Shehni Yeylagh M, Ghasemi Z. The causal relationship of perceived pain with marital satisfaction through the mediation of kindness, trust, justice, empathy and forgiveness. Biannu J Woman Fam Stud. 2016;4(2):77-100. [Persian]
[34]Zarei S, Hosseingholi F. The prediction of marital commitment based on self- conscious affects (shame and guilt) and self-differentiation among married university students. J Fam Couns Psychother. 2014;4(1):113-33. [Persian]
[35]Shahsiah M, Bahrami F, Mohebbi S. On the relationship between sexual satisfaction and marital commitment among couples in Shahreza city, central part of Iran. J Fundam Ment Health. 2009;11(3):233-8. [Persian]
[36]Amanollahi A, Zare M. The relationship between gender schemas and automatic thoughts and sexual function. Unpublished manuscript. 2014. [Persian]
[37]Amanollahi A, Aslani Kh, Tashakor H, Ghavabesh S, Nekooei S. Romantic attachment/love styles and marital satisfaction in women: Investigating the relationship. J Women Stud Sociol Psychol. 2012;10(3):67-86. [Persian]
[38]Furman W, Simon VA, Shaffer L, Bouchey HA. Adolescents' working models and styles for relationships with parents, friends, and romantic partners. Child Dev. 2002;73(1):241-55.
[39]Duemmler SL, Kobak R. The development of commitment and attachment in dating relationships: Attachment security as relationship construct. J Adolesc. 2001;24(3):401-15.
[40]Tran S, Simpson JA. Prorelationship maintenance behaviors: The joint roles of attachment and commitment. J Pers Soc Psychol. 2009;97(4):685-98.
[41]Sprecher S. Attachment style and sexual permissiveness: The moderating role of gender. Personal Individ Differ. 2013;55(4):428-32.
[42]Cash TF, Thériault J, Annis NM. Body image in an interpersonal context: Adult attachment, fear of intimacy and social anxiety. J Soc Clin Psychol. 2004;23(1):89-103.
[43]Birnbaum GE. Attachment orientations, sexual functioning, and relationship satisfaction in a community sample of women. J Soc Pers Relatsh. 2007;24(1):21-35.
[44]Nayebi Nia A, Salari P, Sharifi N, Jabbari Nooghani H. Effect of attachment styles to parents on sexual dysfunction domains of married women. Electron Physician. 2017;9(1):3605-10.
[45]Bakouei F, Omidvar Sh, Nasiri F. Prevalence of female sexual dysfunction in married women and its related factors (Babol 2006). J Babol Univ Med Sci. 2007;9(4):59-64. [Persian]
[46]Timm TM, Keiley MK. The effects of differentiation of self, adult attachment, and sexual communication on sexual and marital satisfaction: A path analysis. J Sex Marital Ther. 2011;37(3):206-23.
[47]Jardin C, Venta A, Newlin E, Ibarra S, Sharp C. Secure attachment moderates the relation of sexual trauma with trauma symptoms among adolescents from an inpatient psychiatric facility. J Interpers Violence. 2017;32(10):1565-85.
[2]Greene KH. Awareness of parental infidelity on college students’ reported commitment in romantic relationships [Dissertation]. Tallahassee FL: The Florida State University; 2006.
[3]Karimian N, Karimi Y, Bahmani B. The relationship of mental health dimensions and guilt feeling with marital commitment in married people. J Fam Couns Psychother. 2011;1(2):243-56. [Persian]
[4]Nelson JA, Kirk AM, Ane P, Serres SA. Religious and spiritual values and moral commitment in marriage: Untapped resources in couples counseling?. Couns Values. 2011;55(2):228-46.
[5]Davarniya R, Shakarami M, Zahrakar K, Mohammadi B. Predicting marital commitment on the basis of relationship maintenance behaviors and attachment styles. J Res Health. 2016;6(2):247-55.
[6]Talaizadeh F, Bakhtiyarpour S. The relationship between marital satisfaction and sexual satisfaction with couple mental health. J Thought Behav Clin Psychol. 2016;10(40):37-46. [Persian]
[7]French JE, Meltzer AL, Maner JK. Men’s perceived partner commitment and mate guarding: The moderating role of partner’s hormonal contraceptive use. Evol Behav Sci. 2017;11(2):173-86.
[8]Morton H, Gorzalka BB. Cognitive aspects of sexual functioning: Differences between East Asian-Canadian and Euro-Canadian women. Arch Sex Behav. 2013;42(8):1615-25.
[9]Clarke MJ, Marks AD, Lykins AD. Effect of normative masculinity on males' dysfunctional sexual beliefs, sexual attitudes, and perceptions of sexual functioning. J Sex Res. 2015;52(3):327-37.
[10]Willoughby BJ, Hall SS, Luczak HP. Marital paradigms: A conceptual framework for marital attitudes, values, and beliefs. J Fam Issues. 2015;36(2):188-211.
[11]Nobre PJ, Pinto‐Gouveia J. Dysfunctional sexual beliefs as vulnerability factors to sexual dysfunction. J Sex Res. 2006;43(1):68-75.
[12]Jenaabadi H, Nazari A. The relationship between attachment styles and parenting styles of elementary students' mothers. J Psychol Stud. 2014;3(9):472-86. [Persian]
[13]Fearon RMP, Roisman GI. Attachment theory: Progress and future directions. Curr Opin Psychol. 2017;15:131-6.
[14]Jiang L. Perception of and reactions to job insecurity: The buffering effect of secure attachment. Work Stress. 2017;31(3):256-75.
[15]Niolu C, Bianciardi E, Di Lorenzo G, Nicolai S, Celi M, Ribolsi M, et al. Insecure attachment style predicts low bone mineral density in postmenopausal women, a pilot study. Rivista di Psichiatria. 2016;51(4):143-8.
[16]Echeverry MC, Arango A, Castro B, Raigosa G. Study of the prevalence of female sexual dysfunction in sexually active women 18 to 40 years of age in Medellín, Colombia. J Sex Med. 2010;7(8):2663-9.
[17]Chao JK, Lin YC, Ma MC, Lai CJ, Ku YC, Kuo WH, et al. Relationship among sexual desire, sexual satisfaction, and quality of life in middle-aged and older adults. J Sex Marital Ther. 2011;37(5):386-403.
[18]American Psychiatric Association. Diagnostic and statistical manual of mental disorders. Sayed Mohammadi Y, translator. Tehran: Ravan; 2014. [Persian]
[19]Nascimento ER, Maia AC, Nardi AE, Silva AC. Sexual dysfunction in arterial hypertension women: The role of depression and anxiety. J Affect Disord. 2015;181:96-100.
[20]Morgan HJ, Shaver PR. Attachment processes and commitment to romantic relationships. In: Adams JM, Jones WH, editors. Handbook of interpersonal commitment and relationship stability, perspectives on individual differences. Boston MA: Springer; 1999. pp. 109-24.
[21]Ho MY, Chen SX, Bond MH, Hui CM, Chan C, Friedman M. Linking adult attachment styles to relationship satisfaction in Hong Kong and the United States: The mediating role of personal and structural commitment. J Happiness Stud. 2012;13(3):565-78.
[22]Pace U, Zappulla C. Problem behaviors in adolescence: The opposite role played by insecure attachment and commitment strength. J Child Fam Stud. 2011;20(6):854-62.
[23]Bogaert AF, Sadava S. Adult attachment and sexual behavior. Pers Relatsh. 2002;9(2):191-204.
[24]Stackert RA, Bursik K. Why am I unsatisfied? adult attachment style, gendered irrational relationship beliefs, and young adult romantic relationship satisfaction. Personal Individ Differ. 2003;34(8):1419-29.
[25]Brassard A, Péloquin K, Dupuy E, Wright J, Shaver PR. Romantic attachment insecurity predicts sexual dissatisfaction in couples seeking marital therapy. J Sex Marital Ther. 2012;38(3):245-62.
[26]Leclerc B, Bergeron S, Brassard A, Bélanger C, Steben M, Lambert B. Attachment, sexual assertiveness, and sexual outcomes in women with provoked vestibulodynia and their partners: A mediation model. Arch Sex Behav. 2015;44(6):1561-72.
[27]Butzer B, Campbell L. Adult attachment, sexual satisfaction, and relationship satisfaction: A study of married couples. Pers Relatsh. 2008;15(1):141-54.
[28]Stefanou C, Mc Cabe MP. Adult attachment and sexual functioning: A review of past research. J Sex Med. 2012;9(10):2499-507.
[29]Middleton LS, Kuffel SW, Heiman JR. Effects of experimentally adopted sexual schemas on vaginal response and subjective sexual arousal: A comparison between women with sexual arousal disorder and sexually healthy women. Arch Sex Behav. 2008;37(6):950-61.
[30]Mc Carthy BW. Sexual dysfunction. In: Hersen M. Clinical behavior therapy: Adults and children. Hersen M, editor. New York: Wiley; 2002. pp. 198-9.
[31]Nichols MP. Concurrent discriminant validity of the Kansas marital satisfaction scale. J Marriage Fam. 2005;48(2):381-7.
[32]Wakley G. Sexual dysfunction. Curr Obstet Gynaecol. 2005;15(1):38-45.
[33]Farzadi F, Faramarzi H, Shehni Yeylagh M, Ghasemi Z. The causal relationship of perceived pain with marital satisfaction through the mediation of kindness, trust, justice, empathy and forgiveness. Biannu J Woman Fam Stud. 2016;4(2):77-100. [Persian]
[34]Zarei S, Hosseingholi F. The prediction of marital commitment based on self- conscious affects (shame and guilt) and self-differentiation among married university students. J Fam Couns Psychother. 2014;4(1):113-33. [Persian]
[35]Shahsiah M, Bahrami F, Mohebbi S. On the relationship between sexual satisfaction and marital commitment among couples in Shahreza city, central part of Iran. J Fundam Ment Health. 2009;11(3):233-8. [Persian]
[36]Amanollahi A, Zare M. The relationship between gender schemas and automatic thoughts and sexual function. Unpublished manuscript. 2014. [Persian]
[37]Amanollahi A, Aslani Kh, Tashakor H, Ghavabesh S, Nekooei S. Romantic attachment/love styles and marital satisfaction in women: Investigating the relationship. J Women Stud Sociol Psychol. 2012;10(3):67-86. [Persian]
[38]Furman W, Simon VA, Shaffer L, Bouchey HA. Adolescents' working models and styles for relationships with parents, friends, and romantic partners. Child Dev. 2002;73(1):241-55.
[39]Duemmler SL, Kobak R. The development of commitment and attachment in dating relationships: Attachment security as relationship construct. J Adolesc. 2001;24(3):401-15.
[40]Tran S, Simpson JA. Prorelationship maintenance behaviors: The joint roles of attachment and commitment. J Pers Soc Psychol. 2009;97(4):685-98.
[41]Sprecher S. Attachment style and sexual permissiveness: The moderating role of gender. Personal Individ Differ. 2013;55(4):428-32.
[42]Cash TF, Thériault J, Annis NM. Body image in an interpersonal context: Adult attachment, fear of intimacy and social anxiety. J Soc Clin Psychol. 2004;23(1):89-103.
[43]Birnbaum GE. Attachment orientations, sexual functioning, and relationship satisfaction in a community sample of women. J Soc Pers Relatsh. 2007;24(1):21-35.
[44]Nayebi Nia A, Salari P, Sharifi N, Jabbari Nooghani H. Effect of attachment styles to parents on sexual dysfunction domains of married women. Electron Physician. 2017;9(1):3605-10.
[45]Bakouei F, Omidvar Sh, Nasiri F. Prevalence of female sexual dysfunction in married women and its related factors (Babol 2006). J Babol Univ Med Sci. 2007;9(4):59-64. [Persian]
[46]Timm TM, Keiley MK. The effects of differentiation of self, adult attachment, and sexual communication on sexual and marital satisfaction: A path analysis. J Sex Marital Ther. 2011;37(3):206-23.
[47]Jardin C, Venta A, Newlin E, Ibarra S, Sharp C. Secure attachment moderates the relation of sexual trauma with trauma symptoms among adolescents from an inpatient psychiatric facility. J Interpers Violence. 2017;32(10):1565-85.