@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2020;7(2):113-118
ISSN: 2383-2150 Journal of Education and Community Health 2020;7(2):113-118
Prediction of Sexual Anxiety of Women on the Brink of Marriage According to Knowledge and Sexual Attitude
ARTICLE INFO
Article Type
Original ResearchAuthors
Hemati L. (1)Shayan A. (2)
Soltani F. (*2)
(1) Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran
(2) Midwifery Department, Midwifery & Nursing Faculty” and “Mother & Child Care Research Center”, Hamadan University of Medical Sciences, Hamadan, Iran
Correspondence
Address: Midwifery & Nursing Faculty, Hamadan University of Medical Sciences, Shahid Fahmideh Avenue, Hamadan, Iran. Postal code: 3869865178Phone: +98 (81) 38380535
Fax: +98 (81) 38380447
farzanehsoltani2008@yahoo.com
Article History
Received: July 27, 2019Accepted: January 26, 2020
ePublished: June 20, 2020
ABSTRACT
Aims
Lack of adequate sexual knowledge and attitude can lead to women's sexual anxiety. The purpose of this study was to predict the sexual anxiety according to sexual knowledge and attitudes of women on the brink of marriage.
Materials & Methods This descriptive cross-sectional study was carried out on 556 women on the brink of marriage referring to the family health center of Hamedan in 2018. The subjects were selected using available sampling method and they completed Davis's Sexual Anxiety Inventory and SKAS's knowledge and attitude. Pearson correlation coefficient was used to analyze the relationships between variables and finally, multivariate linear regression test was used to determine the net effect of the relationship between variables.
Findings There was a negative and significant correlation between sexual anxiety with sexual knowledge (r=-0.358; p<0.001) and with sexual attitude (r=-0.302; p<0.001). Also, the variables of sexual knowledge and attitude could predict 15.3% of variance of sexual anxiety (p<0.001).
Conclusion The sexual knowledge and attitude of women on the brink of marriage can predict sexual anxiety in them and by increasing sexual knowledge and improving sexual attitude, women's sexual anxiety on the brink of marriage decreases.
Materials & Methods This descriptive cross-sectional study was carried out on 556 women on the brink of marriage referring to the family health center of Hamedan in 2018. The subjects were selected using available sampling method and they completed Davis's Sexual Anxiety Inventory and SKAS's knowledge and attitude. Pearson correlation coefficient was used to analyze the relationships between variables and finally, multivariate linear regression test was used to determine the net effect of the relationship between variables.
Findings There was a negative and significant correlation between sexual anxiety with sexual knowledge (r=-0.358; p<0.001) and with sexual attitude (r=-0.302; p<0.001). Also, the variables of sexual knowledge and attitude could predict 15.3% of variance of sexual anxiety (p<0.001).
Conclusion The sexual knowledge and attitude of women on the brink of marriage can predict sexual anxiety in them and by increasing sexual knowledge and improving sexual attitude, women's sexual anxiety on the brink of marriage decreases.
CITATION LINKS
[1]Jones AC, Robinson WD, Seedall RB. The role of sexual communication in couples' sexual outcomes: a dyadic path analysis. J Marital Fam Ther. 2018;44(4):606-23.
[2]Montesi JL, Conner BT, Gordon EA, Fauber RL, Kim KH, Heimberg RG. On the relationship among social anxiety, intimacy, sexual communication, and sexual satisfaction in young couples. Arch Sex Behav. 2013;42(1):81-91.
[3]Nooranipour R, Besharat M, Yousefi E. Relationship between knowledge and sexual attitudes and marital satisfaction in couples living in the Young Research Center. J couns Res. 2008;6(24):27-39. [Persian]
[4]Soltani F, Sattari M, Parsa P, Farhadian M. Sources of adolescents’ information about sexual and reproductive health: Gender similarities and differences. J Pharm Sci Res. 2017;9(9):1624-8.
[5]Basson R. The female sexual response: a different model. J Sex Marital Ther. 2000;26(1):51-65.
[6]Barlow DH. Causes of sexual dysfunction: the role of anxiety and cognitive interference. J Consult Clin Psychol. 1986;54(2):140-8.
[7]Brassard A, Dupuy E, Bergeron S, Shaver PR. Attachment insecurities and women’s sexual function and satisfaction: The mediating roles of sexual self-esteem, sexual anxiety, and sexual assertiveness. J Sex Res. 2015;52(1):110-9.
[8]Eaton NR, Krueger RF, Markon KE, Keyes KM, Skodol AE, Wall M, et al. The structure and predictive validity of the internalizing disorders. J Abnorm Psychol. 2013;122(1):86-92.
[9]Yazdanpanahi Z, Nikkholgh M, Akbarzadeh M, Pourahmad S. Stress, anxiety, depression, and sexual dysfunction among postmenopausal women in Shiraz, Iran, 2015. J Family Community Med. 2018;25(2):82-7.
[10]Stephenson KR, Meston CM. When are sexual difficulties distressing for women? The selective protective value of intimate relationships. J Sex Med. 2010;7(11):3683-94.
[11]Holmberg D, Blair KL. Sexual desire, communication, satisfaction, and preferences of men and women in same-sex versus mixed-sex relationships. J Sex Res. 2009;46(1):57-66.
[12]Silvain SD, Northy L, Dunkley CR, Rigby RA, Gorzalka BB. Sexual anxiety and sexual beliefs and mediators of the association between attachment orientation with sexual functioning and distress in university men and women. J Hum Sex. 2018;27(1):21–32.
[13]Besharat MA, Ranjbar EK. Development and validation of sexual knowledge and attitude scale. Contemp Psychol. 2013;8(1):21-32. [Persian]
[14]Merghati Khoei E, Moeini B, Barati M, Soltanian AR, Shahpiri E, Ghaleiha A, et al. A qualitative inquiry of sexuality in Iranian couples using the Information-Motivation-Behavioral skills paradigm. J Egypt Public Health Assoc. 2019;94:27.
[15]Hoveilipour S, Shafiabadi A, Soudani M. The effect of premarital training on marital expectation and attitudes on children of oil company in southern. J Soc Psychol. 2012;7(23):81-93. [Persian]
[16]Salimi M, Fatehizadeh M. Investigation of effectiveness of sexual education based on behavioral-cognitive method on sexual intimacy, knowledge and self-expression of married woman in Mobarakeh. J Mod Psychol Res. 2012;7(28):105-22. [Persian]
[17]Barati M, Soltanian A, Emdadi S, Zahirifard B, Barzeghar N. Analyzing sexual health-related beliefs among couples in marriage based on the health belief model. J Educ Community Health. 2014;1(1):36-45. [Persian]
[18]Farajnia S, Hosseinian S, Shahidi S, Sadeghi M. Preparation and evaluation of psychometric characteristics of marital sexual function scale. J Appl Couns. 2014;4(1):85-102. [Persian]
[19]Zargar Shoushtari S, Afshari P, Abedi P, Tabesh H. The effect of face-to-face with telephone-based counseling on sexual satisfaction among reproductive aged women in Iran. J Sex Marital Ther. 2015;41(4):361-7.
[20]Davis D, Shaver P.R, Widaman K.F, Vernon K.L, Folette W.C, Beitz K. I can’t get no satisfaction: Insecure attachment, inhibited sexual communication, and sexual dissatisfaction. Pers Relat. 2006;13:465-83.
[21]Gheisari S, Karimian N. A causal model based on relationship satisfaction, sexual satisfaction, marital quality, anxiety of sexual relationship, sexual assertiveness, and the frequency of intercourse in female maried students of Bandarabbas. Counse Cult Psychother. 2014;4(16):85-106. [Persian]
[22]Rehman US, Lizdek I, Fallis EE, Sutherland S, Goodnight JA. How is sexual communication different from nonsexual communication? A moment-by-moment analysis of discussions between romantic partners. Arch Sex Behav. 2017;46(8):2339-52.
[23]Noohi S, Azar M, Shafiei Kandjani AR, Tajik A. Knowledge and attitude of couples attending a marriage counseling centers about the correct sexual relationships. J Hayat. 2007;13(3):77-83. [Persian]
[24]Khodakarami B, Aligholi S. The effect of education based on james brown pattern on knowledge of reproductive & sexual health in women participant marriage council classes in Hamadan. Avicenna J Nurs Midwifery care. 2011;19(1):52-62. [Persian]
[25]Lou JH, Chen SH. Relationships among sexual knowledge, sexual attitudes, and safe sex behaviour among adolescents: A structural equation model. Int J Nurs Stud. 2009;46(12):1595-603.
[26]Soltanian F, Azizi R, Sourinegad H, Shayan A, Mohammadi Y, Khodakarami B. Sexual konwledge and attitude as predictiors of female sexual satisfaction. Biomed Res Ther. 2017;4(12):1874-84.
[27]Wang TF, Lu CH, Chen IJ, Yu S. Sexual knowledge, attitudes and activity of older people in Taipei, Taiwan. J Clin Nurs. 2008;17(4):443-50.
[28]Hajivosough NS, Tavakolizadeh J, Rajayi A, Atarodi A. The effect of cognitive-behavioral teaching on improvement of women's sexual function with hypoactive sexual desire disorder. Zahedan J Res Med Sci. 2012;14(10):100-2.
[29]Peleg‐Sagy T, Shahar G. The prospectiveassociations between depression and sexual satisfaction among female medical students. J Sex Med. 2013;10(7):1737-43.
[30]MacNeil S, Byers ES. Dyadic assessment id sexual self-disclosure and sexual satisfaction in heterosexual dating couples. J Soc Pers Relat.2005;22(2):169-81.
[2]Montesi JL, Conner BT, Gordon EA, Fauber RL, Kim KH, Heimberg RG. On the relationship among social anxiety, intimacy, sexual communication, and sexual satisfaction in young couples. Arch Sex Behav. 2013;42(1):81-91.
[3]Nooranipour R, Besharat M, Yousefi E. Relationship between knowledge and sexual attitudes and marital satisfaction in couples living in the Young Research Center. J couns Res. 2008;6(24):27-39. [Persian]
[4]Soltani F, Sattari M, Parsa P, Farhadian M. Sources of adolescents’ information about sexual and reproductive health: Gender similarities and differences. J Pharm Sci Res. 2017;9(9):1624-8.
[5]Basson R. The female sexual response: a different model. J Sex Marital Ther. 2000;26(1):51-65.
[6]Barlow DH. Causes of sexual dysfunction: the role of anxiety and cognitive interference. J Consult Clin Psychol. 1986;54(2):140-8.
[7]Brassard A, Dupuy E, Bergeron S, Shaver PR. Attachment insecurities and women’s sexual function and satisfaction: The mediating roles of sexual self-esteem, sexual anxiety, and sexual assertiveness. J Sex Res. 2015;52(1):110-9.
[8]Eaton NR, Krueger RF, Markon KE, Keyes KM, Skodol AE, Wall M, et al. The structure and predictive validity of the internalizing disorders. J Abnorm Psychol. 2013;122(1):86-92.
[9]Yazdanpanahi Z, Nikkholgh M, Akbarzadeh M, Pourahmad S. Stress, anxiety, depression, and sexual dysfunction among postmenopausal women in Shiraz, Iran, 2015. J Family Community Med. 2018;25(2):82-7.
[10]Stephenson KR, Meston CM. When are sexual difficulties distressing for women? The selective protective value of intimate relationships. J Sex Med. 2010;7(11):3683-94.
[11]Holmberg D, Blair KL. Sexual desire, communication, satisfaction, and preferences of men and women in same-sex versus mixed-sex relationships. J Sex Res. 2009;46(1):57-66.
[12]Silvain SD, Northy L, Dunkley CR, Rigby RA, Gorzalka BB. Sexual anxiety and sexual beliefs and mediators of the association between attachment orientation with sexual functioning and distress in university men and women. J Hum Sex. 2018;27(1):21–32.
[13]Besharat MA, Ranjbar EK. Development and validation of sexual knowledge and attitude scale. Contemp Psychol. 2013;8(1):21-32. [Persian]
[14]Merghati Khoei E, Moeini B, Barati M, Soltanian AR, Shahpiri E, Ghaleiha A, et al. A qualitative inquiry of sexuality in Iranian couples using the Information-Motivation-Behavioral skills paradigm. J Egypt Public Health Assoc. 2019;94:27.
[15]Hoveilipour S, Shafiabadi A, Soudani M. The effect of premarital training on marital expectation and attitudes on children of oil company in southern. J Soc Psychol. 2012;7(23):81-93. [Persian]
[16]Salimi M, Fatehizadeh M. Investigation of effectiveness of sexual education based on behavioral-cognitive method on sexual intimacy, knowledge and self-expression of married woman in Mobarakeh. J Mod Psychol Res. 2012;7(28):105-22. [Persian]
[17]Barati M, Soltanian A, Emdadi S, Zahirifard B, Barzeghar N. Analyzing sexual health-related beliefs among couples in marriage based on the health belief model. J Educ Community Health. 2014;1(1):36-45. [Persian]
[18]Farajnia S, Hosseinian S, Shahidi S, Sadeghi M. Preparation and evaluation of psychometric characteristics of marital sexual function scale. J Appl Couns. 2014;4(1):85-102. [Persian]
[19]Zargar Shoushtari S, Afshari P, Abedi P, Tabesh H. The effect of face-to-face with telephone-based counseling on sexual satisfaction among reproductive aged women in Iran. J Sex Marital Ther. 2015;41(4):361-7.
[20]Davis D, Shaver P.R, Widaman K.F, Vernon K.L, Folette W.C, Beitz K. I can’t get no satisfaction: Insecure attachment, inhibited sexual communication, and sexual dissatisfaction. Pers Relat. 2006;13:465-83.
[21]Gheisari S, Karimian N. A causal model based on relationship satisfaction, sexual satisfaction, marital quality, anxiety of sexual relationship, sexual assertiveness, and the frequency of intercourse in female maried students of Bandarabbas. Counse Cult Psychother. 2014;4(16):85-106. [Persian]
[22]Rehman US, Lizdek I, Fallis EE, Sutherland S, Goodnight JA. How is sexual communication different from nonsexual communication? A moment-by-moment analysis of discussions between romantic partners. Arch Sex Behav. 2017;46(8):2339-52.
[23]Noohi S, Azar M, Shafiei Kandjani AR, Tajik A. Knowledge and attitude of couples attending a marriage counseling centers about the correct sexual relationships. J Hayat. 2007;13(3):77-83. [Persian]
[24]Khodakarami B, Aligholi S. The effect of education based on james brown pattern on knowledge of reproductive & sexual health in women participant marriage council classes in Hamadan. Avicenna J Nurs Midwifery care. 2011;19(1):52-62. [Persian]
[25]Lou JH, Chen SH. Relationships among sexual knowledge, sexual attitudes, and safe sex behaviour among adolescents: A structural equation model. Int J Nurs Stud. 2009;46(12):1595-603.
[26]Soltanian F, Azizi R, Sourinegad H, Shayan A, Mohammadi Y, Khodakarami B. Sexual konwledge and attitude as predictiors of female sexual satisfaction. Biomed Res Ther. 2017;4(12):1874-84.
[27]Wang TF, Lu CH, Chen IJ, Yu S. Sexual knowledge, attitudes and activity of older people in Taipei, Taiwan. J Clin Nurs. 2008;17(4):443-50.
[28]Hajivosough NS, Tavakolizadeh J, Rajayi A, Atarodi A. The effect of cognitive-behavioral teaching on improvement of women's sexual function with hypoactive sexual desire disorder. Zahedan J Res Med Sci. 2012;14(10):100-2.
[29]Peleg‐Sagy T, Shahar G. The prospectiveassociations between depression and sexual satisfaction among female medical students. J Sex Med. 2013;10(7):1737-43.
[30]MacNeil S, Byers ES. Dyadic assessment id sexual self-disclosure and sexual satisfaction in heterosexual dating couples. J Soc Pers Relat.2005;22(2):169-81.