Document Type : Original Article

Authors

1 sabzevar

2 MSc in Epidemiology. Faculty of Medicine. Sabzevar University of Medical Sciences. Sabzevar. Iran.

Abstract

Bakground:
The Female sexual dysfunction can be caused by a range of different factors. The aim of the present study is to assess the prevalence of female sexual dysfunction and its association with related psychological factors.
Matrials & methods:
This is a descriptive-analytical research on 322 women in Sabzevar during 2015 year. The Sampeling was Stratified random .The instrument which has been used in research is Female Sexual Function Index (FSFI), Depression Anxiety Stress Scales (DASS). The descriptive statistics and regression was analyzed by STATA 12 Software.
Results:
Most of the Subjects were between 20 to 30 years old. (186= N (.The mean and Standard deviation of the Subjects were respectively M (29.64), SD (6.60) .The prevalence of sexual dysfunction was %40, So that the highest and lowest prevalence was in subscales of sexual desire (46/73) and dissatisfaction (8/18), respectively.The prevalence of depression, Anxiety and Stress was (48/9), (60/63) and (54/66), respectively. Statistical analysis showed that there is a significant relationship between Sexual function with variable stress with adjusted odds ratios (01/2) and confidence interval (18/3-04/1) and depression variable in different sub- groups with adjusted odds ratio higher than two.
Conclusion :
Anxiety and depression can effect on female sexual dysfunction. Therefore in treatment of sexual dysfunction is better to pay more attention to these variables. .

Keywords

1] Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States. JAMA. 1999; 281(6): 537-44.
[2] Shiffren JL, Monz BU, Russo PA, Segreti A, Johannes CB. Sexual problems and distress in United States women: prevalence and correlates. ObstetGynecol. 2008; 112(5): 970-8.
[3] Mojdeh F, ZeighamiMohamadi S. The relationship between depression and sexual function index among married women. Sientfic Journal of Hamedan Nursing & Midwifey Faculty. 2014; 3.0; 21(1): 41-51. [in Persian]
[4] Mazinani R, Akbari Mehr M, Kaskian A, Kashanian M. Evaluation of prevalence of sexual dysfunctions and its related factors in women. RJMS. Razi Journal of Medical Science. 2013; 19(105): 59-66. [in Persian]
[5] Brizendine L. Female brain. The female brain. New York: Broadway Books. 2006.
[6] Bahrami N, Satarzadeh N, RanjbarKouchaksaraei F, Ghoujazadeh M. Comparing of depression and sexual satisfaction in fertile and infertile couple. J ReprodInfertil. 2007; 8(1): 52. [in Persian]
[7] Sepehrian F, Hosseinpoor. Female sexual dysfunction and its related factors in Urmia. J Urmia Medical Journal. 2012; 23(2): 148-154. [in Persian]
[8] Tahmasbi H, Abasi A. Sexual function and its relation with depression in referring women to health centers affiliated to Medical Science University in Sari Township. J Health Breeze. 2012; 1(3): 40-44.
[9] Bolurian Z, Ganjloo J. Sexual function disorder and the factors associated with this in women of reproductive age referring to Sabzevar health centers. Journal of Fertility and Infertility. 2007; 86(2): 163-170. [in Persian]
[10] Rosen, RC. 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.
[11] Mohammady KH, Heydary M, Fgehzadeh S. Validity of the Persian version of sexual function in women as female sexual function index. J Payesh. 2008; 7(3): 269-78. [in Persian]
[12] Antony MM, Barlow DH. Handbook of assessment and treatment planning for psychological disorders. New York, Guilford Press. 2002.
[13] Lovibond SH, Lovibond, PF. Manual for the depression anxiety stress scales. 2nd Ed., Sydney: Psychology Foundation, 1995.
[14] Zhang AX, Pan LJ, Chen XY, Pan F, Kan YJ. An investigation on female sexual dysfunction among urban Chinese women in Nanjing. J Zhonghua Nan KeXue. 2011; 17(6): 488-91.
[15] Ma J, Pan L, Lei Y, Zhang A, Kan Y. Prevalence of female sexual dysfunction in urban Chinese women based on cutoff scores of the Chinese version of the female sexual function index: a preliminary study. J Sexual Medicine. 2014; 11: 909-919.
[16] Aggarwal Rs, Mishra VV, Jasani AF. Incidence and prevalence of sexual dysfunction in infertile females. J Middle East Fertility Society. 2013; 18: 187-190
[17] Valadares AL, Pinto-Neto AM, de Souza MH, Osis MJ, da Costa Paiva LH. The prevalence of the components of low sexual function and associated factors in middle-aged women. J Sex Med. 2011; 2.
[18] Sandoval CH, Calao-Pérez M, González AE, Gonzalez-Cuenca E, Saavedra R, Sotomayor M, Castillejos Molina R. Orgasmic dysfunction: prevalence and risk factors from a cohort of young females in Mexico. J Sexual Medicine. 2014; 11(6): 1505-1511.
[19] Eraslan D, Yalınay Dikmen P, Aydınlar E, İncesu C. The relation of sexual function to migraine-related disability, depression and anxiety in patients with migraine. J Headache Pain. 2014; 15(1): 32.
[20] Fabre LF, Smith LC. The effect of major depression on sexualfunction in women. J Sex Med. 2012; 9: 231-9.
[21] Atlantis E, Sullivan T. Bidirectional association between depression and sexual dysfunction: A systematic review andmeta-analysis. J Sex Med. 2012; 9: 1497-507.
[22] Kalmbach DA, Ciesla JA, Janata JW, Kingsberg SA. Specificity of an hedonic depression and anxious arousal with sexual problems among sexually healthy young adults. J Sex Med. 2012; 9: 505-13.
[23] Kalmbach DA, Pillai V, Kingsberg SA, Ciesla JA. The transaction between depression and anxiety symptoms and sexual functioning: A prospective study of premenopausal, healthy women. Arch Sex Behav. 2014.
[24] Barlow DH. Causes of sexual dysfunction: The role of anxiety and cognitive interference. J. Consult. Clin. Psychol. 1986; 54: 140-148.
[25] Vaziri SH, LotfiKashani F, Hosseinian S, BahramGhafari S. Sexual efficacy and marital satisfaction. J Andishe Va Raftar. 2010; 4(16): 75-81. [in Persian]
[26] Kalmbach DA, Kingsberg SA, Ciesla JA. How changes in depression and anxiety symptoms correspond to variations in female sexual response in a nonclinical sample of young women: a daily diary study. J Sex Med. 2014 Dec; 11(12): 2915-27.
[27] Kalmbach DA, Pillai V. Daily affect and female sexual function. J Sex Med. 2014.