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Gebelerde Kaygı Düzeyinin Evlilik Uyumu ve Cinsel Doyum ile İlişkisi

Year 2021, , 159 - 164, 29.05.2021
https://doi.org/10.21673/anadoluklin.789563

Abstract

Amaç: Bu çalışmada gebe kadınlarda kaygı düzeyinin evlilik uyumu ve cinsel doyum ile ilişkili olup olmadığını araştırmak amaçlanmıştır.


Yöntem:
Prospektif çalışmamız Haziran—Ağustos 2020 döneminde bir kadın hastalıkları ve doğum kliniğinde gerçekleştirilmiş ve 70 gebe kadın içermiştir. Katılımcıla¬rı değerlendirmek için Evlilik Uyum Ölçeği (EUÖ), Golombok–Rust Cinsel Doyum Envanteri (GRCDE) ve Beck Anksiyete Envanteri’nin (BAE) Türkçe versiyonları kullanılmıştır. Verilerin normal dağılımı Kolmogorov–Smirnov testiyle, BAE ile GRCDE ve EUÖ arasındaki ilişki ise Spearman korelasyon testiyle değerlendirilmiştir.


Bulgular:
Ortalama katılımcı yaşı 27,97±3,83 yıldı. Tüm katılımcıların %47,1’i lise mezunu, %68,6’sı aktif çalışan, %70’i 3000₺ ila 10000₺ gelir sahibi, %31,4’ü sigara içicisi idi. Elli iki (%74,3) katılımcı 1 ila 3 yıldır evliydi. Ortalama BAE skoru 10,66±9,45 olup hafif anksiyeteye işaret etmekteydi. Ortalama EUÖ skoru 37,71±10,11 olup evlilikte uyumsuzluğa işaret etmek¬teydi. Ortalama GRCDE skoru ise 31,30±12,28 olup cinsel işlev bozukluğu olmadığı anlamına gelmekteydi. Anksiyete ile evlilik uyumu arasında negatif (p=0,020), anksiyete ile cinsel işlev bozukluğu arasında pozitif korelasyon (p=0,006) saptandı.


Sonuç:
Gebe kadınların anksiyete düzeyi evlilik uyumundan ve cinsel doyumdan etkilenebilir. Evlilik uyumsuzluğu olan gebeler sağlık merkezlerine başvuruları sırasında gebe¬likte anksiyete bakımından değerlendirilmelidirler.

Supporting Institution

yok

References

  • Türen E. Maternal oxytocin, cortisol, and prolactin lev¬els effect the prenatal mother–infant bonding and the relationship between mother’s depression, anxiety, stress level. Konya (TR): Necmettin Erbakan University, Fac¬ulty of Meram Medicine, Department of Obstetrics and Gynecology; 2014.
  • Vırıt O, Akbaş E, Savaş HA, Sertbaş G, Kandemir H. Association between the level of depression and anxiety with social support in pregnancy. Arch Neuropsychiatry. 2008;45(1):9–13.
  • Dennis CL, Falah-Hassani K, Shiri R. Prevalence of ante¬natal and postnatal anxiety: systematic review and meta-analysis. Br J Psychiatry. 2017;210(5):315–23.
  • Heron J, O’Connor TG, Evans J, Golding J, Glover V. The course of anxiety and depression through pregnancy and the postpartum in a community sample. J Affect Disord. 2004;80:65–73.
  • Dunkel-Schetter C, Lobel M. Pregnancy and birth: a mul¬tilevel analysis of stress and birth weight. In: Revenson T, Baum A, Singer J (ed.), Handbook of Health Psychology 2. Mahwah, NJ: Lawrence Erlbaum; 2011;427–53.
  • Üst Z, Pasinlioğlu T, Özkan H. Doğum eyleminde ge¬belerin anksiyete düzeylerinin incelenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Derg. 2013;16(2):110–5.
  • Tekgöz İ. Assessment of anxiety disorders and related factors at the third trimester of pregnancy. Turkiye Aile Hekimligi Derg. 2009;13(3):132–6.
  • Gourounti K, Anagnostopoulos F, Sandall J. Poor mari¬tal support associate with anxiety and worries dur¬ing pregnancy in Greek pregnant women. Midwifery. 2014;30(6):628–35.
  • Nasreen HE, Kabir ZN, Forsell Y, Edhborg M. Prevalence and associated factors of depressive and anxiety symp¬toms during pregnancy: a population based study in rural Bangladesh. BMC Womens Health. 2011;11(1):22.
  • Faisal-Cury A, Menezes PR. Prevalence of anxiety and depression during pregnancy in a private setting sample. Arch Womens Ment Health. 2007;10(1):25–32.
  • Ersanlı K, Kalkan M. Evlilik İlişkilerini Geliştirme: Kuram ve Uygulama, 1. ed. Istanbul: Nobel Akademik Yayıncılık; 2008.
  • Spanier GB. Measuring dyadic adjustment: new scales for assessing the quality of marriage and similar dyads. J Marriage Fam. 1976;38(1):15–28.
  • Slatcher BR. Marital functioning and physical health: im¬plications for social and personality psychology. Soc Per¬sonal Psychol Compass. 2010;4(7):455–69.
  • Kiecolt-Glaser JK, Newton TL. Marriage and health: his and hers. Psychol Bull. 2001;127(4):472–503.
  • Salehi F, Shahhosseini Z. Association between women’s marital satisfaction and anxiety during pregnancy. Iran J Psychiatry Behav Sci. 2017;11(3):7937.
  • Babanazari L, Kafi M. Relationship of pregnancy anxiety to its different periods, sexual satisfaction, and demo¬graphic factors [article in Persian]. Iran J Psychiat Clin Psychol. 2008;14(2):206–13.
  • Erbek E, Beştepe E, Akar H, Eradamlar N, Alpkan RL. Marital adjustment. Dusunen Adam J Psychiatry Neurol Sci. 2005;18(1):39–47.
  • Özgüven İE. Evlilik ve Aile Terapisi, 2 ed. Ankara: PDR Yayınları; 2009.
  • Afrakoti NB, Shahhosseini Z. Bio-psycho-social factors affecting women’s sexual function during pregnancy: a narrative review. Glob J Health Sci. 2016;8(10):55246.
  • Johanson R, Chapman G, Murray D, Johnson I, Cox J. The North Staffordshire maternity hospital prospective study of pregnancy associated depression. J Psychoso¬matic Obstet Gynecol. 2009;21(2): 93–7.
  • Dimitrovsky L, Levy-Shiff R, Schattner-Zanany I. Di¬mensions of depression and perfectionism in pregnant and nonpregnant women: their levels and interrelation¬ships and their relationship to marital satisfaction. J Psy¬chol. 2002;136(6):631–46.
  • Litzinger S, Gordon KC. Exploring relationships among communication, sexual satisfaction, and marital satis¬faction. J Sex Marital Ther. 2005;31(5):409–24.
  • Whisman MA, Davila J, Goodman SH. Relationship ad¬justment, depression, and anxiety during pregnancy and the postpartum period. J Fam Psychol. 2011;25(3):375– 83.
  • Çömez İkican T, Coşansu G, Erdoğan G, Küçük L, Özel İ. The relationship of marital adjustment and sexual sat¬isfaction with depressive symptoms in women. Sex Dis¬abil. 2020;38:247–60.
  • Alipour Z, Kheirabadi GR, Kazemi A, Fooladi M. The most important risk factors affecting mental health dur¬ing pregnancy: a systematic review. East Mediterr Health J. 2018;24(6):549–59.
  • Ozcan H, Ustundag MF, Yilmaz M, Aydinoglu U, Ersoy AO, Eyi EGY. The relationships between prenatal at¬tachment, basic personality traits, styles of coping with stress, depression, and anxiety, and marital adjustment among women in the third trimester of pregnancy. Eur¬asian J Med. 2019;51(3):232–36.
  • Kışlak ST. The relation among expressed emotion, de¬pression, empathy and marital adjustment. Ankara Üni¬versitesi Sosyal Bilimler Enstitüsü Derg. 2012;3(2):27– 46.
  • Afusat OB. Prevalence and associated factors of anxiety and depression among pregnant women. Open Access J Neurol Neurosurg. 2018;9(2):555758.
  • Jamali S, Mosalanejad L. Sexual dysfunction in Iranian pregnant women. Iran J Reprod Med. 2013;11(6):479–86.
  • Erbil N. Sexual function of pregnant women in the third trimester. Alexandria J Med. 2018;54(2):139–42.
  • Nik-Azin A, Nainian MR, Zamani M, Bavojdan MR, Bavojdan MR, Motlagh MJ. Evaluation of sex¬ual function, quality of life, and mental and physical health in pregnant women. J Family Reprod Health. 2013;7(4):171–6.
  • DeJudicibus MA, McCabe MP. Psychological factors and the sexuality of pregnant and postpartum women. J Sex Res. 2002;39(2):94–103.
  • Asselmann E, Hoyer J, Wittchen HU, Martini J. Sexual problems during pregnancy and after delivery among women with and without anxiety and depressive dis¬orders prior to pregnancy: a prospective-longitudinal study. J Sex Med. 2016;13(1):95–104.

The Relationship of Anxiety Level to Marital Adjustment and Sexual Satisfaction in Pregnant Women

Year 2021, , 159 - 164, 29.05.2021
https://doi.org/10.21673/anadoluklin.789563

Abstract

Aim: In this study, we aimed to investigate whether anxiety levels were related to marital adjustment and sexual satisfaction in pregnant women.


Methods:
The prospective study was conducted at a gynecology and obstet¬rics outpatient clinic between June and August 2020 and included 70 pregnant women. The Turkish versions of the Marital Adjustment Scale (MAS), the Golombok–Rust Inventory of Sexual Satisfaction (GRISS), and the Beck Anxiety Inventory (BAI) were used to evaluate the participants. The Kolmogorov–Smirnov and Spearman correlation tests were used to evaluate the normal distribution of the data and the relationship between the BAI and the GRISS and MAS, respectively.


Results:
The mean participant age was 27.97±3.83 years. Of all participants, 47.1% had a high school degree, 70% had an income of ₺3000 to ₺10000, 68.6% were working women, and 31.4% were smokers. Fifty-two (74.3%) had been married for 1 to 3 years. The mean BAI score was 10.66±9.45, indicating mild anxiety. The mean MAS score was 37.71±10.11, indicating mari¬tal maladjustment. The mean GRISS score was 31.30±12.28, which indicated no sexual dys¬function. We found a negative correlation between anxiety and marital adjustment (p=0.020) and a positive correlation between anxiety and sexual dysfunction (p=0.006).


Conclusion
: The anxiety level of pregnant women can be affected by marital adjustment and sexual satisfaction. Pregnant women with marital maladjustment should be assessed for anxiety in pregnancy during their visits to healthcare centers.

References

  • Türen E. Maternal oxytocin, cortisol, and prolactin lev¬els effect the prenatal mother–infant bonding and the relationship between mother’s depression, anxiety, stress level. Konya (TR): Necmettin Erbakan University, Fac¬ulty of Meram Medicine, Department of Obstetrics and Gynecology; 2014.
  • Vırıt O, Akbaş E, Savaş HA, Sertbaş G, Kandemir H. Association between the level of depression and anxiety with social support in pregnancy. Arch Neuropsychiatry. 2008;45(1):9–13.
  • Dennis CL, Falah-Hassani K, Shiri R. Prevalence of ante¬natal and postnatal anxiety: systematic review and meta-analysis. Br J Psychiatry. 2017;210(5):315–23.
  • Heron J, O’Connor TG, Evans J, Golding J, Glover V. The course of anxiety and depression through pregnancy and the postpartum in a community sample. J Affect Disord. 2004;80:65–73.
  • Dunkel-Schetter C, Lobel M. Pregnancy and birth: a mul¬tilevel analysis of stress and birth weight. In: Revenson T, Baum A, Singer J (ed.), Handbook of Health Psychology 2. Mahwah, NJ: Lawrence Erlbaum; 2011;427–53.
  • Üst Z, Pasinlioğlu T, Özkan H. Doğum eyleminde ge¬belerin anksiyete düzeylerinin incelenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Derg. 2013;16(2):110–5.
  • Tekgöz İ. Assessment of anxiety disorders and related factors at the third trimester of pregnancy. Turkiye Aile Hekimligi Derg. 2009;13(3):132–6.
  • Gourounti K, Anagnostopoulos F, Sandall J. Poor mari¬tal support associate with anxiety and worries dur¬ing pregnancy in Greek pregnant women. Midwifery. 2014;30(6):628–35.
  • Nasreen HE, Kabir ZN, Forsell Y, Edhborg M. Prevalence and associated factors of depressive and anxiety symp¬toms during pregnancy: a population based study in rural Bangladesh. BMC Womens Health. 2011;11(1):22.
  • Faisal-Cury A, Menezes PR. Prevalence of anxiety and depression during pregnancy in a private setting sample. Arch Womens Ment Health. 2007;10(1):25–32.
  • Ersanlı K, Kalkan M. Evlilik İlişkilerini Geliştirme: Kuram ve Uygulama, 1. ed. Istanbul: Nobel Akademik Yayıncılık; 2008.
  • Spanier GB. Measuring dyadic adjustment: new scales for assessing the quality of marriage and similar dyads. J Marriage Fam. 1976;38(1):15–28.
  • Slatcher BR. Marital functioning and physical health: im¬plications for social and personality psychology. Soc Per¬sonal Psychol Compass. 2010;4(7):455–69.
  • Kiecolt-Glaser JK, Newton TL. Marriage and health: his and hers. Psychol Bull. 2001;127(4):472–503.
  • Salehi F, Shahhosseini Z. Association between women’s marital satisfaction and anxiety during pregnancy. Iran J Psychiatry Behav Sci. 2017;11(3):7937.
  • Babanazari L, Kafi M. Relationship of pregnancy anxiety to its different periods, sexual satisfaction, and demo¬graphic factors [article in Persian]. Iran J Psychiat Clin Psychol. 2008;14(2):206–13.
  • Erbek E, Beştepe E, Akar H, Eradamlar N, Alpkan RL. Marital adjustment. Dusunen Adam J Psychiatry Neurol Sci. 2005;18(1):39–47.
  • Özgüven İE. Evlilik ve Aile Terapisi, 2 ed. Ankara: PDR Yayınları; 2009.
  • Afrakoti NB, Shahhosseini Z. Bio-psycho-social factors affecting women’s sexual function during pregnancy: a narrative review. Glob J Health Sci. 2016;8(10):55246.
  • Johanson R, Chapman G, Murray D, Johnson I, Cox J. The North Staffordshire maternity hospital prospective study of pregnancy associated depression. J Psychoso¬matic Obstet Gynecol. 2009;21(2): 93–7.
  • Dimitrovsky L, Levy-Shiff R, Schattner-Zanany I. Di¬mensions of depression and perfectionism in pregnant and nonpregnant women: their levels and interrelation¬ships and their relationship to marital satisfaction. J Psy¬chol. 2002;136(6):631–46.
  • Litzinger S, Gordon KC. Exploring relationships among communication, sexual satisfaction, and marital satis¬faction. J Sex Marital Ther. 2005;31(5):409–24.
  • Whisman MA, Davila J, Goodman SH. Relationship ad¬justment, depression, and anxiety during pregnancy and the postpartum period. J Fam Psychol. 2011;25(3):375– 83.
  • Çömez İkican T, Coşansu G, Erdoğan G, Küçük L, Özel İ. The relationship of marital adjustment and sexual sat¬isfaction with depressive symptoms in women. Sex Dis¬abil. 2020;38:247–60.
  • Alipour Z, Kheirabadi GR, Kazemi A, Fooladi M. The most important risk factors affecting mental health dur¬ing pregnancy: a systematic review. East Mediterr Health J. 2018;24(6):549–59.
  • Ozcan H, Ustundag MF, Yilmaz M, Aydinoglu U, Ersoy AO, Eyi EGY. The relationships between prenatal at¬tachment, basic personality traits, styles of coping with stress, depression, and anxiety, and marital adjustment among women in the third trimester of pregnancy. Eur¬asian J Med. 2019;51(3):232–36.
  • Kışlak ST. The relation among expressed emotion, de¬pression, empathy and marital adjustment. Ankara Üni¬versitesi Sosyal Bilimler Enstitüsü Derg. 2012;3(2):27– 46.
  • Afusat OB. Prevalence and associated factors of anxiety and depression among pregnant women. Open Access J Neurol Neurosurg. 2018;9(2):555758.
  • Jamali S, Mosalanejad L. Sexual dysfunction in Iranian pregnant women. Iran J Reprod Med. 2013;11(6):479–86.
  • Erbil N. Sexual function of pregnant women in the third trimester. Alexandria J Med. 2018;54(2):139–42.
  • Nik-Azin A, Nainian MR, Zamani M, Bavojdan MR, Bavojdan MR, Motlagh MJ. Evaluation of sex¬ual function, quality of life, and mental and physical health in pregnant women. J Family Reprod Health. 2013;7(4):171–6.
  • DeJudicibus MA, McCabe MP. Psychological factors and the sexuality of pregnant and postpartum women. J Sex Res. 2002;39(2):94–103.
  • Asselmann E, Hoyer J, Wittchen HU, Martini J. Sexual problems during pregnancy and after delivery among women with and without anxiety and depressive dis¬orders prior to pregnancy: a prospective-longitudinal study. J Sex Med. 2016;13(1):95–104.
There are 33 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section ORIGINAL ARTICLE
Authors

Tuğba Gürbüz 0000-0003-3555-3767

Neslihan Ersahin Söylemez 0000-0001-8928-6583

İbrahim Söylemez 0000-0002-8104-6072

Publication Date May 29, 2021
Acceptance Date September 24, 2020
Published in Issue Year 2021

Cite

Vancouver Gürbüz T, Ersahin Söylemez N, Söylemez İ. The Relationship of Anxiety Level to Marital Adjustment and Sexual Satisfaction in Pregnant Women. Anadolu Klin. 2021;26(2):159-64.

13151 This Journal licensed under a CC BY-NC (Creative Commons Attribution-NonCommercial 4.0) International License.