Sexual Dysfunctions, Depression and Anxiety Symptoms, Emotion Regulation Difficulties in Married Women

Öz

Objective: This research aims to examine the relationship between sexual dysfunctions, and depression and anxiety symptoms and emotion regulation difficulties in married women within the framework of the Hierarchical Taxonomy of Psychopathology (HiTOP) Model. Method: The research was performed with 295 married women with an average age of 37.06 years (SD = .50). The research is an analytical, cross-sectional survey study, and the data were collected online via social media between November 6, 2021 and April 10, 2022. Data collection tools were the Female Sexual Function Index, Female Sexual Distress Scale-Revised, Inventory of Depression and Anxiety Symptoms-II and Difficulty in Emotion Regulation Scale. Descriptive analysis, Pearson correlation, t-test, hierarchical regression analysis and structural equation modeling were utilized in the analyses. Results: Analyses indicate some significant relationships were understood to be between the research variables. The variables, with varying sexual function scores, were physical discomfort, menopouse, regular mensturation and sexual discomfort of the spouse, while their sexual distress scores differred in psyhiatric diagnosis and sexual discomfort of the spouse. Hierarchical regression analysis revealed that sexual function and sexual distress were explained by depression and anxiety symptoms and difficulties in emotion regulation. This structure of the internalizing spectrum consisting of three dimensions was supported by the structural equation model and difficulties in emotion regulation were understood to predict the internalizing spectrum. Conclusion: In this research, the internalization spectrum within the HiTOP Model framework was determined to consist of sexual problems, distress and fear sub-dimensions. Difficulties in emotion regulation may be a risk factor of the internalizing spectrum.

Anahtar Kelimeler

• Sexual dysfunction
• Depression
• Anxiety
• Difficulties in emotion regulation
• Hierarchical taxonomy of psychopathology

Evli Kadınlarda Cinsel İşlev Bozuklukları, Depresyon ve Kaygı Belirtileri, Duygu Düzenleme Güçlükleri

Öz

Amaç: Bu araştırma Psikopatolojinin Hiyerarşik Taksonomisi (HiTOP) Modeli çerçevesinde cinsel işlev bozuklukları ile depresyon ve kaygı belirtileri, duygu düzenleme güçlükleri arasındaki ilişkileri evli kadınlarda incelemeyi amaçlamaktadır. Yöntem: Araştırma evli olan yaş ortalaması 37.06 (SS = .50) 295 kadın birey ile yapılmıştır. Analitik, kesitsel bir tarama çalışması olan araştırmanın verileri 6 Kasım 2021-10 Nisan 2022 tarihlerinde sosyal medya yoluyla çevrimiçi olarak toplanmıştır. Veri toplama araçları Kadın Cinsel Fonksiyon İndeksi, Kadın Cinsel Sıkıntı Ölçeği-Revize Edilmiş, Depresyon ve Kaygı Belirtileri Envanteri-II ve Duygu Düzenlemede Güçlükler Ölçeği’dir. Analizlerde betimleyici analizler, Pearson korelasyon, t-testi, hiyerarşik regresyon analizleri ve yapısal eşitlik modeli kullanılmıştır. Bulgular: Analizlere göre araştırma değişkenleri arasında bazı anlamlı ilişkiler olduğu anlaşılmıştır. Cinsel işlev puanlarının farklılık gösterdiği değişkenler fiziksel rahatsızlık, menopoz, düzenli regl ve eşin cinsel rahatsızlığı iken cinsel sıkıntı puanları psikiyatrik tanı ve eşin cinsel rahatsızlığı açısından farklılık göstermiştir. Hiyerarşik regresyon analizine göre cinsel işlev ve cinsel sıkıntının depresyon ve kaygı belirtileri ile duygu düzenlemede güçlüklerce açıklandığı görülmüştür. Üç boyuttan oluşan içselleştirme spektrumunun bu yapısı yapısal eşitlik modeliyle desteklenmiş ve içselleştirme spektrumunu duygu düzenlemede güçlüklerin yordadığı anlaşılmıştır. Sonuç: Bu araştırmada HiTOP Modeli çerçevesinde içselleştirme spektrumunun cinsel problemler, distres ve korku alt boyutlarından meydana geldiği saptanmıştır. Duygu düzenleme güçlüğü içselleştirme spektrumunun risk unsuru olabilir.

Anahtar Kelimeler

• Cinsel işlev bozukluğu
• Depresyon
• Kaygı
• Duygu düzenleme güçlüğü
• Psikopatolojinin hiyerarşik taksonomisi

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