Abstract

Background

Vaginismus is an involuntary contraction of muscles around the vaginal and one of the most common sexual disorders among women. It is often associated with psychological problems, leading to poor sexual quality of life (SQOL). This study aimed to determine SQOL predictors in women with vaginismus.

Methods

In this cross-sectional study, convenience sampling was used to enroll 236 individuals with vaginismus among all women visiting sexual health clinics of Tehran, Iran in 2018. The data were collected using the Sexual Quality of Life-Female (SQOL-F) Questionnaire, Hospital Anxiety and Depression Scale (HADS), and Rosenberg Self-Esteem Scale. The data were analyzed using the General Linear Model (GLM).

Results

The mean (SD) SQOL score of the participants was 56.82 (20.18). There was a significant direct correlation between the participants’ self-esteem and their SQOL (r = 0.54, p < 0.001). However, the participants’ SQOL had significant inverse correlations with the variables of anxiety (r = − 0.48, p < 0.001) and depression (r = −0.47, p < 0.001). Based on the GLM results, the variables of anxiety, depression, self-esteem, and duration of disorder predicted SQOL, and explained 42.3% of the variance of SQOL in the participants.

Conclusion

The results indicated that psychological factors such as anxiety, depression, and self-esteem are predictors of SQOL in women with vaginismus.

中文翻译：

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伊朗阴道痉挛女性性生活质量的心理预测因素：一项横断面研究

摘要

背景

阴道痉挛是阴道周围肌肉的不自主收缩，是女性最常见的性功能障碍之一。它通常与心理问题有关，导致性生活质量差（SQOL）。本研究旨在确定阴道痉挛女性的 SQOL 预测因子。

方法

在这项横断面研究中，便利抽样用于在 2018 年访问伊朗德黑兰性健康诊所的所有女性中招募 236 名患有阴道痉挛的个体。数据是使用性生活质量 - 女性 (SQOL-F) 问卷收集的，医院焦虑和抑郁量表 (HADS) 和罗森伯格自尊量表。使用一般线性模型（GLM）分析数据。

结果

参与者的平均 (SD) SQOL 得分为 56.82 (20.18)。参与者的自尊与他们的 SQOL 之间存在显着的直接相关性（r  = 0.54，p  < 0.001）。然而，参与者的 SQOL 与焦虑 ( r = - 0.48, p  < 0.001) 和抑郁 ( r = -0.47, p  < 0.001) 变量存在显着负相关。根据 GLM 结果，焦虑、抑郁、自尊和障碍持续时间变量预测了 SQOL，并解释了参与者 SQOL 方差的 42.3%。

结论

结果表明，焦虑、抑郁和自尊等心理因素是阴道痉挛女性 SQOL 的预测因素。