Halil BASAR, Özden YALÇINKAYA ALKAR, Gökay ATA, Fatih HIZLI

Erektil disfonksiyon ve/veya prematüre ejakülasyon tanısı alan erkeklerde çift uyumunu yordayan değişkenler nelerdir? Cinsiyet rolleri, depresyon, anksiyete, stres, kişilik özellikleri ve benlik saygısı

AMAÇ: Bu araştırmanın amacı erektil disfonksiyon ve/veya prematüre ejakülasyon tanısı alan bireylerin, çift uyumlarını yordayan değişkenlerin belirlenmesidir. Bu amaçla çalışmaya cinsiyet rolleri, depresyon-anksiyete-stres ve kişilik özellikleri değişkenleri dahil edilmiştir. GEREÇ ve YÖNTEMLER: Yaşları 26–76 aralığında, erektil disfonksiyon ve/veya prematüre ejakülasyon tanısı alan evli 101 kişiden veri toplanmıştır. Değişkenler arası ilişkileri incelemek amacıyla korelasyon analizi ve hiyerarşik regresyon analizi gerçekleştirilmiştir. BULGULAR: Kadınsılık cinsiyet rolü, depresyon-anksiyete-stres, nörotisizm, deneyime açıklık ve olumsuz değerlik ile çiftlerin uyumu arasında anlamlı ilişkilerin olduğu bulgusu elde edilmiştir. Ayrıca çiftlerin uyumunun kadınsılık, deneyime açıklık, olumsuz değerlik ve depresyon-anksiyete-stres değişkenleri tarafından yordanırken nörotisizm ve deneyime açıklık kişilik özelliklerinin çiftlerin uyumunu yordamadığı bulgusu elde edilmiştir. SONUÇ: Erektil disfonksiyon ve/veya prematüre ejakülasyon tanısı alan bireylerin kadınsılık cinsiyet rolü ve deneyime açıklık kişilik özelliği arttıkça ilişki doyumu artarken; olumsuz değerlik kişilik özelliği ve depresyon-anksiyete-stres düzeyi arttıkça evlilik doyumunun azaldığı görülmektedir.

What are the variables predicting dyadic adjustment in men with erectile dysfunction and/or premature ejaculation? Sex roles, depression, anxiety, stress, personality traits and self-esteem

OBJECTIVE: The aim of this research is to determine the variables that predict dyadic adjustment of individuals diagnosed with erectile dysfunction and/or premature ejaculation. For this purpose, sex roles, depression-anxiety-stress and personality traits variables were included in the study. MATERIAL and METHODS: Data were collected from 101 married individuals, aged 26–76, diagnosed with erectile dysfunction and/or premature ejaculation. Then, correlation analysis and then hierarchical regression analysis were performed to examine the relationships between variables. RESULTS: It was found that there were significant relationships between the sex role of femininity, depression-anxiety-stress, neuroticism, openness to experience, negative valence and dyadic adjustment. In addition, it was found that neuroticism and openness to experience did not predict dyadic adjustment, while femininity, openness to experience, negative valence, and depression-anxiety-stress variables predicted dyadic adjustment. CONCLUSION: While the relationship satisfaction of individuals diagnosed with erectile dysfunction and/or premature ejaculation increases as the feminine sex role and personality trait open to experience increase; It is observed that as the negative valence personality trait and depression-anxiety-stress level increase, marital satisfaction decreases

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1. National Institutes of Health. NIH Consensus Conference. Impotence. NIH consensus development panel on impotence. JAMA 1993;270:83–90. https://pubmed.ncbi.nlm.nih. gov/8510302/
2. Ayta IA, Mckinlay JB, Krane RJ. The likely worldwide increase in erectile dysfunction between 1995 and 2025 and some possible policy consequences. BJU Int 1999;84:50–6. [CrossRef]
3. Feldman HA, Goldstein I, Hatzichristou DG, Krane RJ, McKinlay JB. Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. J Urol 1994;151:54–61. [CrossRef]
4. Avasthi A, Grover S, Kaur R, Prakash O, Kulhara O. Impact of nonorganic erectile dysfunction on spouses: A study from India. J Sex Med 2010;7:3666–74. [CrossRef]
5. Hamilton LD, Van Dam D, Wassersug RJ. The perspective of prostate cancer patients and patients’ partners on the psychological burden of androgen deprivation and the dyadic adjustment of prostate cancer couples. Psychooncology 2016;25:823–31. [CrossRef]
6. Oyekçin DG, Gülpek D, Sahin EM, Mete L. Depression, anxiety, body image, sexual functioning, and dyadic adjustment associated with dialysis type in chronic renal failure. Int J Psychiatry Med 2012;43:227–41. [CrossRef]
7. McMahon CG, Abdo C, Incrocci L, Perelman M, Rowland D, Waldinger M, Xin ZC. Disorders of orgasm and ejaculation in men. J Sex Med 2004;1:58–65. [CrossRef]
8. Hatzimouratidis K, Amar E, Eardley I, Giuliano F, Hatzichristou D, Montorsi F, et al. Guidelines on male sexual dysfunction: erectile dysfunction and premature ejaculation. Eur Urol 2010;57:804–14. [CrossRef]
9. Laumann EO, Nicolosi A, Glasser DB, Paik A, Gingell C, Moreira E, et al. Sexual problems among women and men aged 40–80 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. Int J Impot Res 2005;17:39–57. [CrossRef]
10. Peixoto MM, Nobre P. Distressing sexual problems and dyadic adjustment in heterosexuals, gay men, and lesbian women. J Sex Marital Ther 2016;42:369–81. [CrossRef]
11. Che Man M, Mohd Zin F, Che Alhadi S, Yaacob NM, Ismail SB. Randomized Clinical Trial Between Fluoxetine and Dapoxetine for Premature Ejaculation and Its Effect on Marital Relationship. Int Med J Malay 2021;20. [CrossRef]
12. Zerach G, Anat BD, Solomon Z, Heruti R. Posttraumatic symptoms, marital intimacy, dyadic adjustment, and sexual satisfaction among ex-prisoners of war. J Sex Med 2010;7:2739– 49. [CrossRef]
13. Bem SL. The measurement of psychological androgyny. J Consult Clin Psychol 1974;42:155–62. https://citeseerx.ist.psu.edu/ viewdoc/download?doi=10.1.1.472.525&rep=rep1&type=pdf 14. Antill JK. Sex role complementarity versus similarity in married couples. J Person Soc Psychol 1983;45:145–55. [CrossRef]
15. Isaac R, Shah A. Sex roles and marital adjustment in Indian couples. Int J Soc Psychiatry 2004;50:129–41. [CrossRef]
16. Lenz ER, Soeken KL, Rankin EA, Fischman SH. Sex-role attributes, gender, and postpartal perceptions of the marital relationship. ANS Adv Nurs Sci 1985;7:49–62. [CrossRef]
17. Davidson B, Sollie DL. Sex-role orientation and marital adjustment. Soc Behav Pers 1987;15:59–69. [CrossRef]
18. Murstein BI, Williams PD. Assortative matching for sex-role and marriage adjustment. Person Individ Diff 1985;6:195–201. [CrossRef]
19. Rosenzweig JM, Dailey DM. Dyadic adjustment/sexual satisfaction in women and men as a function of psychological sex role selfperception. J Sex Marital Ther 1989;15:42–56. [CrossRef]
20. APA. Diagnostic and statistical manual of mental disorders (DSM– 5); 2013. https://www.psychiatry.org/psychiatrists/practice/dsm 21. Demir V. Bilinçli farkındalık temelli kognitif terapi programının bireylerin depresif belirti düzeyleri üzerine etkisi. Psikoloji Çalışmaları 2015;35:15–26. https://dergipark.org.tr/tr/download/ article-file/409007
22. Taycan O, Kutlu L, Çimen S, Aydın N. Bir üniversite hastanesinde çalışan hemşirelerde depresyon ve tükenmişlik düzeyinin sosyodemografik özelliklerle ilişkisi. Anadolu Psikiyatri Derg 2006;7:100–8. [Erişim]
23. Brandão T, Brites R, Pires M, Hipólito J, Nunes O. Anxiety, depression, dyadic adjustment, and attachment to the fetus in pregnancy: Actor-partner interdependence mediation analysis. J Fam Psychol 2019;33:294. [CrossRef]
24. King KE, Arnett PA. Predictors of dyadic adjustment in multiple sclerosis. Mult Scler 2005;11:700–7. [CrossRef]
25. Köroğlu E. Klinik Psikopatoloji. Hekimler Yayın Birliği; 2016. s.115.
26. Hedon F. Anxiety and erectile dysfunction: a global approach to ED enhances results and quality of life. Int J Impot Res 2003;15:S16– 9. [CrossRef]
27. Hwang RH. Effects of state-anxiety and dyadic adjustment on pregnant women’s pregnancy stress. J Digital Convergence 2019;17:225–33. [CrossRef]
28. Midmer D, Wilson L, Cummings S. A randomized, controlled trial of the influence of prenatal parenting education on postpartum anxiety and marital adjustment. Fam Med 1995;27:200–5. https:// pubmed.ncbi.nlm.nih.gov/7774781/
29. Güçlü N. Stres yönetimi. GÜ Gazi Eğitim Fakültesi Derg 2001;21:91–109. https://dergipark.org.tr/tr/download/articlefile/77499
30. McGrath JG. Stress and Behavior in Organizations (Chap. 31). In: Dunnette MD, editor. Handbook of industrial and organizational psychology. Chicago: Rand McNally College Pub. Co.; 1976.
31. Işıkhan V, Kahramanoğlu E. Sosyal hizmet yöneticilerinin iş stres faktörleri. Sağlık ve Toplum 2002;12:79–86. https://app.trdizin. gov.tr/publication/paper/detail/TVRnNE56YzM
32. Baldoni F, Giannotti M, Casu G, Luperini V, Spelzini F. A Dyadic Study on Perceived Stress and Couple Adjustment During Pregnancy: The Mediating Role of Depressive Symptoms. J Fam Issues 2020;41:1935–55. [CrossRef]
33. Canzi E, Molgora S, Fenaroli V, Rosnati R, Saita E, Ranieri S. “Your stress is my stress”: A dyadic study on adoptive and biological first-time parents. Couple and Family Psychology: Research and Practice 2019;8:197. [CrossRef]
34. Cournoyer A, Laurin JC, Daspe MÈ, Laniel S, Huppé AS. Conditional regard, stress, and dyadic adjustment in primiparous couples: A dyadic analysis perspective. J Soc Pers Relat 2021;38:1472–94. [CrossRef]
35. Trull TJ, Widiger TA, Lynam DR, Costa PT Jr. Borderline personality disorder from the perspective of general personality functioning. J Abnorm Psychol 2005;112:193–202. [CrossRef] 36. Peabody D, Goldberg LR. Some determinants of factor structures from personality-trait descriptors. J Pers Soc Psychol 1989;57:552– 67. [CrossRef]
37. Goldberg LR. Language and individual differences: The search for universals in personality lexicons. Rev Pers Soc Psychol 1981;2:141–65. https://projects.ori.org/lrg/PDFs_papers/ universals.lexicon.81.pdf
38. Bouchard G, Lussier Y, Sabourin S. Personality and marital adjustment: Utility of the five-factor model of personality. J Marriage Fam 1999;651–60. [CrossRef]
39. Nemechek S, Olson KR. Five-factor personality similarity and marital adjustment. Soc Behav Pers 1999;27:309–17. [CrossRef]
40. Gattis KS, Berns S, Simpson LE, Christensen A. Birds of a feather or strange birds? Ties among personality dimensions, similarity, and marital quality. J Fam Psychol 2004;18:564–74. [CrossRef]
41. Glenn ND. Quantitative research on marital quality in the 1980s: A critical review. J Marriage Fam 1990;818–31. [CrossRef]
42. Rollins BC, Cannon KL. Marital satisfaction over the family life cycle: A reevaluation. J Marriage Fam 1974;271–82. [CrossRef]
43. Spanier GB. Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. J Marriage Fam 1976;15–28. [CrossRef]
44. Bem SL. Bem Sex Role Inventory: Professional manual. Palo Alto, CA: Consulting Psychologists Press; 1981.
45. Dökmen ZY. Bem Cinsiyet Rolü Envanteri kadinsilik ve erkeksilik ölçekleri Türkçe formunun psikometrik özellikleri. Kriz Derg 1999;7:27–40. https://dergipark.org.tr/tr/download/articlefile/595862
46. Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther 1995;33:335–43. [CrossRef]
47. Henry JD, Crawford JR. The short‐form version of the Depression Anxiety Stress Scales (DASS‐21): Construct validity and normative data in a large non‐clinical sample. Br J Clin Psychol 2005;44:227– 39. [CrossRef]
48. Sarıçam H. The psychometric properties of Turkish version of Depression Anxiety Stress Scale-21(DASS-21) in health control and clinical samples. J Cogn Behav Psychother Res 2018;7:19–30. https://psycnet.apa.org/record/2018-67176-002
49. Gençöz T, Öncül Ö. Examination of personality characteristics in a Turkish sample: Development of basic personality traits inventory. J Gen Psychol 2012;139:194–216. [CrossRef]
50. Rosenberg M. Rosenberg self-esteem scale (RSE). Acceptance and commitment therapy. Measures Package 1965;61:52.
51. Çuhadaroğlu F. Adolesanlarda benlik saygısı. Uzmanlık Tezi, Hacettepe Üniversitesi Tıp Fakültesi Psikiyatri Ana Bilim Dalı, Ankara; 1986.
52. Fışıloğlu H, Demir A. Applicability of the Dyadic Adjustment Scale for measurement of marital quality with Turkish couples. Eur J Psychol Assess 2000;16:214–8. [CrossRef]
53. Myers TA. Goodbye, listwise deletion: Presenting hot deck imputation as an easy and effective tool for handling missing data. Communication Methods Measures 2011;5:297–310. [CrossRef]
54. Rimmerman A, Turkel L, Crossman R. Perception of child development, child-related stress and dyadic adjustment: Pair analysis of married couples of young children with developmental disabilities. J Intel Dev Disabil 2003;28:188–95. [CrossRef]
55. Daspe MÈ, Sabourin S, Péloquin K, Lussier Y, Wright J. Curvilinear associations between neuroticism and dyadic adjustment in treatment-seeking couples. J Fam Psychol 2013;27:232–41. [CrossRef]
56. Egan SJ, Vinciguerra T, Mazzucchelli TG. The role of perfectionism, agreeableness, and neuroticism in predicting dyadic adjustment. Austral J Psychol 2015;67:1–9. [CrossRef]
57. Jacobson NS, Follette WC, McDonald DW. Reactivity to positive and negative behavior in distressed and nondistressed married couples. J Consult Clin Psychol 1982;50:706–14. [CrossRef]
58. Bouchard G, Arseneault JE. Length of union as a moderator of the relationship between personality and dyadic adjustment. Person Individ Diff 2005;39:1407–17. [CrossRef]
59. Brock RL, Dindo L, Simms LJ, Clark LA. Personality and dyadic adjustment: Who you think your partner is really matters. J Fam Psychol 2016;30:602–13. [CrossRef]
60. Nemechek S, Olson KR. Personality and marital adjustment. Psychol Rep 1996;78:26.
61. Öngün E. Üniversite öğrencilerinin kişilik özelliklerinin romantik ilişkileri üzerine etkisi. Marmara Üniversitesi, Sağlık Bilimleri Enstitüsü, Yüksek Lisans; 2016. http://genclikbirikimi.org/kunye33830-universite-ogrencilerinin-kisilik-ozelliklerinin-romantikiliskileri-uzerine-etkisi-tez
62. Antoine P, Andreotti E, Congard A. Positive psychology intervention for couples: A pilot study. Stress and Health, 2020, 36.2: 179-190.