Dyadic adjustment and sexual function in postmenopausal women

Aim: To examine the dyadic adjustment and sexual function of postmenopausal women and the affecting individual factors.Material and Methods: This descriptive-correlational study was conducted with one-hundred thirty-nine postmenopausal womenfrom October 2018 to May 2019 in Turkey. The data of the study was collected using an information form to determine the sociodemographic and gynecological characteristics of postmenopausal women, the Dyadic Adjustment Scale (DAS) and the FemaleSexual Function Index (FSFI).Results: The 139 women completed the study. The mean score of DAS and FSFI were found 104.60±32.98 (0-151) and 12.71±9.48(2-36), respectively, and a statistically significant positive relationship was found DAS and FSFI (p=0.000). There was a significantdifference between income levels of women and the DAS scores (p=0.040). Additionally, it was found that the FSFI scores of thewomen having chronic disease were at lower levels (p=0.000).Conclusion: There was a significant positive correlation between dyadic adjustment and sexual function. Nevertheless, furtherstudies are needed to test the effect of dyadic adjustment on sexual function in postmenopausal women.

PDF

___

1. Farrell E. Genitourinary syndrome of menopause. RACGP 2017;46:481-4.
2. Kaunitz AM, Pinkerton JV, Manson JE. Women harmed by vaginal laser for treatment of GSM-the latest casualties of fear and confusion surrounding hormone therapy. Menopause 2019;26:338-40.
3. Hoga LAK, Rodolpho JRC, Gonçalves BG, et al. Women’s experiences of menopause: a systematic review protocol of qualitative evidence. JBI Database System Rev Implement Rep 2014;12:72-81.
4. Mitchell CM, Reed SD, Diem S, et al. Efficacy of vaginal estradiol or vaginal moisturizer vs placebo for treating postmenopausal vulvovaginal symptoms a randomized clinical trial. JAMA 2018;178:681-90.
5. Önder M, Batıgün AD. Premature and normal menopause: An evaluation in terms of stress, marital adjustment and sex roles. Dusunen Adam 2016;29:129-38.
6. Gupta N, Aggarwal M, Sinha R, et al. Study on prevalence and severity of urogenital complaints in postmenopausal women at a tertiary care hospital. J Midlife Health 2018;9:130-4.
7. Clayton AH, Goldstein I, Kim NN, et al. The international society for the study of women’s sexual health process of care for management of hypoactive sexual desire disorder in women. Mayo Clinic Proceedings 2018;93:467-87.
8. Yıldız E, Dinçgez Çakmak B, et al. Frequency, Severity and risk factors of pelvic organ prolapse in perimenopausal women. Okmeydanı Medical J 2018;34:148-53.
9. Fışkın G, Hotun Şahin N, Kaya İG. Views of the climacteric women about menopause: A qualitative analysis. J Academic Res in Nursing 2017;3:122-8.
10. Kutob RM, Yuan NP, Wertheim BC, et al. Relationship between marital transitions, health behaviors, and health indicators of postmenopausal women: Results from the women’s health initiative. J Womens Health 2017;26:313-20.
11. Schneider HPG, Birkhäuser, M. Quality of life in climacteric women. Climacteric 2017;20:187-94.
12. Kamilos MF, Borelli CL. New therapeutic option in genitourinary syndrome of menopause: Pilot study using microablative fractional radiofrequency. Einstein 2017;15:445-51.
13. AlAwlaki A, Amor H, Hammadeh M. Role of hormones in hypoactive sexual desire disorder and current treatment. J Turk Ger Gynecol Assoc 2017;210-8.
14. Pınar ŞE, Yıldırım G, Duran Aksoy Ö, et al. A problem peculiar to women: Mental health in menopause. Intl J Human Sciences 2015;2:787-98.
15. Abadi OSRR, Cheraghi MA, Tirgari B, et al. Feeling an invisible wall: The experience of Iranian women’s marital relationship after surgical menopause: A qualitative content analysis study. J Sex Marital Ther 2018;44:627-40.
16. 16. Heidari M, Shahbazi S, Ghafourifard M, et al. Prediction of marital satisfaction based on emotional intelligence in postmenopausal women. J Menopausal Med 2017;23:196-201.
17. 17. Spanier GB. Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. J Marriage Fam 1976;38(1):15-28.
18. 18. Fışıloğlu H, Demir A. Applicability of the dyadic adjustment scale of marital quality with Turkish couples. Eur J Psychol Assess 2000;16(3):214-218.
19. 19. Rosen R, Brown C, Heiman J, et al. The female sexual function index (fsfı): A multimensional selfreport instrument for the assesment of female sexual function. J Sex Marital Ther 2000;26(2):191-208.
20. 20. Aygin D, Eti Aslan F. The Turkish adaptation of the female sexual function index. Turkiye Klinikleri J Med Sci 2005;25(3):393-399.
21. North American Menopause Society. Estrogen and progestogen use in postmenopausal women: Position statement of The North American Menopause Society. Menopause 2010;17:242.
22. Beyazit F, Sahin B. Determining the factors influencing the intimate relationship between sexual satisfaction and dyadic adjustment in postmenopausal women. Menopause Review 2018;17:57-62.
23. Bremer E, Jallo N, Rodgers B, et al. Anxiety in menopause: A distinctly different syndrome? The J Nurse Practitioners 2019;15:374-8.
24. Gholipour HF, Farzanegan MR. Science direct marriage crisis and housing costs: empirical evidence from provinces of Iran. J Policy Model 2015;37:107-23.
25. Delprato M, Akyeampong K, Dunne M. Intergenerational education effects of early marriage in Sub-Saharan Africa. World Development 2017;91:173-92.
26. Ambikairajah A, Walsh E, Tabatabaei-Jafari H, et al. Fat mass changes during menopause: A meta analysis. Am J Obstet Gynecol 2019;1-67.
27. Öyekçin DG, Gülpek D, Sahin EM, et al. 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.
28. Vivian-Taylor J, Hickey M. Menopause and depression: Is there a link? Maturitas 2014;79:142-6.
29. Hendrickx L, Gijs L, Janssen E, et al. Predictors of sexual distress in women with desire and arousal difficulties: Distinguishing between personal, partner, and interpersonal distress. J Sex Med 2016;13:1662- 75.
30. O’Neill S, Eden J. The pathophysiology of menopausal symptoms. Obst Gyna Rep Med 2012;27:303-9.
31. Nazarpour S, Simbar M, Tehrani FR. Factors affecting sexual function in menopause: A review article. Taiwan J Obstet Gynecol 2016;55:480-7.
32. Kao A, Binik YM, Amsel R, et al. Biopsychosocial predictors of postmenopausal dyspareunia: The role of steroid hormones, vulvovaginal atrophy, cognitiveemotional factors, and dyadic adjustment. J Sex Med 2012;9:2066-76.
33. Kavlak T, Hisar F. The impact of anxiety on sexual satisfaction in menopausal women. J Human Sci 2017;14:2722-9.
34. Rosen NO, Dube JP, Corsini-Munt S, et al. Partners experience consequences, too: A comparison of the sexual relational, and psychological adjustment of women with sexual interest/arousal disorder and their partners to control couples. J Sex Med 2019;16:83- 95.
35. Sis Çelik A, Pasinlioğlu T. The symptoms of climacteric period and the role of the nurse. Erciyes University Fac Health Sci J 2013;1:48-56.
36. Pazmany E, Bergeron S, Verhaeghe J, et al. Dyadic sexual communication in pre-menopausal women with self-reported dyspareunia and their partners: Associations with sexual function, sexual distress and dyadic adjustment. J Sex Med 2015;12:516-28.
37. Ghaffari M. Spiritual well-being and dyadic adjustment: Mediator effects for family strengths. Iran J Psychiatry Behav Sci 2016;10:1-8.
38. Lou WJ, Chen B, Zhu L, et al. Prevalence and factors associated with female sexual dysfunction in Beijing, China. Chin Med J 2017;130:1389-94.
39. Amos N, McCabe M. The importance of feeling sexually attractive: Can it predict an individual’s experience of their sexuality and sexual relationships across gender and sexual orientation? Int J Psychol 2017;52:354-64.