Nonbiological Predictors of Sexual Desire in Women with Female Sexual Interest and Arousal Disorder

Document Type : Original Article (s)

Authors

1 PhD Candidate in Reproductive Health, Student Research Committee, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran AND Department of Midwifery, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran

2 Assistant Professor, Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 Professor, Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

4 Professor, Department of Psychology, School of Psychology and Education, University of Tehran, Tehran, Iran

Abstract

Background: Female sexual interest and arousal disorder (FSIAD) is one of the most prevalent sexual problems among women, and is a multifactorial dysfunction. The purpose of this study was to examine nonbiological predictors of sexual desire in women with female sexual interest and arousal disorder.Methods: This cross-sectional study was conducted on 110 reproductive-age married women with female sexual interest and arousal disorder referred to health centers of Ardabil City, Iran, in 2017. Data collection instrument was demographic form and checklist of disease, Female Sexual Function Index (FSFI), and researcher-made questionnaire of nonbiological affecting factors of sexual desire. Data analysis was done using descriptive statistics, Pearson correlation coefficient, and linear regression tests in SPSS software.Findings: According to the prioritization, domains of spouse's sexual interaction (3.82 ± 1.10), privacy (3.24 ± 1.20), and economic factors (3.14 ± 1.3) ranked first to third, respectively. Linear regression analysis for predicting the factors affecting on sexual desire showed that the marital relationship and economic factors significantly predicted female sexual interest and arousal disorder (P < 0.05).Conclusion: Given the predictability of marital communication, training marital and sexual communication skills is suggested for improving couples' interactions, and preventing sexual reluctance. Moreover, training life skills enables managing and modifying the effects of other predictors, including economic factors.

Keywords

References

  1. IsHak WW, Tobia G. DSM-5 Changes in Diagnostic Criteria of Sexual Dysfunctions. Reprod Sys Sexual Disorders 2013; 2:122.
  2. Kingsberg SA, Woodard T. Female sexual dysfunction: focus on low desire. Obstet Gynecol 2015; 125(2): 477-86.
  3. Lermann J, Haberle L, Merk S, Henglein K, Beckmann MW, Mueller A, et al. Comparison of prevalence of hypoactive sexual desire disorder (HSDD) in women after five different hysterectomy procedures. Eur J Obstet Gynecol Reprod Biol 2013; 167(2): 210-4.
  4. Mohammad-Alizadeh-Charandabi S, Mirghafourvand M, Asghari-Jafarabadi M, Tavananezhad N, Karkhaneh M. Modeling of socio-demographic predictors of sexual function in women of reproductive age. J Mazandaran Univ Med Sci 2014; 23(110): 238-42. [In Persian].
  5. Sathyanarayana Rao TS, Darshan MS, Tandon A. An epidemiological study of sexual disorders in south Indian rural population. Indian J Psychiatry 2015; 57(2): 150-7.
  6. Christensen BS, Gronbaek M, Pedersen BV, Graugaard C, Frisch M. Associations of unhealthy lifestyle factors with sexual inactivity and sexual dysfunctions in Denmark. J Sex Med 2011; 8(7): 1903-16.
  7. Goldstein I, Kim NN, Clayton AH, DeRogatis LR, Giraldi A, Parish SJ, et al. Hypoactive sexual desire disorder: International Society for the Study of Women's Sexual Health (ISSWSH) expert consensus panel review. Mayo Clinic Proceedings 2017; 92(1): 114-28.
  8. Ramezani MA, Ahmadi K, Ghaemmaghami A, Marzabadi EA, Pardakhti F. Epidemiology of sexual dysfunction in Iran: A systematic review and meta-analysis. Int J Prev Med 2015; 6: 43.
  9. Jahanfar S, Molaeenezhad M. Textbook of sexual disorders. Tehran, Iran: Jame Negar; 2014. [In Persian].
  10. Kaplan HI, Ruiz P, Sadock BJ, Sadock VA. Kaplan and Sadock's comprehensive textbook of psychiatry. Philadelphia, PA: Lippincott Williams and Wilkins; 2009.
  11. Sales JM, Smearman EL, Brody GH, Milhausen R, Philibert RA, Diclemente RJ. Factors associated with sexual arousal, sexual sensation seeking and sexual satisfaction among female African American adolescents. Sex Health 2013; 10(6): 512-21.
  12. Carvalho J, Nobre P. Predictors of women's sexual desire: the role of psychopathology, cognitive-emotional determinants, relationship dimensions, and medical factors. J Sex Med 2010; 7(2 Pt 2): 928-37.
  13. Malary M, Khani S, Pourasghar M, Moosazadeh M, Hamzehgardeshi Z. Biopsychosocial determinants of hypoactive sexual desire in women: A narrative review. Mater Sociomed 2015; 27(6): 383-9.
  14. Mazinani R, Akbari Mehr M, Kaskian A, Kashanian M. Evaluation of prevalence of sexual dysfunctions and its related factors in women. Razi J Med Sci 2012; 19(105): 61-8. [In Persian].
  15. Yekeh Fallah L, Goodarzi M. Prevalence of sexual dysfunction and related factors among married couples in Qazvin. J Qazvin Univ Med Sci 2009; 13(1): 49-55. [In Persian].
  16. Lindholm- Norman, S. Hypoactive sexual desire disorder in reproductive aged women [PhD Thesis]. San Francisco, CA: San Francisco Campus Alliant International University; 2007.
  17. Dosch A, Rochat L, Ghisletta P, Favez N, Van der Linden M. Psychological factors involved in sexual desire, sexual activity, and sexual satisfaction: A multi-factorial perspective. Archives of Sexual Behavior 2016; 45(8): 2029-45.
  18. Goshtasebi A, Behboudi Gandevani S, Rahimi Foroushani A. Prevalence of sexual dysfunctions: A systemic approach. Sexual Dysfunctions 2011; (Special Issues): 1-18.
  19. Shahhosseini Z, Gardeshi ZH, Pourasghar M, SalehiF. A review of affecting factors on sexual satisfaction in women. Mater Sociomed 2014; 26(6): 378-81.
  20. McCool ME, Theurich MA, Apfelbacher C. Prevalence and predictors of female sexual dysfunction: A protocol for a systematic review. Syst Rev 2014; 3: 75.
  21. Damjanovic A, Duisin D, Barisic J. The evolution of the female sexual response concept: Treatment implications. Srp Arh Celok Lek 2013; 141(3-4): 268-74.
  22. Aliakbari Dehkordi M. Relationship between women sexual function and marital adjustment. Journal of Behavioral Sciences 2010; 4(3): 199-206. [In Persian].
  23. Parish SJ, Hahn SR. Hypoactive sexual desire disorder: A review of epidemiology, biopsychology, diagnosis, and treatment. Sex Med Rev 2016; 4(2): 103-20.
  24. Armstrong C. ACOG guideline on sexual dysfunction in women. Am Fam Physician 2011; 84(6): 705-9.
  25. Kaviani M, Rahnavard T, Azima S, Emamghoreishi M, Asadi N, Sayadi M. The effect of education on sexual health of women with hypoactive sexual desire disorder: A randomized controlled trial. Int J Community Based Nurs Midwifery 2014; 2(2): 94-102.
  26. Mohammadi K, Heydari M, Faghihzadeh S. The female sexual function index (FSFI): validation of the Iranian version. Payesh Health Monit 2008; 7. [In Persian].
  27. Ramezani Tehrani F, Farahmand M, Mehrabi Y, Malek Afzali H, Abedeini M. Sexual dysfunction and affecting factors: Population-based study among women living in urban areas in the four provinces of Iran. Payesh Health Monit 2012; 11(6): 869-75. [In Persian].
  28. McCarthy B, Wald LM. Sexual desire and satisfaction: The balance between individual and couple factors. Sex Relation Ther 2012; 27(4): 310-21.
  29. Marchese Jeanfreau M. A qualitative study investigating the decision-making process of women's participation in marital infidelity [PhD Thesis]. Manhattan, KS: Department of Family Studies and Human Services, Kansas State University; 2009.
  30. Fileborn B, Thorpe R, Hawkes G, Minichiello V, Pitts M, Dune T. Sex, desire and pleasure: considering the experiences of older Australian women. Sex Relation Ther 2015; 30(1): 117-30.
  31. Ashdown BK, Hackathorn J, Clark EM. In and out of the bedroom: Sexual satisfaction in the marital relationship. Journal of Integrated Social Sciences 2011; 2(1): 40-57.
  32. Graham CA, Sanders SA, Milhausen RR, McBride KR. Turning on and turning off: A focus group study of the factors that affect women's sexual arousal. Arch Sex Behav 2004; 33(6): 527-38.
  33. Boddi V, Fisher AD, Maseroli E, Rastrelli G, Corona G, Jannini E, et al. Lack of sexual privacy affects psychological and marital domains of male sexual dysfunction. J Sex Med 2014; 11(2): 431-8.
  34. McCall K, Meston C. Cues resulting in desire for sexual activity in women. J Sex Med 2006; 3(5): 838-52.
  35. Carvalho J, Verissimo A, Nobre PJ. Cognitive and emotional determinants characterizing women with persistent genital arousal disorder. J Sex Med 2013; 10(6): 1549-58.
  36. Jafarzadeh Esfehani R, Fazel N, Dashti S, Moshkani S, Haghighi Hasanabad F, Foji S, et al. Female sexual dysfunction and its associated risk factors: An epidemiological study in the north-east of Iran. Journal of Midwifery and Reproductive Health 2016; 4(1): 498-505.
  37. Shifren JL, Monz BU, Russo PA, Segreti A, Johannes CB. Sexual problems and distress in United States women: Prevalence and correlates. Obstet Gynecol 2008; 112(5): 970-8.
Journal of Isfahan Medical School
Volume 36, Issue 470 - Serial Number 470
January and February 2018
Pages 201-208

Files

History

  • Receive Date: 20 January 2018
  • Revise Date: 09 November 2024
  • Accept Date: 06 April 2022

Share

How to cite

Statistics