Volume 23, Issue 6 (10-2024)
JRUMS 2024, 23(6): 511-523 |
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Ethics code: IR.IAU.QOM.REC.1402.145
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Shojaeeyan M, Sobhi gharamaleki N, Ebrahimi Moghadam H. The Mediating Role of Distress Tolerance in the Relationship between Anxiety and Depression and Sexual Function in Postmenopausal Women with Type 2 Diabetes: A Descriptive Study. JRUMS 2024; 23 (6) :511-523
URL: http://journal.rums.ac.ir/article-1-7353-en.html
URL: http://journal.rums.ac.ir/article-1-7353-en.html
Abstract: (1006 Views)
Background and Objectives: Sexual function is an important part of the life of postmenopausal women with type 2 diabetes and changes in it, especially in menopause, can affect their health. The sexual function of these women can be affected by various factors. The purpose of the present study was to investigate the mediating role of distress tolerance in the relationship between anxiety and depression and sexual function in postmenopausal women with type 2 diabetes.
Materials and Methods: The present research is descriptive. The statistical population in this research included postmenopausal women with type 2 diabetes in Tehran City in 2023. A sample size of 300 people was selected based on Kline model and by convenience sampling. Data collection tools included Isidori’s Female Sexual Function Index, Beck’s Depression Inventory-II, Beck’s Anxiety Inventory, and Simons and Gaher’s Distress Tolerance Scale. The data were analyzed using structural equations modelling.
Results: The findings showed that the direct effects of anxiety, depression, and distress tolerance on sexual function were significant (p=0.001). Also, the results showed that distress tolerance has a mediating role in the relationship between anxiety and depression and sexual function.
Conclusion: According to the results of the current study, sexual function of postmenopausal women with type 2 diabetes can be affected by anxiety, depression, and distress tolerance. It is concluded that anxiety and depression affect the distress tolerance and cause defects in the sexual function of postmenopausal women with type 2 diabetes; so it is suggested to reduce their anxiety and depression in psychological interventions for these women.
Keywords: Anxiety, Depression, Type 2 diabetes, Sexual function, Distress tolerance, Menopause
Funding: This study did not have any funds.
Conflict of interest: None declared.
Ethical considerations: The Ethics Committee of Islamic Azad University, Qom Branch, approved the study (IR.IAU.QOM.REC.1402.145).
Authors’ contributions:
- Conceptualization: Maryam Shojaeeyan, Nasser Sobhi Gharamaleki, Hossein Ebrahimi Moghadam
- Methodology: Maryam Shojaeeyan
- Data collection: Maryam Shojaeeyan
- Formal analysis: Hossein Ebrahimi Moghadam
- Supervision: Naser Sobhi Gharamaleki
- Project administration: Naser Sobhi Gharamaleki
- Writing – original draft: Maryam Shojaeeyan, Naser Sobhi Gharamaleki
- Writing – review & editing: Maryam Shojaeeyan, Hossein Ebrahimi Moghadam
Citation: Shojaeeyan M, Sobhi Gharamaleki N, Ebrahimi Moghadam H. The Mediating Role of Distress Tolerance in the Relationship between Anxiety and Depression with Sexual Function in Menopause Women with Type 2 Diabetes: A Descriptive Study. J Rafsanjan Univ Med Sci 2024; 23 (6): 511-23. [Farsi]
Materials and Methods: The present research is descriptive. The statistical population in this research included postmenopausal women with type 2 diabetes in Tehran City in 2023. A sample size of 300 people was selected based on Kline model and by convenience sampling. Data collection tools included Isidori’s Female Sexual Function Index, Beck’s Depression Inventory-II, Beck’s Anxiety Inventory, and Simons and Gaher’s Distress Tolerance Scale. The data were analyzed using structural equations modelling.
Results: The findings showed that the direct effects of anxiety, depression, and distress tolerance on sexual function were significant (p=0.001). Also, the results showed that distress tolerance has a mediating role in the relationship between anxiety and depression and sexual function.
Conclusion: According to the results of the current study, sexual function of postmenopausal women with type 2 diabetes can be affected by anxiety, depression, and distress tolerance. It is concluded that anxiety and depression affect the distress tolerance and cause defects in the sexual function of postmenopausal women with type 2 diabetes; so it is suggested to reduce their anxiety and depression in psychological interventions for these women.
Keywords: Anxiety, Depression, Type 2 diabetes, Sexual function, Distress tolerance, Menopause
Funding: This study did not have any funds.
Conflict of interest: None declared.
Ethical considerations: The Ethics Committee of Islamic Azad University, Qom Branch, approved the study (IR.IAU.QOM.REC.1402.145).
Authors’ contributions:
- Conceptualization: Maryam Shojaeeyan, Nasser Sobhi Gharamaleki, Hossein Ebrahimi Moghadam
- Methodology: Maryam Shojaeeyan
- Data collection: Maryam Shojaeeyan
- Formal analysis: Hossein Ebrahimi Moghadam
- Supervision: Naser Sobhi Gharamaleki
- Project administration: Naser Sobhi Gharamaleki
- Writing – original draft: Maryam Shojaeeyan, Naser Sobhi Gharamaleki
- Writing – review & editing: Maryam Shojaeeyan, Hossein Ebrahimi Moghadam
Type of Study: Research |
Subject:
Internal Medicine
Received: 2024/04/13 | Accepted: 2024/09/11 | Published: 2024/10/19
Received: 2024/04/13 | Accepted: 2024/09/11 | Published: 2024/10/19
References
1. Sochocka M, Karska J, Pszczołowska M, Ochnik M, Fułek M, Fułek, K, et al. Cognitive decline in early and premature menopause. International Journal of Molecular Sciences 2023; 24(7): 1-10.
2. Mishr, P, Davies DA, Albensi BC. The Interaction BETWEEN NF-κB and Estrogen in Alzheimer’s Disease. Molecular Neurobiology 2023; 60(3): 1515-26.
3. Shuster LT, Rhodes DJ, Gostout BS, Grossardt BR, Rocca WA. Premature menopause or early menopause: long-term health consequences. Maturita, 2010; 65(2): 161-6.
4. Cerdas Perez S. Menopause and diabetes. Climacteri, 2012; 26(3): 216-21.
5. Li H, Lu W, Wang A, Jiang H, Lyu J. Changing epidemiology of chronic kidney disease as a result of type 2 diabetes mellitus from 1990 to 2017: Estimates from Global Burden of Disease 2017. Journal of Diabetes Investigation 2021; 12(3): 346-56.
6. Feduniw S, Korczyńska L, Górski K, Zgliczyńska M, Bączkowska M, Byrczak M, et al. The Effect of Vitamin E Supplementation in Postmenopausal Women-A Systematic Review. Nutrients 2022; 15(1): 160-70.
7. Armeni A, Anagnostis P, Armeni E, Mili N, Goulis D, Lambrinoudaki I. Vasomotor symptoms and risk of cardiovascular disease in peri-and postmenopausal women: A systematic review and meta-analysis. Maturitas 2023; 171(1): 13-20.
8. Cairoli E, Grassi G, Gaudio A, Palermo A, Vescini F, Falchetti A, et al. Validation of the clinical consensus recommendations on the management of fracture risk in postmenopausal women with type 2 diabetes. Nutrition, Metabolism and Cardiovascular Diseases 2023; 33(1): 158-67.
9. Nazarpour N, Simbar M, Ramezani Tehrani F. Factors affecting sexual function during menopause: a review of the literature. Payesh 2015; 14(1): 41-58.
10. Fernandes J, Pedro J, Costa ME, Martins MV. Effect of depression and anxiety on sexual functioning in couples trying to conceive with and without an infertility diagnosis. Psychology & Health 2023; 38(1): 58-75.
11. Mojtahedzadeh SP, Teimory S, Nayyeri M, Isanazar A. Presenting the model of sexual performance of postmenopausal women based on sexual self-expression with the mediating role of state-attribute anxiety and sexual self-esteem. Journal of Applied Family Therapy 2023; 4(1): 356-79.
12. Fabre LF, Smith LC. The effect of major depression on sexual function in women. The Journal of Sexual Medicine 2012; 9(1): 231-9.
13. Moncrieff J, Cooper RE, Stockmann T, Amendola S, Hengartner MP, Horowitz MA. The serotonin theory of depression: a systematic umbrella review of the evidence. Molecular Psychiatry 2022; 1(2): 1-14.
14. Hsu T, Thomas EB, Welch EK, O'Hara MW, McCabe JE. Examining the structure of distress tolerance: Are behavioral and self-report indicators assessing the same construct? Journal of Contextual Behavioral Science 2023; 27(1): 143-51.
15. Khodabakhshi-Kulayi A, Mir-Hoseini S, Falsafi-Nejad M, Sanagoo A. Comparison of Psychological Capital and Distress Tolerance between Postmenopausal women with and without Depression Symptom. Nursing Developement in Health 2018; 9(1): 79-88.
16. Moulton MK, Johnson BR, Lavender DL, Osae SP, Phillips BB, Thomas I, et al. A Scoping Review Evaluating the Effect of SGLT-2 Inhibitors on Insulin Dose Requirements in Insulin-Dependent Patients With Type 2 Diabetes. Annals of Pharmacotherapy 2022; 1(2): 21-32.
17. Filippatos G, Anker SD, Agarwal R, Pitt B, Ruilope LM, Rossing P, et al. Finerenone and cardiovascular outcomes in patients with chronic kidney disease and type 2 diabetes. Circulation 2021; 143(6): 540-52.
18. Kline RB. Principles and practice of structural equation modeling. 2023, 5th ed, London, Guilford Press, pp. 50, 150-250.
19. Isidori AM, Pozza C, Esposito K, Giugliano D, Morano S, Vignozzi L, et al. Outcomes assessment: Development and validation of a 6-item version of the Female Sexual Function Index (FSFI) as a diagnostic tool for female sexual dysfunction. The Journal of Sexual Medicine 2010; 7(3): 1139-46.
20. Lovibond SH, Lovibond PF. Manual for the depression anxiety stress scales. Psychology Foundation of Australia. 1996: pp. 42
21. Ghassami M, Shairi MR, Asghari Moghadam MA, Rahmati N. Investigate the psychometric properties of the 6-Item Version of the Female Sexual Function Index (FSFI-6) amongst a sample of healthy Iranian women. Nursing and Midwifery Journal 2014; 12(7): 532-43. [Farsi]
22. Beck AT, Steer, RA, Brown GK. Manual for Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation. 1996; pp. 21
23. Dabson K, Mohammadkhani P, Massah-Choulabi O. Psychometrics Characteristic of Beck Depression Inventory-II in Patients with Magor Depressive Disorder. Archives of Rehabilitation 2007; 8(1): 82-7. [Farsi]
24. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: Psychometrie properties. Journal of Consulting and Clinical Psychology 1988; 56(6): 893-7.
25. Kaviani H, Mousavi AS. Psychometric properties of the Persian version of Beck Anxiety Inventory (BAI). Tehran Univ Med J 2008; 66(2): 136-40. [Farsi]
26. Simons JS, Gaher RM. The Distress Tolerance Scale: Development and validation of a self-report measure. Motivation and Emotion 2005; 29(2): 83-102.
27. Tofangchi M, Ghamarani A, Rezaei H. The Psychometric Properties of Distress Tolerance Scale (DTS) in Women with Tension-Type Headaches. Journal of Anesthesiology and Pain 2022; 12(4): 34-43. [Farsi]
28. Huxley R, Barzi F, Woodward M. Excess risk of fatal coronary heart disease associated with diabetes in men and women: meta-analysis of 37 prospective cohort studies. BMJ 2006; 332(7533): 73-8.
29.
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