Structural Model of Women with Endometriosis Based on Sexual Function, Psychosocial Health, and Life Satisfaction Mediating by Cognitive Emotion Regulation

Navid, Behnaz; Alipour, Ahmad; Jafari, Eisa; Moini, Ashraf

doi:10.30473/ijohp.2025.72453.1377

Document Type : research

Authors

¹ Department of Psychology, Payame Noor University, Tehran, Iran

² 1. Department of Endocrinology and Female Infertility, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran

https://doi.org/10.30473/ijohp.2025.72453.1377

Abstract

Objective: This study was conducted to examine the structural model describing the connection between sexual function and psychosocial factors with life satisfaction based on the mediator role of cognitive emotion regulation in women with endometriosis.
Method: This present study was a descriptive correlational research based on structural equations. The statistical population of the study included all women with endometriosis, referring to Arash Hospital as a referral Women's Center and Gynecological office in Tehran, Iran, in 2023-2024. According to Morgan's formula, a sample of 357 participants was chosen through convenience sampling. The tools employed in this study for data collection were the Women’s Sexual Function Index (Isidori et al., 2010), Short Form Symptom Checklist-25-Revised (Derogatis et al., 1973), Social Health Questionnaire (Keyes, 2004), Emotion Regulation Questionnaire (Garnefski & Kraaij, 2006), and Satisfaction with Life Scale (Diner, 1985). Data analysis was done using Structural Equation Modeling (SEM) and path analysis, and AMOS22 software was utilized to assess the proposed model, and the mediating relationships within it were also calculated using the bootstrap method.
Results: The findings from structural equation modeling supported the model's goodness of fit and indicated that psychological factors negatively affect life satisfaction through the mediating role of cognitive emotion regulation in women with endometriosis (β= -0.114, p<0.001). In addition, the relationship between biological and social factors and life satisfaction through the mediating variable was not found to be significant. Nevertheless, the overall effect of psychological, social, and biological factors (including the sum of direct and indirect pathways) in connection with life satisfaction was significant (p<0.001).
Conclusion: According to the findings, the model has a good fit, and cognitive emotion regulation has a mediating role in the relationship between sexual function and psychosocial factors with life satisfaction. This study offers a valuable framework for recognizing key factors influencing life satisfaction in women with endometriosis, which should be taken into account in psychological treatment programs.

Keywords

Main Subjects

Psychological aspects in health and diseases

Article Title [Persian]

نقش واسطه ای تنظیم شناختی هیجان در ارتباط بین شاخص عملکرد جنسی و فاکتورهای روانی ، اجتماعی با رضایت از زندگی زنان مبتلا به اندومتریوز

Authors [Persian]

بهناز نوید ¹
احمد علیپور ¹
عیسی جعفری ¹
اشرف معینی ²

¹ Department of Psychology, Payame Noor University, Tehran, Iran

² 1. Department of Endocrinology and Female Infertility, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran

Abstract [Persian]

مقدمه
هدف این پژوهش بررسی مدل ساختاری رابطه عملکرد جنسی و فاکتورهای روانی و اجتماعی با رضایت از زندگی با نقش میانجی تنظیم شناختی هیجان در زنان مبتلا به اندومتریوز بود.
روش ها و مواد
این پژوهش از نوع تحقیقات توصیفی همبستگی بر اساس معادلات ساختاری بود.
برای جمع آوری داده ها از نمونه گیری در دسترس استفاده شد.جامعه آماری شامل تمامی زنان مبتلا به اندومتریوز که در 1402 - 1403 به بیمارستان آرش و مطب زنان در تهران، ایران مراجعه کردند . نمونه آماری پژوهش شامل 357 زن مبتلا به اندومتریوز بود. در این پژوهش از پرسشنامه عملکرد جنسی زنان ، پرسشنامه نشانگان اختلالات روانی ، پرسشنامه سلامت اجتماعی کییز، فرم کوتاه پرسشنامه تنظیم شناختی هیجان گارنفسکی و پرسشنامه رضایت از زندگی داینر استفاده شد. دادها با استفاده از نرم افزارهای SPSS نسخه 24 و AMOS نسخه 22 مورد تجزیه و تحلیل قرار گرفتند.
ملاحظات اخلاقی
کمیته اخلاق در پژوهش دانشگاه پیام نور این مطالعه را تایید نمود. (IR.PNU.REC.1402.408).
نتایج
نتایج مدل‌سازی معادلات ساختاری حاکی از تأثیر منفی نشانگان اختلال روانی بر رضایت از زندگی با نقش واسطه‌ای تنظیم شناختی هیجان در زنان مبتلا به اندومتریوز بود. علاوه بر این، عملکرد جنسی، سلامت اجتماعی و تنظیم شناختی هیجان تأثیر معناداری بر رضایت از زندگی داشتند.
نتیجه گیری
بر اساس یافته ها، تنظیم شناختی هیجان نقش واسطه ای در رابطه بین عوامل زیستی- روانی- اجتماعی و رضایت از زندگی ایفا می کند. از سوی دیگر، عملکرد جنسی و سلامت اجتماعی بالا منجر به رضایت بهتر از زندگی می شود.

Keywords [Persian]

عملکرد جنسی. سلامت روانی و اجتماعی تنظیم شناختی هیجان
رضایت از زندگی
آندومتریوز

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Structural Model of Women with Endometriosis Based on Sexual Function, Psychosocial Health, and Life Satisfaction Mediating by Cognitive Emotion Regulation

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Volume 7, Issue 4 - Serial Number 22November 2024

Volume 7, Issue 4 - Serial Number 22
November 2024