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. 2018 May-Aug;25(2):82-87.
doi: 10.4103/jfcm.JFCM_117_17.

Stress, anxiety, depression, and sexual dysfunction among postmenopausal women in Shiraz, Iran, 2015

Zahra Yazdanpanahi  1 , Marzieh Nikkholgh  1 , Marzieh Akbarzadeh  2 , Saeedh Pourahmad  3
Affiliations

Stress, anxiety, depression, and sexual dysfunction among postmenopausal women in Shiraz, Iran, 2015

Zahra Yazdanpanahi et al. J Family Community Med. 2018 May-Aug.

Abstract

Background: Menopause is associated with decreased sexual activity and a feeling of decreased attractiveness and sexual potency. This study tested the hypothesis that sexual health in postmenopausal women is not the same as nonmenopausal women with regard to symptoms of stress, anxiety, and depression.

Materials and methods: This cross-sectional study was conducted in 12 health centers in Shiraz between April and September 2015; 310 postmenopausal women included by convenient sampling. Data were collected through the Female Sexual Function Index, and depression anxiety stress scale 21 questionnaires. Analysis performed using SPSS version 22 and included descriptive statistics, Chi-square or Fisher's exact test, and Pearson correlation and linear regression; p < 0.05 was considered statistically significant.

Results: The percentage of women with sexual dysfunction in the present study was 88.7%. There was a significant relationship between stress (p = 0.04), anxiety (p = 0.01), and sexual dysfunction. Furthermore, there was a statistically significant relationship between depression (p = 0.003) and sexual dysfunction. Pearson correlation coefficient showed that there was an inverse relationship among stress (-0.24), anxiety (-0.25), depression (-0.30), and sexual function. In addition, linear regression results showed that depression was the most important factor in the description of sexual dysfunction.

Conclusion: This study showed that there is an association of the status of mental health and sexual function in post-menopausal women. However, more studies should be carried out to find the confounders.

Keywords: Anxiety; Iran; depression; menopause; sexual dysfunction; stress.

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Conflict of interest statement

There are no conflicts of interest.

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