The Development and Validation of Sexual wellbeing patterns of Iranian men

Document Type : Original Article

Authors

1 PhD student in Psychology, Semnan Branch, Islamic Azad University, Semnan, Iran

2 Associate Professor of Psychology, Alzahra University,Tehran, Iran

3 Associate professor ،department of Psychology، Semnan Branch، Islamic Azad، University، Semnan ،Iran

4 Professor Epidemiology and Statistics group PhD Biostatistics, Semnan University of Medical Sciences,Semnsn,Iran

Abstract

The purpose of this study was to design and validate the sexual well-being model of Iranian men. Research method in terms of purpose, applied-fundamental; Depending on the data type, the mixture (qualitative-quantitative) was exploratory and according to the data collection method was descriptive-correlation. The statistical population of the qualitative part of the study included academic experts and experts in the field of sex therapy and sexual issues in Tehran, who were selected as the sample size by purposive sampling method and saturation principle of 17 people. And in the quantitative part, including all married men over 25 years old, living in Tehran in 1399, by stepwise cluster sampling, 350 people were selected as the sample size. In this study, data collection was performed by library method, semi-structured interview (qualitative part) and researcher-made questionnaire (quantitative part). In the qualitative section, the experts confirmed the validity of the interview. In the qualitative part, the results of the interview were coded and in the quantitative part, in order to test the research questions, structural equation modeling and one-sample t-test were used. The results showed that the proposed model has a good degree of proportionality. Also, the results of the analysis show that out of 101 available indicators (items), 22 main components can be identified. 7 main dimensions (sexual quality, sexual attitude, sexual satisfaction, sexual intimacy, sexual schemas, sexual self-efficacy, sexual self-esteem) and 22 components (sexual intimacy satisfaction, sexual desire, erectile function, talking about sex, marital status, Positive sex, sexual knowledge, sexual adjustment, sexual attitude, sexual desire, sexual initiation, sexual arousal, orgasm, libido, erectile dysfunction, premature ejaculation, emotions, communication, body acceptance, sexual function , Feelings of sexual guilt and self-esteem). Sex quality model is measured by 20 items, sexual attitude by 16 items, sexual satisfaction by 18 items, sexual intimacy by 16 items,

Keywords


سیلابخوری، زهرا.، و پرویزیان، فرهاد. (1398). رضایت جنسی و نقش آن در خانواده. پنجمین کنفرانس ملی نوآوری‌های اخیر در روانشناسی، کاربردها و توانمندسازی با محوریت روان‌درمانی، تهران.

قباد زاده، سیمین.، حسنی، جعفر.، محمدخانی، شهرام.، و اکبری، مهدی. (1398). مدل چندوجهی پرسشنامه سلامت جنسی مردان: طراحی و روان‌سنجی نسخه ایرانی، نشریه روان پرستاری، 7 (2): 12-1.

کامل، میترا. (1397). نقش تعهد زناشویی و صمیمیت جنسی در پیش‌بینی کیفیت زندگی و بهزیستی هیجانی زوجین. پایان‌نامه کارشناسی ارشد، دانشگاه آزاد اسلامی واحد اردبیل.

نائینیان، محمدرضا.، و نیک آذین، امیر. (1391). رابطه صمیمیت و رضایت جنسی با سلامت عمومی و بهزیستی شخصی: بررسی تفاوت‌های جنسیتی و سنی. مجله تحقیقات علوم رفتاری، 7 (10): 18-3.

References

Barnum, E. L. & Perrone-McGovern, K. M. (2017). Attachment, self-esteem and subjective well-being among survivors of childhood sexual trauma. Journal of Mental Health Counseling39(1), 39-55.

Bedree, H. Moller-Mullen, M. Rose, E. & Flanders, C. E. (2020). Sexual Well-Being among College Students: A Qualitative Study. Sexuality & Culture, 24(1), 140-156.‏

Birnbaum, G. E. Mikulincer, M. Szepsenwol, O. Shaver, P. R. & Mizrahi, M. (2014). When sex goes wrong: A behavioral systems perspective on individual differences in sexual attitudes, motives, feelings, and behaviors. Journal of personality and social psychology106(5), 822.

Espinosa-Hernández, G. Vasilenko, S. A. McPherson, J. L. Gutierrez, E. & Rodriguez, A. (2017). Brief report: The role of three dimensions of sexual well-being in adolescents' life satisfaction. Journal of adolescence55, 61-65.

Fliegner, M. Krupp, K. Brunner, F. Rall, K. Brucker, S. Y. Briken, P. & Richter‐Appelt, H. (2014). Sexual life and sexual wellness in individuals with complete androgen insensitivity syndrome (CAIS) and Mayer‐Rokitansky‐Küster‐Hauser syndrome (MRKHS). The Journal of Sexual Medicine11(3), 729-742.

Garad, R. M. (2017). Health literacy driving health engagement in the pluralist context of migrant health in Australia (No. Ph. D). Deakin University.

Gillen, M. M. & Markey, C. H. (2019). A review of research linking body image and sexual well-being. Body image31, 294-301.

Goldsmith, K. M. & Byers, E. S. (2016). Perceived impact of body feedback from romantic partners on young adults’ body image and sexual well-being. Body Image17, 161-170.

Hensel, D. J. & Fortenberry, J. D. (2012). The feasibility of cell phone based electronic diaries for STI/HIV research. BMC medical research methodology12(1), 1-12.‏

Klein, V. Reininger, K. M. Briken, P. & Turner, D. (2020). Sexual narcissism and its association with sexual and well-being outcomes. Personality and Individual Differences152, 109557.

Leavitt, C. E. Lefkowitz, E. S. & Waterman, E. A. (2019). The role of sexual mindfulness in sexual wellbeing, relational wellbeing, and self-esteem. Journal of sex & marital therapy45(6), 497-509.

Lorenz, T. K. Harte, C. B. & Meston, C. M. (2015). Changes in autonomic nervous system activity are associated with changes in sexual function in women with a history of childhood sexual abuse. The journal of sexual medicine12(7), 1545-1554.

Lorgelly, P. K. Lorimer, K. Fenwick, E. Briggs, A. H. & Anand, P. (2015), Operationalising the capability approach as an outcome measure in public health: The development of the OCAP-18. Social Science & Medicine, 142, 68–81. doi:10.1016/j.socscimed.2015.08.002

Lorimer, K. DeAmicis, L. Dalrymple, J. Frankis, J. Jackson, L. Lorgelly, P. ... & Ross, J. (2019). A Rapid Review of Sexual Wellbeing Definitions and Measures: Should We Now Include Sexual Wellbeing Freedom? The Journal of Sex Research56(7), 843-853.

Medina-Lara, A. Dieppe, P. & Linton, M. J. (2016). Review of 99 self-report measures for assessing well-being in adults: exploring dimensions of well-being and developments over time. BMJ open6(7), e010641.‏

Pirani, Z. Abbasi, M. Kalvani, M. & Nourbakhsh, M. (2017). Effectiveness of Acceptance and Commitment Therapy on Sexual Self-Esteem, Emotional Skillfulness and Marital Adjustment in Veterans’ Wives. Iranian Journal of War and Public Health9(1), 25-32.

Redman, S. Nelson, S. Flanagan, E. Rabinowitz, L. & Parchem, S. (2020). 11. Adolescent Sexual Wellness: Embracing Some Risk While Promoting Healthy Sexual Behavior Through Chat. Journal of Adolescent Health66(2), S6.

Rosen, R. C. Althof, S. E. Barbach, L. G. Dietrich, J. Wanser, R. & Zhang, P. (2010). Female sexual well-being ScaleTM: responsiveness to interventional product use by sexually functional women. The journal of sexual medicine7(7), 2479-2486.

Schwenck, G. C. Dawson, S. J. Muise, A. & Rosen, N. O. (2020). A Comparison of the Sexual Well-Being of New Parents With Community Couples. The Journal of Sexual Medicine17(11), 2156-2167.

Sears, M. Kilimnik, C. & Meston, C. (2020). 019 Evaluating the Role of Relationship Status in the Sexual Well-being of Women With and Without Histories of Nonconsensual Sexual Experiences. The Journal of Sexual Medicine17(7), S9-S10.

Silva, R. N. A. van de Bongardt, D. Baams, L. & Raat, H. (2018). Bidirectional associations between adolescents' sexual behaviors and psychological well-being. Journal of Adolescent Health62(1), 63-71.

Stephenson, K. R. & Meston, C. M. (2015). The conditional importance of sex: exploring the association between sexual well-being and life satisfaction. Journal of sex & marital therapy41(1), 25-38.

Stephenson, K. R. Truong, L. & Shimazu, L. (2018). Why is impaired sexual function distressing to men? Consequences of impaired male sexual function and their associations with sexual well-being. The journal of sexual medicine15(9), 1336-1349.

Tavares, I. M. Schlagintweit, H. E. Nobre, P. J. & Rosen, N. O. (2019). Sexual well-being and perceived stress in couples transitioning to parenthood: A dyadic analysis. International Journal of Clinical and Health Psychology19(3), 198-208.

Vaillancourt-Morel, M. P. Blais-Lecours, S. Labadie, C. Bergeron, S. Sabourin, S. & Godbout, N. (2017). Profiles of cyberpornography use and sexual well-being in adults. The journal of sexual medicine14(1), 78-85.

Von Humboldt, S. Leal, I. & Monteiro, A. (2016). Are Older Adults Well Sexually: Sexual Well-Being among a Cross-National Sample of Older Adults. Rev.

سیلابخوری، زهرا.، و پرویزیان، فرهاد. (1398). رضایت جنسی و نقش آن در خانواده. پنجمین کنفرانس ملی نوآوری‌های اخیر در روانشناسی، کاربردها و توانمندسازی با محوریت روان‌درمانی، تهران.
قباد زاده، سیمین.، حسنی، جعفر.، محمدخانی، شهرام.، و اکبری، مهدی. (1398). مدل چندوجهی پرسشنامه سلامت جنسی مردان: طراحی و روان‌سنجی نسخه ایرانی، نشریه روان پرستاری، 7 (2): 12-1.
کامل، میترا. (1397). نقش تعهد زناشویی و صمیمیت جنسی در پیش‌بینی کیفیت زندگی و بهزیستی هیجانی زوجین. پایان‌نامه کارشناسی ارشد، دانشگاه آزاد اسلامی واحد اردبیل.
نائینیان، محمدرضا.، و نیک آذین، امیر. (1391). رابطه صمیمیت و رضایت جنسی با سلامت عمومی و بهزیستی شخصی: بررسی تفاوت‌های جنسیتی و سنی. مجله تحقیقات علوم رفتاری، 7 (10): 18-3.
References
Barnum, E. L. & Perrone-McGovern, K. M. (2017). Attachment, self-esteem and subjective well-being among survivors of childhood sexual trauma. Journal of Mental Health Counseling39(1), 39-55.
Bedree, H. Moller-Mullen, M. Rose, E. & Flanders, C. E. (2020). Sexual Well-Being among College Students: A Qualitative Study. Sexuality & Culture, 24(1), 140-156.‏
Birnbaum, G. E. Mikulincer, M. Szepsenwol, O. Shaver, P. R. & Mizrahi, M. (2014). When sex goes wrong: A behavioral systems perspective on individual differences in sexual attitudes, motives, feelings, and behaviors. Journal of personality and social psychology106(5), 822.
Espinosa-Hernández, G. Vasilenko, S. A. McPherson, J. L. Gutierrez, E. & Rodriguez, A. (2017). Brief report: The role of three dimensions of sexual well-being in adolescents' life satisfaction. Journal of adolescence55, 61-65.
Fliegner, M. Krupp, K. Brunner, F. Rall, K. Brucker, S. Y. Briken, P. & Richter‐Appelt, H. (2014). Sexual life and sexual wellness in individuals with complete androgen insensitivity syndrome (CAIS) and Mayer‐Rokitansky‐Küster‐Hauser syndrome (MRKHS). The Journal of Sexual Medicine11(3), 729-742.
Garad, R. M. (2017). Health literacy driving health engagement in the pluralist context of migrant health in Australia (No. Ph. D). Deakin University.
Gillen, M. M. & Markey, C. H. (2019). A review of research linking body image and sexual well-being. Body image31, 294-301.
Goldsmith, K. M. & Byers, E. S. (2016). Perceived impact of body feedback from romantic partners on young adults’ body image and sexual well-being. Body Image17, 161-170.
Hensel, D. J. & Fortenberry, J. D. (2012). The feasibility of cell phone based electronic diaries for STI/HIV research. BMC medical research methodology12(1), 1-12.‏
Klein, V. Reininger, K. M. Briken, P. & Turner, D. (2020). Sexual narcissism and its association with sexual and well-being outcomes. Personality and Individual Differences152, 109557.
Leavitt, C. E. Lefkowitz, E. S. & Waterman, E. A. (2019). The role of sexual mindfulness in sexual wellbeing, relational wellbeing, and self-esteem. Journal of sex & marital therapy45(6), 497-509.
Lorenz, T. K. Harte, C. B. & Meston, C. M. (2015). Changes in autonomic nervous system activity are associated with changes in sexual function in women with a history of childhood sexual abuse. The journal of sexual medicine12(7), 1545-1554.
Lorgelly, P. K. Lorimer, K. Fenwick, E. Briggs, A. H. & Anand, P. (2015), Operationalising the capability approach as an outcome measure in public health: The development of the OCAP-18. Social Science & Medicine, 142, 68–81. doi:10.1016/j.socscimed.2015.08.002
Lorimer, K. DeAmicis, L. Dalrymple, J. Frankis, J. Jackson, L. Lorgelly, P. ... & Ross, J. (2019). A Rapid Review of Sexual Wellbeing Definitions and Measures: Should We Now Include Sexual Wellbeing Freedom? The Journal of Sex Research56(7), 843-853.
Medina-Lara, A. Dieppe, P. & Linton, M. J. (2016). Review of 99 self-report measures for assessing well-being in adults: exploring dimensions of well-being and developments over time. BMJ open6(7), e010641.‏
Pirani, Z. Abbasi, M. Kalvani, M. & Nourbakhsh, M. (2017). Effectiveness of Acceptance and Commitment Therapy on Sexual Self-Esteem, Emotional Skillfulness and Marital Adjustment in Veterans’ Wives. Iranian Journal of War and Public Health9(1), 25-32.
Redman, S. Nelson, S. Flanagan, E. Rabinowitz, L. & Parchem, S. (2020). 11. Adolescent Sexual Wellness: Embracing Some Risk While Promoting Healthy Sexual Behavior Through Chat. Journal of Adolescent Health66(2), S6.
Rosen, R. C. Althof, S. E. Barbach, L. G. Dietrich, J. Wanser, R. & Zhang, P. (2010). Female sexual well-being ScaleTM: responsiveness to interventional product use by sexually functional women. The journal of sexual medicine7(7), 2479-2486.
Schwenck, G. C. Dawson, S. J. Muise, A. & Rosen, N. O. (2020). A Comparison of the Sexual Well-Being of New Parents With Community Couples. The Journal of Sexual Medicine17(11), 2156-2167.
Sears, M. Kilimnik, C. & Meston, C. (2020). 019 Evaluating the Role of Relationship Status in the Sexual Well-being of Women With and Without Histories of Nonconsensual Sexual Experiences. The Journal of Sexual Medicine17(7), S9-S10.
Silva, R. N. A. van de Bongardt, D. Baams, L. & Raat, H. (2018). Bidirectional associations between adolescents' sexual behaviors and psychological well-being. Journal of Adolescent Health62(1), 63-71.
Stephenson, K. R. & Meston, C. M. (2015). The conditional importance of sex: exploring the association between sexual well-being and life satisfaction. Journal of sex & marital therapy41(1), 25-38.
Stephenson, K. R. Truong, L. & Shimazu, L. (2018). Why is impaired sexual function distressing to men? Consequences of impaired male sexual function and their associations with sexual well-being. The journal of sexual medicine15(9), 1336-1349.
Tavares, I. M. Schlagintweit, H. E. Nobre, P. J. & Rosen, N. O. (2019). Sexual well-being and perceived stress in couples transitioning to parenthood: A dyadic analysis. International Journal of Clinical and Health Psychology19(3), 198-208.
Vaillancourt-Morel, M. P. Blais-Lecours, S. Labadie, C. Bergeron, S. Sabourin, S. & Godbout, N. (2017). Profiles of cyberpornography use and sexual well-being in adults. The journal of sexual medicine14(1), 78-85.
Von Humboldt, S. Leal, I. & Monteiro, A. (2016). Are Older Adults Well Sexually: Sexual Well-Being among a Cross-National Sample of Older Adults. Rev.