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      Determining the factors influencing the intimate relationship between sexual satisfaction and dyadic adjustment in postmenopausal women

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          Abstract

          Introduction

          Identifying and characterizing sexual dysfunction is crucial in order to improve the quality of the marital relationship in postmenopausal women. Regarding this, the present study aimed to determine the association of menopausal characteristics with sexual satisfaction and marital adjustment.

          Material and methods

          This cross-sectional study was conducted on 89 postmenopausal women chosen using an improbable randomized sampling method. A questionnaire that collects demographic characteristics, the Dyadic Adjustment Scale (DAS) and The Golombok Rust Inventory of Sexual Satisfaction (GRISS) index were used to collect relevant data during the survey.

          Results

          The mean age of postmenopausal women recruited to the present study was 54.6 ±6.7. The overall mean GRISS score and DAS score were 5.6 ±1.7 and 92.1 ±11.2 respectively. The mean GRISS scores were found to significantly increase as the ages of the women increased ( p = 0.044). Mean DAS scores were lower in postmenopausal women that have menopause duration longer than 10 years ( p = 0.035). Higher education level of the spouse is associated with lower GRISS scores ( p = 0.024). No correlation was observed between marital adjustment and sexual satisfaction.

          Conclusions

          Although sexual satisfaction and marital adjustment levels are decreased in the postmenopausal period, these two parameters do not seem to be related to each other. Multidimensional factors must be taken into account when evaluating sexual and marital satisfaction in postmenopausal women.

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          Most cited references24

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          Sexual activity and function in middle-aged and older women.

          Data on the sexual activity of middle-aged and older women are scant and vary widely. This analysis estimates the prevalence and predictors of sexual activity and function in a diverse group of women aged 40-69 years. The Reproductive Risk Factors for Incontinence Study at Kaiser (RRISK) was a population-based study of 2,109 women aged 40-69 years who were randomly selected from long-term Kaiser Permanente members. Women completed self-report questionnaires on sexual activity, comorbidities, and general quality of life. Logistic and linear regression and proportional odds models were used when appropriate to identify correlates of sexual activity, frequency, satisfaction, and dysfunction. Mean age was 55.9 (+/- 8) years and nearly three fourths of the women were sexually active. Of the sexually active women, 60% had sexual activity at least monthly, approximately two thirds were at least somewhat satisfied, and 33% reported a problem in one or more domains. Monthly or more frequent sexual activity was associated with younger age, higher income, being in a significant relationship, a history of moderate alcohol use, and lower body mass index (BMI) (all P < .05). Satisfaction with sexual activity was associated with African-American race, lower BMI, and higher mental health score (all P < .05). More sexual dysfunction was associated with having a college degree or greater, poor health, being in a significant relationship, and a low mental health score (all P < .05). Middle-aged and older women engage in satisfying sexual activity, and one third reported problems with sexual function. Demographic factors as well as some issues associated with aging can adversely affect sexual frequency, satisfaction, and function. II-3.
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            Couple communication, emotional and sexual intimacy, and relationship satisfaction.

            Emotional and sexual aspects of intimacy in romantic relationships are important correlates of couples' relationship satisfaction. However, few studies have examined the effect of emotional and sexual aspects of intimacy on relationship satisfaction within the context of the interpersonal relationship processes. In addition, the association between emotional and sexual aspects of intimacy remains unclear. With a sample of 335 married couples from the Flourishing Families Project, the authors examined the associations between couple communication, emotional intimacy, sexual satisfaction, and relationship satisfaction, using the couple as the unit of analysis. The results of path analysis suggested that sexual satisfaction significantly predicted emotional intimacy for husbands and wives, while emotional intimacy did not appear to have a significant influence on sexual satisfaction. Further, mediation associations were suggested within as well as between spouses. Within spouses (for each spouse), emotional intimacy and sexual satisfaction mediated the association between spouses' appraisal of their partners' communication and their own relationship satisfaction. Gender differences were revealed in terms of how a spouse's perception of sexual satisfaction is associated with his or her partner's relationship satisfaction. In this study, although wives' relationship satisfaction was not associated with their husbands' sexual satisfaction, husbands tended to report high levels of relationship satisfaction when their wives reported greater sexual satisfaction. Findings suggest that both components of intimacy--emotional and sexual--should be comprehensively addressed in research and clinical work with couples.
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              The GRISS: a psychometric instrument for the assessment of sexual dysfunction.

              The Golombok Rust Inventory of Sexual Satisfaction (GRISS) is a short 28-item questionnaire for assessing the existence and severity of sexual problems. The design, construction, and item analysis of the GRISS are described. The two separate male and female scales are shown to have high split-half reliabilities of 0.94 for women and 0.87 for men. Validation of change scores in the GRISS on 30 clinical couples, before and after therapy, showed correlations with therapists' blind ratings of 0.54 (p less than 0.001) for men and 0.43 (p less than 0.01) for women. Discriminatory validity between clinical (n = 69) and nonclinical (n = 59) groups was r = 0.63 for women and r = 0.37 for men. The 12 subscales of impotence, premature ejaculation, anorgasmia, vaginismus, noncommunication, infrequency, male and female avoidance, male and female nonsensuality, and male and female dissatisfaction are also shown to have good reliability and validity.
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                Author and article information

                Journal
                Prz Menopauzalny
                Prz Menopauzalny
                MR
                Przegla̜d Menopauzalny = Menopause Review
                Termedia Publishing House
                1643-8876
                2299-0038
                30 June 2018
                June 2018
                : 17
                : 2
                : 57-62
                Affiliations
                Canakkale Onsekiz Mart University, Canakkale, Turkey
                Author notes
                Corresponding author: Fatma Beyazit, MD, Canakkale Onsekiz Mart University, Department of Obstetrics and Gynecology, Kepez, 17100 Canakkale, Turkey. phone: 905053136778. e-mail: fatmabeyazit@ 123456yahoo.com
                Article
                77302
                10.5114/pm.2018.77302
                6107098
                30150912
                33ff8f33-a469-4875-ad2b-4777d5985698
                Copyright: © 2018 Termedia Sp. z o. o.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.

                History
                : 31 March 2018
                : 04 May 2018
                Categories
                Original Paper

                menopause,sexual satisfaction,marital adjustment
                menopause, sexual satisfaction, marital adjustment

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