Compulsive sexual behaviour in Iranian married women: Prevalence, sociodemographic, sexual, and psychological predictors across-country.

IF 6.6 1区 医学 Q1 PSYCHIATRY
Journal of Behavioral Addictions Pub Date : 2024-03-29 Print Date: 2024-06-26 DOI:10.1556/2006.2024.00009
Elnaz Khayer, Rezvan Zarei, Maryam Damghanian, Beáta Bőthe, Farnaz Farnam
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Abstract

Background and aims: This study addresses the scarcity of research on Compulsive Sexual Behavior Disorder (CSBD) in non-Western cultures and women, exploring its prevalence, sociodemographic, sexual history characteristics, and sexual and psychological health factors in Iranian married women.

Methods: A cross-sectional study involving 772 heterosexual married women was conducted between 2022 and 2023, covering all 31 provinces of Iran. Participants were categorized as CSBD+ (at-risk individuals) and CSBD- (low-risk individuals) based on a pre-established cut-off point of ≥18 by the Compulsive Sexual Behavior Disorder Scale -7. Depression, anxiety, obsessive-compulsive disorder, self-esteem, sexual distress, sexual satisfaction, relationship satisfaction, and sexual dysfunction were assessed as psychological and sexual health variables by standardized scales.

Results: The prevalence of CSBD was 3.8% in women. Linear regression analysis showed that lower education, being jobless, substance use, pornography use, paraphilic behaviors, conflict on sex frequency, relationship, orgasm and sexual dissatisfaction, higher sexual arousal, depression, and obsessive-compulsive symptoms were positively associated with CSBD. The univariate analysis, at a stringent significance level of 0.005, mirrored the regression findings. Additionally, women with CSBD+ exhibited lower religiousness and higher anxiety compared to those without CSBD-.

Discussion and conclusions: Raising awareness of CSBD is crucial for health systems and individuals for better policy-making and help-seeking behavior. Identifying risk factors like substance use presents opportunities for prevention, and the association of CSBD with sexual and mental health variables suggests addressing co-occurring issues for improved treatment outcomes. Recognizing culture and gender-specific sexual and psychological correlates enables targeted and effective treatment approaches.

伊朗已婚妇女的强迫性行为:伊朗已婚妇女的强迫性行为:不同国家的流行率、社会人口、性和心理预测因素。
背景和目的:本研究针对非西方文化和女性中强迫性性行为障碍(CSBD)研究的稀缺性,探讨伊朗已婚女性中强迫性性行为障碍的患病率、社会人口学、性史特征以及性和心理健康因素:在 2022 年至 2023 年期间进行了一项横断面研究,涉及 772 名已婚异性恋妇女,覆盖伊朗所有 31 个省。根据强迫性行为障碍量表 -7 预先确定的≥18 分界点,将参与者分为 CSBD+(高危人群)和 CSBD-(低危人群)。抑郁、焦虑、强迫症、自尊、性困扰、性满意度、人际关系满意度和性功能障碍作为心理和性健康变量通过标准化量表进行评估:结果:女性 CSBD 患病率为 3.8%。线性回归分析表明,教育程度较低、无业、使用药物、使用色情制品、副性行为、性频率冲突、性关系、性高潮和性不满意、性兴奋较高、抑郁和强迫症状与 CSBD 呈正相关。在 0.005 的严格显著性水平下进行的单变量分析反映了回归结果。此外,与没有 CSBD 的女性相比,患有 CSBD+ 的女性表现出较低的宗教信仰和较高的焦虑:提高对 CSBD 的认识对于卫生系统和个人改善政策制定和求助行为至关重要。识别药物使用等风险因素为预防提供了机会,而 CSBD 与性健康和心理健康变量的关联表明,要改善治疗效果,就必须解决同时存在的问题。认识到文化和性别特有的性和心理相关性,就能采取有针对性的有效治疗方法。
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来源期刊
CiteScore
12.30
自引率
7.70%
发文量
91
审稿时长
20 weeks
期刊介绍: The aim of Journal of Behavioral Addictions is to create a forum for the scientific information exchange with regard to behavioral addictions. The journal is a broad focused interdisciplinary one that publishes manuscripts on different approaches of non-substance addictions, research reports focusing on the addictive patterns of various behaviors, especially disorders of the impulsive-compulsive spectrum, and also publishes reviews in these topics. Coverage ranges from genetic and neurobiological research through psychological and clinical psychiatric approaches to epidemiological, sociological and anthropological aspects.
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