International Journal of Behavioral Sciences

International Journal of Behavioral Sciences

Comparison of Couple Intimacy, Perceived Social Support and Sexual Performance in Women with High and Low Menopausal Symptoms

Document Type : Original Article

Authors
1 Department of Psychology and Educational Sciences, Payame Noor University, Tehran, Iran
2 Ardabil Health Center, Ardabil, Iran
Abstract
Introduction: Menopause typically occurs between the ages of 45 years and 56 years. During the menopausal transition, approximately 50% to 75% of women have hot flashes, night sweats, or both (vasomotor symptoms) and more than 50% have genitourinary symptoms. This study aimed at comparing intimacy, perceived social support and sexual function in women who experience high and low menopause symptoms.
Method: The present study was conducted by using a causal-comparative research design. For this purpose, 150 participants of the menopausal women living in Ardabil in 2022 were recruited using a convenience sampling method. Participants whose score was one standard deviation higher and lower than the average of menopausal symptoms severity questionnaire were selected as the group with high and low severity of menopausal symptoms.  They had referred to health centers and answered the Intimacy scale, Multidimensional Social Perception, Women Sexual Function (FSFI) and Severity of Menopausal Symptoms Questionnaires. Data were analyzed by Multivariate analysis of Variance and SPSS version 23 and a two tailed 5% level of significance.
Results: Findings revealed that women experiencing high and low signs of menopause have a significant difference in intimacy, perceived support and sexual function (p<0.05). According to results, it seems that the quality of marital relationships and interactions of menopausal women is one of the factors affecting the experience of menopausal symptoms (p<0.05).
Conclusion: It can be concluded that women who experienced fewer menopausal symptoms, had better intimate relationships, more perceived social support, and better sexual function. Furthermore, more intimate relationships, higher perceived support, and better sexual function may be associated with less menopausal symptoms.
Keywords

  1. Dasgupta, D. and S. Ray, Is menopausal status related to women’s attitudes toward menopause and aging? Women & Health, 2017. 57(3): 311-328. https://doi.org/10.1080/03630242.2016.1160965
  2. Pertyńska-Marczewska, M. and T. Pertyński, Postmenopausal women in gynecological care. Menopause Review/Przegląd Menopauzalny, 2021. 20(2): 88-98.  Doi: 10.5114/pm.2021.107103
  3. Santoro, N., C. Roeca, B.A. Peters, and G. Neal-Perry, The menopause transition: signs, symptoms, and management options. The Journal of Clinical Endocrinology & Metabolism, 2021. 106(1): 1-15. doi: /10.1210/clinem/dgaa764
  4. Javernick, J.A., A Novel Nonhormonal Treatment for Vasomotor Symptoms of Menopause. Nursing for Women's Health, 2024. 28(1): 80-84. doi: /10.1016/j.nwh.2023.11.005
  5. Ngai, F.W., Relationships between menopausal symptoms, sense of coherence, coping strategies, and quality of life. Menopause, 2019. 26(7): 758-764. doi: 10.1097/GME.0000000000001299
  6. English, M., Stoykova, B., Slota, C., Doward, L., Siddiqui, E., Crawford, R., & Dibenedetti, D, Qualitative study: burden of menopause-associated vasomotor symptoms (VMS) and validation of PROMIS sleep disturbance and sleep-related impairment measures for assessment of VMS impact on sleep. Journal of Patient-Reported Outcomes, 2021. 5(1): 37-42. Doi: 10.1186/s41687-021-00322-0.
  7. Gava, G., Orsili, I., Alvisi, S., Mancini, I., Seracchioli, R., & Meriggiola, M. C., Cognition, mood and sleep in menopausal transition: the role of menopause hormone therapy. Medicina, 2019. 55(10): 1-17. doi: 10.3390/medicina55100668.
  8. Page, C.E., Soreth, B., Metcalf, C.A., Johnson, R. L., Korrinia, J., Sammel, M.D., Loughead, J., & Eppersion, N. Natural vs. surgical postmenopause and psychological symptoms confound the effect of menopause on executive functioning domains of cognitive experience. Maturitas, 2023. 170: 64-73. doi: 10.1016/j.maturitas.2023.01.007.
  9. Hickey, M., Moss, K. M., Brand, A., Wrede, C. D., Domchek, S.M., Meiser, B., Mishra, G. D., Joffe, H. What happens after menopause?(WHAM): a prospective controlled study of depression and anxiety up to 12 months after premenopausal risk-reducing bilateral salpingo-oophorectomy. Gynecologic Oncology, 2021. 161(2):  527-534. doi:  10.1016/j.ygyno.2021.02.001
  10. Lu, C.-b., et al., Musculoskeletal Pain during the Menopausal Transition: A Systematic Review and Meta‐Analysis. Neural plasticity, 2020. 2020(1): p. 8842110.
  11. Amoretti, M., et al., Production and detection of cold antihydrogen atoms. Nature, 2002. 419(6906): 456-459. https://www.nature.com/articles/nature01096
  12. Li, R.-x., et al., Perimenopausal syndrome and mood disorders in perimenopause: prevalence, severity, relationships, and risk factors. Medicine, 2016. 95(32): . e4466. doi.org/10.1097/md.0000000000004466
  13. Afridi, I., Psychological and social aspects of menopause. Menopause: A Multidisciplinary Look at, 2017. 49. DOI: 10.5772/intechopen.69078
  14. Zaman, N.I., S. Shakoor, and S. Yusuf, Menopausal symptoms: prediction of quality of marital relationship among couples. Journal of Mind and Medical Sciences, 2022. 9(1): 133-142. Doi:10.22543/7674.91.P133142
  15. Kling, J. M.,Kelly, M., Rullo, J., Kapoor, E., Kuhle, C. L., Vegunta, S., Mara, K. C., & Faubion, S. S. Association between menopausal symptoms and relationship distress. Maturitas, 2019. 130: . 1-5. DOI: 10.1016/j.maturitas.2019.09.006
  16. Bülbül, T., S. Mucuk, M. Dolanbay, and I. Turhan, Do complaints related to menopause affect sexuality and marital adjustment? Sexual and Relationship Therapy, 2021. 36(4): p. 465-479. Doi :10.1080/14681994.2020.1813886
  17. Eagle, D.E., C.F. Hybels, and R.J. Proeschold-Bell, Perceived social support, received social support, and depression among clergy. Journal of Social and Personal Relationships, 2019. 36(7): 2055-2073.  https://doi.org/10.1177/0265407518776134
  18. Ng, S.S., Liu, T. W., Ho., L.Y., Chan, N. H., Wong, T. W., & Tsoh, J. Assessing the level of perceived social support among community-dwelling stroke survivors using the Multidimensional Scale of Perceived Social Support. Scientific Reports, 2022. 12(1): 1-10. DOI: 10.1038/s41598-022-23840-3
  19. Delatorre, M.Z., A. Wagner, and L.M. Bedin, Dyadic relationships between personality, social support, conflict resolution, and marital quality. Personal Relationships, 2022. 29(1): 199-216. doi: 10.1111/pere.12410
  20. Zhang, Y., Zhao, X., Leonhart, R., Nadig, M., Hasenburg, A., Wirsching, M., & Fritzche, K. A cross-cultural comparison of climacteric symptoms, self-esteem, and perceived social support between Mosuo women and Han Chinese women. Menopause, 2016. 23(7): 784-791. doi: 10.1097/GME.0000000000000621.
  21. Waetjen, L.E., et al., Factors associated with developing vaginal dryness symptoms in women transitioning through menopause: a longitudinal study. Menopause, 2018. 25(10): p. 1094-1104. Doi: 10.1097/GME.0000000000001130
  22. Angelou, K., et al., The genitourinary syndrome of menopause: an overview of the recent data. Cureus, 2020. 12(4). doi: 10.7759/cureus.7586
  23. Simon, J.A., et al., Clarifying Vaginal Atrophy’s Impact on Sex and Relationships (CLOSER) survey: emotional and physical impact of vaginal discomfort on North American postmenopausal women and their partners. Menopause, 2014. 21(2): 137-142. doi: 10.1097/GME.0b013e318295236f
  24. Pérez-Herrezuelo, I., et al., Female sexual function and its association with the severity of menopause-related symptoms. International Journal of Environmental Research and Public Health, 2020. 17(19): 7235-7243.doi:10.3390/ijerph17197235
  25. Nazarpour, S., M. Simbar, F. Ramezani Tehrani, A., & Alavi Majd, H. Relationship between sexual function and quality of life in post-menopausal women. Journal of Mazandaran University of Medical Sciences, 2016. 26(143): 90-98. (in Persian). http://jmums.mazums.ac.ir/article-1-8999-en.html.
  26. Jamali, S., Poornowrooz, S., Mosallanezhad,Z., and Alborzi, A. Correlation Between Sexual Satisfaction and Self-Esteem and Stress in Women of Reproductive Age. Journal of Clinical & Diagnostic Research, 2018. 12(10). 16-19. doi: 10.7860/JCDR/2018/37423.12152
  27. Lobo, R.A. and A. Gompel, Management of menopause: a view towards prevention. The Lancet Diabetes & Endocrinology, 2022. 10(6): 457-470. doi: 10.1016/S2213-8587(21)00269-2
  28. Walker, A. J. and Thompson, L. Intimacy and intergenerational aid and contact among mothers and daughters. Journal of marriage and the family, 1983. 45, 841-849. doi
  29. Sanaie Zaker, M.B. Family and marriage scales. Tehran: Besat Publication.
  30. Zimet, G.D., N.W. Dahlem, S.G. Zimet, and G.K. Farley, The multidimensional scale of perceived social support. Journal of personality assessment, 1988. 52(1): 30-41. doi: 10.1207/s15327752jpa5201_2
  31. Cheng, S.-T. and A.C. Chan, The multidimensional scale of perceived social support: dimensionality and age and gender differences in adolescents. Personality and individual differences, 2004. 37(7): 1359-1369. doi:10.1016/j.paid.2004.01.006
  32. Salimi, A., Joukar, B, & Nikpour, R.. Internet and communication: Perceived social support and loneliness as antecedent variables. 2009.5(3): 83-102 [Persian]doi: 10.1155/2020/8842110
  33. Rosen, C.B., J. Heiman, S. Leiblum, C. Meston, R. Shabsigh, D. Ferguson, R. D'Agostino, R, The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. Journal of sex & marital therapy, 2000. 26(2): 191-208. doi: 10.1080/009262300278597
  34. Heydari, M. and S. Faghihzadeh, The female sexual function index (FSFI): validation of the Iranian version. Payesh (Health Monitor), 2008. 7(3): 269-278.
  35. Hoseinzadeh, F., H. Esmaily, J. Jamali, and F. Tara, Determining the reliability and validity of Menopause Symptoms Severity Inventory-38 Questionnaire. The Iranian Journal of Obstetrics, Gynecology and Infertility, 2018. 21(8):. 84-93. Doi: 10.22038/ijogi.2018.11974
  36. Zhao, D., et al., Menopausal symptoms in different substages of perimenopause and their relationships with social support and resilience. Menopause, 2019. 26(3): 233-239. Doi: 10.1097/GME.0000000000001208.
  37. Lascurain, M.B., et al., Improvement in depression with oestrogen treatment in women with schizophrenia. Archives of women's mental health, 2020. 23: 149-154. Doi: 10. 1007/s00737-019-00959-3.
  38. Sydora, B.C., B. Graham, R.T. Oster, and S. Ross, Menopause experience in First Nations women and initiatives for menopause symptom awareness; a community-based participatory research approach. BMC Women's Health, 2021. 21(1): 179-190. Doi: 10.1186/s12905-021-01303-7.

39.               Zhang, Y., I. Schalo, C. Durand, and K.M. Standifer, Sex differences in nociceptin/orphanin FQ peptide receptor-mediated pain and anxiety symptoms in a preclinical model of post-traumatic stress disorder. Frontiers in psychiatry, 2019. 9: 731-739. doi: 10.3389/fpsyt.2018.00731