Araştırma Makalesi
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Evli Kadınlarda Cinsel İşlev Bozuklukları, Depresyon ve Kaygı Belirtileri, Duygu Düzenleme Güçlükleri

Yıl 2025, Cilt: 9 Sayı: 2, 187 - 205, 31.05.2025

Özge Gökçen , Cennet Şafak Öztürk

https://doi.org/10.46237/amusbfd.1576216

Öz

Amaç: Bu araştırma Psikopatolojinin Hiyerarşik Taksonomisi (HiTOP) Modeli çerçevesinde cinsel işlev bozuklukları ile depresyon ve kaygı belirtileri, duygu düzenleme güçlükleri arasındaki ilişkileri evli kadınlarda incelemeyi amaçlamaktadır.
Yöntem: Araştırma evli olan yaş ortalaması 37.06 (SS = .50) 295 kadın birey ile yapılmıştır. Analitik, kesitsel bir tarama çalışması olan araştırmanın verileri 6 Kasım 2021-10 Nisan 2022 tarihlerinde sosyal medya yoluyla çevrimiçi olarak toplanmıştır. Veri toplama araçları Kadın Cinsel Fonksiyon İndeksi, Kadın Cinsel Sıkıntı Ölçeği-Revize Edilmiş, Depresyon ve Kaygı Belirtileri Envanteri-II ve Duygu Düzenlemede Güçlükler Ölçeği’dir. Analizlerde betimleyici analizler, Pearson korelasyon, t-testi, hiyerarşik regresyon analizleri ve yapısal eşitlik modeli kullanılmıştır.
Bulgular: Analizlere göre araştırma değişkenleri arasında bazı anlamlı ilişkiler olduğu anlaşılmıştır. Cinsel işlev puanlarının farklılık gösterdiği değişkenler fiziksel rahatsızlık, menopoz, düzenli regl ve eşin cinsel rahatsızlığı iken cinsel sıkıntı puanları psikiyatrik tanı ve eşin cinsel rahatsızlığı açısından farklılık göstermiştir. Hiyerarşik regresyon analizine göre cinsel işlev ve cinsel sıkıntının depresyon ve kaygı belirtileri ile duygu düzenlemede güçlüklerce açıklandığı görülmüştür. Üç boyuttan oluşan içselleştirme spektrumunun bu yapısı yapısal eşitlik modeliyle desteklenmiş ve içselleştirme spektrumunu duygu düzenlemede güçlüklerin yordadığı anlaşılmıştır.
Sonuç: Bu araştırmada HiTOP Modeli çerçevesinde içselleştirme spektrumunun cinsel problemler, distres ve korku alt boyutlarından meydana geldiği saptanmıştır. Duygu düzenleme güçlüğü içselleştirme spektrumunun risk unsuru olabilir.

Anahtar Kelimeler

Cinsel işlev bozukluğu Depresyon Kaygı Duygu düzenleme güçlüğü Psikopatolojinin hiyerarşik taksonomisi

Kaynakça

  • 1. Y American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, D.C. : American Psychiatric Association.
  • 2. Lewis, R. W., Fugl-Meyer, K. S., Corona, G., Hayes, R. D., Laumann, E. O., Moreira, E. D., J, et al. (2010). Definitions/epidemiology/risk factors for sexual dysfunction. The J Sex Med, 7(4 Pt 2), 1598-1607.
  • 3. Laurent, S. M., & Simons, A. D. (2009). Sexual dysfunction in depression and anxiety: Conceptualizing sexual dysfunction as part of an internalizing dimension. Clin Psychol Rev, 29(7), 573-585.
  • 4. Wong, K. T. K., & Forbes, M. K. (2020). Evidence that relationship quality, social support, and SSRI use do not account for the shared underlying relationships among symptoms of depression, anxiety, and female sexual dysfunction. J Sex Res, 57(3), 365-374.
  • 5. Kotov, R., Krueger, R. F., Watson, D., Achenbach, T. M., Althoff, R. R., Bagby, R. M., et al. (2017). The Hierarchical Taxonomy of Psychopathology (HiTOP): A dimensional alternative to traditional nosologies. J Abnorm Psychol, 126(4), 454-477.
  • 6. Forbes, M. K., Baillie, A. J., & Schniering, C. A. (2016). A structural equation modeling analysis of the relationships between depression, anxiety, and sexual problems over time. J Sex Res, 53(8), 942-954.
  • 7. Kalmbach, D. A., Pillai, V., Kingsberg, S. A., & Ciesla, J. A. (2015). The transaction between depression and anxiety symptoms and sexual functioning: A prospective study of premenopausal, healthy women. Arch Sex Behav, 44(6), 1635-1649.
  • 8. Guerreiro, P. P., Raposo, C. F., Salvador, Á., Manão, A. A., & Pascoal, P. M. (2024). A transdiagnostic approach to sexual distress and pleasure: The role of worry, rumination, and emotional regulation. Curr Psychol, 43(17), 15385-15396.
  • 9. Zlomke, K. R., & Hahn, K. S. (2010). Cognitive emotion regulation strategies: Gender differences and associations to worry. Pers Individ Dif, 48(4), 408-413.
  • 10. Cole, P. M., Michel, M. K., & Teti, L. O. (1994). The development of emotion regulation and dysregulation: a clinical perspective. Monogr Soc Res Child Dev, 59(2-3), 73-100.
  • 11. Vater, A., & Schroder-Abe, M. (2015). Explaining the link between personality and relationship satisfaction: Emotion regulation and interpersonal behaviour in conflict discussions. European Journal of Personality, 29(2), 201-215.
  • 12. Dubé, J. P., Dawson, S. J., & Rosen, N. O. (2020). Emotion regulation and sexual well-being among women: Current status and future directions. Curr Sex Health Rep, 12(3), 143-152.
  • 13. Raposo, C. F., Pascoal, P. M., Faustino, B., & Nobre, P. J. (2023). The effect of emotional regulation difficulties on sexual and psychological distress using repetitive negative thinking as a mediator. J SexMed, 20(12), 1466-1469.
  • 14. McLaughlin, K. A., Hatzenbuehler, M. L., Mennin, D. S., & Nolen-Hoeksema, S. (2011). Emotion dysregulation and adolescent psychopathology: A prospective study. Behav Res Ther, 49(9), 544-554.
  • 15. Vasconcelos, P., Oliveira, C., & Nobre, P. (2020). Self-compassion, emotion regulation, and female sexual pain: A comparative exploratory analysis. J Sex Med, 17(2), 289-299.
  • 16. Varma, G. S., Kalkan Oğuzhanoğlu, N., Karadağ, F., Özdel, O., & Amuk, T. (2005). Doğal ve cerrahi menopozda depresyon ve anksiyete düzeyleri ile cinsel doyum arasındaki ilişki. Klinik Psikiyatri Dergisi, 8(3), 109-115.
  • 17. Yıldırım, E. A., Hacıoğlu Yıldırım, M., & Karaş, H. (2019). Yaşam boyu vajinismus tanısı konulan kadınlarda depresyon ve anksiyete bozukluklarının yaygınlığı ve cinsel işlevlerle ilişkisi. Türk Psikiyatri Dergisi, 30(1), 9-15.
  • 18. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods, 39(2), 175-191.
  • 19. Oksuz, E., & Malhan, S. (2006). Prevalence and risk factors for female sexual dysfunction in Turkish women. J Urol, 175(2), 654-658.
  • 20. Aydın, S., Onaran, Ö. I., Topalan, K., Aydın, Ç. A., & Dansuk, R. (2016). Development and validation of Turkish version of The Female Sexual Distress Scale-Revised. Sex Med, 4(1), e43-e50.
  • 21. Zhang, H., Fan, S., & Yip, P. S. (2015). Sexual dysfunction among reproductive-aged Chinese married women in Hong Kong: Prevalence, risk factors, and associated consequences. J Sex Med, 12(3), 738-745.
  • 22. Rosen, R., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsigh, R., et al. (2000). The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther, 26(2), 191-208.
  • 23. Öksüz, E., & Malhan, S. (2005). Kadın Cinsel Fonksiyon İndeksi Türkçe uyarlamasının geçerlilik ve güvenilirlik analizi. Sendrom, 54-59.
  • 24. DeRogatis, L., Clayton, A., Lewis-D’Agostino, D., Wunderlich, G., & Fu, Y. (2008). Validation of the Female Sexual Distress Scale-Revised for assessing distress in women with hypoactive sexual desire disorder. J Sex Med, 5(2), 357-364.
  • 25. Watson, D., O’Hara, M. W., Naragon-Gainey, K., Koffel, E., Chmielewski, M., Kotov, R., et al. (2012). Development and validation of new anxiety and bipolar symptom scales for an expanded version of the IDAS (the IDAS-II). Assessment, 19(4), 399-420.
  • 26. Irak, M., & Albayrak, E. O. (2020). Psychometric properties of the expanded version of the Inventory of Depression and Anxiety Symptoms in a Turkish population. Psychol Rep, 123(2), 517-545.
  • 27. Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess, 26(1), 41-54.
  • 28. Ruganci, R. N., & Gençöz, T. (2010). Psychometric properties of a Turkish version of the Difficulties in Emotion Regulation Scale. J Clin Psychol, 66(4), 442-455.
  • 29. George D., & Mallery P. (2010). SPSS for Windows step by step: A simple guide and reference 17.0 update (10th ed.). Boston: Pearson.
  • 30. Forbes, M. K., Baillie, A. J., Eaton, N. R., & Krueger, R. F. (2017). A place for sexual dysfunctions in an empirical taxonomy of psychopathology. J Sex Res, 54(4-5), 465-485.
  • 31. Morin, A. J. S., Arens, A. K., & Marsh, H. W. (2016). A bifactor exploratory structural equation modeling framework for the identification of distinct sources of construct-relevant psychometric multidimensionality. Struct Equ Modeling, 23(1), 116-139.
  • 32. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2th ed.). New York: Lawrence Erlbaum Associates.
  • 33. Gürbüz, S. (2021). AMOS ile yapısal eşitlik modellemesi (2. Baskı). Ankara: Seçkin Yayıncılık.
  • 34. Kline, R. B. (2016). Principles and practice of structural equation modeling (4th ed.). New York: The Guilford Press.
  • 35. Byrne, B. M. (2010). Structural equation modeling with AMOS: Basic concepts, applications, and programming (2th ed.). New York: Taylor & Francis.
  • 36. Forbes, M. K., & Schniering, C. A. (2013). Are sexual problems a form of internalizing psychopathology? A structural equation modeling analysis. Arch Sex Behav, 42(1), 23-34.
  • 37. Kendurkar, A., & Kaur, B. (2008). Major depressive disorder, obsessive-compulsive disorder, and generalized anxiety disorder: Do the sexual dysfunctions differ?. Prim Care Companion J Clin Psychiatry, 10(4), 299-305.
  • 38. Lai C. H. (2011). Major depressive disorder: Gender differences in symptoms, life quality, and sexual function. J Clin Psychopharmacol, 31(1), 39-44.
  • 39. Aksaray, G., Yelken, B., Kaptanoğlu, C., Oflu, S., & Ozaltin, M. (2001). Sexuality in women with obsessive compulsive disorder. J Sex Marital Ther, 27(3), 273-277.
  • 40. Mercan, S., Karamustafalioglu, O., Ayaydin, E. B., Akpinar, A., Goksan, B., Gonenli, S., et al. (2006). Sexual dysfunction in female patients with panic disorder alone or with accompanying depression. Int J Psychiatry Clin Pract, 10(4), 235-240.
  • 41. Yehuda, R., Lehrner, A., & Rosenbaum, T. Y. (2015). PTSD and sexual dysfunction in men and women. J Sex Med, 12(5), 1107-1119.
  • 42. Dell’Osso, L., Carmassi, C., Carlini, M., Rucci, P., Torri, P., Cesari, D., et al. (2009). Sexual dysfunctions and suicidality in patients with bipolar disorder and unipolar depression. J Sex Med, 6(11), 3063-3070.
  • 43. Kashdan, T. B., Adams, L., Savostyanova, A., Ferssizidis, P., McKnight, P. E., & Nezlek, J. B. (2011). Effects of social anxiety and depressive symptoms on the frequency and quality of sexual activity: A daily process approach. Behav Res Ther, 49(5), 352-360.
  • 44. Fischer, V. J., Andersson, G., Billieux, J., & Vögele, C. (2022). The relationship between emotion regulation and sexual function and satisfaction: A scoping review. Sex Med Rev, 10(2), 195-208.
  • 45. Forbes, M. K., Baillie, A. J., & Schniering, C. A. (2016). Should sexual problems be included in the internalizing spectrum? A comparison of dimensional and categorical models. J Sex Marital Ther, 42(1), 70- 90.
  • 46. Hostinar, C. E., & Cicchetti, D., (2020). Emotion dysregulation and internalizing spectrum disorders. In Beauchaine, T. P., & Crowell, S. E. (Eds.) The Oxford handbook of emotion dysregulation (pp. 249-264). New York: Oxford University Press.
  • 47. D’Avanzato, C., Joormann, J., Siemer, M., & Gotlib, I. H. (2013). Emotion regulation in depression and anxiety: Examining diagnostic specificity and stability of strategy use. Cogn Ther Res, 37(5), 968-980

Sexual Dysfunctions, Depression and Anxiety Symptoms, Emotion Regulation Difficulties in Married Women

Yıl 2025, Cilt: 9 Sayı: 2, 187 - 205, 31.05.2025

Özge Gökçen , Cennet Şafak Öztürk

https://doi.org/10.46237/amusbfd.1576216

Öz

Objective: This research aims to examine the relationship between sexual dysfunctions, and depression and anxiety symptoms and emotion regulation difficulties in married women within the framework of the Hierarchical Taxonomy of Psychopathology (HiTOP) Model.
Method: The research was performed with 295 married women with an average age of 37.06 years (SD = .50). The research is an analytical, cross-sectional survey study, and the data were collected online via social media between November 6, 2021 and April 10, 2022. Data collection tools were the Female Sexual Function Index, Female Sexual Distress Scale-Revised, Inventory of Depression and Anxiety Symptoms-II and Difficulty in Emotion Regulation Scale. Descriptive analysis, Pearson correlation, t-test, hierarchical regression analysis and structural equation modeling were utilized in the analyses.
Results: Analyses indicate some significant relationships were understood to be between the research variables. The variables, with varying sexual function scores, were physical discomfort, menopouse, regular mensturation and sexual discomfort of the spouse, while their sexual distress scores differred in psyhiatric diagnosis and sexual discomfort of the spouse. Hierarchical regression analysis revealed that sexual function and sexual distress were explained by depression and anxiety symptoms and difficulties in emotion regulation. This structure of the internalizing spectrum consisting of three dimensions was supported by the structural equation model and difficulties in emotion regulation were understood to predict the internalizing spectrum.
Conclusion: In this research, the internalization spectrum within the HiTOP Model framework was determined to consist of sexual problems, distress and fear sub-dimensions. Difficulties in emotion regulation may be a risk factor of the internalizing spectrum.

Anahtar Kelimeler

Sexual dysfunction Depression Anxiety Difficulties in emotion regulation Hierarchical taxonomy of psychopathology

Kaynakça

  • 1. Y American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, D.C. : American Psychiatric Association.
  • 2. Lewis, R. W., Fugl-Meyer, K. S., Corona, G., Hayes, R. D., Laumann, E. O., Moreira, E. D., J, et al. (2010). Definitions/epidemiology/risk factors for sexual dysfunction. The J Sex Med, 7(4 Pt 2), 1598-1607.
  • 3. Laurent, S. M., & Simons, A. D. (2009). Sexual dysfunction in depression and anxiety: Conceptualizing sexual dysfunction as part of an internalizing dimension. Clin Psychol Rev, 29(7), 573-585.
  • 4. Wong, K. T. K., & Forbes, M. K. (2020). Evidence that relationship quality, social support, and SSRI use do not account for the shared underlying relationships among symptoms of depression, anxiety, and female sexual dysfunction. J Sex Res, 57(3), 365-374.
  • 5. Kotov, R., Krueger, R. F., Watson, D., Achenbach, T. M., Althoff, R. R., Bagby, R. M., et al. (2017). The Hierarchical Taxonomy of Psychopathology (HiTOP): A dimensional alternative to traditional nosologies. J Abnorm Psychol, 126(4), 454-477.
  • 6. Forbes, M. K., Baillie, A. J., & Schniering, C. A. (2016). A structural equation modeling analysis of the relationships between depression, anxiety, and sexual problems over time. J Sex Res, 53(8), 942-954.
  • 7. Kalmbach, D. A., Pillai, V., Kingsberg, S. A., & Ciesla, J. A. (2015). The transaction between depression and anxiety symptoms and sexual functioning: A prospective study of premenopausal, healthy women. Arch Sex Behav, 44(6), 1635-1649.
  • 8. Guerreiro, P. P., Raposo, C. F., Salvador, Á., Manão, A. A., & Pascoal, P. M. (2024). A transdiagnostic approach to sexual distress and pleasure: The role of worry, rumination, and emotional regulation. Curr Psychol, 43(17), 15385-15396.
  • 9. Zlomke, K. R., & Hahn, K. S. (2010). Cognitive emotion regulation strategies: Gender differences and associations to worry. Pers Individ Dif, 48(4), 408-413.
  • 10. Cole, P. M., Michel, M. K., & Teti, L. O. (1994). The development of emotion regulation and dysregulation: a clinical perspective. Monogr Soc Res Child Dev, 59(2-3), 73-100.
  • 11. Vater, A., & Schroder-Abe, M. (2015). Explaining the link between personality and relationship satisfaction: Emotion regulation and interpersonal behaviour in conflict discussions. European Journal of Personality, 29(2), 201-215.
  • 12. Dubé, J. P., Dawson, S. J., & Rosen, N. O. (2020). Emotion regulation and sexual well-being among women: Current status and future directions. Curr Sex Health Rep, 12(3), 143-152.
  • 13. Raposo, C. F., Pascoal, P. M., Faustino, B., & Nobre, P. J. (2023). The effect of emotional regulation difficulties on sexual and psychological distress using repetitive negative thinking as a mediator. J SexMed, 20(12), 1466-1469.
  • 14. McLaughlin, K. A., Hatzenbuehler, M. L., Mennin, D. S., & Nolen-Hoeksema, S. (2011). Emotion dysregulation and adolescent psychopathology: A prospective study. Behav Res Ther, 49(9), 544-554.
  • 15. Vasconcelos, P., Oliveira, C., & Nobre, P. (2020). Self-compassion, emotion regulation, and female sexual pain: A comparative exploratory analysis. J Sex Med, 17(2), 289-299.
  • 16. Varma, G. S., Kalkan Oğuzhanoğlu, N., Karadağ, F., Özdel, O., & Amuk, T. (2005). Doğal ve cerrahi menopozda depresyon ve anksiyete düzeyleri ile cinsel doyum arasındaki ilişki. Klinik Psikiyatri Dergisi, 8(3), 109-115.
  • 17. Yıldırım, E. A., Hacıoğlu Yıldırım, M., & Karaş, H. (2019). Yaşam boyu vajinismus tanısı konulan kadınlarda depresyon ve anksiyete bozukluklarının yaygınlığı ve cinsel işlevlerle ilişkisi. Türk Psikiyatri Dergisi, 30(1), 9-15.
  • 18. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods, 39(2), 175-191.
  • 19. Oksuz, E., & Malhan, S. (2006). Prevalence and risk factors for female sexual dysfunction in Turkish women. J Urol, 175(2), 654-658.
  • 20. Aydın, S., Onaran, Ö. I., Topalan, K., Aydın, Ç. A., & Dansuk, R. (2016). Development and validation of Turkish version of The Female Sexual Distress Scale-Revised. Sex Med, 4(1), e43-e50.
  • 21. Zhang, H., Fan, S., & Yip, P. S. (2015). Sexual dysfunction among reproductive-aged Chinese married women in Hong Kong: Prevalence, risk factors, and associated consequences. J Sex Med, 12(3), 738-745.
  • 22. Rosen, R., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsigh, R., et al. (2000). The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther, 26(2), 191-208.
  • 23. Öksüz, E., & Malhan, S. (2005). Kadın Cinsel Fonksiyon İndeksi Türkçe uyarlamasının geçerlilik ve güvenilirlik analizi. Sendrom, 54-59.
  • 24. DeRogatis, L., Clayton, A., Lewis-D’Agostino, D., Wunderlich, G., & Fu, Y. (2008). Validation of the Female Sexual Distress Scale-Revised for assessing distress in women with hypoactive sexual desire disorder. J Sex Med, 5(2), 357-364.
  • 25. Watson, D., O’Hara, M. W., Naragon-Gainey, K., Koffel, E., Chmielewski, M., Kotov, R., et al. (2012). Development and validation of new anxiety and bipolar symptom scales for an expanded version of the IDAS (the IDAS-II). Assessment, 19(4), 399-420.
  • 26. Irak, M., & Albayrak, E. O. (2020). Psychometric properties of the expanded version of the Inventory of Depression and Anxiety Symptoms in a Turkish population. Psychol Rep, 123(2), 517-545.
  • 27. Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess, 26(1), 41-54.
  • 28. Ruganci, R. N., & Gençöz, T. (2010). Psychometric properties of a Turkish version of the Difficulties in Emotion Regulation Scale. J Clin Psychol, 66(4), 442-455.
  • 29. George D., & Mallery P. (2010). SPSS for Windows step by step: A simple guide and reference 17.0 update (10th ed.). Boston: Pearson.
  • 30. Forbes, M. K., Baillie, A. J., Eaton, N. R., & Krueger, R. F. (2017). A place for sexual dysfunctions in an empirical taxonomy of psychopathology. J Sex Res, 54(4-5), 465-485.
  • 31. Morin, A. J. S., Arens, A. K., & Marsh, H. W. (2016). A bifactor exploratory structural equation modeling framework for the identification of distinct sources of construct-relevant psychometric multidimensionality. Struct Equ Modeling, 23(1), 116-139.
  • 32. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2th ed.). New York: Lawrence Erlbaum Associates.
  • 33. Gürbüz, S. (2021). AMOS ile yapısal eşitlik modellemesi (2. Baskı). Ankara: Seçkin Yayıncılık.
  • 34. Kline, R. B. (2016). Principles and practice of structural equation modeling (4th ed.). New York: The Guilford Press.
  • 35. Byrne, B. M. (2010). Structural equation modeling with AMOS: Basic concepts, applications, and programming (2th ed.). New York: Taylor & Francis.
  • 36. Forbes, M. K., & Schniering, C. A. (2013). Are sexual problems a form of internalizing psychopathology? A structural equation modeling analysis. Arch Sex Behav, 42(1), 23-34.
  • 37. Kendurkar, A., & Kaur, B. (2008). Major depressive disorder, obsessive-compulsive disorder, and generalized anxiety disorder: Do the sexual dysfunctions differ?. Prim Care Companion J Clin Psychiatry, 10(4), 299-305.
  • 38. Lai C. H. (2011). Major depressive disorder: Gender differences in symptoms, life quality, and sexual function. J Clin Psychopharmacol, 31(1), 39-44.
  • 39. Aksaray, G., Yelken, B., Kaptanoğlu, C., Oflu, S., & Ozaltin, M. (2001). Sexuality in women with obsessive compulsive disorder. J Sex Marital Ther, 27(3), 273-277.
  • 40. Mercan, S., Karamustafalioglu, O., Ayaydin, E. B., Akpinar, A., Goksan, B., Gonenli, S., et al. (2006). Sexual dysfunction in female patients with panic disorder alone or with accompanying depression. Int J Psychiatry Clin Pract, 10(4), 235-240.
  • 41. Yehuda, R., Lehrner, A., & Rosenbaum, T. Y. (2015). PTSD and sexual dysfunction in men and women. J Sex Med, 12(5), 1107-1119.
  • 42. Dell’Osso, L., Carmassi, C., Carlini, M., Rucci, P., Torri, P., Cesari, D., et al. (2009). Sexual dysfunctions and suicidality in patients with bipolar disorder and unipolar depression. J Sex Med, 6(11), 3063-3070.
  • 43. Kashdan, T. B., Adams, L., Savostyanova, A., Ferssizidis, P., McKnight, P. E., & Nezlek, J. B. (2011). Effects of social anxiety and depressive symptoms on the frequency and quality of sexual activity: A daily process approach. Behav Res Ther, 49(5), 352-360.
  • 44. Fischer, V. J., Andersson, G., Billieux, J., & Vögele, C. (2022). The relationship between emotion regulation and sexual function and satisfaction: A scoping review. Sex Med Rev, 10(2), 195-208.
  • 45. Forbes, M. K., Baillie, A. J., & Schniering, C. A. (2016). Should sexual problems be included in the internalizing spectrum? A comparison of dimensional and categorical models. J Sex Marital Ther, 42(1), 70- 90.
  • 46. Hostinar, C. E., & Cicchetti, D., (2020). Emotion dysregulation and internalizing spectrum disorders. In Beauchaine, T. P., & Crowell, S. E. (Eds.) The Oxford handbook of emotion dysregulation (pp. 249-264). New York: Oxford University Press.
  • 47. D’Avanzato, C., Joormann, J., Siemer, M., & Gotlib, I. H. (2013). Emotion regulation in depression and anxiety: Examining diagnostic specificity and stability of strategy use. Cogn Ther Res, 37(5), 968-980
Toplam 47 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Ruh Sağlığı Hizmetleri
Bölüm Araştırma Makaleleri
Yazarlar

Özge Gökçen 0000-0001-5701-3820

Cennet Şafak Öztürk 0000-0002-8485-039X

Yayımlanma Tarihi 31 Mayıs 2025
Gönderilme Tarihi 30 Ekim 2024
Kabul Tarihi 6 Ocak 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 9 Sayı: 2

Kaynak Göster

APA Gökçen, Ö., & Şafak Öztürk, C. (2025). Evli Kadınlarda Cinsel İşlev Bozuklukları, Depresyon ve Kaygı Belirtileri, Duygu Düzenleme Güçlükleri. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 9(2), 187-205. https://doi.org/10.46237/amusbfd.1576216

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