نقش میانجی اضطراب صفت در رابطه خودتوصیفی بدنی و کمال‌گرایی منفی با عملکرد جنسی در زنان مبتلا به واژینیسموس

هدف از انجام این پژوهش بررسی نقش میانجی اضطراب صفت در رابطه خودتوصیفی بدنی و کمال‌گرایی منفی با عملکرد جنسی در زنان مبتلا به واژینیسموس بود. تعداد 280 نفر از زنان مبتلا به واژینیسموس با روش نمونه‌گیری در دسترس انتخاب شدند. گردآوری داده‌ها با پرسشنامه خود توصیفی بدنی (psdq)، مقیاس کمال گرایی مثبت و منفی (panps)، سیاهه اضطراب حالت-صفت (stai) و شاخص عملکرد جنسی زنان (fsfi) انجام شد. از تحلیل مسیر برای تجزیه و تحلیل داده‌ها استفاده شد. یافته‌ها نشان داد که خودتوصیفی بدنی و کمال گرایی منفی بر عملکرد جنسی زنان اثرمستقیم و معناداری دارند (0.01>p). اثرات غیرمستقیم خود توصیفی بدنی و کمال گرایی منفی بر عملکرد جنسی زنان به واسطه اضطراب صفت نیز معنادار بود (0.01>p). یافته‌های این پژوهش نشان داد که بین خود توصیفی بدنی و کمال‌گرایی منفی با عملکرد جنسی در زنان مبتلا به اختلال واژینیسموس رابطه وجود دارد. همچنین در این ارتباط اضطراب صفت نقش واسطه‌ای دارد. به نظر می‌رسد این یافته‌ها می‌تواند به درمانگران در کمک به بیماران مبتلا به واژینیسموس کمک کند.

the mediating role of trait anxiety in the relationship between physical self-description and negative perfectionism with sexual performance among women with vaginismus

strain lasting for at least six months (excluding substance use or mwomen with vaginismus exhibit high levels of anxiety and depression. additionally, their marital satisfaction and sexual self-esteem are notably low (pietk, 2014) .one of the factors influencing the sexual functioning of women with vaginismus is physical self-description. physical self-description, is determined by an individual's perception and mental representation of their physical appearance and condition. for women, a positive physical self-description has been associated with a more satisfying sexual life (deutsch et al., 2014). conversely, a negative body image is linked to sexual dysfunction (carvalheira et al., 2017) and sexual dissatisfaction (pujols et al., 2010). another factor affecting the sexual functioning of women with vaginismus is perfectionism. perfectionism typically refers to an individual's tendency to set unattainably high standards and strive to achieve them, often accompanied by critical self-evaluations of personal performance (stoeber & otto, 2006). besides the direct relationship between physical self-description, perfectionism, and sexual dysfunction these variables may also be mediated by factors such as anxiety. research indicates a connection between anxiety and sexual dysfunctions (higgins, 2011). furthermore, it has been established that women with vaginismus exhibit higher levels of anxiety disorders (sfeir et al., 2024). research on vaginismus is essential due to the significant challenges this disorder poses to sexual functioning and its associated distress, interpersonal difficulties, infertility, strained marital and emotional relationships, anxiety, depression, and reduced self-esteem in affected women. the aim of the present study is to examine the path analysis model of sexual functioning based on physical self-description and negative perfectionism in women with vaginismus, with the mediating role of trait anxiety.methodthis study is applied research employing a correlational design based on path analysis modeling. a total of 280 women suffering from vaginismus in mashhad (a city in iran) were selected using convenience sampling. data collection was conducted using the female sexual function index (fsfi), the positive and negative perfectionism scale (panps), the physical self-description questionnaire (psdq), and the state-trait anxiety inventory (stai). data analysis was performed using spss.27 and smartpls. 3.3.1 software.resultsthe results indicated that there is a positive relationship between physical self-description and both perfectionism and trait anxiety, while a negative relationship exists with sexual performance. negative perfectionism also showed a positive relationship with trait anxiety and a negative relationship with sexual performance. trait anxiety, in turn, was negatively associated with sexual performance. all coefficients were significant (p ≤ 0.01). subsequently, the path analysis model was evaluated, and the standard error was estimated using the bootstrap method, with the model being reproduced through 2000 iterations. the predictive model for trait anxiety (r² = 0.13, r²adjusted = 0.12, q² = 0.12) and sexual performance (r² = 0.21, r²adjusted = 0.20, q² = 0.19) demonstrated satisfactory fit. further results revealed that physical self-description and negative perfectionism have a direct positive effect on trait anxiety and a direct negative effect on sexual performance. the indirect effects of physical self-description (β = -0.029) and negative perfectionism (β = -0.052) on sexual performance, mediated by trait anxiety, were also negative and significant. physical self-description had a greater total effect on sexual performance (-0.276 compared to -0.237).