Presenting the model of sexual performance of postmenopausal women based on sexual self-expression with the mediating role of state-attribute anxiety and sexual self-esteem

Abstract

Aim: The purpose of the present study was to provide a model of sexual performance of women under menopause based on sexual self-expression with the mediating role of state-attribute anxiety and sexual self-esteem. Method: The research method was descriptive and correlation type using structural equations. The statistical population in this research was made up of all post-menopausal women who referred to the health and treatment centers of Rudsar city between August 2022 and the end of September 2022. They were selected by lottery and then the women who visited these centers during the mentioned period of time to receive services and met the conditions to enter the research were selected as a sample and questionnaires were provided to them, and finally 350 were selected as a sample. were chosen. The measurement tools in this research were questionnaires of women's sexual performance (1997), women's sexual self-esteem (1996), Spielberger's anxiety (1970) and Halbert's sexual entitlement (1992). Data analysis was done using Pearson's correlation coefficient and structural equation modeling with AMOS software. Results: The results of the fit of the proposed model indicated a good fit of the model with the data, and the standard coefficients of the paths of the proposed model showed that the highest coefficient is assigned to the path of sexual self-expression and sexual self-esteem, and the lowest coefficient is assigned to state anxiety and sexual performance. Also, the bootstrap results for the indirect path of the proposed model showed that sexual self-expression through trait anxiety has an indirect effect on women's sexual performance, and sexual self-expression through sexual self-esteem has an indirect effect on women's sexual performance. Conclusion: It is suggested to pay more attention to sexual self-expression and sexual self-esteem in couples therapy and sex therapy centers to help women with sexual dysfunction.