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Published in: Health and Quality of Life Outcomes 1/2021

Open Access 01-12-2021 | Mood Disorders | Research

Psycho-sexual influence of sterilization on women’s quality of life: a path model

Authors: Samaneh Youseflu, Shahideh Jahanian Sadatmahalleh

Published in: Health and Quality of Life Outcomes | Issue 1/2021

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Abstract

Background

Tubal ligation, as a permanent contraception method, have a negative and positive impact on women’s life. This study aimed to test a conceptual model considering the interrelated role of menorrhagia, body image concern, self-esteem, sexual function, anxiety and depression on quality of life (QOL) of sterilized women.

Methods

The current study was conducted as a cross-sectional study on 200 sterilized women. Data were collected using a socio-demographic checklist, Short Form Health Survey (SF-12), pictorial blood loss assessment chart, female sexual function index, hospital anxiety and depression scale, body image concern inventory, and Rosenberg Self-esteem Scale. Data were analyzed using Pearson correlation coefficient and path analysis.

Results

Results show that anxiety, sexual function, self-esteem, and body image dissatisfaction have a direct effect on women’s QOL. Higher level of anxiety, and body dissatisfaction directly reduce QOL. Sexual function, and menorrhagia, with an indirect effect through anxiety, reduces QOL. Higher level of anxiety with indirect effect thorough self-esteem can worsen QOL. Also, sexual function indirectly affects QOL through anxiety.

Conclusion

It looks that the proposed predictors of this model are greatly important. These findings give support for a hypothetical model in which betterment in SF, body image satisfaction, self-esteem, anxiety, and menorrhagia led to a good QOL of sterilized women. Hence, in designing care for sterilized women, these factors should be considered.
Literature
1.
go back to reference Shobeiri MJ, AtashKhoii S. The risk of menstrual abnormalities after tubal sterilization: a case control study. BMC Womens Health. 2005;5(1):5.CrossRef Shobeiri MJ, AtashKhoii S. The risk of menstrual abnormalities after tubal sterilization: a case control study. BMC Womens Health. 2005;5(1):5.CrossRef
2.
go back to reference Loghmani L, Saedi N, Omani-Samani R, Safiri S, Sepidarkish M, Maroufizadeh S, et al. Tubal ligation and endometrial Cancer risk: a global systematic review and meta-analysis. BMC Cancer. 2019;19(1):942.CrossRef Loghmani L, Saedi N, Omani-Samani R, Safiri S, Sepidarkish M, Maroufizadeh S, et al. Tubal ligation and endometrial Cancer risk: a global systematic review and meta-analysis. BMC Cancer. 2019;19(1):942.CrossRef
3.
go back to reference McNamara C, Abbott SE, Bandera EV, Qin B, Peres LC, Camacho F, et al. Tubal ligation and ovarian cancer risk in African American women. Cancer Causes Control. 2017;28(10):1033–41.CrossRef McNamara C, Abbott SE, Bandera EV, Qin B, Peres LC, Camacho F, et al. Tubal ligation and ovarian cancer risk in African American women. Cancer Causes Control. 2017;28(10):1033–41.CrossRef
4.
go back to reference Kelekçi S, Erdemoglu E, Kutluk S, Yılmaz B, Savan K. Risk factors for tubal ligation: regret and psychological effects impact of Beck Depression Inventory. Contraception. 2005;71(6):417–20.CrossRef Kelekçi S, Erdemoglu E, Kutluk S, Yılmaz B, Savan K. Risk factors for tubal ligation: regret and psychological effects impact of Beck Depression Inventory. Contraception. 2005;71(6):417–20.CrossRef
5.
go back to reference Shahideh JS, Ziaei S, Kazemnejad A, Mohamadi E. Menstrual pattern following tubal ligation: A historical cohorts. Iran J Reprod Med. 2015;9:477–82. Shahideh JS, Ziaei S, Kazemnejad A, Mohamadi E. Menstrual pattern following tubal ligation: A historical cohorts. Iran J Reprod Med. 2015;9:477–82.
6.
go back to reference Sung S, Abramovitz A. Tubal Ligation. Treasure Island: StatPearls Publishing; 2019. Sung S, Abramovitz A. Tubal Ligation. Treasure Island: StatPearls Publishing; 2019.
7.
go back to reference Shreffler KM, Greil AL, McQuillan J, Gallus KL. Reasons for tubal sterilisation, regret and depressive symptoms. J Reprod Infant Psychol. 2016;34(3):304–13.CrossRef Shreffler KM, Greil AL, McQuillan J, Gallus KL. Reasons for tubal sterilisation, regret and depressive symptoms. J Reprod Infant Psychol. 2016;34(3):304–13.CrossRef
8.
go back to reference Sadatmahalleh SJ, Ziaei S, Kazemnejad A, Mohamadi E. Evaluation of sexual function and quality of life in Iranian women with tubal ligation: a historical cohort study. Int J Impot Res. 2015;27(5):173–7.CrossRef Sadatmahalleh SJ, Ziaei S, Kazemnejad A, Mohamadi E. Evaluation of sexual function and quality of life in Iranian women with tubal ligation: a historical cohort study. Int J Impot Res. 2015;27(5):173–7.CrossRef
9.
go back to reference Kunkeri SP, Sathyanarayana Rao TS, Andrade C. Study of sexual functioning and disorder in women before and after tubal sterilization (tubectomy). Indian J Psychiatry. 2017;59(1):63–8.CrossRef Kunkeri SP, Sathyanarayana Rao TS, Andrade C. Study of sexual functioning and disorder in women before and after tubal sterilization (tubectomy). Indian J Psychiatry. 2017;59(1):63–8.CrossRef
10.
go back to reference Montazeri A, Vahdaninia M, Mousavi SJ, Omidvari S. The Iranian version of 12-item short form health survey (SF-12): factor structure, internal consistency and construct validity. BMC Public Health. 2009;9(1):341.CrossRef Montazeri A, Vahdaninia M, Mousavi SJ, Omidvari S. The Iranian version of 12-item short form health survey (SF-12): factor structure, internal consistency and construct validity. BMC Public Health. 2009;9(1):341.CrossRef
11.
go back to reference Montazeri A, Vahdaninia M, Ebrahimi M, Jarvandi S. The hospital anxiety and depression scale (HADS): translation and validation study of the Iranian version. Health Qual Life Outcomes. 2003;1(1):14.CrossRef Montazeri A, Vahdaninia M, Ebrahimi M, Jarvandi S. The hospital anxiety and depression scale (HADS): translation and validation study of the Iranian version. Health Qual Life Outcomes. 2003;1(1):14.CrossRef
12.
go back to reference Fakhri A, Pakpour AH, Burri A, Morshedi H, Zeidi IM. The female sexual function index: translation and validation of an Iranian version. J Sex Med. 2012;9(2):514–23.CrossRef Fakhri A, Pakpour AH, Burri A, Morshedi H, Zeidi IM. The female sexual function index: translation and validation of an Iranian version. J Sex Med. 2012;9(2):514–23.CrossRef
13.
go back to reference Ghadakzadeh S, Ghazipour A, Khajeddin N, Karimian N, Borhani M. Body image concern inventory (BICI) for identifying patients with BDD seeking rhinoplasty: using a Persian (Farsi) version. Aesthet Plast Surg. 2011;35(6):989–94.CrossRef Ghadakzadeh S, Ghazipour A, Khajeddin N, Karimian N, Borhani M. Body image concern inventory (BICI) for identifying patients with BDD seeking rhinoplasty: using a Persian (Farsi) version. Aesthet Plast Surg. 2011;35(6):989–94.CrossRef
14.
go back to reference Shapurian R, Hojat M, Nayerahmadi H. Psychometric characteristics and dimensionality of a Persian version of Rosenberg Self-esteem Scale. Percept Mot Skills. 1987;65(1):27–34.CrossRef Shapurian R, Hojat M, Nayerahmadi H. Psychometric characteristics and dimensionality of a Persian version of Rosenberg Self-esteem Scale. Percept Mot Skills. 1987;65(1):27–34.CrossRef
15.
go back to reference Higham JM, Shaw R. Clinical associations with objective menstrual blood volume. Eur J Obstet Gynecol Reprod Biol. 1999;82(1):73–6.CrossRef Higham JM, Shaw R. Clinical associations with objective menstrual blood volume. Eur J Obstet Gynecol Reprod Biol. 1999;82(1):73–6.CrossRef
16.
go back to reference Li RHW, Lo SST, Teh DKG, Tong N-C, Tsui MHY, Cheung K-B, et al. Impact of common contraceptive methods on quality of life and sexual function in Hong Kong Chinese women. Contraception. 2004;70(6):474–82.CrossRef Li RHW, Lo SST, Teh DKG, Tong N-C, Tsui MHY, Cheung K-B, et al. Impact of common contraceptive methods on quality of life and sexual function in Hong Kong Chinese women. Contraception. 2004;70(6):474–82.CrossRef
17.
go back to reference Gulum M, Yeni E, Sahin MA, Savas M, Ciftci H. Sexual functions and quality of life in women with tubal sterilization. Int J Impot Res. 2010;22(4):267–71.CrossRef Gulum M, Yeni E, Sahin MA, Savas M, Ciftci H. Sexual functions and quality of life in women with tubal sterilization. Int J Impot Res. 2010;22(4):267–71.CrossRef
18.
go back to reference Alyahya MS, Hijazi HH, Alshraideh HA, Al-sheyab NA, Alomari D, Malkawi S, et al. Do modern family planning methods impact women’s quality of life? Jordanian women’s perspective. Health Qual Life Outcomes. 2019;17(1):154.CrossRef Alyahya MS, Hijazi HH, Alshraideh HA, Al-sheyab NA, Alomari D, Malkawi S, et al. Do modern family planning methods impact women’s quality of life? Jordanian women’s perspective. Health Qual Life Outcomes. 2019;17(1):154.CrossRef
19.
go back to reference Hentschel H, Alberton DL, Sawdy RJ, Capp E, Goldim JR, Passos EP. Sexual function in women from infertile couples and in women seeking surgical sterilization. J Sex Marital Ther. 2008;34(2):107–14.CrossRef Hentschel H, Alberton DL, Sawdy RJ, Capp E, Goldim JR, Passos EP. Sexual function in women from infertile couples and in women seeking surgical sterilization. J Sex Marital Ther. 2008;34(2):107–14.CrossRef
20.
go back to reference Costello C, Hillis SD, Marchbanks PA, Jamieson DJ, Peterson HB. The effect of interval tubal sterilization on sexual interest and pleasure. Obstet Gynecol. 2002;100(3):511–7.PubMed Costello C, Hillis SD, Marchbanks PA, Jamieson DJ, Peterson HB. The effect of interval tubal sterilization on sexual interest and pleasure. Obstet Gynecol. 2002;100(3):511–7.PubMed
21.
go back to reference Gokyildiz S, Aslan E, Beji NK, Mecdi M. The effects of menorrhagia on women’s quality of life: a case-control study. ISRN Obstet Gynecol. 2013;2013. Gokyildiz S, Aslan E, Beji NK, Mecdi M. The effects of menorrhagia on women’s quality of life: a case-control study. ISRN Obstet Gynecol. 2013;2013.
22.
go back to reference Yusuf L. Menorraghia’s impact on quality of life: a case control study from a teaching Hospital in Lahore. Pak J Med Sci. 2018;34(6):1435.CrossRef Yusuf L. Menorraghia’s impact on quality of life: a case control study from a teaching Hospital in Lahore. Pak J Med Sci. 2018;34(6):1435.CrossRef
23.
go back to reference Smith AHW. Psychiatric aspects of sterilization: a prospective survey. Br J Psychiatry. 2018;135(4):304–9.CrossRef Smith AHW. Psychiatric aspects of sterilization: a prospective survey. Br J Psychiatry. 2018;135(4):304–9.CrossRef
24.
go back to reference Cooper P, Gath D, Fieldsend R, Rose N. Psychological and physical outcome after elective tubal sterilization. J Psychosom Res. 1981;25(5):357–60.CrossRef Cooper P, Gath D, Fieldsend R, Rose N. Psychological and physical outcome after elective tubal sterilization. J Psychosom Res. 1981;25(5):357–60.CrossRef
25.
go back to reference Thompson JK, Heinberg LJ, Altabe M, Tantleff-Dunn S. Exacting beauty: theory, assessment, and treatment of body image disturbance: American Psychological Association. 1999. Thompson JK, Heinberg LJ, Altabe M, Tantleff-Dunn S. Exacting beauty: theory, assessment, and treatment of body image disturbance: American Psychological Association. 1999.
26.
go back to reference Becker CB, Verzijl CL, Kilpela LS, Wilfred SA, Stewart T. Body image in adult women: associations with health behaviors, quality of life, and functional impairment. J Health Psychol. 2019;24(11):1536–47.CrossRef Becker CB, Verzijl CL, Kilpela LS, Wilfred SA, Stewart T. Body image in adult women: associations with health behaviors, quality of life, and functional impairment. J Health Psychol. 2019;24(11):1536–47.CrossRef
27.
go back to reference Kogure GS, Ribeiro VB, Lopes IP, Furtado CLM, Kodato S, de Sá MFS, et al. Body image and its relationships with sexual functioning, anxiety, and depression in women with polycystic ovary syndrome. J Affect Disord. 2019;253:385–93.CrossRef Kogure GS, Ribeiro VB, Lopes IP, Furtado CLM, Kodato S, de Sá MFS, et al. Body image and its relationships with sexual functioning, anxiety, and depression in women with polycystic ovary syndrome. J Affect Disord. 2019;253:385–93.CrossRef
Metadata
Title
Psycho-sexual influence of sterilization on women’s quality of life: a path model
Authors
Samaneh Youseflu
Shahideh Jahanian Sadatmahalleh
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2021
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-021-01733-9

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