Mediating Role of Psychological Distress between Body Image Concerns and Sexual Functioning in Primiparous Women
DOI:
https://doi.org/10.52053/jpap.v4i3.219Keywords:
Body Image Concerns, Female Sexual Functioning, Primiparous Women, Psychological DistressAbstract
The birth of a baby brings changes in the weight and body shape of a female, distorting their body image. Therefore, the aim of this study was to explore the relationship between body image concerns, psychological distress, and sexual functioning in primiparous women. A cross-sectional survey research design was used to recruit 120 primiparous women from gynecology clinics located in Punjab via purposive sampling. The participants' ages ranged from 18 to 35 years (M=26, SD=4.34). The data was collected through a survey booklet, including socio demographics and standardized assessment measures like the Body Image Concerns Inventory, Kessler's Psychological Distress Scale, and the Female Sexual Functioning Index. Descriptive statistics, Pearson product moment correlation, and mediation analysis were the main statistical tools used in this study. The study found a significant positive association between body image concerns and psychological distress. Similarly, body image concerns and psychological distress were negatively correlated with sexual functioning. The mediation analysis revealed that the association between body image concerns and sexual functioning was partially mediated by psychological distress. Increased body image concerns have a negative impact on the psychological and sexual well-being of primiparous women.
References
Ali, B., Touseef, M., Niaz, U., Sarwar, S., Iqbal, S., Idrees, M., Younas, M. S., Rasool, S., Abbas, S., & Shafqat, H. (2023). Silent Suffering: A Qualitative Study On The Impact Of Infertility On The Social And Psychological Health Of Women In District Faisalabad, Pakistan, And Its Socio-Cultural Factors. Journal of Applied School Psychology, 7(6), 330-349.
Anatale, K., & Kelly, S. (2015). Factors influencing adolescent girls’ sexual behavior: A secondary analysis of the 2011 Youth Risk Behavior Survey. Issues in Mental Health Nursing, 36, 217–221. doi:10.3109/01612840.2014.963902 DOI: https://doi.org/10.3109/01612840.2014.963902
Bellapigna, C., & Kalibatseva, Z. (2023). Psychosocial risk factors associated with social anxiety, depressive and disordered eating symptoms during COVID-19. AIMS Public Health, 10(1): 18-34. doi:10.3934/publichealth.2023003 DOI: https://doi.org/10.3934/publichealth.2023003
Calogero, R. M., Tantleff-Dunn, S., & Thompson, J. K. (Eds.). (2011). Objectification theory: An introduction. In R. M. Calogero, S. Tantleff-Dunn, & J. K. Thompson (Eds.), Self- objectification in women: Causes, consequences, and counteractions (pp. 3–21). American Psychological Association. https://doi.org/10.1037/12304-001 DOI: https://doi.org/10.1037/12304-001
Carr, M. M., Mannes, Z. L., Oberleitner, L. M. S., Oberleitner, D. E., Beitel, M., Gazzola, M. G., Madden, L. M., Zheng, X., & Barry, D. T. (2023). The impact of body image dissatisfaction on psychological distress and health-related quality of life among patients in methadone treatment. American Journal on Addiction. doi: 10.1111/ajad.13432 DOI: https://doi.org/10.1111/ajad.13432
Diengdoh, I., & Ali, A. (2022). Body Image and Its Association with Depression, Anxiety, and Self-esteem among College going Students: A Study from Northeast India. Indian Journal of Community Medicine, 47(2), 218-222. DOI:10.4103/ijcm.ijcm_881_21 DOI: https://doi.org/10.4103/ijcm.ijcm_881_21
Dryden, C., & Anderson, J. (2019). The dark triad, trait-based self-objectification, and body image concerns in young women. Personality and Individual Differences, 145, 18. https://doi.org/10.1016/j.paid.2019.03.015 DOI: https://doi.org/10.1016/j.paid.2019.03.015
Effati-Daryani, F., Jahanfar, S., Mohammadi, A., Zarei, S., & Mirghafourvand, M. (2021). The relationship between sexual function and mental health in Iranian pregnant women during the COVID-19 pandemic. BMC Pregnancy Childbirth, 21(1), 327. doi: 10.1186/s12884-021-03812-7. DOI: https://doi.org/10.1186/s12884-021-03812-7
Eissa, M.F., Missiry, M.A., Kamel, K.F.W., & Mahmoud, D. A. M. (2022). Sexual dysfunction and quality of life in female patients with major depression disorder. Middle East Current Psychiatry, 29(1), 43. https://doi.org/10.1186/s43045-022-00206-z DOI: https://doi.org/10.1186/s43045-022-00206-z
Fredrickson, B. L., & Roberts, T. A. (1997). Objectification theory: toward understanding women’s lived experience and mental health risks. Psychology of Women Quarterly, 21, 73- 206. https://doi.org/10.1111/j.1471-6402.1997.tb00108.x DOI: https://doi.org/10.1111/j.1471-6402.1997.tb00108.x
Grajek, M., Krupa-Kotara, K., Grot, M., Kujawi?ska, M., Helisz, P., Gwio?dzik, W., Bia?ek-Dratwa, A., Sta?kiewicz, W., & Kobza, J. (2022). Perception of the Body Image in Women after Childbirth and the Specific Determinants of Their Eating Behavior: Cross-Sectional Study (Silesia, Poland). International Journal of Environmental Research and Public Health, 19(16), 10137. doi: 10.3390/ijerph191610137 DOI: https://doi.org/10.3390/ijerph191610137
Grippo, K. P., & Hill, M. S. (2008). Self-objectification, habitual body monitoring, and body dissatisfaction in older European American women: Exploring age and feminism as moderators. Body Image, 5(2), 173-182. doi: 10.1016/j.bodyim.2007.11.003 DOI: https://doi.org/10.1016/j.bodyim.2007.11.003
Horvath, Z., Smith, B. H., Sal, D., Hevesi, K., & Rowland, D. L. (2020). Body image, orgasmic response, and sexual relationship satisfaction: understanding relationships and establishing typologies based on body image satisfaction. Sexual Medicine, 8(4), 740–51.doi: 10.1016/j.esxm.2020.06.008 DOI: https://doi.org/10.1016/j.esxm.2020.06.008
Jin, J. (2021). Behavioral Interventions for Healthy Weight Gain During Pregnancy. Journal of American Medical Association, 325(20), 2126. doi:10.1001/jama.2021.7530 DOI: https://doi.org/10.1001/jama.2021.7530
Kessler, R., & Mroczek, D. (1992). An update of the development of mental health screening scales for the US national health interview study. Ann Arbor, MI: Survey Research Center of the Institute for Social Research. University of Michigan.
Littleton, H. L., Axsom, D., & Pury, C. L. (2005). Development of the body image concern inventory. Behavior Research and Therapy, 43(2), 229-41. doi: 10.1016/j.brat.2003.12.006 DOI: https://doi.org/10.1016/j.brat.2003.12.006
Nazarpour, S., Simbar, M., Khorrami, M., Jafari Torkamani, Z., Saghafi, R., & Alavi-Majd, H. (2021). The association between sexual function and body image among postmenopausal women: a cross-sectional study. BMC Women's Health, 21, 1-9.
https://doi.org/10.1186/s12905-021-01549-1 DOI: https://doi.org/10.1186/s12905-021-01549-1
Pirnia, B., Homayounfar, N., Hosseini, N., Ebrahimi, F., Sadeghi, Z. H., & Malekanmehr, P. (2020). The predictive role of body image and sexual function in quality of life after modified radical mastectomy regarding the mediating role of emotion; a cross sectional study. International Journal of Cancer Management, 13(11). https://doi.org/10.5812/ijcm.101371 DOI: https://doi.org/10.5812/ijcm.101371
Rashid, Z., Arzeen, N., & Shah, M. (2021). Body image and psychological distress among university students. Journal of Postgraduate Medical Institute, 35(3), 181-4. https://doi.org/10.54079/jpmi.35.3.2695 DOI: https://doi.org/10.54079/jpmi.35.3.2695
Ren, L., Xu, Y., Guo, X., Zhang, J., Wang, H., Lou, X., Liang, J., & Tao, F. (2018). Body image as risk factor for emotional and behavioral problems among Chinese adolescents. BMC Public Health, 18, 1179. https://doi.org/10.1186/s12889-018-6079-0 DOI: https://doi.org/10.1186/s12889-018-6079-0
Rodgers, R. F., Laveway, K., Campos, P., de Carvalho, P. H. B. (2023). Body image as a global mental health concern. Global Mental Health (Camb), 10, e9. doi: 10.1017/gmh.2023.2 DOI: https://doi.org/10.1017/gmh.2023.2
Rosen, R., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsigh, R., Ferguson, D., & D'Agostino, R. Jr. (2000). The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex & Marital Therapy, 26(2), 191-208. doi: 10.1080/009262300278597 DOI: https://doi.org/10.1080/009262300278597
Sanchez, D.T., & Kiefer, A.K. (2007). Body concerns in and out of the bedroom: implications for sexual pleasure and problems. Archives of Sexual Behavior, 36, 808–820. doi: 10.1007/s10508-007-9205-0. DOI: https://doi.org/10.1007/s10508-007-9205-0
Simbar, M., Nazarpour, S., Alavi Majd, H., Dodel Andarvar, K., Jafari Torkamani, Z., & Alsadat Rahnemaei, F. (2020). Is body image a predictor of women’s depression and anxiety in postmenopausal women? BMC Psychiatry, 20(1), 1-8.
https://doi.org/10.1186/s12888-020-02617-w DOI: https://doi.org/10.1186/s12888-020-02617-w
Tavakoli, M., Hasanpoor-Azghady, S.B., Farahani, L. A. (2021). Predictors of mothers' postpartum body dissatisfaction based on demographic and fertility factors. BMC Pregnancy Childbirth, 21(1), 8. doi: 10.1186/s12884-020-03501-x DOI: https://doi.org/10.1186/s12884-020-03501-x
Watson, B., Fuller-Tyszkiewicz, M., Broadbent, J., & Skouteris, H. (2015). The meaning of body image experiences during the perinatal period: A systematic review of the qualitative literature. Body Image. 102-13 doi: 10.1016/j.bodyim.2015.04.005 DOI: https://doi.org/10.1016/j.bodyim.2015.04.005
Weaver, A., & Byers, S. (2007). The relationships among body image, body mass index, exercise & sexual functioning in heterosexual women. Psychology of Women Quarterly, 30, 333–339. https://doi.org/10.1111/j.1471-6402.2006.00308.x DOI: https://doi.org/10.1111/j.1471-6402.2006.00308.x
Xie, B., Chou, C. P., Spruijtmetz, D., Reynolds, K., Palmer, P. H., Wu, Q., Gallaher, P., Johnson, C. A. (2011). Longitudinal analysis of weight perception and psychological factors in Chinese adolescents. American Journal of Health Behavior, 35(1), 92. doi: 10.5993/ajhb.35.1.9 DOI: https://doi.org/10.5993/AJHB.35.1.9
Zhang, X., Li, Y., Zhong, Y., & Wang, Z. (2022). Variables associated with body image concerns in acromegaly patients: a cross-sectional study. Frontiers in Psychology, 13.doi: 10.3389/fpsyg.2022.733864 DOI: https://doi.org/10.3389/fpsyg.2022.733864
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