Relationship Between Stress, Anxiety, Depression, Sexual Function and Marital Adjustment in Nurses

Study Overview
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Brief Summary
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One of the factors that increase harmony in marriage is sexual life and sexual satisfaction (Erdinç, 2018). Sexual intercourse is one of the pillars of a successful family; accordingly, functionality in this area greatly affects marital adjustment (Atrian, 2018). Studies show an important relationship between sexual adjustment and marital adjustment (Türkseven et al., 2020; Begdeş, 2021). Negative workplace factors such as occupational stress and long working hours affect the physical and mental states of nurses (Oyeleye et al., 2013; Chesak et al., 2019). This study was planned to determine the relationship between stress, anxiety, depression, sexual function and marital adjustment in nurses.

Official Title
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Relationship Between Stress, Anxiety, Depression, Sexual Function and Marital Adjustment in Nurses

Conditions
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Stress, Anxiety Disorders, Sexual Behavior

Intervention / Treatment
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* Other: no intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Volunteer to participate in the research, Over the age of 18, Married, Those whose spouse is alive and living with their spouse will be included. Exclusion Criteria: Having a chronic disease (hypertension, diabetes), Nurses who are pregnant, Those who use drugs that may affect sexual function (beta-blockers, antihypertensives, antidepressants, antipsychotics, etc.) will be excluded from the study.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: no intervention|no intervention, survey was applied to the participants|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Marriage Adjustment Scale Marriage Adjustment Scale | It is a 15-item Likert-type scale developed by Locke and Wallace (1959) to evaluate marital satisfaction and marital adjustment level. It was adapted into Turkish by Tutarel and Kışlak (1999). The cut-off point of the scale is 43.5. The lowest score obtained from the scale indicates that the woman is very unhappy in her marriage, and the highest score indicates that the woman is very satisfied and happy in her marriage. The Cronbach alpha reliability coefficient in the form of the scale is 0.84 (Tutarel Kışlak, 1999). | 3 hours | 
| Arizona Sexual Experiences Scale | The Arizona Sexual Experiences Scale (ACEX) was developed by McGahuey et al. (2000) to measure sexual dysfunctions. The scale was adapted to Turkish by Soykan (2004) and its validity and reliability study was conducted. The Women's Form (ACYÖ) Scale is 6-point Likert type and consists of 5 questions. This scale is a Likert-type scale designed to evaluate the five basic components of sexual function: arousal, arousal, vaginal wetting, ability to reach orgasm, and satisfaction with orgasm. Scoring is done from 1 to 6. | 1 hour | 
| Depression, Anxiety and Stress 21 Scale (DASS-21) | Depression Anxiety Stress-21 Scale (DASS-21); It was developed by Lovibond and Lovibond (Lovibond and Lovibond, 1995) and adapted into Turkish by Sarıçam (Sarıçam, 2017). The scale is likert type and consists of 21 items. There are 7 items in each of the anxiety, depression and stress sub-dimensions. Scale items are scored between 0 and 3, ranging from never to always. The scale evaluates the symptoms of depression, anxiety and stress in the last week. The cut-off score was ≥10 in depression, ≥8 in anxiety, and ≥15 in the stress dimension (Lovibond & Lovibond, 1995). Cronbach alpha internal consistency reliability coefficient of the scale; It was found to be 0.81 for the stress subscale, 0.85 for the anxiety subscale, and 0.87 for the depression subscale (Sarıçam, 2018) | 3 hour |