A Causal Model of Sexual Function Based on Sexual Dysfunctional Beliefs, Psychological Distress and Dimensions of Marital Intimacy

Document Type : Original Article


1 Ph.D. Candidate in Health Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran

2 Corresponding Author; Assistant Professor, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran symiapsy@yahoo.com

3 Full Professor of Clinical Psychology, Allameh Tabataba’i University, Tehran. Iran

4 Assistant Professor, Department of Psychology, Birjand Branch, Islamic Azad University, Birjand, Iran


The aim of this study was to investigate a causal model of sexual function based on sexual dysfunctional beliefs, psychological distress and marital intimacy. This is a descriptive-correlational study, and its statistical population included all the married women referring to the health centers in Bardsir, Iran. Using the convenience sampling method, a sample of 506 women was selected. The participants completed the Sexual Dysfunctional Beliefs Scale, the Female Sexual Function Index, the Bagarozzi Intimacy Needs Questionnaire and the Psychological Distress Index. The findings revealed that sexual dysfunctional beliefs have a significantly positive effect on psychological distress, and a significantly negative effect on marital intimacy and sexual function. In addition, marital intimacy had a significantly positive and direct effect on sexual function. Also, the direct effect of psychological distress on sexual function was significantly negative. The results further indicated that sexual dysfunctional beliefs had a significantly negative and direct effect on sexual function. The results also showed that sexual dysfunctional beliefs due to psychological distress and marital intimacy can directly predict sexual function.


Adams, S. G., & Chupurdia, K.M., & Lofland, K.R. (1996). Assessment of sexual beliefs and information in aging couples whit dysfunction. Archives of Sexual Behavior, 25(3), 249-260.
Bagarozzi, D. A. (2013).Enhancing intimacy in marriage: A Clinician's Guide. New York: Brunner-Rutledge.
Balanean, R. (2012a). Postmodern psycho-social influences on the dysfunctional sexual beliefs of the Romanian youth. Procedia - Social and Behavioral Sciences, 31 (2012)714-718.
Beck J, Bozman GA. gender differences in sexual desire: the effects of anger and anxiety. Arch sexual Behavior. 1996; 24(6), 595-612.
Brizendine L.  The female brain. New York: Broadway Books; 2006
Byers ES. (2005).Relationship satisfaction and sexual satisfaction: a longitudinal study of individuals in long-term relationships. J Sex Res. 42(2): 113-8.
Byers, E.(2005). Relationship satisfaction and sexual satisfaction: a longitudinal study of individuals in long-term relationships. J Sex Res. 42, 113–118.
Davison, S.L., Bell, R.J., La China, M., Holden, S.L.: Davis SR. (2009).The relationship between self-reported sexual satisfaction and general well-being in women. J Sex Med. 6, 2690–2697.
Dogan, T., Tugut, N., & Golbasi, Z. (2013). The relationship between sexual quality of life, happiness, and satisfaction with life in married Turkish women. Sexuality and Disability, 31(3), 239-247.
Drew, J. (2003). The myth of female sexual dysfunction and its medicalization. Sexualities, Evolution & Gender, 5(2), 89–96.
Duba, J. D., Hughey, A. W., Lara, T., & Burke, M.G(2012). Areas of marital dissatisfaction among long-term couples, Adult span Journal, 11, 39-54.
Epstein, N., & Eidelson, R.J(1981). Unrealistic beliefs of clinical couples: Their relationship to expectations, goals, and satisfaction, American Journal of Family Therapy. 9, 13-22.
Fallahi, M., & Bakhshipour, B. (2014).The Prediction of Marital Satisfaction and Sexual Satisfaction Based on Attachment Styles among Married Women in Gorgan. (persion)
Henry,J.D  & Crawford, J. R.  (2005). the short‐form version of the Depression Anxiety Stress Scales (DASS‐21): Construct validity and normative data in a large non‐clinical sample. British   journal of clinical psychology.44(2), 227-239.
Hurtman, U. Depression and sexual dysfunction. J  Men’s health and gender. 2007; 4(1): 18-25.
Karney, B.R., & Bradbury, T.N(1995). The longitudinal course of marital quality and stability: A review of theory, method, and research. Psychological Bulletin, 118, 3-34.
Kuffle, S.W., & Heiman, J.R. (2006). Effects of depressive symptoms and experimentally adopted schemas on sexual arousal and affect in sexually healthy women. Archives of Sexual Behavior, 35, 163-177.