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Volume 21, Issue 5
  • ISSN: 1573-4048
  • E-ISSN: 1875-6581

Abstract

Background

The enduring COVID-19 pandemic has implications for the sexual well-being of diverse populations, notably women. This worldwide emergency persists in affecting daily routines of individuals, as research indicates that alterations in lifestyle and imposed limitations are linked to mental health challenges.

Aim

The objective of this research is to examine the interpersonal dynamics of couples and the sexual well-being of women in the aftermath of the COVID-19 pandemic.

Methods

This cross-sectional research involved 395 female participants who utilized Google Forms to complete online questionnaires in Iran from November 2022 to December 2022. The data collection instruments comprised the Sexual Quality of Life-Female (SQOL-F) questionnaire, Depression Anxiety Stress Scale (DASS), Relationship Rating Scale (RAS), and Fear of COVID-19 Scale. Statistical analyses employed in the study included independent t-test, one-way ANOVA, Tukey post hoc test, and Univariate and Multiple linear regression.

Results

The average age of female participants in the study was 31.97 years, with a standard deviation of 9.04. The mean scores for sexual quality of life among women were 64.82 with a standard deviation of 11.93, 18.28 with a standard deviation of 4.48 for DASS, 22.48 with a standard deviation of 4.30 for RAS, and 12.88 with a standard deviation of 3.93 for fear of COVID-19 scale. Univariate linear regression analysis indicated a significant association between the quality of sexual life and fear of COVID-19 ( = 0.001), DASS ( = 0.001), and RAS ( = 0.007). The study found a noteworthy and negative impact of fear related to COVID-19 and DASS on the sexual quality of life of women ( < 0.05).

Conclusion

The anxiety stemming from the COVID-19 outbreak seems to have repercussions on the dynamics of romantic partnerships and the sexual well-being of women. Furthermore, the pandemic is associated with heightened levels of anxiety, stress, and depression. It is recommended that further research be undertaken to explore the mental health of women and its implications on their sexual experiences in the aftermath of the COVID-19 crisis.

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2025-07-07

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References

  1. NoelleB. CaitlinB. CynthiaG-B. RussellM. RebeccaM. KyraB. COVID-19 infection among asymptomatic and symptomatic pregnant women: Two weeks of confirmed presentations to an affiliated pair of New York City hospitals.Am. J. Obstet. Gynecol. MFM20202020100118
     [Google Scholar]
  2. BourmistrovaN.W. SolomonT. BraudeP. StrawbridgeR. CarterB. Long-term effects of COVID-19 on mental health: A systematic review.J. Affect. Disord.202229911812510.1016/j.jad.2021.11.03134798148
     [Google Scholar]
  3. CerdaA.A. GarcíaL.Y. Willingness to pay for a COVID-19 vaccine.Appl. Health Econ. Health Policy202119334335110.1007/s40258‑021‑00644‑633619688
     [Google Scholar]
  4. CerdaA.A. GarcíaL.Y. Hesitation and refusal factors in individuals’ decision-making processes regarding a coronavirus disease 2019 vaccination.Front. Public Health2021962685210.3389/fpubh.2021.62685233968880
     [Google Scholar]
  5. WuS. Effects of pandemics-related uncertainty on household consumption: evidence from the cross-country data.Front. Public Health2020861534410.3389/fpubh.2020.61534433330348
     [Google Scholar]
  6. ToralesJ. O’HigginsM. Castaldelli-MaiaJ.M. VentriglioA. The outbreak of COVID-19 coronavirus and its impact on global mental health.Int. J. Soc. Psychiatry202066431732010.1177/002076402091521232233719
     [Google Scholar]
  7. ActerT. UddinN. DasJ. AkhterA. ChoudhuryT.R. KimS. Evolution of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) as coronavirus disease 2019 (COVID-19) pandemic: A global health emergency.Sci. Total Environ.202073013899610.1016/j.scitotenv.2020.13899632371230
     [Google Scholar]
  8. Eng KoonO. The impact of sociocultural influences on the COVID-19 measures—reflections from Singapore.J. Pain Symptom Manage.2020602e90e9210.1016/j.jpainsymman.2020.04.02232360238
     [Google Scholar]
  9. GarcíaL.Y. CerdaA.A. Contingent assessment of the COVID-19 vaccine.Vaccine202038345424542910.1016/j.vaccine.2020.06.06832620375
     [Google Scholar]
  10. GarcíaL.Y. CerdaA.A. Acceptance of a COVID-19 vaccine: A multifactorial consideration.Vaccine20203848758710.1016/j.vaccine.2020.10.02633121656
     [Google Scholar]
  11. TeeM.L. TeeC.A. AnlacanJ.P. AligamK.J.G. ReyesP.W.C. KuruchitthamV. HoR.C. Psychological impact of COVID-19 pandemic in the Philippines.J. Affect. Disord.202027737939110.1016/j.jad.2020.08.04332861839
     [Google Scholar]
  12. CzeislerM.É. HowardM.E. RajaratnamS.M. Mental health during the COVID-19 pandemic: Challenges, populations at risk, implications, and opportunities.Los Angeles, CASAGE Publications Sage CA2021301311
     [Google Scholar]
  13. TurnaJ. ZhangJ. LambertiN. PattersonB. SimpsonW. FranciscoA.P. BergmannC.G. AmeringenM.V. Anxiety, depression and stress during the COVID-19 pandemic: Results from a cross-sectional survey.J. Psychiatr. Res.20211379610310.1016/j.jpsychires.2021.02.05933667763
     [Google Scholar]
  14. SürmeY. ÖzmenN. Ertürk ArikB. Fear of COVID-19 and related factors in emergency department patients.Int. J. Ment. Health Addict.2023211283610.1007/s11469‑021‑00575‑234220384
     [Google Scholar]
  15. ZandifarA. BadrfamR. Iranian mental health during the COVID-19 epidemic.Asian J. Psychiatr.20205110199010.1016/j.ajp.2020.10199032163908
     [Google Scholar]
  16. DaksJ.S. PeltzJ.S. RoggeR.D. The impact of psychological flexibility on family dynamics amidst the COVID-19 pandemic: A longitudinal perspective.J. Contextual Behav. Sci.2022269711310.1016/j.jcbs.2022.08.01136105870
     [Google Scholar]
  17. HaggerM.S. KeechJ.J. HamiltonK. Managing stress during the coronavirus disease 2019 pandemic and beyond: Reappraisal and mindset approaches.Stress Health202036339640110.1002/smi.296932588961
     [Google Scholar]
  18. JohnsonU. HerttingK. IvarssonA. LindgrenE.C. Favorable adaptation during SARS-CoV-2-pandemic as told by student-athletes—A longitudinal and behavioral study.Int. J. Environ. Res. Public Health202219191251210.3390/ijerph19191251236231812
     [Google Scholar]
  19. Suárez-BarrosA.S. del Pilar Morad-HaydarM. Castillo- BolañosJ. Rojas-OtáloraA. García-AcuñaY. Alarcón-VásquezY. Morales CastroY.R. García-NavarroÁ. González-GutiérrezO. EscobarS.A. González-MarteloV. Támara-ArrázolaE. Diaz-LoboJ. Family Relations of University Students in Times of Pandemic by COVID-19: Feelings and Tensions.Current Psychiatry Research and Reviews202319217018110.2174/2666082218666220624151657
     [Google Scholar]
  20. JiangY. TanY. WuD. YinJ. LinX. The double-edged impact of the COVID-19 pandemic on Chinese family relationships.J. Fam. Issues20234419111110.1177/0192513X21104199036605178
     [Google Scholar]
  21. BezerraA.C.V. SilvaC.E.M.D. SoaresF.R.G. SilvaJ.A.M.D. Factors associated with people’s behavior in social isolation during the COVID-19 pandemic.Cien. Saude Colet.202025Suppl. 12411242110.1590/1413‑81232020256.1.1079202032520286
     [Google Scholar]
  22. TaylorS. LandryC.A. PaluszekM.M. FergusT.A. McKayD. AsmundsonG.J.G. Development and initial validation of the COVID Stress Scales.J. Anxiety Disord.20207210223210.1016/j.janxdis.2020.10223232408047
     [Google Scholar]
  23. YukselB. OzgorF. Effect of the COVID‐19 pandemic on female sexual behavior.Int. J. Gynaecol. Obstet.202015019810210.1002/ijgo.1319332392400
     [Google Scholar]
  24. LuetkeM. HenselD. HerbenickD. RosenbergM. Romantic relationship conflict due to the COVID-19 pandemic and changes in intimate and sexual behaviors in a nationally representative sample of American adults.J. Sex Marital Ther.202046874776210.1080/0092623X.2020.181018532878584
     [Google Scholar]
  25. QaderiK. YazdkhastiM. ZangenehS. BehbahaniB.M. KalhorM. ShamsabadiA. JesmaniY. NorouziS. KajbafvalaM. KhodavirdilouR. RahmaniN. NamadianM. EzabadiS.G. AlkatoutI. MehraeenE. RasoalD. Changes in sexual activities, function, and satisfaction during the COVID-19 pandemic era: a systematic review and meta-analysis.Sex. Med.2023112qfad00510.1093/sexmed/qfad00536970584
     [Google Scholar]
  26. Alcalde HerreraR. The impact of COVID-19 on the quality of couple relationships in the Spanish population - A descriptive correlational study.2021
     [Google Scholar]
  27. MirzaeiN. Jahanian SadatmahallehS. Bahri KhomamiM. MoiniA. KazemnejadA. Sexual function, mental health, and quality of life under strain of COVID-19 pandemic in Iranian pregnant and lactating women: a comparative cross-sectional study.Health Qual. Life Outcomes20211916610.1186/s12955‑021‑01720‑033648521
     [Google Scholar]
  28. WilliamsonH.C. Early effects of the COVID-19 pandemic on relationship satisfaction and attributions.Psychol. Sci.202031121479148710.1177/095679762097268833151125
     [Google Scholar]
  29. HeinrichsK.D. An investigation of female sexual self-esteem in heterosexual, pre-menopausal women engaged in continuous long-term relationships.ProQuest Dissertations and Theses2007
     [Google Scholar]
  30. MillsB. TurnbullG. Broken hearts and mending bodies: the impact of trauma on intimacy.Sex. Relationship Ther.200419326528910.1080/14681990410001715418
     [Google Scholar]
  31. VanhoveA.J. HerianM.N. HarmsP. LuthansF. DeSimoneJ.A. Examining psychosocial well-being and performance in isolated, confined, and extreme environments.Washington, DCNational Aeronautics and Space Administration2015
     [Google Scholar]
  32. UlfaM. BunaiyaM. The effect of the COVID-19 pandemic on the high divorce rate in Kabupaten Lima Puluh Kota.HUNAFA: Jurnal Studia Islamika202118111413710.24239/jsi.v18i1.617.114‑137
     [Google Scholar]
  33. de LucioJ. MínguezR. MinondoA. RequenaF. Impact of COVID-19 containment measures on trade.Int. Rev. Econ. Finance20228076677810.1016/j.iref.2022.02.051
     [Google Scholar]
  34. SymondsT. BoolellM. QuirkF. Development of a questionnaire on sexual quality of life in women.J. Sex Marital Ther.200531538539710.1080/0092623059100650216169822
     [Google Scholar]
  35. Roshan ChesliR. SoleimaniZ. ErfanT. MantashlouS. HashemiA. Evaluate the psychometric properties of sexual quality of life questionnaire (SQOL-F).Clinical Psychology and Personality.2020171213224
     [Google Scholar]
  36. LovibondP.F. LovibondS.H. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories.Behav. Res. Ther.199533333534310.1016/0005‑7967(94)00075‑U7726811
     [Google Scholar]
  37. AntoniM.H. WimberlyS.R. LechnerS.C. KaziA. SifreT. UrcuyoK.R. PhillipsK. SmithR.G. PetronisV.M. GuellatiS. WellsK.A. BlombergB. CarverC.S. Reduction of cancer-specific thought intrusions and anxiety symptoms with a stress management intervention among women undergoing treatment for breast cancer.Am. J. Psychiatry2006163101791179710.1176/ajp.2006.163.10.179117012691
     [Google Scholar]
  38. SiamakS. BahramJ. A study on the reliability and validity of the short form of the depression anxiety stress scale (DASS-21).J Soc Sci Human Shiraz Uni20073526577
     [Google Scholar]
  39. HendrickS.S. A generic measure of relationship satisfaction.J. Marriage Fam.1988501939810.2307/352430
     [Google Scholar]
  40. DehshiriG.R. MousaviS. Psychometric properties of the Persian version of the relationship assessment scale among couples.J. Fam. Res.20161245141154
     [Google Scholar]
  41. LehmillerJ.J. GarciaJ.R. GesselmanA.N. MarkK.P. Less sex, but more sexual diversity: Changes in sexual behavior during the COVID-19 coronavirus pandemic.In: Leisure in the Time of Coronavirus.Routledge2022178187
     [Google Scholar]
  42. CitoG. MicelliE. CocciA. PolloniG. RussoG.I. CocciaM.E. SimonciniT. CariniM. MinerviniA. NataliA. The impact of the COVID-19 quarantine on sexual life in Italy.Urology2021147374210.1016/j.urology.2020.06.10132888982
     [Google Scholar]
  43. DelceaC. ChirilăV.I. SăucheaA.M. Effects of COVID-19 on sexual life – a meta-analysis.Sexologies2021301e49e5410.1016/j.sexol.2020.12.001
     [Google Scholar]
  44. FischerV.J. BravoR.G. BrunnetA.E. MichielsenK. TuckerJ.D. CampbellL. VögeleC. Sexual satisfaction and sexual behaviors during the COVID-19 pandemic: results from the International Sexual Health And REproductive (I-SHARE) health survey in Luxembourg.BMC Public Health2022221110810.1186/s12889‑022‑13509‑x35658847
     [Google Scholar]
  45. QalamZ. The role of symptoms of depression and anxiety caused by Corona in sexual satisfaction: the moderating effect of the quality of couple relationships.Studies of Psychology and Educational sciences (Iran's Modern Education Development Center)202134770921
     [Google Scholar]
  46. IbarraF.P. MehradM. MauroM.D. GodoyM.F.P. CruzE.G. NilforoushzadehM.A. RussoG.I. Impact of the COVID-19 pandemic on the sexual behavior of the population. The vision of the east and the west.Int. Braz J Urol202046Suppl. 110411210.1590/s1677‑5538.ibju.2020.s11632550703
     [Google Scholar]
  47. KarsiyakaliN. SahinY. AtesH.A. OkucuE. KarabayE. Evaluation of the sexual functioning of individuals living in Turkey during the COVID-19 pandemic: an internet-based nationwide survey study.Sex. Med.20219110027910.1016/j.esxm.2020.10.00733291042
     [Google Scholar]
  48. SadeghiR ZareipourMA AkbariH Khan-BeygiM Mental health and associated factors amongst women referred to health care centers.J. Healt. Care.2011134
     [Google Scholar]
  49. SepehrmaneshZ. Mental health and its related factors in young women in Kashan City.Majallah-i Zanan, Mamai va Nazai-i Iran20091213141
     [Google Scholar]
  50. HahO. EaaA. Relationship between night shift and nurses'depression and anxiety.2015
     [Google Scholar]
  51. Asad ZandiM. SayariR. EbadiA. SanainasabH. Abundance of depression, anxiety and stress in militant Nurses.J Mil Med2011132103108
     [Google Scholar]
  52. RahimiM. ReshadatS. Farid MarandiB. ZakieiA. Factors associated with sexual function and sexual satisfaction in male patients with diabetes type 2.J. Mazandaran Univ. Med. Sci.201828164164169
     [Google Scholar]
  53. NasirianM. ZamanianM. AhmadiD. SindarrehS. AleebrahimF. VardanjaniH.M. FaghihiS.H. Safari-FaramaniR. Fear and rumor associated with COVID-19 among Iranian adults, 2020.J. Educ. Health Promot.20209135510.4103/jehp.jehp_589_2033575391
     [Google Scholar]
  54. KarliP. GürbüzT. ŞentürkM. COVID-19 pandemic and the quality of couples’ sexual relationships.Anatolian Current Medical Journal20213210410810.38053/acmj.848051
     [Google Scholar]
  55. LiG. TangD. SongB. WangC. QunshanS. XuC. GengH. WuH. HeX. CaoY. Impact of the COVID-19 pandemic on partner relationships and sexual and reproductive health: cross-sectional, online survey study.J. Med. Internet Res.2020228e2096110.2196/2096132716895
     [Google Scholar]
  56. Minaei MoghadamS. NamdarP. MafiM. YekefallahL. A Survy between Fear of COVID-19 Disease and Sexual Function of Iranian Married Men and Women Living in Qazvin: A Descriptive Study.Majallah-i Ilmi-i Danishgah-i Ulum-i Pizishki-i Rafsanjan2022211334810.52547/jrums.21.1.33
     [Google Scholar]
  57. GönençI.M. Öztürk ÖzenD. Yılmaz SezerN. The relationship between fear of COVID-19, quality of sexual life, and sexual satisfaction of women in Turkey.Int. J. Sex. Health202234337738510.1080/19317611.2022.205814538596279
     [Google Scholar]
  58. SchiaviM.C. SpinaV. ZulloM.A. ColagiovanniV. LuffarelliP. RagoR. PalazzettiP. Love in the time of COVID-19: sexual function and quality of life analysis during the social distancing measures in a group of Italian reproductive-age women.J. Sex. Med.20201781407141310.1016/j.jsxm.2020.06.00632653391
     [Google Scholar]
  59. VoutskidouA. KirkouG. DaglaM. OrovouE. SarellaA. PalaskaE. IliadouM. AntoniouE. COVID-19 pandemic and its impact on the quality of women’s sexual life: a systematic review.Healthcare (Basel)202311218510.3390/healthcare1102018536673553
     [Google Scholar]
  60. DilmaçB. KarababaA. SekiT. ŞimşirZ. KurnazM.F. Examining the relationships between fear of coronavirus, state anxiety, and relationship happiness among married Turkish individuals during COVID-19.J. Fam. Issues20234441113112810.1177/0192513X21105551336941900
     [Google Scholar]
  61. AksoyA. AbiçA. DeğirmenciF. Vefikuluçay YılmazD. The relationship between quality of life and fear of Turkish individuals during the COVID-19 pandemic: A cross-sectional study.Arch. Psychiatr. Nurs.202135547247810.1016/j.apnu.2021.06.00334561061
     [Google Scholar]
  62. CekicY. Uslu SahanF. Er KorucuA. The Effect of Fear of COVID-19 Experienced by Married Individuals Living in Türkiye on Marital Adjustment.Eurasian Journal of Family Medicine2023121223010.33880/ejfm.2023120103
     [Google Scholar]
  63. SamimiK. MokaramiH. Tontab HaghighiS. TabanE. Yazdani AvalM. MaasoumiR. Assessment of affecting factors on women’s sexual quality of life among hospital employees.Majallah-i Danishgah-i Ulum-i Pizishki-i Gurgan2016183128134
     [Google Scholar]
  64. FathiS. AzadianA. Investigating the effect of demographic factors on marital life satisfaction of couples aged 35-55 years (residents in districts 3 and 20 of Tehran).Strategic Studies of Women.2017751911135
     [Google Scholar]
  65. PanahJ. DehghanA. JafarnjadA.B. Investigating the relationship between women’s employment and the level of satisfaction with married life in couples in Lar city; 2017.J Jiro Uni Med Sci201961145156
     [Google Scholar]
  66. TehraniF.R. FarahmandM. MehrabiY. AfzaliH.M. AbediniM. Prevalence of female sexual dysfunction and its correlated factors: a population based study.Payesh2012116869875
     [Google Scholar]
  67. Ahmad ShirvaniM. Bagheri NesamiM. Sexual dysfunction and related factors among breast feeding women.Majallah-i Zanan, Mamai va Nazai-i Iran20111453844
     [Google Scholar]
  68. PanahiR. AnbariM. JavanmardiE. GhoozluK.J. DehghankarL. The effect of women’s sexual functioning on quality of their sexual life.J. Prev. Med. Hyg.2021623E776E78134909508
     [Google Scholar]
  69. KimJ.S. KangS. A study on body image, sexual quality of life, depression, and quality of life in middle-aged adults.Asian Nurs. Res.2015929610310.1016/j.anr.2014.12.00126160236
     [Google Scholar]
  70. MirzaeiH. AghayariT. KatebiM. A study on life quality among married women in family institution.Sociology of Social Institutions.2014137193
     [Google Scholar]
  71. VuralF SütsünbüloğluE Quality of Life of Patients with a Stoma: A Descriptive Study.Turkish J Color Dis202131310.4274/tjcd.galenos.2020.2020‑7‑11
     [Google Scholar]
  72. ElumalaiK.V. SankarJ.P. KalaichelviR. JohnJ.A. MenonN. AlqahtaniM.S.M. Factors affecting the quality of e-learning during the COVID-19 pandemic from the perspective of higher education students. COVID-19 and Education.Learning and Teaching in a Pandemic-Constrained Environment.20211893169
     [Google Scholar]
  73. Soltani ArabshahiK Esmaelzadeh SaeiehS KohanM. Predictor role of fear of COVID-19, e-learning readiness and motivational beliefs on student's satisfaction of virtual education in surgical and trauma wards during the COVID-19 pandemic.Journal of Surgery and Trauma20232116674
     [Google Scholar]
  74. SohailA. The association between COVID-19 media-literacy and the fear of COVID-19 among Pakistani students during coronavirus pandemic.Penza Psychological Bulletin.20221181220
     [Google Scholar]
  75. CerdaA.A. GarcíaL.Y. Factors explaining the fear of being infected with COVID‐19.Health Expect.202225250651210.1111/hex.1327433974721
     [Google Scholar]
  76. ZhouP. YangX-L. WangX-G. HuB. ZhangL. ZhangW. A pneumonia outbreak associated with a new coronavirus of probable bat origin.Nature.202057977982703
     [Google Scholar]
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The Fear of COVID-19 Pandemic Effects on Couples' Relationship and Sexual Quality of Life Female: A Study from Iran
Curr Womens Health Rev. 21, E15734048311737 (2025); https://doi.org/10.2174/0115734048311737240910073010
/content/journals/cwhr/10.2174/0115734048311737240910073010
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  • Article Type:     Research Article
Keyword(s): couples' relationship; COVID-19 pandemic; Relationship Rating Scale (RAS); sexual quality of life; standard deviation; stress

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