Diagnostic Analysis of Cognitive Sexual Schemas, Sexual Beliefs, and Guilt Sensations in Women Afflicted with Primary Vaginismus and Healthy Married Women, Considering the Mediating Role of Marital Satisfaction

This study aims to comparatively analyze cognitive sexual schemas, sexual beliefs, and perceptions of guilt within the context of vaginismus, a sexual disorder that introduces complexities to marital relationships. Using a descriptive cross-sectional approach, the research examines a sample of 206 married women from Tehran, comprising 63 women diagnosed with vaginismus and 143 healthy women. The research instruments encompass the Questionnaire of Cognitive Schema Activation in Unsuccessful Sexual Situations, Sexual Dysfunctional Beliefs Questionnaire, Mosher Sexual Guilt Questionnaire, Enrich Marital Satisfaction Questionnaire, and Female Sexual Function Index. Data analysis, conducted using SPSS-26 software, reveals noteworthy differences between the two groups in terms of cognitive sexual schemas, beliefs, and guilt perceptions. Of particular importance, marital satisfaction emerges as a mediating factor that mitigates substantial discrepancies between the groups. Consequently, the study underscores the imperative of comprehensive diagnostic assessments and recommends tailored interventions to effectively address vaginismus and its impact on marital dynamics.

本研究旨在针对阴道痉挛（vaginismus）这一给婚姻关系带来复杂影响的性障碍，对比分析其相关的认知性图式、性信念及内疚感知。本研究采用描述性横断面研究设计，纳入德黑兰地区206名已婚女性作为研究样本，其中63名经确诊为阴道痉挛患者，143名为健康女性。本研究使用的测评工具包括：不成功性情境认知图式激活问卷（Questionnaire of Cognitive Schema Activation in Unsuccessful Sexual Situations）、性功能不良信念问卷（Sexual Dysfunctional Beliefs Questionnaire）、莫舍尔性内疚量表（Mosher Sexual Guilt Questionnaire）、恩里奇婚姻满意度问卷（Enrich Marital Satisfaction Questionnaire）以及女性性功能指数（Female Sexual Function Index）。采用SPSS 26统计软件进行数据分析后，结果显示两组受试者在认知性图式、性信念及内疚感知维度上均存在显著差异。尤为关键的是，婚姻满意度作为中介变量，可有效缓解两组间的显著差异。综上，本研究强调开展全面诊断评估的必要性，并建议制定针对性干预措施，以有效应对阴道痉挛及其对婚姻动态的负面影响。