Examining the Validity and Reliability of Iranian Women's Sexual Self-Efficacy Questionnaire

Document Type : Original Article

Authors

1 MSC, Clinical Psychology, Azad University, Shiraz, Iran.

2 Professor, Department of Psychology, Shahed University, Tehran, Iran.

3 Assistant Professor of Psychology Department, University of Mazandaran, Mazandaran, Iran.

Abstract

Introduction: Women's sexual self-efficacy is a crucial factor in the quality of couples' sexual relationships. Sexual self-efficacy reflects an individual's confidence in their ability to engage in a successful sexual relationship. Therefore, this research was conducted to investigate the validity and reliability of the sexual self-efficacy questionnaire for women in both clinical and non-clinical samples in Iran.
Method: This research was applied (developmental) in terms of its purpose and survey method. After preparing the questionnaire, each participant from both the clinical and non-clinical samples completed scales assessing women's sexual self-efficacy, women's sexual performance, the multidimensional scale of women's sexual satisfaction, and a scale measuring anxiety, stress, and depression. This was done to evaluate convergent and divergent validity. A separate sample of 60 participants completed the women's sexual self-efficacy questionnaire twice, with an interval of one month between the assessments. The non-clinical sample consisted of 360 married women from the general population, selected using the Morgan table and available sampling methods. The clinical sample consisted of 60 married women who had sought assistance at medical centers for sexual issues and were selected through clinical interviews. Convergent validity, variance analysis, and factor analysis methods were employed to assess the validity of the questionnaire. Additionally, traditional methods of internal consistency, including Cronbach's alpha and dichotomization, were utilized to evaluate its reliability.
Results: Data analysis indicated that premarital education, which focused on risk factors using a cognitive-behavioral approach, positively influenced the resilience and quality of life of the engaged couples. However, this beneficial effect was not observed in the control group.
Discussion and conclusion: The research concludes that the validity and reliability of this scale for use among Iranian married women have been confirmed and supported by the evidence obtained.
 

Keywords


  1.  

    1. Afiyanti Y. Sexual self-efficacy: Affection, sexual communication, and self-acceptance as significant factors related to sexual function on menopausal women in Indonesia. Enfermeria clinica. 2019 Sep 1; 29: 551-5. https://doi.org/10.1016/j.enfcli.2019.04.085
    2. Guerra C, Farkas C, Moncada L. Depression, anxiety and PTSD in sexually abused adolescents: Association with self-efficacy, coping and family support. Child abuse & neglect. 2018 Feb 1; 76: 310-20. https://doi.org/10.1016/j.chiabu.2017.11.013
    3. Lolowang NL, Afiyanti Y, Ungsianik T. Kegel's exercise to improve sexual self-efficacy in primiparous women. Enfermeria clinica. 2019 Sep 1; 29: 535-40. https://doi.org/10.1016/j.enfcli.2019.04.082
    4. Shekar A, Gross A, Luebbers E, Honsky J. Effects of an interprofessional student-led sexual education program on self-efficacy and attitudes about sexual violence in youths in juvenile detention. Journal of Pediatric and Adolescent Gynecology. 2020 Jun 1; 33(3): 302-6. https://doi.org/10.1016/j.jpag.2019.12.005
    5. Meidayanti I, Abdullah T, Bustan N. The relationship between self efficacy and premarital sexual behavior among high school student in Makassar city. Enfermería Clínica. 2020 Jun 1; 30: 303-7. https://doi.org/10.1016/j.enfcli.2019.10.089
    6. Alimohammadi L, Mirghafourvand M, Zarei F, Pirzeh R. The effectiveness of group counseling based on Bandura's self-efficacy theory on sexual function and sexual satisfaction in Iranian newlywed women: A randomized controlled trial. Applied Nursing Research. 2018 Aug 1; 42: 62-9. https://doi.org/10.1016/j.apnr.2018.06.011
    7. Guerra-Ordoñez JA, Benavides-Torres RA, Onofre-Rodríguez DJ, Márquez-Vega MA, Guerra-Rodríguez GM, Wall KM. Self-efficacy and coping as correlates of migrant safe sexual behavior to prevent HIV. Journal of the Association of Nurses in AIDS Care. 2017 Sep 1; 28(5): 761-9. https://doi.org/10.1016/j.jana.2017.05.008
    8. Alavi-Arjas F, Farnam F, Granmayeh M, Haghani H. The effect of sexual and reproductive health education on knowledge and self-efficacy of school counselors. Journal of Adolescent Health. 2018 Nov 1; 63(5): 615-20. https://doi.org/10.1016/j.jadohealth.2018.05.031
    9. Tozdan S, Briken P. ‘I believed I could, so I did’—A theoretical approach on self-efficacy beliefs to positively influence men with a risk to sexually abuse children. Aggression and violent behavior. 2015 Nov 1; 25: 104-12. https://doi.org/10.1016/j.avb.2015.07.015
    10. Luk JW, Parker EO, Richardson LP, McCarty CA. Sexual attraction and experiences in the primary care setting: examining disparities in satisfaction with provider and health self-efficacy. Journal of Adolescence. 2020 Jun 1; 81: 96-100. https://doi.org/10.1016/j.adolescence.2020.04.009
    11. Jayasundara CC. Sexual health information seeking behaviour of adolescents and their satisfaction with the information outcome: An application of the theory of motivated information management. The Journal of Academic Librarianship. 2021 Sep 1; 47(5): 102383. https://doi.org/10.1016/j.acalib.2021.102383
    12. Velten J, Hirschfeld G, Meyers M, Margraf J. Psychometric Properties of a Self-Report Version of the Sexual Interest and Desire Inventory-Female (SIDI-F-SR). The Journal of Sexual Medicine. 2021 May 1; 18(5): 990-5. https://doi.org/10.1016/j.jsxm.2021.03.001
    13. Szucs LE, Rasberry CN, Jayne PE, Rose ID, Boyce L, Murray CC, Lesesne CA, Parker JT, Roberts G. School district-provided supports to enhance sexual health education among middle and high school health education teachers. Teaching and Teacher Education. 2020 Jun 1; 92: 103045. https://doi.org/10.1016/j.tate.2020.103045
    14. Alkai S, Afiyanti Y, Wiweko B. Sensuality, communication, and self-acceptance as significant factors related to sexual function in infertile women in Jakarta, Indonesia. Enfermería Clínica. 2019 Sep 1; 29: 760-4. https://doi.org/10.1016/j.enfcli.2019.04.114
    15. Cha H. Past, present, and future dimensions of socioeconomic status and sexual self-efficacy of young women during the transition into adulthood. Social Science & Medicine. 2022 Aug 1; 306: 115128. https://doi.org/10.1016/j.socscimed.2022.115128
    16. Erfanifar E, Latifi SM, Abbaspoor Z. The effectiveness of cognitive-behavioural consultation on sexual function and sexual self-efficacy of women after childbirth. European Journal of Obstetrics & Gynecology and Reproductive Biology: X. 2022 Aug 1; 15: 100157. https://doi.org/10.1016/j.eurox.2022.100157
    17. Afiyanti Y. Sexual self-efficacy: Affection, sexual communication, and self-acceptance as significant factors related to sexual function on menopausal women in Indonesia. Enfermeria clinica. 2019 Sep 1; 29: 551-5. https://doi.org/10.1016/j.enfcli.2019.04.085
    18. Edison B, Coulter RW, Miller E, Stokes LR, Hill AV. Sexual communication and sexual consent self-efficacy among college students: implications for sexually transmitted infection prevention. Journal of Adolescent Health. 2022 Feb 1; 70(2): 282-9. https://doi.org/10.1016/j.jadohealth.2021.08.012
    19. De Guzman S, Dee V. Socio-demographic factors, sexual attitudes, sexual self-efficacy, and sexual satisfaction on sexual health-seeking behaviors: A structural equation model. The Journal of Sexual Medicine. 2022 May 1; 19(5): S152. https://doi.org/10.1016/j.jsxm.2022.03.351
    20. Bailes S, Creti L, Fichten CS, Libman E, Brender W, Amsel R. Sexual self-efficacy scale for female functioning. InHandbook of sexuality-related measures 2013 Sep 13 (pp. 573-582). Routledge.
    21. Afiyanti Y. Sexual self-efficacy: Affection, sexual communication, and self-acceptance as significant factors related to sexual function on menopausal women in Indonesia. Enfermeria clinica. 2019 Sep 1; 29: 551-5. https://doi.org/10.1016/j.enfcli.2019.04.085
    22. Ip KI, Miller AL, Karasawa M, Hirabayashi H, Kazama M, Wang L, Olson SL, Kessler D, Tardif T. Emotion expression and regulation in three cultures: Chinese, Japanese, and American preschoolers’ reactions to disappointment. Journal of experimental child psychology. 2021 Jan 1; 201: 104972. ‏ https://doi.org/10.1016/j.jecp.2020.104972
    23. Testoni I, Bonelli B, Biancalani G, Zuliani L, Nava FA. Psychodrama in attenuated custody prison-based treatment of substance dependence: The promotion of changes in wellbeing, spontaneity, perceived self-efficacy, and alexithymia. The Arts in Psychotherapy. 2020 Mar 1; 68: 101650. https://doi.org/10.1016/j.aip.2020.101650
    24. Ghaedi, G. Psychiatric disorders and sexual dysfunctions. Clinical Psychology and Personality, 2020 Jan 14; 1: 157-178. https://doi.org/10.22070/14.1.157 [In Persian]
    25. Aliakbari Dehkordi, M., Shokrkon, H. The Relationship between Gender Role and Mental Health & it`s Components in Employed Women. Clinical Psychology and Personality, 2011 May 9; 2: 37-48. The Relationship between Gender Role and Mental Health & it`s Components in Employed Women [In Persian]