Structural Model of Women with Endometriosis Based on Sexual Function, Psychosocial Health, and Life Satisfaction Mediating by Cognitive Emotion Regulation (مقاله علمی وزارت علوم)

چکیده

Objective: This study was conducted to examine the structural model describing the connection between sexual function and psychosocial factors with life satisfaction based on the mediator role of cognitive emotion regulation in women with endometriosis. Method: This present study was a descriptive correlational research based on structural equations. The statistical population of the study included all women with endometriosis, referring to Arash Hospital as a referral Women's Center and Gynecological office in Tehran, Iran, in 2023-2024. According to Morgan's formula, a sample of 357 participants was chosen through convenience sampling. The tools employed in this study for data collection were the Women’s Sexual Function Index (Isidori et al., 2010), Short Form Symptom Checklist-25-Revised (Derogatis et al., 1973), Social Health Questionnaire (Keyes, 2004), Emotion Regulation Questionnaire (Garnefski & Kraaij, 2006), and Satisfaction with Life Scale (Diner, 1985). Data analysis was done using Structural Equation Modeling (SEM) and path analysis, and AMOS22 software was utilized to assess the proposed model, and the mediating relationships within it were also calculated using the bootstrap method. Results: The findings from structural equation modeling supported the model's goodness of fit and indicated that psychological factors negatively affect life satisfaction through the mediating role of cognitive emotion regulation in women with endometriosis (β= -0.114, p<0.001). In addition, the relationship between biological and social factors and life satisfaction through the mediating variable was not found to be significant. Nevertheless, the overall effect of psychological, social, and biological factors (including the sum of direct and indirect pathways) in connection with life satisfaction was significant (p<0.001). Conclusion: According to the findings, the model has a good fit, and cognitive emotion regulation has a mediating role in the relationship between sexual function and psychosocial factors with life satisfaction. This study offers a valuable framework for recognizing key factors influencing life satisfaction in women with endometriosis, which should be taken into account in psychological treatment programs.