{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T09:59:43Z","timestamp":1790848783985,"version":"4.1.0"},"reference-count":45,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Bipolar Disorders"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To examine the effects of sexual satisfaction on marital adjustment, quality of life, and treatment adherence in patients diagnosed with bipolar disorder (BD) and their spouses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This cross\u2010sectional study included 124 euthymic patients with BD and their spouses (124 couples;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009248 individuals), recruited from the psychiatry outpatient clinics of Gaziantep University \u015eahinbey Research and Practice Hospital, T\u00fcrkiye. Data were collected using a Sociodemographic Form, the Young Mania Rating Scale (YMRS), the Beck Depression Inventory (BDI), the Golombok\u2010Rust Inventory of Sexual Satisfaction (GRISS), the Dyadic Adjustment Scale (DAS), the Quality of Life in Bipolar Disorder Scale (QoL.BD), and the Morisky Medication Adherence Scale (MMAS).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Patients' mean age was 43.62\u2009\u00b1\u20099.68\u2009years; 51.61% had been married for \u2265\u200921\u2009years. Mean scores: BDI 6.6\u2009\u00b1\u20097.51, QoL.BD 43.93\u2009\u00b1\u200912.08, DAS 17.16\u2009\u00b1\u20096.36, GRISS 39.63\u2009\u00b1\u200923.72, MMAS 1.31\u2009\u00b1\u20091.35. Greater sexual dissatisfaction was associated with poorer marital adjustment (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.325,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). No significant direct association was found between sexual satisfaction and adherence. Higher quality of life was associated with lower depression, better marital adjustment, and greater sexual satisfaction.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Sexual satisfaction is closely linked to marital adjustment and quality of life in BD, with a less direct relationship to treatment adherence. Couple\u2010based psychoeducation addressing sexual health may support marital and quality\u2010of\u2010life outcomes in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bdi.70189","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T09:43:44Z","timestamp":1790847824000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of Sexual Satisfaction on Marital Adjustment, Quality of Life, and Treatment Adherence in Patients Diagnosed With Bipolar Disorder and Their Spouses: A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7461-7308","authenticated-orcid":false,"given":"Zerrin","family":"Demirel","sequence":"first","affiliation":[{"name":"Gaziantep State Hospital  Gaziantep T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9466-1357","authenticated-orcid":false,"given":"Nurg\u00fcl","family":"Ozdemir","sequence":"additional","affiliation":[{"name":"Department of Psychiatric Nursing, Faculty of Health Sciences Gaziantep University  Gaziantep T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1759-7339","authenticated-orcid":false,"given":"Ayten Guner","family":"Atayoglu","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Medical School Halic University  Istanbul T\u00fcrkiye"},{"name":"Faculty of Health Sciences Istanbul Medipol University  Istanbul T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20509"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina57080771"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2016.01.035"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.4178\/epih.e2019023"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.30564\/jpr.v4i1.3879"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/bs13020091"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2025.1515677"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/hup.2457"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/clpt.2010.70"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.18588"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.5005\/EJP\u201014\u20101\u20102\u201020"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.14710\/nmjn.v12i3.48477"},{"issue":"2","key":"e_1_2_12_14_1","first-page":"107","article-title":"Young Mani Derecelendirme \u00d6l\u00e7e\u011finin T\u00fcrkiye'de ge\u00e7erlik ve g\u00fcvenilirli\u011fi","volume":"13","author":"Karada\u011f F.","year":"2002","journal-title":"T\u00fcrk Psikiyatri Dergisi"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1961.01710120031004"},{"issue":"23","key":"e_1_2_12_16_1","first-page":"3","article-title":"Beck Depresyon Envanteri'nin \u00fcniversite \u00f6\u011frencileri i\u00e7in ge\u00e7erli\u011fi, g\u00fcvenirli\u011fi","volume":"7","author":"Hisli N.","year":"1989","journal-title":"Psikoloji Dergisi"},{"key":"e_1_2_12_17_1","volume-title":"The Golombok\u2010Rust Inventory of Sexual Satisfaction (GRISS)","author":"Rust J.","year":"1986"},{"issue":"2","key":"e_1_2_12_18_1","first-page":"83","article-title":"Golombok\u2010Rust Cinsel Doyum \u00d6l\u00e7e\u011fi'nin standardizasyon \u00e7al\u0131\u015fmas\u0131","volume":"4","author":"Tu\u011frul C.","year":"1993","journal-title":"T\u00fcrk Psikiyatri Dergisi"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.2307\/348022"},{"issue":"1","key":"e_1_2_12_20_1","first-page":"50","article-title":"Evlilikte Uyum \u00d6l\u00e7e\u011finin (EU\u00d6) g\u00fcvenirlik ve ge\u00e7erlik \u00e7al\u0131\u015fmas\u0131","volume":"7","author":"Tutarel\u2010K\u0131\u015flak \u015e.","year":"1999","journal-title":"3P Psikiyatri Psikoloji Psikofarmakoloji Dergisi"},{"issue":"3","key":"e_1_2_12_21_1","first-page":"139","article-title":"Psychometric Properties of the Turkish Version of the Brief Quality of Life in Bipolar Disorder (Brief QoL.BD) Scale","volume":"9","author":"G\u00fcm\u00fc\u015f F.","year":"2018","journal-title":"Journal of Psychiatric Nursing"},{"issue":"1","key":"e_1_2_12_22_1","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1097\/00005650-198601000-00007","article-title":"Concurrent and Predictive Validity of a Self\u2010Reported Measure of Medication Adherence","volume":"24","author":"Morisky D. 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