{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T02:11:14Z","timestamp":1767665474122,"version":"3.48.0"},"reference-count":78,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2023,2,6]],"date-time":"2023-02-06T00:00:00Z","timestamp":1675641600000},"content-version":"unspecified","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006396","name":"Qazvin University of Medical Sciences","doi-asserted-by":"publisher","award":["1399"],"award-info":[{"award-number":["1399"]}],"id":[{"id":"10.13039\/501100006396","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2022,12,6]]},"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to determine the mediating role of psychological distress and domestic violence in the association of fear of COVID-19 with marital satisfaction and sexual quality of life (QoL) among Iranian women of reproductive age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study comprising 324 married women was conducted. Online convenience sampling was used to collect data. SPSS PROCESS macro was used for the mediation analysis. The direct and indirect effects of the fear of COVID-19 on sexual QoL and marital satisfaction were estimated comprising a 95% CI using 5000 bootstrap samples. Pairwise comparisons between the mediators were calculated by Hayes\u2019 macros.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A positive\/negative or suspected history of COVID-19 infection had marginally significant relationship with marital satisfaction (p=0.049). The total effect of fear of COVID-19 on sexual QoL was significant (b=\u22121.31, SE=0.20, p&lt;0.001). Fear of COVID-19 had no significant direct effect on sexual QoL (b=\u22120.22, SE=0.19, p=0.24) but it had an indirect effect on sexual QoL via mediation of psychological distress (b=\u22120.34, SE=0.09, 95% CI: \u22120.53 to \u22120.19) and domestic violence (b=\u22120.75, SE=0.18, 95% CI: \u22121.12 to \u22120.40). The total effect of fear of COVID-19 on marital satisfaction was significant (b=\u22121.91, SE=0.32, p&lt;0.001). Fear of COVID-19 had no significant direct effect (b=0.20, SE=0.25, p=0.42) on marital satisfaction but it had an indirect effect on marital satisfaction via mediation of psychological distress (b=\u22120.59, SE=0.13, 95% CI: \u22120.86 to \u22120.36) and domestic violence (b=\u22121.51, SE=0.29, 95% CI: \u22122.08 to \u22120.92).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The fear of COVID-19 during the pandemic indirectly decreased women\u2019s marital satisfaction and sexual QoL via increased psychological distress and domestic violence. Consequently, in critical situations such as the COVID-19 pandemic, improving couples\u2019 psychological health and reducing domestic violence are likely to improve women\u2019s sexual QoL and marital satisfaction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2022-068916","type":"journal-article","created":{"date-parts":[[2023,2,6]],"date-time":"2023-02-06T11:13:13Z","timestamp":1675681993000},"page":"e068916","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Mediating role of psychological distress and domestic violence in the association of fear of COVID-19 with marital satisfaction and sexual quality of life among women of reproductive age: An Iranian cross-sectional study"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5327-2411","authenticated-orcid":false,"given":"Zainab","family":"Alimoradi","sequence":"first","affiliation":[{"name":"Social 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Department, Nottingham Trent University, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8798-5345","authenticated-orcid":false,"given":"Amir H","family":"Pakpour","sequence":"additional","affiliation":[{"name":"Department of Nursing,School of Health and Welfare, J\u00f6nk\u00f6ping University, J\u00f6nk\u00f6ping, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,2,6]]},"reference":[{"key":"2025121513491426000_13.2.e068916.1","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1038\/s41423-020-0372-4","article-title":"A novel coronavirus (2019-ncov) causing pneumonia-associated respiratory syndrome","volume":"17","author":"Jiang","year":"2020","journal-title":"Cell Mol Immunol"},{"key":"2025121513491426000_13.2.e068916.2","article-title":"Social capital and sleep quality in individuals who self-isolated for 14 days during the coronavirus disease 2019 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