{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T22:46:29Z","timestamp":1780353989214,"version":"3.54.1"},"reference-count":37,"publisher":"Wiley","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005001","name":"Ahvaz Jundishapur University of Medical Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005001","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiatry Journal"],"published-print":{"date-parts":[[2018]]},"abstract":"<jats:p><jats:italic>Purpose<\/jats:italic>. This study aimed to evaluate the relationship between sleep quality and sexual function among Iranian women.<jats:italic> Methods<\/jats:italic>. This study was conducted on 277 married women of reproductive age. The inclusion criteria were as follows: married women aged 18\u201345 years, with at least basic literacy, and women married monogamously for at least one year. The following tools were used for gathering data: a demographic questionnaire; Pittsburgh Sleep Quality Index (PSQI); Insomnia Severity Index (ISI); Epworth Sleepiness Scale (ESS); and Female Sexual Function Index (FSFI). Pearson correlation coefficients, independent <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mrow><mml:mi>t<\/mml:mi><\/mml:mrow><\/mml:math>-tests, chi-square tests, and linear regression analyses were used to analyze the data.<jats:italic> Results<\/jats:italic>. There was a significant inverse relation between poor sleep quality (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mi>r<\/mml:mi><mml:mo>=<\/mml:mo><mml:mo>-<\/mml:mo><mml:mn fontstyle=\"italic\">0.13<\/mml:mn><\/mml:math>, <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn fontstyle=\"italic\">0.02<\/mml:mn><\/mml:math>), daytime sleepiness (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\"><mml:mi>r<\/mml:mi><mml:mo>=<\/mml:mo><mml:mo>-<\/mml:mo><mml:mn fontstyle=\"italic\">0.39<\/mml:mn><\/mml:math>, <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M5\"><mml:mi>P<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mn fontstyle=\"italic\">0.001<\/mml:mn><\/mml:math>), insomnia (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M6\"><mml:mi>r<\/mml:mi><mml:mo>=<\/mml:mo><mml:mo>-<\/mml:mo><mml:mn fontstyle=\"italic\">0.35<\/mml:mn><\/mml:math>, <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M7\"><mml:mi>P<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mn fontstyle=\"italic\">0.001<\/mml:mn><\/mml:math>), and sexual function. Sexual desire was significantly related to sleep quality and insomnia <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M8\"><mml:mo stretchy=\"false\">(<\/mml:mo><mml:mi>P<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mn fontstyle=\"italic\">0.001<\/mml:mn><mml:mo stretchy=\"false\">)<\/mml:mo><\/mml:math>. Sexual arousal (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M9\"><mml:mi>r<\/mml:mi><mml:mo>=<\/mml:mo><mml:mo>-<\/mml:mo><mml:mn fontstyle=\"italic\">0.18<\/mml:mn><\/mml:math>, <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M10\"><mml:mi>r<\/mml:mi><mml:mo>=<\/mml:mo><mml:mo>-<\/mml:mo><mml:mn fontstyle=\"italic\">0.29<\/mml:mn><\/mml:math>, <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M11\"><mml:mi>P<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mn fontstyle=\"italic\">0.001<\/mml:mn><\/mml:math>), lubrication (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M12\"><mml:mi>r<\/mml:mi><mml:mo>=<\/mml:mo><mml:mo>-<\/mml:mo><mml:mn fontstyle=\"italic\">0.21<\/mml:mn><\/mml:math>, <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M13\"><mml:mi>r<\/mml:mi><mml:mo>=<\/mml:mo><mml:mo>-<\/mml:mo><mml:mn fontstyle=\"italic\">0.3<\/mml:mn><\/mml:math>, \u22120.12, <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M14\"><mml:mi>P<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mn fontstyle=\"italic\">0.001<\/mml:mn><\/mml:math>), orgasms (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M15\"><mml:mi>r<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn fontstyle=\"italic\">0.17<\/mml:mn><\/mml:math>, <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M16\"><mml:mi>r<\/mml:mi><mml:mo>=<\/mml:mo><mml:mo>-<\/mml:mo><mml:mn fontstyle=\"italic\">0.15<\/mml:mn><\/mml:math>, <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M17\"><mml:mi>P<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mn fontstyle=\"italic\">0.001<\/mml:mn><\/mml:math>), and sexual satisfaction (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M18\"><mml:mi>r<\/mml:mi><mml:mo>=<\/mml:mo><mml:mo>-<\/mml:mo><mml:mn fontstyle=\"italic\">0.02<\/mml:mn><\/mml:math>, <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M19\"><mml:mo>-<\/mml:mo><mml:mi>r<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn fontstyle=\"italic\">0.3<\/mml:mn><\/mml:math>, <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M20\"><mml:mi>r<\/mml:mi><mml:mo>=<\/mml:mo><mml:mo>-<\/mml:mo><mml:mn fontstyle=\"italic\">0.15<\/mml:mn><\/mml:math>, <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M21\"><mml:mi>P<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mn fontstyle=\"italic\">0.001<\/mml:mn><\/mml:math>) were significantly related to all types of sleep disorders (poor sleep quality, insomnia, and sleepiness). Pain during intercourse was significantly associated with poor sleep quality and insomnia. With each unit decrease in sleep quality, sexual function decreased by 0.49 <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M22\"><mml:mo stretchy=\"false\">(<\/mml:mo><mml:mi>P<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mn fontstyle=\"italic\">0.001<\/mml:mn><mml:mo stretchy=\"false\">)<\/mml:mo><\/mml:math>, and with each unit increase in the delay of sleep onset, sexual function decreased by 1.58 <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M23\"><mml:mo stretchy=\"false\">(<\/mml:mo><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn fontstyle=\"italic\">0.04<\/mml:mn><mml:mo stretchy=\"false\">)<\/mml:mo><\/mml:math>.<jats:italic> Conclusion<\/jats:italic>. Results of this study showed that there was a significant relationship between sleep quality and sexual function in Iranian women of reproductive age. The quality of sleep among reproductive-aged women merits the attention of health care providers and policy makers.<\/jats:p>","DOI":"10.1155\/2018\/1045738","type":"journal-article","created":{"date-parts":[[2018,4,23]],"date-time":"2018-04-23T19:30:50Z","timestamp":1524511850000},"page":"1-7","source":"Crossref","is-referenced-by-count":11,"title":["Do Sleeping Disorders Impair Sexual Function in Married Iranian Women of Reproductive Age? Results from a Cross-Sectional Study"],"prefix":"10.1155","volume":"2018","author":[{"given":"Poorandokht","family":"Afsahri","sequence":"first","affiliation":[{"name":"Reproductive Health Promotion Research Center, Midwifery Department, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahra","family":"Salehnejad","sequence":"additional","affiliation":[{"name":"Reproductive Health Promotion Research Center, Midwifery Department, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khadijeh","family":"Hekmat","sequence":"additional","affiliation":[{"name":"Reproductive Health Promotion Research Center, Midwifery Department, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6980-0693","authenticated-orcid":true,"given":"Parvin","family":"Abedi","sequence":"additional","affiliation":[{"name":"Menopause Andropause Research Center, Midwifery Department, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Fakhri","sequence":"additional","affiliation":[{"name":"Psychiatry Department, Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammadhossein","family":"Haghighizadeh","sequence":"additional","affiliation":[{"name":"Biostatistics Department, Health Faculty, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.281.6.537"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1080\/009262300278597"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9781139051910"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.rhm.2015.11.008"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1023\/A:1002729318254"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.4103\/2008-7802.157472"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1590\/S1807-59322011000100015"},{"issue":"2","key":"8","first-page":"127","volume":"8","year":"2011","journal-title":"Urology Journal"},{"issue":"10","key":"9","first-page":"679","volume":"17","year":"2014","journal-title":"Archives of Iranian Medicine"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1038\/ijir.2015.31"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12858"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1097\/GME.0000000000000824"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1177\/1359105316684937"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.3906\/sag-1507-14"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-003-0025-8"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2016.11.033"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.5812\/ijhrba.23550"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(02)00330-6"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-010-0478-5"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/34.5.601"},{"key":"22","first-page":"31","volume":"19","year":"2012","journal-title":"Malaysian Journal of Medical Sciences"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/15.4.376"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-012-0646-x"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2011.02553.x"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2012.02773.x"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.1016\/j.sxmr.2016.03.002"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbi.2008.01.011"},{"key":"29","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2014.10.005"},{"key":"30","doi-asserted-by":"publisher","DOI":"10.1212\/01.CON.0000427209.21177.aa"},{"key":"31","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(97)00302-4"},{"key":"32","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2008.00922.x"},{"key":"33","year":"2016"},{"key":"34","doi-asserted-by":"publisher","DOI":"10.1016\/S0378-5122(99)00072-9"},{"key":"35","doi-asserted-by":"publisher","DOI":"10.1590\/2237-6089-2016-0072"},{"key":"36","doi-asserted-by":"publisher","DOI":"10.1111\/hdi.12175"},{"key":"37","year":"2014"},{"key":"38","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2005.20356.x"}],"container-title":["Psychiatry Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/psychiatry\/2018\/1045738.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/psychiatry\/2018\/1045738.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/psychiatry\/2018\/1045738.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,4,23]],"date-time":"2018-04-23T19:30:54Z","timestamp":1524511854000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/psychiatry\/2018\/1045738\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018]]},"references-count":37,"alternative-id":["1045738","1045738"],"URL":"https:\/\/doi.org\/10.1155\/2018\/1045738","relation":{},"ISSN":["2314-4327","2314-4335"],"issn-type":[{"value":"2314-4327","type":"print"},{"value":"2314-4335","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018]]}}}