{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T20:11:00Z","timestamp":1790885460313,"version":"4.1.0"},"reference-count":48,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T00:00:00Z","timestamp":1740528000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>The objective of this study is to evaluate the relationship of body image (BI) with sexual dysfunction (SD) and dyadic adjustment (DA) in individuals diagnosed with Bipolar Disorder (BD). Dyadic adjustment has been defined as a dynamic process determined by variables such as relationship differences, interpersonal tensions and personal concerns, relationship satisfaction, and couple consensus. In this context, it was specifically aimed to determine the link between these factors and quality of life (QoL) in individuals with BD based on the effects of BI on sexual function and marital adjustment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study was conducted in a psychiatric hospital in Turkiye. The population of this cross-sectional, single-center study consisted of 110 individuals who applied to the outpatient clinics of Istanbul Erenk\u00f6y Mental Health and Neurological Diseases Training and Research Hospital between March 2020 and August 2020. The Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)Disorders-Clinician Version (SCID-5-CV), sociodemographic and clinical data form, Young Mania Rating Scale (YMRS), Hamilton Depression Rating Scale (HAM-D), Golombok-Rust Inventory of Sexual Satisfaction (GRISS), Dyadic Adjustment Scale (DAS), Body Image Scale (BIS) and the Brief Quality of Life in Bipolar Disorder (Brief QoL.BD) Questionnaire were used to collect the research data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study sample consisted of 80 individuals, 50 females and 30 males, who were diagnosed with BD and were in remission. The rate of SD in individuals with BD was found to be 55%. The most common SD was vaginismus in female individuals with BD and premature ejaculation in male individuals with BD. It has been observed that SD negatively affected DA in individuals with BD. On the other hand, no significant relationship was found between body mass index (BMI) and BI or between BI and SD in individuals with BD. However, increased satisfaction with BI positively affected DA and QoL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The study\u2019s findings indicated a significant relationship between sexual satisfaction, marital adjustment, BI, and QoL in individuals with BD. While no significant change was observed in DA in male individuals with BD, it was found that sexual satisfaction decreased as DA deteriorated in female individuals with BD. Additionally, it was found that BI affected DA in individuals with BD but not sexual satisfaction. Lastly, no significant relationship was observed between BMI and BI, DA, or QoL.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2025.1515677","type":"journal-article","created":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T07:25:22Z","timestamp":1740554722000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["The relationship of body image with sexual dysfunction and dyadic adjustment in individuals diagnosed with bipolar disorder in T\u00fcrkiye"],"prefix":"10.3389","volume":"16","author":[{"given":"Emine Reyhan","family":"Yazar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filiz","family":"\u0130zci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,2,26]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2015.12.019","article-title":"Definitions of sexual dysfunctions in women and men: A consensus statement from the fourth international consultation on sexual medicine 2015","volume":"13","author":"McCabe","year":"2016","journal-title":"J Sex Med"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.182.1.50","article-title":"Nithsdale Schizophrenia Surveys 24: sexual dysfunction. Case-control study","volume":"182","author":"Macdonald","year":"2003","journal-title":"Br J Psychiatry"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.5455\/apd.5397","article-title":"Sexual functions in male patients with bipolar disorder and their healthy spouses","author":"Arslan","year":"2019","journal-title":"Alpha Psychiatry"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.4103\/ipj.ipj_15_16","article-title":"Bipolar affective disorder and its impact on various aspects of marital relationship","volume":"26","author":"Grover","year":"2017","journal-title":"Ind Psychiatry J"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2010.11.010","article-title":"Sexual behavior in women with bipolar disorder","volume":"131","author":"Mazza","year":"2011","journal-title":"J Affect Disord"},{"key":"B6","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.jad.2016.01.035","article-title":"Hypersexuality and couple relationships in bipolar disorder: A review","volume":"195","author":"Kopeykina","year":"2016","journal-title":"J Affect Disord"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.18863\/pgy.253437","article-title":"Sexuality and sexual dysfunctions in bipolar disorder","volume":"8","author":"Naml\u0131","year":"2016","journal-title":"Curr App Psychiatry"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/847871","article-title":"Health-related quality of life and quality of sexual life in obese subjects","volume":"2014","author":"Poggiogalle","year":"2014","journal-title":"Int J Endocrinol"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1111\/bdi.12376","article-title":"Residual symptoms and specific functional impairments in euthymic patients with bipolar disorder","volume":"18","author":"Samalin","year":"2016","journal-title":"Bipolar Disord"},{"key":"B10","first-page":"1","volume-title":"Structured clinical interview for DSM-5\u2013research version (SCID-5 for DSM-5, research version; SCID-5\u2013RV)","author":"Williams","year":"2015"},{"key":"B11","doi-asserted-by":"publisher","first-page":"116","DOI":"10.5080\/u18399","article-title":"Reliability and validity study of the Turkish version of Bipolar Prodrome Symptom Scale","volume":"29","author":"Aydemir","year":"2018","journal-title":"Turkish J Psychiatry"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044-8260.1967.tb00530.x","article-title":"Development of a rating scale for primary depressive illness","volume":"6","author":"Hamilton","year":"1967","journal-title":"Br J Soc Clin Psychol"},{"key":"B13","article-title":"Validity-reliability and clinical use of the Hamilton depression rating scale (HDRS)","volume":"4","author":"Akdemir","year":"1996","journal-title":"J Psychiatry Psychol Psychopharmacol"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.133.5.429","article-title":"A rating scale for mania: reliability, validity and sensitivity","volume":"133","author":"Young","year":"1978","journal-title":"Br J Psychiatry"},{"key":"B15","article-title":"Reliability and validity of Turkish translation of Young Mania Rating Scale","volume":"13","author":"Karada\u011f","year":"2002","journal-title":"Turkish J Psychiatry"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044-8260.1985.tb01314.x","article-title":"The golombok-rust inventory of sexual satisfaction (GRISS)","volume":"24","author":"Rust","year":"1985","journal-title":"Br J Clin Psychol"},{"key":"B17","article-title":"Standardization study of the Golombok-Rust sexual satisfaction scale","volume":"4","author":"Tu\u011frul","year":"1993","journal-title":"Turkish J Psychiatry"},{"key":"B18","volume-title":"Dyadic adjustment scale","author":"Spainer","year":"1989"},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.1027\/1015-5759.16.3.214","article-title":"Applicability of the Dyadic Adjustment Scale for measurement of marital quality with Turkish couples","volume":"16","author":"Fi\u015filo\u011flu","year":"2000","journal-title":"Eur J Psychol Assess"},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.1037\/h0060689","article-title":"The appraisal of body-cathexis: body-cathexis and the self","volume":"17","author":"Secord","year":"1953","journal-title":"J Consult Psychol"},{"key":"B21","first-page":"11","article-title":"Body image scale","volume":"1","author":"Hovardao\u011flu","year":"1992","journal-title":"J Psychiatry Psychology Psychopharmacol (3P)"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-5618.2010.00865.x","article-title":"Development of the QoL. BD: a disorder-specific scale to assess quality of life in bipolar disorder","volume":"12","author":"Michalak","year":"2010","journal-title":"Bipolar Disord"},{"key":"B23","doi-asserted-by":"publisher","DOI":"10.14744\/phd.2018.93723","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","year":"2018","journal-title":"J Psychiatr Nurs"},{"key":"B24","doi-asserted-by":"publisher","DOI":"10.5505\/kpd.2019.03521","article-title":"Sexual functions and prolactin levels in patients with bipolar disorder","volume":"22","author":"Yuksel","year":"2019","journal-title":"Turkish J Clin Psychiatry"},{"key":"B25","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2008.09.009","article-title":"Sexual problems in a sample of the Turkish psychiatric population","volume":"50","author":"Hariri","year":"2009","journal-title":"Compr Psychiatry"},{"key":"B26","doi-asserted-by":"publisher","first-page":"75","DOI":"10.4103\/ipj.ipj_16_19","article-title":"Evaluation of sexual dysfunction and quality of life in patients with severe mental illness: A cross-sectional study from a tertiary care center in Chhattisgarh","volume":"28","author":"Ghormode","year":"2019","journal-title":"Ind Psychiatry J"},{"key":"B27","doi-asserted-by":"crossref","DOI":"10.5350\/DAJPN2016290107","article-title":"Reproductive and Sexual Functions in Bipolar Patients: Data from a Specialized Mood Disorder Clinic","volume-title":"Dusunen Adam: J Psychiatry Neurological Sci","author":"Aldemir","year":"2016"},{"key":"B28","article-title":"A comparative study of sexual dysfunction due to typical and atypical antipsychotics in remitted bipolar-I disorder","volume":"46","author":"Nagaraj","year":"2004","journal-title":"Indian J Psychiatry"},{"key":"B29","article-title":"Depression and sexual desire","volume":"62","author":"Phillips","year":"2000","journal-title":"Am Fam Physician"},{"key":"B30","doi-asserted-by":"publisher","DOI":"10.1097\/JCP.0b013e3181a5233f","article-title":"Treatment-emergent sexual dysfunction related to antidepressants: a meta-analysis","volume":"29","author":"Serretti","year":"2009","journal-title":"J Clin Psychopharmacol"},{"key":"B31","doi-asserted-by":"publisher","DOI":"10.1097\/JCP.0000000000000131","article-title":"Sexual dysfunction in clinically stable patients with bipolar disorder receiving lithium","volume":"34","author":"Grover","year":"2014","journal-title":"J Clin Psychopharmacol"},{"key":"B32","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-5618.2005.00240.x","article-title":"Burden and marital and sexual satisfaction in the partners of bipolar patients","volume":"7","author":"Lam","year":"2005","journal-title":"Bipolar Disord"},{"key":"B33","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2007.09.003","article-title":"Prevalence and correlates of eating disorder co-morbidity in patients with bipolar disorder","volume":"161","author":"Wildes","year":"2008","journal-title":"Psychiatry Res"},{"key":"B34","doi-asserted-by":"publisher","DOI":"10.4088\/jcp.v63n0306","article-title":"Correlates of overweight and obesity in 644 patients with bipolar disorder","volume":"63","author":"McElroy","year":"2002","journal-title":"J Clin Psychiatry"},{"key":"B35","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1016\/S1516-4446(12)70012-0","article-title":"Prevalence and clinical impact of eating disorders in bipolar patients","volume":"34","author":"Seixas","year":"2012","journal-title":"Braz J Psychiatry"},{"key":"B36","doi-asserted-by":"publisher","DOI":"10.1016\/j.rpsmen.2015.05.001","article-title":"Comorbidity of bipolar disorder and eating disorders","volume":"8","author":"Ruiz","year":"2015","journal-title":"Rev Psiquiatr\u00eda y Salud Ment (English Edition)"},{"key":"B37","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2019.08.070","article-title":"The comorbidity of eating disorders in bipolar disorder and associated clinical correlates characterised by emotion dysregulation and impulsivity: A systematic review","volume":"259","author":"McDonald","year":"2019","journal-title":"J Affect Disord"},{"key":"B38","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2004.04.014","article-title":"Relationship between bipolar illness and binge-eating disorders","volume":"135","author":"Ramacciotti","year":"2005","journal-title":"Psychiatry Res"},{"key":"B39","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2012.04.001","article-title":"Psychometric properties of the Spanish version of the Body Weight, Image and Self-Esteem Evaluation Questionnaire in patients with severe mental disorders","volume":"53","author":"Al-Halabi","year":"2012","journal-title":"Compr Psychiatry"},{"key":"B40","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1016\/j.psychres.2008.06.016","article-title":"Binge eating, weight gain and psychosocial adjustment in patients with bipolar disorder","volume":"169","author":"Castrogiovanni","year":"2009","journal-title":"Psychiatry Res"},{"key":"B41","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2010.09348.x","article-title":"Obesity might not be a risk factor for female sexual dysfunction","volume":"106","author":"Kadioglu","year":"2010","journal-title":"BJU Int"},{"key":"B42","volume-title":"The relationship between sexual satisfaction and body image and self-esteem","author":"Kili\u00e7lar","year":"2018"},{"key":"B43","doi-asserted-by":"publisher","DOI":"10.1007\/s11199-005-3712-z","article-title":"Relationships between men\u2019s and women\u2019s body image and their psychological, social, and sexual functioning","volume":"52","author":"Davison","year":"2005","journal-title":"Sex Roles"},{"key":"B44","doi-asserted-by":"publisher","DOI":"10.1016\/j.esxm.2016.02.004","article-title":"The relationship between body image and domains of sexual functioning among heterosexual, emerging adult women","volume":"4","author":"Quinn-Nilas","year":"2016","journal-title":"Sex Med"},{"key":"B45","doi-asserted-by":"publisher","first-page":"990","DOI":"10.1111\/j.1743-6109.2007.00525.x","article-title":"The impact of body awareness on sexual arousal in women with sexual dysfunction","volume":"4","author":"Seal","year":"2007","journal-title":"J Sex Med"},{"key":"B46","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1016\/j.anr.2014.12.001","article-title":"A study on body image, sexual quality of life, depression, and quality of life in middle-aged adults","volume":"9","author":"Kim","year":"2015","journal-title":"Asian Nurs Res (Korean Soc Nurs Sci)"},{"key":"B47","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1016\/j.comppsych.2017.01.004","article-title":"Body image in patients with mental disorders: Characteristics, associations with diagnosis and treatment outcome","volume":"74","author":"Scheffers","year":"2017","journal-title":"Compr Psychiatry"},{"key":"B48","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2012.11.016","article-title":"An examination of the relationship between body image factors and non-suicidal self-injury in young adults: the mediating influence of emotion dysregulation","volume":"206","author":"Duggan","year":"2013","journal-title":"Psychiatry Res"}],"container-title":["Frontiers in Psychiatry"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2025.1515677\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T07:25:43Z","timestamp":1740554743000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2025.1515677\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,26]]},"references-count":48,"alternative-id":["10.3389\/fpsyt.2025.1515677"],"URL":"https:\/\/doi.org\/10.3389\/fpsyt.2025.1515677","relation":{},"ISSN":["1664-0640"],"issn-type":[{"value":"1664-0640","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,26]]},"article-number":"1515677"}}