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TB 2024, 23(5): 81-96 |
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Zaddahesh B, Poyamanesh J, Amiri Majd M. Predicting Attitudes towards Extramarital Relationship Based on Sexual Satisfaction and Performance in Individuals with Attention Deficit/Hyperactivity Disorder. TB 2024; 23 (5) :81-96
URL: http://tbj.ssu.ac.ir/article-1-3682-en.html
URL: http://tbj.ssu.ac.ir/article-1-3682-en.html
Keywords: Attention Deficit/Hyperactivity Disorder, Extramarital Relationships, Sexual Satisfaction, Sexual Performance
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Predicting Attitudes towards Extramarital Relationship Based on Sexual Satisfaction and Performance in Individuals with Attention Deficit/Hyperactivity Disorder
Bahareh Zaddahesh(Ph.D.)1, Vahideh Babakhani(Ph.D.)2,Jafar Poyamanesh(Ph.D.)3, Mojtaba Amiri Majd(Ph.D.)4
1.PhD Student Counseling, Department of Counseling, Islamic Azad University, Abhar, Iran.
2.Corresponding Author: Assistant Professor Department of Counseling, Islamic Azad University, Abhar, Iran.
Email: Vahideh_babakhan@yahoo.com Tel: 09123420739
3.Assistant Professor Department of Psychology, Islamic Azad University, Abhar, Iran.
4.Assosiate Professor Department of Psychology, Islamic Azad University, Abhar, Iran.
Abstract
Introduction: Extramarital relationships pose a challenge to family life and can negatively affect the mental health and well-being of family members. Various factors can contribute to the development of extramarital relationships. The present study aimed to predict attitudes towards extramarital relationships based on sexual satisfaction and performance in individuals with attention deficit/hyperactivity disorder (ADHD).
Methods: This study was correlational in nature. The study population included all married individuals seeking counseling and psychological services in Qazvin city in 2023, from which 216 individuals were selected by purposive sampling method. The World Health Organization ADHD self-report scale, Yeniceri and Kokdemir Extramarital Relationship Questionnaire, Larson Sexual Satisfaction Questionnaire, and the Farajina Sexual Performance Questionnaire were used for data collection. Data analysis was performed using SPSS-25 software and multiple regression analysis. All inferential analyses were conducted at a significance level of 0/05.
Rusults: The results indicated that sexual satisfaction (β = 0/19, t = 2/85) and sexual performance (β = 0/15, t = 2/26) could predict the variance of changes related to attitudes towards extramarital relationships.
Conclusion: Based on the obtained results, it is recommended to provide couples with this awareness during premarital counseling so that they can discuss sexual issues with marriage counselors and specialists and receive specialized counseling if needed to prevent the tendency towards extramarital relationships.
Keywords: Attention Deficit/Hyperactivity Disorder, Extramarital Relationships, Sexual Satisfaction, Sexual Performance
1-Mierau SB. Do I Have ADHD? Diagnosis of ADHD in Adulthood and Its Mimics in the Neurology Clinic. Neurology: Clinical Practice. 2025;15(1):e200433.
2-French B, Nalbant G, Wright H & et al. The impacts associated with having ADHD: an umbrella review. Frontiers in psychiatry. 2024;15:1343314.
3-Hutt Vater C, DiSalvo M, Ehrlich A & et al. ADHD in Adults: Does Age at Diagnosis Matter? J Atten Disord. 2024;28(5):614-24.
4-Adamis D, Flynn C, Wrigley M & et al. ADHD in Adults: A Systematic Review and Meta-Analysis of Prevalence Studies in Outpatient Psychiatric Clinics. J Atten Disord. 2022;26(12):1523-34.
5-Griffin JM, Kruger S, Maturana G. Personal infidelity and professional conduct in 4 settings. Proceedings of the National Academy of Sciences. 2019;116(33):16268-73.
6-Abdollahzadeh Rafi M , Karimi J. Prevalence of attention deficit/hyperactivity disorder based on self-report in women in Malayer city. Quarterly Cultural-Educational Journal of Women and Family, 2024; 19(67): 129-143.
7-Kiani Q, Nottagh M, Asadi M & et al. Prevention of extramarital affairs based on the approach of enriching marital life based on the socio-cultural context of Iran. Cultural Psychology. 2021;4(2):243-65.[Persian]
8-Ologele I, Kperogi I, Ibrahim A & et al. Causes of Marital Infidelity among Married Residents of Ilorin Metropolis, Kwara State, Nigeria. 2024; 5(1): 223-237.
9-Papagianni E. Gender and Extramarital Sexuality: Adultery, Fornication, Prostitution. The Routledge Handbook of Gender and Sexuality in Byzantium: Routledge; 2024.
10-Ngwasheng MB, Mbedzi RP. Infidelity amongst young married couples: suggestions for social work intervention. Social Work. 2024;60(1):123-46.
11-Arantes J, Barros F, Oliveira HM. Extradyadic Behaviors and Gender: How Do They Relate With Sexual Desire, Relationship Quality, and Attractiveness. Front Psychol. 2019;10:2554.
12-Xin MY, Hassan SA. Factors Contributing to Infidelity in Marriage within Asian Countries: A Systematic Review of literature. International Journal of Academic in Research Business and Social Sciences. 2020;10:210-24.
13-Fife ST, Stewart CM, Hawkins LG. Family-of-Origin, Sexual Attitudes, and Perceptions of Infidelity: A Mediation Analysis. The American Journal of Family Therapy. 2020;48(2):142-59.
14-Rokach A, Chan SH. Love and infidelity: Causes and consequences. International journal of environmental research and public health. 2023;20(5):3904.
15-Belu CF, O’Sullivan LF. Predictors of infidelity among couples. The Journal of Sexual Medicine. 2024;21(4):270-2.
16-Péloquin K, Byers ES, Beaulieu N& et al. Sexual exchanges explain the association between attachment insecurities and sexual satisfaction in long-term couples. Journal of Social and Personal Relationships.2024; 41(1): 23-45.
17-Scott SB, Ritchie L, Knopp K & et al. Sexuality Within Female Same-Gender Couples: Definitions of Sex, Sexual Frequency Norms, and Factors Associated with Sexual Satisfaction. Arch Sex Behav. 2018;47(3):681-92.
18-Tong W, Lavner JA, Jia J & et al. Dyadic Profiles of Sexual Satisfaction among Chinese Newlywed Couples over Time. J Sex Res. 2023;60(3):349-58.
19-Mallory AB. Dimensions of couples' sexual communication, relationship satisfaction, and sexual satisfaction: A meta-analysis. J Fam Psychol. 2022;36(3):358-71.
20-Aydın T, Onger ME. Depression, sexual dysfunction, life satisfaction and marriage satisfaction in women with multiple sclerosis. The Egyptian Journal of Neurology, Psychiatry and Neurosurgery. 2022;58(1):73.
21-Daneshfar F, Keramat A. Sexual dysfunction and divorce in Iran: A systematic review. J Family Med Prim Care. 2023;12(3):430-9. [Persian]
22-Belu CF & O’Sullivan LF. Predictors of infidelity among couples. The Journal of Sexual Medicine.2024; 21(4): 270-272.
23-Soltanizadeh M, Bajelani p. Predicting the Attitude towards Marital Infidelity Based on Sexual Dysfunction, Intimacy and Sexual Satisfaction in Married Men and Women in Isfahan in 2017. Zanko Journal of Medical Sciences. 2020;21(68):32-46.[Persian]
24-Nazari A, Hosseinnia M, Najafi E. Sexual satisfaction and attitude toward marital infidelity among married people in Iran: the role of social media and entertainment preferences. BMC Public Health. 2024;24(1):1693.[Persian]
25-Eskandari M, Parandin S. Predicting Attitudes Toward Marital Infidelity Based on Components of Sexual Satisfaction and Intimacy in Couples. The Women and Families Cultural-Educational. 2022;17(58):183-99.
26-Peixoto MM, Lopes J. Sexual functioning beliefs, sexual satisfaction, and sexual functioning in women: a cross-sectional mediation analysis. J Sex Med. 2023;20(2):170-6.
27-Banaei M, Kariman N, Ozgoli G & et al. Sexual function among women with vaginismus: a biopsychosocial approach. The journal of sexual medicine.2023; 20(3): 298-312.[Persian]
28-Beltran-Arreche M, Fullana Noell J, Pallisera Díaz M. Perspectives of women with intellectual disabilities regarding affective sexual relationships: A systematic literature review. Sexuality Research and Social Policy. 2024;21(1):263-78.
29-Girma Shifaw Z. Marital communication as moderators of the relationship between marital conflict resolution and marital satisfaction. The American Journal of Family Therapy. 2024;52(3):249-60.
30-Galati MCR, Hollist CS, do Egito JHT & et al. Sexual dysfunction, depression, and marital dissatisfaction among Brazilian couples. J Sex Med. 2023;20(3):260-8.
31-Haseli A, Shariati M, Nazari AM & et al. Infidelity and Its Associated Factors: A Systematic Review. J Sex Med. 2019;16(8):1155-69.[Persian]
32-Morovati B. Predicting Marital Infidelity based on Sexual Function and Lovemaking Styles in Couples. Journal of Applied Family Therapy. 2021;2(2):391-403.[Persian]
33-Nazemi M, Majd MA, Ghamari M & & et al. Development of a conceptual model of stable and satisfactory marriage in couples applying for adoption: a qualitative study. Applied Family Therapy Journal. 2023; 4(1): 34-63.[Persian]
34-Haslam SA, McGarty C, Cruwys T & et al. Research methods and statistics in psychology. SAGE Publications Limited;2024.
35-Kessler RC, Adler L, Ames M & et al. The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general population. Psychol Med. 2005;35(2):245-56.
36-Mokhtari H, Rabiei M, Salimi SH. Psychometric Properties of the Persian Version of Adult Attention-Deficit/Hyperactivity Disorder Self-Report Scale. Iranian Journal of Psychiatry and Clinical Psychology 2015; 21 (3) :244-253.[Persian]
37-Karimi S, Yousefi R, Soleymani M. Making Marital Infidelity Questionnaire as valid one. Clinical Psychology and Personality. 2020;17(1):237-48. [Persian]
38-Larson JH, Anderson SM, Holman TB & et al. A longitudinal study of the effects of premarital communication, relationship stability, and self-esteem on sexual satisfaction in the first year of marriage. J Sex Marital Ther. 1998;24(3):193-206.
39-Bahrami N, Yaghoobzadeh A, Sharif Nia H & et al. Psychometric Properties of the Persian Version of Larsons Sexual Satisfaction Questionnaire in a Sample of Iranian Infertile Couples. Iranian Journal of Epidemiology. 2016;12(2):18-31.[Persian]
40-Fakhri A, Pakpour AH, Burri A & et al. The Female Sexual Function Index: Translation and Validation of an Iranian Version. The Journal of Sexual Medicine 20209;(2):514–23.
41-Zolfaghari S, Moradi O, Ahmadian H & et al. The Effects of Teaching Sexual Satisfaction Model on Couple Burnout. Journal of Arak University of Medical Sciences. 2021;24(2):246-55. [Persian]
42-McNulty JK, Wenner CA, Fisher TD. Longitudinal Associations Among Relationship Satisfaction, Sexual Satisfaction, and Frequency of Sex in Early Marriage. Arch Sex Behav. 2016;45(1):85-97.
43-Asadi M, Jahanbakhshi Z, Mahmoodi F & et al. Love and Belief in a Just World and Marital Commitment in Financial Infidelity in Iranian Couples. Journal of Psychosociological Research in Family and Culture. 2(4):36-44.
Bahareh Zaddahesh(Ph.D.)1, Vahideh Babakhani(Ph.D.)2,Jafar Poyamanesh(Ph.D.)3, Mojtaba Amiri Majd(Ph.D.)4
1.PhD Student Counseling, Department of Counseling, Islamic Azad University, Abhar, Iran.
2.Corresponding Author: Assistant Professor Department of Counseling, Islamic Azad University, Abhar, Iran.
Email: Vahideh_babakhan@yahoo.com Tel: 09123420739
3.Assistant Professor Department of Psychology, Islamic Azad University, Abhar, Iran.
4.Assosiate Professor Department of Psychology, Islamic Azad University, Abhar, Iran.
Abstract
Introduction: Extramarital relationships pose a challenge to family life and can negatively affect the mental health and well-being of family members. Various factors can contribute to the development of extramarital relationships. The present study aimed to predict attitudes towards extramarital relationships based on sexual satisfaction and performance in individuals with attention deficit/hyperactivity disorder (ADHD).
Methods: This study was correlational in nature. The study population included all married individuals seeking counseling and psychological services in Qazvin city in 2023, from which 216 individuals were selected by purposive sampling method. The World Health Organization ADHD self-report scale, Yeniceri and Kokdemir Extramarital Relationship Questionnaire, Larson Sexual Satisfaction Questionnaire, and the Farajina Sexual Performance Questionnaire were used for data collection. Data analysis was performed using SPSS-25 software and multiple regression analysis. All inferential analyses were conducted at a significance level of 0/05.
Rusults: The results indicated that sexual satisfaction (β = 0/19, t = 2/85) and sexual performance (β = 0/15, t = 2/26) could predict the variance of changes related to attitudes towards extramarital relationships.
Conclusion: Based on the obtained results, it is recommended to provide couples with this awareness during premarital counseling so that they can discuss sexual issues with marriage counselors and specialists and receive specialized counseling if needed to prevent the tendency towards extramarital relationships.
Keywords: Attention Deficit/Hyperactivity Disorder, Extramarital Relationships, Sexual Satisfaction, Sexual Performance
1-Mierau SB. Do I Have ADHD? Diagnosis of ADHD in Adulthood and Its Mimics in the Neurology Clinic. Neurology: Clinical Practice. 2025;15(1):e200433.
2-French B, Nalbant G, Wright H & et al. The impacts associated with having ADHD: an umbrella review. Frontiers in psychiatry. 2024;15:1343314.
3-Hutt Vater C, DiSalvo M, Ehrlich A & et al. ADHD in Adults: Does Age at Diagnosis Matter? J Atten Disord. 2024;28(5):614-24.
4-Adamis D, Flynn C, Wrigley M & et al. ADHD in Adults: A Systematic Review and Meta-Analysis of Prevalence Studies in Outpatient Psychiatric Clinics. J Atten Disord. 2022;26(12):1523-34.
5-Griffin JM, Kruger S, Maturana G. Personal infidelity and professional conduct in 4 settings. Proceedings of the National Academy of Sciences. 2019;116(33):16268-73.
6-Abdollahzadeh Rafi M , Karimi J. Prevalence of attention deficit/hyperactivity disorder based on self-report in women in Malayer city. Quarterly Cultural-Educational Journal of Women and Family, 2024; 19(67): 129-143.
7-Kiani Q, Nottagh M, Asadi M & et al. Prevention of extramarital affairs based on the approach of enriching marital life based on the socio-cultural context of Iran. Cultural Psychology. 2021;4(2):243-65.[Persian]
8-Ologele I, Kperogi I, Ibrahim A & et al. Causes of Marital Infidelity among Married Residents of Ilorin Metropolis, Kwara State, Nigeria. 2024; 5(1): 223-237.
9-Papagianni E. Gender and Extramarital Sexuality: Adultery, Fornication, Prostitution. The Routledge Handbook of Gender and Sexuality in Byzantium: Routledge; 2024.
10-Ngwasheng MB, Mbedzi RP. Infidelity amongst young married couples: suggestions for social work intervention. Social Work. 2024;60(1):123-46.
11-Arantes J, Barros F, Oliveira HM. Extradyadic Behaviors and Gender: How Do They Relate With Sexual Desire, Relationship Quality, and Attractiveness. Front Psychol. 2019;10:2554.
12-Xin MY, Hassan SA. Factors Contributing to Infidelity in Marriage within Asian Countries: A Systematic Review of literature. International Journal of Academic in Research Business and Social Sciences. 2020;10:210-24.
13-Fife ST, Stewart CM, Hawkins LG. Family-of-Origin, Sexual Attitudes, and Perceptions of Infidelity: A Mediation Analysis. The American Journal of Family Therapy. 2020;48(2):142-59.
14-Rokach A, Chan SH. Love and infidelity: Causes and consequences. International journal of environmental research and public health. 2023;20(5):3904.
15-Belu CF, O’Sullivan LF. Predictors of infidelity among couples. The Journal of Sexual Medicine. 2024;21(4):270-2.
16-Péloquin K, Byers ES, Beaulieu N& et al. Sexual exchanges explain the association between attachment insecurities and sexual satisfaction in long-term couples. Journal of Social and Personal Relationships.2024; 41(1): 23-45.
17-Scott SB, Ritchie L, Knopp K & et al. Sexuality Within Female Same-Gender Couples: Definitions of Sex, Sexual Frequency Norms, and Factors Associated with Sexual Satisfaction. Arch Sex Behav. 2018;47(3):681-92.
18-Tong W, Lavner JA, Jia J & et al. Dyadic Profiles of Sexual Satisfaction among Chinese Newlywed Couples over Time. J Sex Res. 2023;60(3):349-58.
19-Mallory AB. Dimensions of couples' sexual communication, relationship satisfaction, and sexual satisfaction: A meta-analysis. J Fam Psychol. 2022;36(3):358-71.
20-Aydın T, Onger ME. Depression, sexual dysfunction, life satisfaction and marriage satisfaction in women with multiple sclerosis. The Egyptian Journal of Neurology, Psychiatry and Neurosurgery. 2022;58(1):73.
21-Daneshfar F, Keramat A. Sexual dysfunction and divorce in Iran: A systematic review. J Family Med Prim Care. 2023;12(3):430-9. [Persian]
22-Belu CF & O’Sullivan LF. Predictors of infidelity among couples. The Journal of Sexual Medicine.2024; 21(4): 270-272.
23-Soltanizadeh M, Bajelani p. Predicting the Attitude towards Marital Infidelity Based on Sexual Dysfunction, Intimacy and Sexual Satisfaction in Married Men and Women in Isfahan in 2017. Zanko Journal of Medical Sciences. 2020;21(68):32-46.[Persian]
24-Nazari A, Hosseinnia M, Najafi E. Sexual satisfaction and attitude toward marital infidelity among married people in Iran: the role of social media and entertainment preferences. BMC Public Health. 2024;24(1):1693.[Persian]
25-Eskandari M, Parandin S. Predicting Attitudes Toward Marital Infidelity Based on Components of Sexual Satisfaction and Intimacy in Couples. The Women and Families Cultural-Educational. 2022;17(58):183-99.
26-Peixoto MM, Lopes J. Sexual functioning beliefs, sexual satisfaction, and sexual functioning in women: a cross-sectional mediation analysis. J Sex Med. 2023;20(2):170-6.
27-Banaei M, Kariman N, Ozgoli G & et al. Sexual function among women with vaginismus: a biopsychosocial approach. The journal of sexual medicine.2023; 20(3): 298-312.[Persian]
28-Beltran-Arreche M, Fullana Noell J, Pallisera Díaz M. Perspectives of women with intellectual disabilities regarding affective sexual relationships: A systematic literature review. Sexuality Research and Social Policy. 2024;21(1):263-78.
29-Girma Shifaw Z. Marital communication as moderators of the relationship between marital conflict resolution and marital satisfaction. The American Journal of Family Therapy. 2024;52(3):249-60.
30-Galati MCR, Hollist CS, do Egito JHT & et al. Sexual dysfunction, depression, and marital dissatisfaction among Brazilian couples. J Sex Med. 2023;20(3):260-8.
31-Haseli A, Shariati M, Nazari AM & et al. Infidelity and Its Associated Factors: A Systematic Review. J Sex Med. 2019;16(8):1155-69.[Persian]
32-Morovati B. Predicting Marital Infidelity based on Sexual Function and Lovemaking Styles in Couples. Journal of Applied Family Therapy. 2021;2(2):391-403.[Persian]
33-Nazemi M, Majd MA, Ghamari M & & et al. Development of a conceptual model of stable and satisfactory marriage in couples applying for adoption: a qualitative study. Applied Family Therapy Journal. 2023; 4(1): 34-63.[Persian]
34-Haslam SA, McGarty C, Cruwys T & et al. Research methods and statistics in psychology. SAGE Publications Limited;2024.
35-Kessler RC, Adler L, Ames M & et al. The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general population. Psychol Med. 2005;35(2):245-56.
36-Mokhtari H, Rabiei M, Salimi SH. Psychometric Properties of the Persian Version of Adult Attention-Deficit/Hyperactivity Disorder Self-Report Scale. Iranian Journal of Psychiatry and Clinical Psychology 2015; 21 (3) :244-253.[Persian]
37-Karimi S, Yousefi R, Soleymani M. Making Marital Infidelity Questionnaire as valid one. Clinical Psychology and Personality. 2020;17(1):237-48. [Persian]
38-Larson JH, Anderson SM, Holman TB & et al. A longitudinal study of the effects of premarital communication, relationship stability, and self-esteem on sexual satisfaction in the first year of marriage. J Sex Marital Ther. 1998;24(3):193-206.
39-Bahrami N, Yaghoobzadeh A, Sharif Nia H & et al. Psychometric Properties of the Persian Version of Larsons Sexual Satisfaction Questionnaire in a Sample of Iranian Infertile Couples. Iranian Journal of Epidemiology. 2016;12(2):18-31.[Persian]
40-Fakhri A, Pakpour AH, Burri A & et al. The Female Sexual Function Index: Translation and Validation of an Iranian Version. The Journal of Sexual Medicine 20209;(2):514–23.
41-Zolfaghari S, Moradi O, Ahmadian H & et al. The Effects of Teaching Sexual Satisfaction Model on Couple Burnout. Journal of Arak University of Medical Sciences. 2021;24(2):246-55. [Persian]
42-McNulty JK, Wenner CA, Fisher TD. Longitudinal Associations Among Relationship Satisfaction, Sexual Satisfaction, and Frequency of Sex in Early Marriage. Arch Sex Behav. 2016;45(1):85-97.
43-Asadi M, Jahanbakhshi Z, Mahmoodi F & et al. Love and Belief in a Just World and Marital Commitment in Financial Infidelity in Iranian Couples. Journal of Psychosociological Research in Family and Culture. 2(4):36-44.
Type of Study: Research |
Subject:
Psychology
Received: 2024/08/22 | Accepted: 2024/10/27 | Published: 2024/12/30
Received: 2024/08/22 | Accepted: 2024/10/27 | Published: 2024/12/30
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