Abstract
Sexual satisfaction and satisfaction with a relationship are important health indicators with regard to a person’s well-being and quality of life. These issues become particularly significant in the case of people suffering from chronic diseases, including type 2 diabetes. The aim of this research was to establish the relations between sexual satisfaction, satisfaction with a relationship, and life satisfaction both generally and in more detailed domains in individuals with type 2 diabetes, compared to individuals without this disease. The research also included testing the mediation role of satisfaction with a relationship in the relation between sexual satisfaction and quality of life. The statistical analysis involved data obtained from a group of 151 subjects including 77 with type 2 diabetes. Methods with recognized psychometric properties were used in the research. The results showed that individuals with diabetes are generally less satisfied with their previous and current life, and they are less satisfied with sexuality and passion, when contrasted with individuals not suffering from the disease. In the group of individuals with diabetes, commitment within a relationship mediated the relations between emotional satisfaction and the sense of control and overall satisfaction with current life, including within the psychological, social, and environmental domains. Relationship commitment also mediated the relations between satisfaction with the physical area and satisfaction with the psychological and social domains.
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Price, D.E., O’Malley, B.P., Roskan, M., James, M., Hearnshaw, J.R.: Why are impotent diabetic men not being treated? Pract. Diabetes 8, 10–11 (1991)
Seftel, A.: Male hypogonadism. Part II: etiology, pathophysiology, and diagnosis. Int. J. Impot. Res. 11, 256–278 (2005)
Muniyappa, R., Norton, M., Dunn, M.E., Banerji, M.A.: Diabetes and female sexual dysfunction: moving beyond “benign neglect”. Curr. Diabetes Rep. 5, 230–236 (2005). https://doi.org/10.1007/s11892-005-0014-3
Ozcan, S., Sahin, N.H., Bilgic, D., Yilmaz, S.D.: Is sexual dysfunction associated with diabetes control and related factors in women with diabetes? Sex. Disabil. 29, 251–261 (2011). https://doi.org/10.1007/s11195-011-9209-5
Newman, A.S., Bertelson, A.D.: Sexual dysfunction in diabetic women. J. Behav. Med. 9, 261–270 (1986)
LeMone, P.: The psychical effects of diabetes on sexuality in women. Diabetes Educ. 22, 361–366 (1996)
WHO Global report on diabetes (2009/2016). World Health Organization World Health Organization, Geneva. http://www.who.int/topics/noncommunicable_diseases/en/
Cho, N.H., Whiting, D., Forouhi, N., Guariguata, L., Hambleton, I., Li, R., Majeed, A., et al.: IDF Diabetes Atlas, 7th edn. International Diabetes Federation, Karakas Print, Brussels (2015)
Tatoń, J., Czech, A., Bernas, M.: Diabetologia kliniczna. Wydawnictwo Lekarskie PZWL, Warsaw (2008)
Czupryniak, L., Strojek, K.: Diabetologia 2016. Via Medica, Gdańsk (2016)
Lew Starowicz, M., Długołęcka, A.: Wstyd. Seks i medycyna. Przewodnik dla lekarzy. Leo Media, Warsaw (2014)
Izdebski, Z.: Seksualność Polaków na początku XXI wieku: stadium badawcze. Wydawnictwo UJ, Kraków (2012)
Sarkadi, A., Rosenqvist, U.: Intimacy and women with type 2 diabetes: an exploratory study using focus group interviews. Diabetes Educ. 29(4), 641–652 (2003)
Walker, A.E.: Multiple chronic diseases and quality of life: patterns emerging from a large national sample, Australia. Chronic Illn. 3(3), 202–218 (2007)
Schipper, H.: Quality of life: principles of the clinical paradigm. J. Psychol. Oncol. 8(23), 171–185 (1990)
Pinney, E., Gerrard, M., Denney, N.: The Pinney sexual satisfaction inventory. J. Sex Res. 23, 233–251 (1987)
Holt, A., Lyness, K.: Body image and sexual satisfaction. Implications for couple therapy. J. Couple Relat. Ther. Innov Clin. Educ. Interv. 6(3), 45–68 (2007)
Ji, J., Norling, M.: Sexual satisfaction of married urban Chinese. J. Dev. Soc. 20, 21–38 (2004)
Davis, D., Shaver, P.R., Widaman, K.F., Vernon, M.L., Follette, W.C., Beitz, K.: “I can’t get no satisfaction”: in secure attachment, inhibited sexual communication, and sexual dissatisfaction. Pers. Relationsh. 13, 465–483 (2006)
Sternberg, R.J.: A triangular theory of love. Psychol. Rev. 93, 119–135 (1986)
Rosen, R.C., Bachmann, G.A.: Sexual well-being, happiness, and satisfaction, in women: the case for a new conceptual paradigm. J. Sex Marital Ther. 34(4), 291–307 (2008). https://doi.org/10.1080/00926230802096234
Bancroft, J.: Human Sexuality and its Problems. Churchill Livingstone/Elsevier, Edinburgh (2009)
Dogan, T., Tugut, N., Golbasi, Z.: The relationship between sexual quality of life, happiness, and satisfaction with life in married Turkish women. Sex. Disabil. 31(3), 239–247 (2013)
Sanchez, M.M., Santos-Iglesias, P., Sierra, J.C.: A systematic review of sexual satisfaction. Int. J. Clin. Health Psychol. 14(1), 67–75 (2014). https://doi.org/10.1016/S1697-2600(14)70038-9
Sprecher, S.: Sexual satisfaction in premarital relationships: associations with satisfaction, love, commitment, and stability. J. Sex Res. 39, 190–196 (2002)
Gossman, I., Mathieu, M., Julien, D., Chartrand, E.: Determinants of sex initiation frequencies and sexual satisfaction in long-term couples’ relationships. Can. J. Hum. Sex. 3(4), 169–181 (2003)
Byers, S.E.: Relationship satisfaction and sexual satisfaction: a longitudinal study of individuals in long-term relationships. J. Sex Res. 42, 113–118 (2005). https://doi.org/10.1080/00224490509552264
Meltzer, A., McNulty, J.K.: Body image and marital satisfaction: evidence for the mediating role of sexual frequency and sexual satisfaction. J. Fam. Psychol. 24(2), 156–164 (2010). https://doi.org/10.1037/a0019063
Butzer, B., Campbell, L.: Adult attachment, sexual satisfaction, and relationship satisfaction: a study of married couples. Pers. Relationsh. 15(1), 141–154 (2008). https://doi.org/10.1111/j.1475-6811.2007.00189.x
Hassebrauck, M., Fehr, B.: Dimensions of relationship quality. Pers. Relationsh. 9, 253–270 (2002)
Kisler, T.S., Christopher, F.: Sexual exchanges and relationship satisfaction: testing the role of sexual satisfaction as a mediator and gender as a moderator. J. Soc. Interpers. Relationsh. 25, 587–602 (2008)
Bell, R.R.: Female sexual satisfaction and levels of education. In: Gross, L. (ed.) Sexual behavior: current issues. Spectrum Publishing, Flushing (1974)
Masters, W.H., Johnson, V.E.: The pleasure bond. Bantam, New York (1980)
Knox, D.: Human sexuality. The search for understanding. West, St. Paul (1984)
Laswell, T.E., Laswell, M.E.: I love you but I’m not in love with you. J. Marriage Fam. Couns. 38, 211–224 (1976)
Risen, C.B.: Listening to sexual stories. In: Levine, S.B., Risen, C.B., Candace, B., Althof, S.E. (eds.) Handbook of clinical sexuality for mental health professionals, pp. 3–19. Brunner-Routledge, New York (2003)
Lindau, S.T., Tang, H., Gomero, A., Vable, A., Huang, E.S., Drum, M.L., Quato, D.M., et al.: Sexuality among middle-aged and older adults with diagnosed and undiagnosed diabetes: a national, population-based study. Diabetes Care 33(10), 2202–2210 (2010). https://doi.org/10.2337/dc10-0524
Nicolosi, A., Glasser, D.B., Brock, G., Laumann, E., Gingell, C.: Diabetes and sexual function in older adults: results of an international survey. Br. J. Diabetes Vasc. Dis. 2(4), 336–339 (2002)
Dundon, C.M., Rellini, A.H.: More than sexual function: predictors of sexual satisfaction in a sample of women age 40–70. J. Sex. Med. 7(2), 896–904 (2010). https://doi.org/10.1111/j.1743-6109.2009.01557.x
Syme, M.L., Klonoff, E.A., Macera, C.A., Brodine, S.K.: Predicting sexual decline and dissatisfaction among older adults: the role of partnered and individual physical and mental health factors. J. Gerontol. B Psychol. Sci. Soc. Sci. 68(3), 323–332 (2013). https://doi.org/10.1093/geronb/gbs087
Copeland, K.L., Brown, J.S., Creasman, J.M., Van Den Eeden, S.K., Subak, L., Thom, D.H., Ferrara, A., et al.: Diabetes mellitus and sexual function in middle-aged and older women. Obstet. Gynecol. 120(2), 331–340 (2012). https://doi.org/10.1097/AOG.0b013e31825ec5fa
Elyasi, F., Kashi, Z., Tasfieh, B., Bahar, A., Khademloo, M.: Sexual dysfunction in women with type 2 diabetes mellitus. Iran. J. Med. Sci. 40(3), 206–213 (2015)
Erol, B., Tefekli, A., Ozbey, I., Salman, F., Dincag, N., Kadioglu, A., Tellaloglu, S.: Sexual dysfunction type II diabetic females: a comparative study. J. Sex Marital Ther. 28(suppl 1), 55–62 (2002)
Celik, S., Golbası, Z., Kelleci, M., Satman, I.: Sexual dysfunction and sexual quality of life in women with diabetes: the study based on a diabetic center. Sex. Disabil. 33, 233–241 (2015). https://doi.org/10.1007/s11195-014-9383-3
Diener, E., Emmons, R.A., Larsen, R.J., Griffin, S.: The satisfaction with life scale. J. Pers. Assess. 49, 71–75 (1985)
The WHOQOL Group: The World Health Organization quality of life assessment (WHOQOL): position paper from the World Health Organization. Soc. Sci. Med. 41, 1403–1409 (1995)
Acker, M., Davis, M.H.: Intimacy, passion and commitment in adult romantic relationships: a test of the triangular theory of love. J. Soc. Pers. Relationsh. 9, 21–50 (1992)
Hayes, A.F.: Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. Guilford Press, New York (2013)
Baron, R.M., Kenny, D.A.: The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J. Pers. Soc. Psychol. 51(6), 1173–1182 (1986)
MacKinnon, D.P., Lockwood, C.M., Williams, J.: Confidence limits for the indirect effect: distribution of the product and resampling methods. Multivar. Behav. Res. 39(1), 99–128 (2004). https://doi.org/10.1207/s15327906mbr3901_4
Janowski, K., Czyżowska, A.: Właściwości psychometryczne polskiej wersji skali zadowolenia z życia seksualnego dla kobiet. Prz. Seksuolo 9(36), 3–10 (2013)
Rubin, R.R., Peyrot, M.: Quality of life and diabetes. Diabetes Metab. Res. Rev. 15(3), 205–218 (1999)
Akvardar, Y., Akdede, B.B., Ozerdem, A., Eser, E., Topkaya, S., Alptekin, K.: Assessment of quality of life with the WHOQOL-BREF in a group of Turkish psychiatric patients compared with diabetic and healthy subjects. Psychiatry Clin. Neurosci. 60(6), 693–699 (2006). https://doi.org/10.1111/j.1440-1819.2006.01584.x
Eljedi, A., Mikolajczyk, R.T., Kraemer, A., Laaser, U.: Health related quality of life in diabetic patients and controls without diabetes in refugee camps in the Gaza Strip: a cross-sectional study. BMC Public Health (2006). https://doi.org/10.1186/1471-2458-6-268
Wee, H.L., Cheung, Y.B., Li, S.C., Fong, K.Y., Thumboo, J.: The impact of diabetes mellitus and other chronic medical conditions on health-related quality of life: is the whole greater than the sum of its parts? Health Qual Life Outcomes 12(3), 2 (2005). https://doi.org/10.1186/1477-7525-3-2
Poljicanin, T., Ajdukovic, D., Sekerija, M., Pibernik-Okanovic, M., Metelko, Z., Vuleti Mavrinac, G.: Diabetes mellitus and hypertension have comparable adverse effects on health-related quality of life. BMC Public Health (2010). https://doi.org/10.1186/1471-2458-10-12
Bosic-Zivanovic, D., Medic-Stojanoska, M., Kovacev-Zavisic, B.: The quality of life in patients with diabetes mellitus type 2. Vojnosanit. Pregl. 69, 858–863 (2012)
Koligat, D., Leszczyński, P., Pawlak-Buś, K., Koligat, A., Zaprutko, T., Kus, K., Paczkowska, A., et al.: Wpływ chorób przewlekłych (osteoporozy i cukrzycy) na health related quality-of-life. Bad Pilotażowe Now Lek 81(2), 122–128 (2012)
Kalka, D.: Poczucie jakości życia a objawy depresji i sposoby radzenia sobie ze stresem u osób z cukrzycą typu 2 – doniesienie wstępne. Psychiatry Pol. 48(5), 931–940 (2014). https://doi.org/10.12740/PP/22868
Kalka, D., Pawłowska, M.: Health enhancing coping as a mediator in relationships of positive emotionality and cognitive curiosity with quality of life among type 2 diabetes patients. Pol. Psychol. Bull. 46(3), 362–375 (2015). https://doi.org/10.1515/ppb-2015-0043
Tavakkoli, L., Dehghan, A.: Compare the quality of life in type 2 diabetic patients with healthy individuals (application of WHOQOL-BREF). Zahedan J. Res. Med. Sci. 19(2), 5882 (2017). https://doi.org/10.5812/zjrms.5882
Jain, V., Shivkumar, S., Gupta, O.: Health-related quality of life (hr-qol) in patients with type 2 diabetes mellitus. N Am J Med Sci 6(2), 96–101 (2014). https://doi.org/10.4103/1947-2714.12775
Levinson, D.J.: The Seasons of a Woman’s Life. Ballantine Books, New York (1997)
Lew-Starowicz, Z., Długołęcka, A.: Edukacja Seksualna. Świat Książki, Warsaw (2006)
Duch-Krzystoszek, D.: Małżeństwo, seks, prokreacja. Analiza socjologiczna. IFIF PAN, Warsaw (1997)
Lawrance, K., Byers, E.S.: Sexual satisfaction in long-term heterosexual relationships. The interpersonal exchange model of sexual satisfaction. Per. Relationsh. 2, 267–285 (1995)
Rusbult, C.E., Arriaga, X.B., Agnew, C.R.: Interdependence in close relationships. In: Fletcher, G.J.O., Clark, M.S. (eds.) Blackwell handbook of social psychology: interpersonal processes, pp. 359–387. Blackwell, Oxford (2001)
Wojciszke, B.: Psychologia Społeczna. Scholar, Warsaw (2011)
Sprecher, S., Barbee, A., Schwartz, P.: “Was it good for you too”?: gender differences in first sexual intercourse experiences. J. Sex Res. 32, 3–15 (1995)
Redekop, W.K., Koopmanschap, M.A., Stolk, R.P., Rutten, G., Wolffenbuttel, B., Niessen, L.W.: Health-related quality of life and treatment satisfaction in Dutch patients with type 2 diabetes. Diabetes Care 25, 458–463 (2002)
Pufal, J., Gierach, M., Pufal, M., Bronisz, A., Kiełbasa, L., Junik, R.: Wpływ czynników społeczno-demograficznych i klinicznych na jakość życia chorych na cukrzycę typu 2. Diabetol Dośw Klin 4(2), 137–143 (2004)
Dąbrowska, A., Jurkowska, B., Nowicki, G., Prystupa, A., Bednarski, J., Pietryka-Michałowska, E.: Ocena wybranych elementów psychicznej jakości życia pacjentów leczonych z powodu cukrzycy typu 2. Curr. Probl. Psychiatry 13(2), 128–133 (2012)
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This study was supported by SWPS University of Human Sciences and Humanities WSO/2014/A/03.
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Kalka, D. Sexual Satisfaction, Relationship Satisfaction, and Quality of Life in Individuals with Type 2 Diabetes: Evidence from Poland. Sex Disabil 36, 69–86 (2018). https://doi.org/10.1007/s11195-017-9516-6
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DOI: https://doi.org/10.1007/s11195-017-9516-6