Journal of

The purpose of this study was  to evaluate the structural model of the relationship between marital adjustment, sexual self-disclosure and sexual anxiety in vaginismus disorder by mediating social exchange styles. Population was composed of all women who referred to sexual disorder treatmernt centers in Tehran. Sample consisted of 220 women with vaginismus disorder. The research tool included marital adjustment scale, sexual anxiety questionnaires, sexual self-disclosure scale, multidimensional vaginal penetration disorder questionnaire and social exchange questionnaire.The results of structural equation modeling showed a rather good fit for the model. In addition, the results showed that all paths between the variables were statistically significant. According to the results, the indirect relationship of sexual self- disclosure, marital adjustment and sexual anxiety through mediation of social exchange styles was not statistically significant. However, marital adjustment and sexual anxiety directly predict the severity of  vaginismus disorder, but thire indirect effects through social exchange styles on vaginismus was not significiant. Therefore, sexual anxiety and marital adjustment are important components in predicting vaginismus disorder and should be considered as one of the main goals of treatment in women with vaginismus disorder.

The aim of this study was to present an exploratory model to express the relationships between a set of factors including personality factors, attachment styles, control source, coping strategies and perceived stress and disease perception in patients with hemophilia, emphasizing the mediating role of social exchange styles. The present study is a correlational study based on path analysis. In order to conduct the study, 450 patients from the Hemophilia Support Centre in Isfahan were randomly selected. The instruments used in this study included the Neo Five Personality Factor Questionnaire, the Hazen and Shaver Attachment Styles Scale, the Rutter Control Scale, the Andler and Parker Stress Coping Questionnaire, the Cohen Perceived Stress Questionnaire, the Disease Perception Questionnaire and the Libman Social Learning Exchange Questionnaire. The results indicated a linear relationship between a group of factors such as neurotic personality traits, responsibility, extraversion and flexibility, two coping styles (emotion-oriented, problem-oriented and avoidance) and a secure attachment style and disease perception. The results also showed personality traits (neuroticism, extraversion, pleasantness, flexibility and responsibility), coping styles (avoidance and emotion-oriented), attachment style (safe and unsafe ambivalent) and source of control are related to the perception of disease through the mediating role of social exchange style fairness. Therefore, in order to provide measures to improve the perception of patients with hemophilia, it is necessary to pay special attention to personality traits, coping styles, attachment style, source of control and perceived stress in addition to fair social exchange styles.