Endometriosis affects the sexual functioning and marital satisfaction of couples in a complex manner due to its clinical presentation of the disease. This study aimed to evaluate the prevalence of sexual dysfunction and marital disharmony among women with endometriosis beyond their diagnosis and treatment. A cross-sectional online survey was conducted among women with endometriosis in an endometriosis society at a Malaysian university hospital. Sociodemographic and clinical data were collected. Sexual function was measured using the Malay Version Female Sexual Function Index (MVFSFI), while marital satisfaction was evaluated with the Malay Version Golombok Rust Inventory for Marital Satisfaction (MVGRIMS). A total of 166 patients participated in this survey. The median age was 35 years (Interquartile range, IQR:32.00-39.25 years); 91.6% of participants were Malay. The median score of MVFSFI was 56.00 (IQR: 34.75-68.00). Most of the study subjects (n = 96) reported poor to very severe marital satisfaction problems, equivalent to MVGRIMS transformed score of more than 5. High levels of MVGRIMS scores have a moderately strong negative correlation with lower scores for most domains of the MVFSFI. In the stepwise multiple logistic regression, only MVFSFI total scores (p = 0.029), MVFSFI lubrication scores (p = 0.009), and MVFSFI satisfaction (p = 0.010) scores were significantly associated with poor marital satisfaction. Both sexual dysfunction and marital satisfactions commonly affect women with endometriosis and are closely interlinked. Targeted efforts should be made in multiple aspects to improve the quality of sexual functioning and marital satisfaction among endometriosis patients.
BackgroundThe COVID-19 pandemic accelerated telepsychiatry adoption, proving its flexibility despite ongoing challenges.AimThis study investigated whether perceived communication effectiveness, satisfaction, and technology self-efficacy are associated with frequency of recent telepsychiatry use among mental health service providers (MHSPs) and patients at a Malaysian teaching hospital.MethodsA cross-sectional study was conducted between February and May 2024. Participants included MHSPs and patients with at least one telepsychiatry session. Independent variables-perceived communication effectiveness, satisfaction, and technology self-efficacy-were assessed using the Telehealth Usability Questionnaire (TUQ) and the Modified Technology Self-Efficacy Scale (MTSES). The dependent variable was frequency of recent telepsychiatry use within the past 2 months. Associated factors were identified via comparative analyses and ordinal logistic regression.ResultsAmong 92 MHSP respondents (median age 36; 65.7% female), perceived communication effectiveness significantly associated with frequency of recent use (adjusted OR: 2.05, p = 0.008); satisfaction and self-efficacy were not significant. For patients, only younger age significantly associated with recent telepsychiatry use (adjusted OR: 0.90, 95% CI: 0.82-0.98; p = 0.016).ConclusionPerceived communication effectiveness is associated with more frequent recent telepsychiatry use among providers, while satisfaction and technology self-efficacy are not. These findings suggest that enhancing the perceived utility is essential for broader adoption.