Prediction of Mental Health based on Sexual Self-efficacy and Time Perspective in Infertile Women

Document Type : Original Article


1 Ph.D. Student, Department of Psychology, Central Tehran Branch ,Islamic Azad University, Tehran, Iran.

2 Assistant Professor, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.



Background: Infertility is associated with feelings of lack of sexual self-efficacy, decreased self-confidence, and self-confidence in sexual function.
Objectives: This study aimed to predict mental health based on sexual self-efficacy and time perspective in infertile women.
Methods: The research method was descriptive-correlational. The study population of infertile Iranian women referred to centers and hospitals affiliated to Shahid Beheshti University of Medical Sciences whose age was between 20-40 years old which 300 people were selected by convenience sampling method. The research tools included Time Perspective Questionnaire (1991), Sexual Self-Efficacy Questionnaire, and Mental Health Questionnaire (2012), and a multiple regression test was used to analyze the data by SPSS.22.
Results: The results showed that with increasing scores in sexual self-efficacy and dimensions of positive past time perspective, hedonistic present, and positive future, mental health increased (P<0.001), but with an increasing score in the dimensions of past time perspective negative and present judicial and somewhat, mental health decreased.
Conclusion: Therefore, it can be concluded that sexual self-efficacy and perspective dimensions of time can predict mental health in infertile women.


 1.Elyasi F, Parkoohi PI, Naseri M, Hamedi M, Peyvandi
S, Gelehkolaee KS. The relation between couple's
infertility distress with their partner's attachment and
coping styles. Journal of Nursing and Midwifery
Sciences. 2021 Apr 1;8(2):92.
2.Moura-Ramos M, Santos TA, Canavarro MC. The role
of attachment anxiety and attachment avoidance on the
psychosocial well-being of infertile couples. Journal of
clinical psychology in medical settings. 2017
3.Khalid A, Dawood S. Social support, self-efficacy,
cognitive coping and psychological distress in infertile
women. Archives of Gynecology and Obstetrics. 2020
4.Fortunato VJ, Furey JT. The Theory of MindTime:
The relationships between thinking perspective and time
perspective. Personality and Individual Differences.
2010 Mar 1;48(4):436-41.
5.Anokye R, Acheampong E, Mprah WK, Ope JO,
Barivure TN. Psychosocial effects of infertility among
couples attending St. Michael’s Hospital, Jachie-Pramso
in the Ashanti Region of Ghana. BMC research notes.
2017 Dec;10(1):1-5.
6.Horne S, Zimmer-Gembeck MJ. The female sexual
subjectivity inventory: Development and validation of a
multidimensional inventory for late adolescents and
emerging adults. Psychology of Women Quarterly. 2006
7.Lotti F, Maggi M. Sexual dysfunction and male
infertility. Nature Reviews Urology. 2018
8.Khodakarami N, Hashemi S, Seddigh S, Hamdiyeh M,
Taheripanah R. Life experience with infertility; a
phenomenological study. Journal of Reproduction &
Infertility. 2010;10(4).
9.Kato T, Sampei M, Saito K, Morisaki N, Urayama KY.
Depressive symptoms, anxiety, and quality of life of
Japanese women at initiation of ART treatment.
Scientific Reports. 2021 Apr 6;11(1):1-8.
10.Chaves C, Canavarro MC, Moura‚ÄźRamos M. The role
of dyadic coping on the marital and emotional
adjustment of couples with infertility. Family process.
2019 Jun;58(2):509-23.
11.Hajinia A, Khalatbari J. The effectiveness of sex
therapy on sexual self-efficacy and marital satisfaction
of diabetic women. Educ Stud. 2017;2(1):33-42.
12.Patel AS, Leong JY, Ramasamy R. Prediction of male
infertility by the World Health Organization laboratory
manual for assessment of semen analysis: a systematic
review. Arab journal of urology. 2018 Mar 1;16(1):96-
13.Martschenko D, Trejo S, Domingue BW. Genetics
and education: recent developments in the context of an
ugly history and an uncertain future. AERA Open. 2019
14.Zimbardo PG, Boyd JN. Putting time in perspective:
A valid, reliable individual-differences metric. InTime
perspective theory; review, research and application
2015 (pp. 17-55). Springer, Cham.
15.Vahid dastjerdi L, Nilforooshan L. Work Hope: The
Role of Personal and Social Factors and Family Support.
Positive Psychology Journal. 2016; 1(4): 15-28.
16.Vaziri S, LOtfi Kashani F. Study of factor structure,
reliability and validity of the sexual self efficacy
questionnaire. Thoughts and Behavior in Clinical
Psychology. 2013 Sep 23;8(29):47-56.
17.Montazeri A, Harirchi AM, Shariati M, Garmaroudi
G, Ebadi M, Fateh A. The 12-item General Health
Questionnaire (GHQ-12): translation and validation
study of the Iranian version. Health and quality of life
outcomes. 2003 Dec;1(1):1-4.
18.Namjoo S, Shaghaghi A, Sarbaksh P, Allahverdipour
H, Pakpour AH. Psychometric properties of the General
Health Questionnaire (GHQ-12) to be applied for the
Iranian elder population. Aging & mental health. 2017
Oct 3;21(10):1047-51.
19.Kim J, Hong H, Lee J, Hyun MH. Effects of time
perspective and self-control on procrastination and
Internet addiction. Journal of behavioral addictions. 2017
20.Brothers A, Chui H, Diehl M, Pruchno R. Measuring
future time perspective across adulthood: development
and evaluation of a brief multidimensional questionnaire.
The Gerontologist. 2014 Dec 1;54(6):1075-88.
21.Cate RA, John OP. Testing models of the structure
and development of future time perspective: maintaining
a focus on opportunities in middle age. Psychology and
aging. 2007 Mar;22(1):186.
22.Strauss K, Griffin MA, Parker SK. Future work
selves: how salient hoped-for identities motivate
proactive career behaviors. Journal of applied
psychology. 2012 May;97(3):580.
23.Weiss D. What will remain when we are gone?
Finitude and generation identity in the second half of
life. Psychology and Aging. 2014 Sep;29(3):554.
24.Brothers A, Gabrian M, Wahl HW, Diehl M. Future
time perspective and awareness of age-related change:
Examining their role in predicting psychological wellbeing. Psychology and Aging. 2016 Sep;31(6):605.
25.Tamannaifar M. A Comparative Study of Mental
Health, Marital Adjustment and Coping Responses
among Fertile-Infertile Women. Clinical Psychology and
Personality (Daneshvar Raftar). Scient Ific-Research
Journal of Shahed Univ Ersity. Third Year. 2011; 3(4):