MEDIATING ROLE OF SLEEP QUALITY AND DISTRESS TOLERANCE IN RELATIONSHIP BETWEEN ANXIETY AND DEPRESSION WITH SEXUAL FUNCTION IN MENOPAUSAL WOMEN WITH TYPE 2 DIABETES

Background & Aim: Sexual function is an important part of the life of menopause women with type 2 diabetes and changes in it, especially in menopause, can affect their health.The sexual function of these women can be affected by various factors.The purpose of the present study was to investigate mediating role of the sleep quality and distress tolerance in the relationship between anxiety and depression with sexual Function in menopausal women with type 2 diabetes. Materials & Methods:This study employed a correlational design.The statistical population consisted of postmenopausal women with type 2 diabetes in Tehran city in 2023.The sample size was selected based on Kline model ( 2023).A sample size of 300 was selected using convenience sampling method.Data were collected using the female sexual function index of Isidori and et al ( 2010), depression inventory-II of Beck and et al (1996), anxiety inventory Beck and et al (1988), Pittsburgh sleep quality index of Buysse and et al (1989) and distress tolerance scale of Simons and Gaher (2005).Data were analyzed using SPSS and AMOS-28 statistical softwares.Results: The findings showed that there were significant direct effects of anxiety, depression, sleep quality, and distress tolerance on sexual function.Also, the results showed that sleep quality and distress tolerance have a mediating role in relationship between anxiety and depression with sexual function.Also, the proposed model demonstrated acceptable fit to the data (P<0/05, NFI=0/91, GFI=0/92, IFI=0/99, RMSEA=0/05).Further analyses of the data revealed that 93% of the variance of sexual function was explained by anxiety and depression through the mediating role of sleep quality and distress tolerance.Discussion: Therefore, it is concluded that anxiety and depression negatively affect the sleep quality and distress tolerance, leading to impaired sexual function of postmenopausal women with type 2 diabetes.So it is suggested to perform psychological interventions to reduce their anxiety and depression in these women.