The Effect of Spousal Support on Sexual Quality of Life and Psychological Well-Being Among Menopausal Women

This study examined the relationships between perceived spousal support, sexual quality of life, and psychological well-being among menopausal women. This descriptive, cross-sectional study was conducted between November 2025 and January 2026 with 250 married menopausal women. Data were collected using a Sociodemographic Information Form, the Menopausal Spousal Support Questionnaire (MSSQ), the Sexual Quality of Life-Female (SQOL-F), and the Psychological Well-Being Scale (PWS). Descriptive statistics and Pearson correlation analyses were performed, and exploratory mediation analysis was conducted using Hayes' PROCESS macro (Model 4). The mean age of participants was 57.88 ± 6.85 years, and 41.2% reported that menopause negatively affected communication and sexual relationships with their spouse. Perceived spousal support was positively correlated with sexual quality of life and psychological well-being. Exploratory analyses indicated that sexual quality of life may be related to the association between spousal support and psychological well-being. These findings suggest that spousal support, sexual quality of life, and psychological well-being are interrelated among menopausal women. However, due to the cross-sectional design, results should be interpreted as associative rather than causal. The findings highlight the importance of considering relational and psychosocial factors in menopausal health and may inform future research in this area.