Prof.Shafiyeva E.I. Baku State University, Azerbaijan

Prof. ass. Allahyarova S.A., Baku State University, Azerbaijan

Prof. ass.Quliyeva S.Y., Baku State University, Azerbaijan

Prof.Kadirova R.Q., Baku State University, Azerbaijan

Prof. ass. Samandarova A.F., Baku State University, Azerbaijan

Prof.ass. Aliyeva S.N., Baku State University, Azerbaijan


Keywords: gynecological diseases, depression, failure, needs, motivation


ABSTRACT
Characteristics of the Motivation-Sphere of Women with Gynecological Problems
The article discusses the conducted psychodiagnostic work of studying the characteristics of the motivational-need sphere of women with gynecological problems. The relationship between systems need a motivation, depression, interpersonal relationships, and sexual satisfaction which has been identified. In order to study this problem, a socio-demographic table was drawn up and a battery of techniques was conducted: Hierarchy of Needs Scale; The Situational Motivation Scale; Beck Depression İnventory; Body İmage Scale; Dyadic Adjustment Scale и Golombok-Rust Inventory of Sexual Satisfaction. The study revealed that women with gynecological problems, depending on the severity of the disease, decrease in both internal and external motivations ; unmet needs; gynecological diseases contribute to depression; the disease affects to interpersonal relationships and contributes to the occurrence of these conflicts; negative perception of your body and dissatisfaction with the sex life. The use of clinical psychology in recent years and one of the topical issues for our time is the study of psychological problems caused by gynecological diseases and the prevention of certain psychiatric disorders.

Introduction

It is known that the illness changes the patient's attitude to the environment, to his or her own and results in a decrease in his place in society. The patient differs from the healthy person with the qualitative changes in the work of internal organs and mood. At this time there is a change in interests, motility, speech, plans for the future, ordinary life rhythm. Gynecological disorders are accompanied by psycho-symptomatic symptoms. The manifestation of mental factors during gynecological illnesses is manifested in their conflicting relationships and difficult social adaptations [2,62]. During the gynecological illness, the psychological factor is accompanied by pathophysiological changes. At the same time, gynecological patients have depression, affective conditions, fears, disturbances of sleep and appetite, distorted perception of themselves and their surroundings, lack of goals for the future, increased thinking about death, and so on. is observed [1, 9]. Depending on the nature of the gynecological illness, there are various psychological states and disorders. First of all, it should be noted that the study of patients during gynecological diseases is assessed by the functioning of the sexual system. This includes menstrual problems, birth, sex, and secretory problems. Depending on these problems, there are many psychological problems in women. These are factors that affect the lives of women, and also cause pregnancy and motherhood problems in both sex and family relationships. These problems affect women's motivation. There are changes in motifs of women with gynecological problems.

The study works on motives. Motivations also depend on the internal situation that drives and directs behavior towards specific goals and objects. So motives depend on human beings and their condition.

Gynecological illnesses cause fear of failure in human beings. Thus, the main purpose is to continue life. Other goals in these patients are the ability to maintain a healthy human image, continue the ability to function in a broader social environment, and develop the ability to build romantic relationships with others in the future. At the same time, it should be noted that every woman has her own needs as each individual is an individual.

In women with gynecological disorders there is a lack of motivation. One of the reasons for the lack of motivation is depression. One of the main symptoms of depression is anhedonia - the lack of interest in the activity. Therefore, treating depression is a successful step in creating motivation. Depression in women with gynecological problems shows itself as a comorbid symptom.

Another reason for the lack of motivation is the fear of failure. Especially in Asian countries, people are raised with perfectionist slaves. Women with gynecological problems live in fear of failure if they think that their illnesses are unresolved, difficult to solve. This failure indicates that they are defective people. Fear of failure also blocks the desire to engage in activity and reduces motivation. No one who is afraid of failure can get a job. Low self-esteem is one of the key drivers of motivation.

Low self-esteem women do not believe that they will succeed in treating them, and they are preparing a provocation against themselves. They postpone the treatment to be directed to others, maintain the last moments of the treatment process, or minimize the effort to solve the problem. If the woman is not interested in solving the problem, it creates a lack of motivation. Stress is important in people's emotional state. Some women with gynecological problems are using the wrong ways to escape stress. Stress can cause sleep disturbance, which also lowers motivation.

Motivation problems in women with gynecological problems are postponed due to excitement, depression, fear of failure, and other reasons. If this situation becomes a habit in a person, then it is a failure.

While preparing passers for gynecological surgery, a number of psychological problems occur. In addition to the general fear of amputation in childhood or ovaries, the woman demonstrates high hopelessness, helplessness, excitement, fear, thinking that she will not be a mother again and become unusable as a woman after surgery. Individual psychotherapy with such patients is absolutely necessary.

It is known that our needs are in our inner state, which is incomplete for motivated behavior. Some demands are biological and some are social.

According to the famous psychiatrist Abraham Maslow, "the pyramid of demands," people are thinking of the need for a higher standard after meeting their most important first-class needs. According to Maslo's theory, the hierarchy of human needs is listed as follows:

1) Physiological demands cover the most important needs (food, clothing, shelter, etc.) of a human being.

2) Safety requirements: job, disease prevention, and so on. includes.

3) Social needs, such as affection, love. The person feels lonely when social needs are not met.

4) The need for respect is based on the needs of others, such as acceptance, respect, appreciation, fame.

5) The need for self-realization occurs in people who have other needs. When these requirements are met, people are relying on themselves to expose their claims openly.

The needs of gynecological patients and their families in the care of patients are quite specific. Severe gynecological problems can affect women's biological and physiological needs. Thus, patients may need help to control this serious problem. This problem can cause anxiety, distress and fear of self-control, daily routine and stability change, and fear of relapse. The patient and his / her family members may need assistance in gaining control, developing psychological stability, and promoting positive outlook and confidence in the future. Problems can be caused by changing personality, relationships, sexual relationships, daily social and business activities, and creating a sense of social isolation. As a result, loneliness can be the loss of friends. They may need information about the disease, counseling, process adjustment, restoration of self-esteem in the body, and self-esteem. These patients also need immediate self-actualization, which is one of the topics in the field of mental health.

Requirements for severe gynecological problems:

Basic biological and physiological requirements

1.Patient: Physical problems associated with treatment, eg physical fatigue 2.Passent: Other health problems not related to treatment and illness

3. Relatives: Health problems of relatives

Safety requirements

1 Patient: Psychological and social problems: stress, anxiety, depression and fear of losing

2.Passier: Need for information and professional support, eg disease management, control of the disease, prediction of the disease, decision

3.Question: choosing, maintaining normal living conditions

4.Passages and relatives: elimination of distress related to despair and dissatisfaction

Family-related needs

1. Patients and relatives: family support and spouse support

2. Patients and relatives: communication and loss

Loss of respect

1.Passier: Changing the body and body perception

2.Passier: Role restraint

Self realization:

1. Patients and relatives: management of patients' illnesses.

In Maslow's model for patients, it seems that the patients and their relatives have both specific and shared needs. As we have seen, the main problem is the safety needs of the patients, which is mainly due to biological and physiological integrity disorders. Proper information about the illness, family support, increases patient satisfaction and increases satisfaction. Psychosocial support for such patients is important.

The aim of our study was to investigate the needs and needs of gynecological patients, to investigate depression in gynecological patients, interpersonal relationships, sexual satisfaction and self-esteem, and to identify dependencies among them. 94 patients aged 18-60 (Medium age: 47.78 ± 9.8) who participated in the Department of Obstetrics and Gynecology of the Azerbaijan Republican ClinicalHospital participated in the pediatric treatment. All ethical principles of the study were expected. Each patient was informed about the purpose of the study and explained that they had the opportunity to refuse to participate at any stage of the study. Thus, the participants in the study agreed to participate in the study. During the study, the system of motivation and needs of women with gynecological problems was assessed in Azerbaijan. Also,

1) The urgency of depression and inter-personal relations in women with gynecological problems in Azerbaijan were investigated.

2) Women's gingival problems in women have been studied and their effects on their body have been studied.

3) Motivation-needs system and dependence on depression, interpersonal relationships, attitude to body, sexual satisfaction were assessed.

The following methodologies were used in the study:

1. Sociology-demographic chart;

2. Hierarchy of Needs Scale;

3. The Situational Motivation Scale (SIMS);

4. Beck Depression Inventory (BDI);

5. Body Imag Scale (BIS);

6. Dyadic Adjustment Scale (DAS)

7. Golombok-Rust Sexual Satisfaction Table (Golombok-Rust Inventory of Sexual Satisfaction (GRISSS)

Methods are standardized in Azerbaijani: Specific forms for recording and researching patients and their selection was initiated.The pilot study was conducted to identify problems that might have arisen and to clarify issues that might have arisen.

The results obtained during the study were analyzed through the SPSS version 16.0, and the excell program was used to investigate research findings. Since the results of the study are statistically accurate, we have a psychosocial adaptation of different psychological interventions in women with gynecological illnesses based on research indicators we can arrange. The nature of women's motivations and needs of the system should be considered, according to the plan prepared motivation, depression minimum, life satisfaction in interpersonal relations problems to improve the performance of the organization plan to investigate and prepare the case.

Patients' selection process was based on the following criteria:

1. Patients should have gynecological problems for at least 1 month;

2. Other somatic diseases should not be recorded in the patient.

3. The patient should be able to adequately answer the questions;

4. The age limit should be 18-60;

5. The condition of these patients should not be related to the acceptance of alcohol and other psychoactive substances.

Patients involved in the study are women with severe and mild gynecological problems. 11.7% of them received primary education, 70.3% - secondary, 9.6% - technical, 8.5% - university education. According to the social situation 37.6% is lower, 42.3% is medium and 8.46% is high income. According to the family situation, 84% are married and 16% are single. 44.7% of the patients are mild, and 65.3% are treated with severe gynecological problems. Patients involved in the study were divided into three groups according to the duration of the disease. Up to 67% of the patients were treated with a single patient, and 27.6% of the patients were treated for at least 5 years with different levels of gynecological problems. 5.3% of the patients did not have gynecological problems for more than 5 years.

The results were implemented through SPSS version 16.0. Significance of significance (p <0.05). The average price (Mean, M) and standard deviation (Standard Deviation) were used to calculate numbers and percentages. Variation analysis (ANOVA), (F), independent T test. The average price for calculations was calculated according to the Kruskall Wallis test. Dependency and dependent variables were performed by dependent regression analysis. Tables were evaluated according to one sample Smirnov test. The distribution was in normal distribution.

Hierarchy of demand and motivation in women with gynecological problems

We have evaluated the system of requirements for patients with severe and lightgynecological problems through the Hierarchy of Needs Scale. In light gynecological patients (M = 3,81, SD (0,66), p = 0,250, df = 92, t = 1,960) in severe gynecological diseases (SGD) for biological needs (M = 3,50 SD = 0,65 p = 0,250, df = 92, t = 1,960), safety requirements (LGD M = 3,85, SD = 0,53, SGD M = 3,75, SD = 0,50, p = 0.563, df = 92, t = 0.869), the need for affiliation and love (LGD M = 3.66, SD = 0.53, SGD M = 3.42 SD = 0.76, p = 0.431, df = 92,t = 0,331), needs assessment (LGD M = 3,54, SD = 0,98, SGD M = 3, 47 p = 0,175, df = 92, t = 1,615), cognitive requirements (LGD M = 3,70, SD = 0,67, SGD M = 3,48, SD = 0,50, p = 0,261, df = 92, t = 1,615), aesthetic requirements (LGD M = 3,56, SD = 0,75, SGD M = 3,34, SD = 0,55, p = 0,139, df = 92, t = 1,425), self-activation (LGD M = 3,05, SD = 0,39, SGD M = 2,95, SD = 0 (39, p = 1,150, df = 92, t = 0,254), the need for superiority (LGD M = 3,53, SD = 0,62, SGD M = 3,54, SD = 0,54, df = -0,096 , df = 92, t = 0,924) showed the results as we mentioned.



Table 1

Hierarchy of Needs Scale

Indicators

Mild gynecological problems

Severe gynecological problems

p

df

t

M(SD)

Safety requirements

Biological requirements

3,81 (0,66)

3,50 (0,65)

0,250

92

1,960

Student hierarchy

3,85 (0,53)

3,75 (0,50)

0,563

92

0,869

Demand for help and love

3,66 (1,11)

3,42 (0,76)

0,431

92

1,098

Needs Assessment

3,54 (0,98)

3,47 (0,76)

0,175

92

0,331

Cocoon requirements

3,70 (0,67)

3,48 (0,50)

0,261

92

1,615

Aesthetic requirements

3, 56 (0,75)

3,34 (0,55)

0,139

92

1,425

Demand for self-actualization

3,05 (0,39)

2,95 (0,39)

1,150

78

0,254

Outstanding demand

3,53 (0,62)

3,54 (0,54)

-0,096

78

0,924


Internal and external motivation

According to the results of the study, the indicators are as follows: internal motivation LGD M = 3,6 SD = 0,59, SGD M = 3,5 SD = 0,60, t = 0,750, df = 92, p = 0,454, defined regulation LGD M = 3,9 SD = 0,30, SGD M = 3,7 SD = 0,53, t = 2,340, df = 92, p = 0,022, external motivation LGD M = 3,28, SD = 0,68, SGD M = 3,13 SD = 0,76, t = 0,930 df = 92, p = 0,354, lack of motivation LGD M = 3,29 SD = 0,57, SGD M = 4,10 SD = 0,65, t = 0.821, df = 92, p = 0.334.


Table 2

The Situational Motivation Scale (SIMS)

Indicators

Light Gynecological Diseases(LGD)

Severe Gynecological Diseases(SGD)

t

df

p

M(SD)

Situational Motivation Scale

Intrinsic (Internal Motivation)

3,6 (0,59)

3,5 (0,60)

0,750

92

0,454

Defined Regulation

3,9 (0,30)

3,7 (0,53)

2,340

92

0,022

Foreign motivation

3,28 (0,68)

3,13 (0,76)

0,930

92

0,354

Motivation deficiency

3,29 (0,57)

4,10 (0,65)

0,821

92

0,344


As a result of the study, it was determined that the patients with severe gynecological diseases were less likely to be remunerated. Patients with severe gynecological problems such as those who have a better hierarchy of needs. Unlike patients with severe gynecological problems, they are able to succeed in society more effectively. According to the table, women with mild gynecological problems have higher motivation.

According to our research, there are different levels of motivation in women with different gynecological problems. Thus, women with mild gynecological problems have higher internal and external motivation. Women with severe gynecological problems have a high incidence of motivation. In general, collecting results from 3 points to 4 points in both groups suggests that gynecological problems cause problems in patients with a lack of motivation.

Investigating Sexual Satisfaction in Women with Gynecological Problems

In our study, we divided the patients into three groups according to the duration of their treatment. According to the Golombok-Rust Inventory of Sexual Satisfaction (organism problems were reported in patients receiving treatment for 1 year (X ± Ss = 4.31 ± 3.3, KWT = 1.31, p = 0.273) and patients receiving treatment for 1-5 years (X ± Ss = 2.33 Patients receiving treatment for more than 5 years (X ± Ss = 3.59 ± 3.21), including vaginism in patients receiving treatment for 1 year (X ± Ss = 6,49 ± 2,83, KWT = 0,179, p = 0,836 ), Patients receiving treatment for 1-5 years (X ± Ss = 7.16 ± 2.48), patients receiving treatment for more than 5 years (X ± Ss = 6.44 ± 2.59), no sensitivity in patients receiving treatment for 1 year (X ± Ss = (X ± Ss = 3.16 ± 2.22), patients receiving treatment for more than 5 years (X ± Ss = 5.29 ± 3.46), satisfaction feeling Patients receiving treatment for 1 year (X ± Ss = 3.54 ± 3.07, KWT = 0.330, p = 0.720), treated for 1-5 years (X ± Ss = 3.83 ± 3.18), patients receiving treatment for more than 5 years (X ± Ss = 4.11 ± 2.97), patients receiving treatment for one year (X ± Ss = 3.78 ± 3.11, KWT = 7,190 (X ± Ss = 1.16 ± 2.85), patients receiving treatment for more than 5 years (X ± Ss = 2.37 ± 2.57), patients with treatment for 1 year (X (X ± Ss = 4.50 ± 1.76), patients receiving treatment for more than 5 years (X ± Ss = 4.48 ± 1.62), who received treatment for 1-5 years (± Ss = 4.37 ± 1.96, KWT = 0.036, p = 0965) - is.




Table 3

Golombok-Rust Inventory of Sexual Satisfaction(GRISS)

GRİSS

N

X±Ss

KWT

p

1 year

Orgasm Problems:1-5years

5 years and more

61

6

27

4.31±3.3

2.33±2.30

3.59±3.21


1.31


0.273

Vaginism: 1 year

1-5years

5 years and more

61

6

27

6.49±2.83

7.16±2.48

6.44±2.59



0.179



0.836

1 year

Insensitive:1-5years

5 years and more

61

6

27

4.90±3.60

3.16±2.22

5.29±3.46



0.878



0.419

1 year

1-5 years

Refers to opposite sex :5 years and more

61

6

27

4.13±3.16

3.50±3.98

3.18±3.45




0.671



0.514

Lack of sense of satisfaction


1 year

1-5years

5 years and more



61

6

27



3.54±3.07

3.83±3.18

4.11±2.97



0.330



0.720

Escape from communication:1 year

1-5years

5 years and more

61

6

27

3.78±3.11

1.16±2.85

2.37±2.57


7.190


0.027

Speed: 1 year

1-5years

5 years and more

61

6

27

4.37±1.96

4.50±1.76

4.48±1.62



0.036


0.965

Table 4

Golombok-Rust Inventory of Sexual Satisfaction(GRİSS)

GRİSS

N

X±Ss

t

p

Orgasm Problems:LGD

SGD

42

52


3.33±2.93

4.50±3.36


1.768


0.080

Vaginism: LGD

SGD

42

52

5.80±2.13

7.09±3.02


2.328


0.022


Insensitive:LGD

SGD

42

52

4.92±3.18

4.88±3.86


0.059


0.953

Refers to opposite sex:LGD

SGD

42

52

2.88±2.98

4.57±3.87


2.331


0.022

Lack of sense of satisfactionLGD

SGD

42

52

3.09±2.67

4.23±3.22


1.828


0.071

Escape from communication:LGD

SGD

42

52


2.52±2.98

3.76±2.99


2.006


0.048

Speed: LGD

SGD

42

52

3.97±1.52

4.76±2.01


2.109



0.038





Study of bilateral relations in women with gynecological problems

We evaluated interpersonal relationships with women with gynecological problems. The mean score in the pair was: Patients receiving treatment for 1 year (X ± Ss = 11,18 ± 10,96, KWT = 0,067, p = 935), patients receiving treatment for 1-5 years (X ± Ss = 9,66 ± 2 , 16), patients receiving treatment for more than 5 years (X ± Ss = 11,07 ± 7,04), patients receiving treatment for 1 year (X ± Ss = 12,40 ± 4,66, KWT = 7,50 (X ± Ss = 16.33 ± 1.96), patients receiving treatment for more than 5 years (X ± Ss = 14.51 ± 5.47), patients with treatment for 1 year (X ± Ss = 3.39 ± 2.10, KWT = 0.019, p = 0.981), patients receiving treatment for 1-5 years (X ± Ss = 3.50 ± 1.04), patients receiving treatment for more than 5 years (X ± Ss = 3,33 ± 1,94), satisfaction was found in patients receiving treatment for 1 year (X ± Ss = 26,16 ± 4,11, KWT = 6,62, p = 0,036), patients receiving treatment for 1-5 years X ± Ss = 26,59 ± 5,15), can be treated for more than 5 years n patients (X ± Ss = 24.00 ± 4.78).

Table 5

Dyadic Adjustment Scale (DAS)

DAS

N

X±Ss

KWT

p

1 year

Negotiation :5years

5 years and more

61

6

27

11.18±10.96

9.66±2.16

11.07±7.04


0.067


0.935

Unit: 1 year

1-5years

5 years and more

61

6

27

12.40±4.66

16.33±1.96

14.51±5.47


7.50


0.023

1 year

Expression expressed1-5years

5 years and more

61

6

27

3.39±2.10

3.50±1.04

3.33±1.94


0.019


0.981

1 year

Satisfaction:1-5years

5 years and more

61

6

27

26.59±5.15

26.16±4.11

24.00±4.78

6.62

0.036

Total score:1 year

1-5years

5 years and more

61

6

27

53.57±12.68

55.66±6.25

52.92±10.21

0.135

0.874







Table 6

Dyadic Adjustment Scale(DAS)

DAS

N

X±Ss

t

p

NegotiationLGD

SGD

42

52

10.07±7.68

11.84±10.89


0.892



0.375


LGD

UnitSGD

42

52

13.45±4.79

13.11±5.05


0.329


0.743

Expressions expressedLGD

SGD

42

52

2.90±1.32

3.76±2.34


2.128



0.036


SatisfactionLGD

SGD

42

52

25.30±5.55

26.23±4.66


0.874


0.385

Total score LGD

SGD

42

52

51.73±9.31

54.96±13.13


1.341


0.183



Depression and body image study

We also assess depression and self-esteem in women with gynecological problems in Azerbaijan. In the study, women with severe gynecological problems (X ± SS = 10.38 ± 6.57, t = 2.783, p = 0.007), and women with mild gynecological problems (14.85 ± 8.99, t = 2.783, p = 0.007). The statistical honesty was paid during the study (P <0,05).

Table 7

Beck Depression İnventory(BDI)

BDI

N

X±SS

t

p

Additional group

42

14.85±8.99

2.783

0.007

Main group

52

10.38±6.57


Based on the results of the body scale, the results were obtained in the main group X ± SS = 87.28 ± 18.55 and X ± SS = 85.36 ± 21.61, t = 0.456, p = 0.650 in the additional group.

Table 8

Body İmage Scale (BİS)

BİS

N

X±SS

t

p

Additional group

42

87.28±18.55

0.456

0.650

Main group

52

85.36±21.61

The relationships between the investigated tables have been determined. First of all we tried to determine the dependence between sosio-demographic indicators and other tables. The average price for calculations was calculated according to the Kruskall Wallis test. Addiction was conducted through regression analysis.

In this section of the study, correlation was first identified between demand and motivation. Biological requirements were positive between internal motivation (R = 0,281, P = 0,066), positive adjustment (R = 0,350, P = 0,065), external motivation (R = 0,355 P = 0,060); There is a negative correlation with lack of motivation (R = -0,307, P = 0,053).

Internal demand (R = 0,385, P = 0,053), defined regulation (R = 0,375, P = 0,050), positive motivation (R = 0,360, P = 0,059) with the requirement of safety; There is a negative correlation with the lack of motivation (R = -0.390, P = 0.030). Positive, motivational deficits (R = 0.366, P = 0.111), a defined regulation (R = 0.334, P = 0.076), external motivation (R = 0.332, P = 0.668) due to need for help and love = 0.313, P = 0.076) with negative correlation. Evaluation of need was positive motivation (R = 3.54, P = 0.098), positive adjustment (R = 0.334, P = 0.076), external motivation (R = 0.332, P = 0.057) 0.410, P = 0.065) with negative correlation. Positive, motivational deficits (R = -0.470, P = 0.067) and internal motivation (R = 0,370, P = 0,067) with cognitive requirements (R = 0,348, P = 0,050), external motivation (R = 0,381, P = 0,065), P = 0.045) with negative correlation. Positive, motivation deficit (R = -0.364, P = 0.055), external motivation (R = 0.385, P = 0.055) with in-house motivation (R = 0.335, P = 0.075) , 37, P = 0.050) and there is negative correlation. Positive, motivational deficit (R = 0.305, P = 0.039) with the requirement of self-actualization (R = 0,305, P = 0,039), defined regulation (R = 0,295, P = 0,039), external motivation (R = 0,466, P = 0,111) 0.345, P = 0.056) with negative correlation. Positive, motivational deficits (R = 0.335, P = 0.062), predefined regulation (R = 0.335, P = 0.055), external motivation (R = 0.456, P = 0.065) 0,360, P = 0,057) and there is negative correlation. Biological requirements for depression (R = -0,383, P = 0,055), demand for safety (R = -0,496, P = 0,042), requirement of affiliation and love (R = -0,576, P = 0,000), needs assessment (R = -0,555, P = 0,028), cognitive requirements (R = -0,555, P = 0,033), aesthetic requirements (R = -0,456, P = 0,066), self-actualization requirement (R = -0,600, P = 0,0250 (R = -0,464, P = 0,051), with intrinsic motivation (R = -0,455, P = 0,052), defined regulation (R = -0,468, P = 0,053), negative correlation ), there is negative correlation between external motivation (R = -0.444, P = 0.040), lack of motivation (R = -0.466, P = 0.022).

Table 9

Correlation between demand and motivation

Correlation

Intrinsic motivation

Defined regulation

External motivation

Motivation deficiency

Depression

Biological requirements

R=0,281

P=0,066

R =0,350

P =0,065

R= 0,355

P= 0,060

R= -0,307

P = 0,053

R= -0,383

P=0,055

Demand for safety

R=0,385

P=0,053

R=0,375

P=0,050

R=0,360

P=0,059

R=-0,390

P=0,030

R=-0,496

P=0,042

Demand for help and love

R=0,366

P=0,111

R=0,342

P=0,076

R=0,328

P=0,068

R=0,313

P=0,076

R=-0,576

P=0,000

Needs Assessment

R=3,54

P=0,098

R=0,347

P=0,076

R=0,329

P=0,057

R=0,410

P=0,065

R=-0,555

P=0,028

Cognitive requirements

R=0,370

P=0,067

R=0,348

P=0,050

R=0,381

P=0,065

R=-0,450

P =0,045

R=-0,555

P=0,033

Aesthetic requirements

R=0,3,56

P=0,075

R=0,334

P=0,055

R=0,385

P=0,054

R=-0,377

P=0,050

R=-0,456

P=0,066

Self-actualization requirement

R=0,305

P=0,039

R=0,295

P=0,039

R=0,466

P=0,111

R=-0,345

P=0, 056

R=-0,600

P=0,025

Superiority requirement

R=0,353

P=0,062

R=0,354

P=0,054

R=0,456

P=0,065

R=-0,360

P=0,057

R=-0,464

P=0,051

Depression

R=-0,455

P=0,052

R=-0,468

P=0,053

R=-0,444

P=0,040

R=-0,466

P=0,022


Regression analysis was performed to determine dependence between socio-demographic indicators and other schedules. There was positive correlation between the GRISSS & quot; avoidance & quot; (P = 0.049, R = 0.204) and GRISSS & quot; non-communicating & quot; (P = 0.003, R = 0.302). Other positive correlation was calculated between the middle ages of the DAS expression (P = 0.033, R = 0.220). Tables also have positive correlation between BDI (Beck Depression İnventory ) scores and BIS (Body İmage Scale ) scores. (P = 0.001, R = 0.333). There is a positive correlation with the GRASS subscale & quot; absence of sensitivity & quot; (P = 0.040, R = 0.2281), and the DAS & quot; Satisfaction & quot; subgroup (P=0.013,R=-0.257). The GRISSS &quot; communication & quot; subscale (P = 0.032, R = 0.2221), Vaginism (P = 0.018, R = 0.2221) and the total DAS &quot; agreement & quot; (P = 0.036, R = 0.216) P = 0.031, R = 0.222), there is positive correlation. DAS & quot; unity & quot; score with GRISSS & quot; avoidance of reverse gender & quot; (p = 0.017, r = -0.230), & quot; lack of sense of satisfaction & quot; (P = 0.002, R = -0.313) and &quot; orgasm problems & quot; (P = 0.026, R = -0,230) have negative correlation. DAS did not & quot; feel the sensitivity & quot; (P=0,000, R=0,398), &quot;avoidance of reverse sex & quot; (P = 0,000, R = 0,378), & quot; lack of satisfaction & quot; (P = 0,000, R There is positive correlation between & quot; communication & quot; (P = 0,018, R = 0,243), & quot; frequency & quot; (P = 0,000, R = 0,438), orgasm problems (P = 0,019, R = 0,241). The absence of a sense of satisfaction (P = 0,001, R = 0,327) with avoidance of communication (P = 0,001, R = 0,327) and avoidance (P = 0,001, R = 0,327), R = 0,306) are positive correlation. 

Table 10

Correlation between GRİSS scores andBDİ, BİS, DAS scores

Correlation

BDİ
total score

BİS

total score

DAS

agreement

DAS

satisfaction

DAS

sense of expression

DAS
unity

DAS
total

BİS

total score

P=0,001

R=0,336


P=0,036

R=0,216




P=0,031

R=0,223

GRİSS
Communication escape


P=0,032 R=0,221

P=0,002, R=0,313


P=0,018,R=0,243,



GRİSS

Vaginism


P=0,018 R=0,221






GRİSS
Retreat from opposite sex



P=0,001 R=0,327


P=0,000 R=0,378

P=0,017

R=0,230


GRİSS
feeling of no satisfaction



P=0,001 R=0,327


P=0,000 R=0,459

P=0,002 R=0,313


GRİSS
Problems with orgasm






P=0,019 R=0,241

P=0,026

R=-0,230


GRİSS
Lack of sensitivity to



P=0,040 R=0,281

P=0,013

R=-0,257

P=0,000 R=0,398



GRİSS

Speed



P=0,006 R=0,306


P=0,000 R=0,438




In this part of the study, women with gynecological problems have been experiencing depression symptoms, problems with body instinct, problems with spouse and satisfaction in sexual relationships. The diagnosis of a gynecological diagnosis on a woman has a negative effect on the quality of life and causes psychological disturbances. Arranging any type of surgical intervention causes various fears and excitements. If the gynecological problem is perceived as physical loss, the level of depression is higher. They are desperate in their hopes of the future. Female sexual reproductive activities, sexuality, birth, motherhood and women are of great importance [8, 18; 15, 259–267].

The appeal depends on physiological psychological and social factors. Stress in the treatment process causes stress in interpersonal relationships, including stress in relationships with the spouse. Sexual satisfaction is not provided by women [3, 8]. Many women think that having gynecological problems affects their relationship to their spouse. After these problems, they lose their charm in their eyes [14,15] The survey conducted in Azerbaijan revealed that orgasm problems, vaginism for 1 year, vaginism 1-5 years, lack of sensitivity for more than 5 years, avoidance of opposite sex for 1 year, women with gynecological problems, lack of sense of satisfaction more than 5 years for a long time, avoidance of communication was higher in women for 1 year, and the frequency was 1-5 years. Patients with severe gynecological problems were more likely to experience orgasms, vaginism, lack of sense of escape from the opposite sex, avoidance of communication, and rare communication. DAS has scored more points on severe gynecological problems with regard to consensus, unity, feeling, satisfaction on the scale. Patients with severe gynecological problems with depression and body impairment have also achieved higher results, indicating that the gravity level of the gynecological problem is high, with negative emotions about depression and body thinking[12, 7; 13, 75]

Correlation studies have shown that there is also a dependency on motivation requirements hierarchy and depression. The depression is so high that both the internal and external motivations are low, and the hierarchy of demands is weak. There is positive correlation between motivation and demand hierarchy. Increasing one indicator leads to another increase. Acquisition of dependency results on almost all sub-headings of the tables emphasizes the importance of the research and requires the processing of these problems. Thus, it is important for women with gynecological problems to investigate the characteristic of the motivation-needs system. In the study, gender sensitivity has been studied in women with gynecological problems, dual relationships, depression and body emotions have been investigated. Exciting results have been achieved as a result of this research.

1. Gynecological diseases affect women's motivation system. Depending on the severity of gynecological diseases, both internal and external motivations are common in women. In women with mild gynecological problems, motivation is more common in women with severe gynecological problems. By contrast, severe gynecological illnesses have a greater motivation.

2. In gynecological diseases, the demand for women is lower. In women with mild gynecological problems, biological requirements, safety requirements, demand for affection and love, cognitive requirements, self-actualization requirement have been better paid to women with severe gynecological problems.

3. Gynecological diseases cause depression in women. The level of depression increases when the illness is severe.

4. Gynecological disorders affect intercultural relationships, resulting in more conflict.

5. Women with gynecological illness have a negative attitude to their bodies and are not satisfied with sexual life.

6. There is correlation between motivation, the system of demands and depression, interpersonal relationships, attitude to the body, and sexual satis­faction.

The researches provide opportunities for women with gynecological problems in the country to identify mental health problems, recognize the centers they can apply, and apply on time. Women should have a stress management program, mental disorders, psychological problems, problems with interpersonal relation­ships, sexual problems should be identified and examined in time, investigating what services they need, and access to mental health centers. 


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