The Mediating Effect of Anger Control on the Relationship Between Sexual Satisfaction and Marital Adjustment in Individuals Receiving Hemodialysis Treatment
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It is clear that hemodialysis is a stressful process, causes many sexual satisfaction and anger problems, and may lead to impaired marital adjustment. This study aims to examine the relationship between sexual satisfaction and marital adjustment in individuals receiving hemodialysis treatment and to confirm the effect of anger control on this relationship using mediation analysis. This descriptive and cross-sectional study was conducted with 138 individuals receiving hemodialysis treatment between March and May 2024 in a province in the Southeastern Anatolia region of Turkey. Data were collected using the Personal Information Form, Controlled Anger Scale, Marital Adjustment Scale and Golombok-Rust Sexual Satisfaction Scale. In statistical analysis, t-test, ANOVA, Tukey test, Pearson correlation coefficient analysis and Hayes' Process Macro Model 4 (to test the mediating effect) were used. Factors affecting marital adjustment were male gender (p < 0.01), marrying for love (p = 0.01), and age between 56–65 years (p = 0.001). Sexual dissatisfaction was negatively associated with anger control (a =-1.648, p ≤ 0.001), anger control was positively associated with marital adjustment (b = 0.290, p ≤ 0.001), and sexual dissatisfaction was negatively associated with marital adjustment (c = -2.424, p ≤ 0.001). After including anger control, while sexual dissatisfaction was still negatively associated with marital adjustment (c' =-0.2902, p ≤ 0.001), its effect was reduced. The mediating effect of anger control on the relationship between sexual satisfaction and marital adjustment was − 0.479, and the variance explained by the model was 20.2%. Anger control mediated the negative effect of sexual dissatisfaction on marital adjustment. Sexual satisfaction and marital adjustment can be strengthened by encouraging the development of anger control among individuals receiving hemodialysis treatment.
