Mental health and sexual self-concept: intervention in nursing
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abstract
The study focuses on the theme of mental health and sexual self-concept. The objective was to
validate and measure the Multidimensional Sexual Self-Concept Questionnaire for the Portuguese
population, to compare differences in the levels of sexual self-concept and mental health in a clinical
sample and in a non-clinical sample, to determine the predictive relationship between sexual selfconcept
and mental health. A study of descriptive, operational, inferential and of transversal nature
was carried out on two non-probabilistic samples. Sample A, 494 Internet users, mean age of 27.68
and standard deviation of 8.98; Sample B, 131 participants (mean age 36.8 and standard deviation
11.15), divided between 61 patients with clinical diagnosis from a Department of Psychiatry and
Mental Health and 70 participants from the general population and without any psychopathology.
As tools a socio-demographic questionnaire, a questionnaire about sexuality, the Multidimensional
Questionnaire on Sexual Self -Concept (Snell, 1995) and the Mental Health Inventory (Pais Ribeiro,
2001) were used. All ethical issues were duly covered in legal and ethical terms. The psychometric
validation of the Multidimensional Sexual Self -Concept Questionnaire indicated good sensitivity,
excellent internal consistency (α = 0.91), excellent adequacy for factorial analysis (KMO = 0.95), and
5 dimensions taken from the factorial analysis with very high internal consistency, proving a good
tool for measuring this construct.
In the comparative study between the clinical and nonclinical samples, the clinical sample shows
lower levels of mental health, reporting more anxiety, depression, loss of emotional and behavioral
control and psychological distress; The clinical population has more negative emotions regarding
sexual self-concept; Men seem to be more vigilant about sexual aspects; Those who report taking
psychoactive drugs have lower levels of mental health (more anxiety, depression and psychological
distress); Subjects with a lower educational level have lower levels of mental health and lower
sexual self-concept; Individuals who are currently in a love relationship show more positive affect
on mental health and suggest more emotional locus of control and less negative emotions about sexual self -concept; Those who reported having had sex last month had higher levels of mental
health and higher sexual self -concept; Younger individuals exhibit higher levels of mental health
and a higher sexual self-concept compared to older subjects. We can conclude that good mental
health is a predictor of good sexual self -concept. We thus highlight the pertinence of mental health
nursing intervention in health promotion.