Objective: This research was conducted in two studies with the aim of investigating the mental health of adolescent girls who have relationships with opposite sex. Methods: The first study used a qualitative approach and a phenomenological method, and the second study used a quantitative approach and a causal-comparative method. In the first study, 12 adolescent girls aged 12 to 18 years old from Amlash city in 2025 who had a regular, daily, and at least one-year emotional relationship with the opposite sex were selected through purposive sampling and subjected to semi-structured interviews. In the second study, 30 adolescent girls who were in a romantic relationship with the opposite sex were selected and compared with 30 girls who were not in such a relationship. The research instruments in the second study were the Ryff Scale Psychological Wellbeing–Short Form (RSPWB-SF) and the Mental Health Questionnaire (GHQ-12). Finding: The coding of the interviews in the first study revealed 3 main themes and 27 sub-themes. In the second study, the findings showed that girls who have an emotional relationship with a opposite sex partner experience a significantly lower level of mental health and psychological well-being than girls who do not have such a relationship (P < 0.05). Conclusion: According to the findings, it can be concluded that adolescent girls have their own concerns, fantasies, and worries about emotional relationships with an opposite sex partner, which requires the attention of families, schools, and culture-building in society to prevent psychological harm and reduce their mental health.
Alimoradi, Z., Kariman, N., Ahmadi, F., Simbar, M., & Allen, K. A. (2019). Iranian adolescent girls' perceptions of premarital sexual relationships: A qualitative study. The Qualitative Report, 24(11), 2903-2915. https://nsuworks.nova.edu/tqr/vol24/iss11/15/
Amiri, M., Habibi-Kaleybar, R., & Farid, A. (2021). A Phenomenological Study of the Reasons of tendency to Relationship with the opposite sex before marriage. Quarterly Journal of Woman and Society, 11(44), 1-30. https://doi.org/20.1001.1.20088566.1399.11.44.1.1
Atefifar, S., Younesi, M. R. A., & Pakdaman, M. (2023). The Mediating Role of Assertiveness in the Association between Family Communication Patterns and Relationships with the Opposite Sex among Adolescent Girls. Health Technology Assessment in Action. https://doi.org/10.18502/htaa.v7i1.13300
Bahrami, N., Sibmar, M., Bukowski, W. M., Vedadhir, A., & Panarello, B. (2018). Factors that promote and impede other-sex friendships: a qualitative study of Iranian adolescent girls. International Journal of Adolescent Medicine and Health, 30(4), 20160067. https://doi.org/10.1515/ijamh-2016-0067
Bajoghli, H., Keshavarzi, Z., Mohammadi, M. R., Schmidt, N. B., Norton, P. J., Holsboer-Trachsler, E., & Brand, S. (2014). “I love you more than I can stand!”–Romantic love, symptoms of depression and anxiety, and sleep complaints are related among young adults. International Journal of Psychiatry in Clinical Practice, 18(3), 169-174. https://doi.org/10.3109/13651501.2014.902072
Bayani, A. A., Kouchaki, A. M., & Bayani, A. (2008). Reliability and validity of Ryff’s psychological well-being scales. Iranian Journal of Psychiatry and Clinical Psychology (Thought and Behavior), 14(2 (53)), 146-151. http://ijpcp.iums.ac.ir/article-1-464-fa.html
Berli, C., Schwaninger, P., & Scholz, U. (2021). “We feel good”: Daily support provision, health behavior, and well-being in romantic couples. Frontiers in psychology, 11, 622492. https://doi.org/10.3389/fpsyg.2020.622492
Camirand, E., & Poulin, F. (2022). Links between best friendship, romantic relationship, and psychological well-being in emerging adulthood. The Journal of Genetic Psychology, 183(4), 328-344. https://doi.org/10.1080/00221325.2022.2078684
Emami, N., Fard, F. D., & Behboodi, M. (2024). Developing a Model for Predicting Attitudes Toward the Opposite Sex Based on Attachment Styles and Value Systems with the Mediation of Attitudes Towards Love in Boys and Girls. Education, 10(1), 390-404. https://www.iase-jrn.ir/index.php/se/article/view/439
Fallahi-Khoshknab, M., Amirian, Z., Maddah, S. S. B., Khankeh, H. R., & Dalvandi, A. (2023). Instability of emotional relationships and suicide among youth: a qualitative study. BMC psychiatry, 23(1), 50. https://doi.org/10.1186/s12888-023-04534-0
Fathi, M., Karmiqahi, M., & Pourasmeili, M. (2019). Qualitative research on the consequences of extramarital relationship of young girls with the opposite sex. Strategic studies of sport and youth, 44(18), 326-352.https://sid.ir/paper/400494/en
Goldberg DP, Williams P (1988). A User’s Guide to the General Health Questionnaire. Windsor: nferNelson.
Gómez-López, M., Viejo, C., & Ortega-Ruiz, R. (2019). Psychological well-being during adolescence: Stability and associatio n with romantic relationships. Frontiers in psychology, 10, 1772. https://doi.org/10.3389/fpsyg.2019.01772
Jing, Z., Li, J., Wang, Y., & Zhou, C. (2023). Prevalence and trends of sexual behaviors among young adolescents aged 12 years to 15 years in low and middle-income countries: population-based study. JMIR public health and surveillance, 9(1), e45236. https://doi.org/10.2196/45236
Kansky, J., & Allen, J. P. (2018). Long-term risks and possible benefits associated with late adolescent romantic relationship quality. Journal of youth and adolescence, 47(7), 1531-1544. https://doi.org/10.1007/s10964-018-0813-x
Khalajabadi-Farahani, F. (2025). Shifting Paradigms: Marriage Salience and Premarital Intimacy and Sex among Elite Women in Tehran. https://doi.org/10.30958/ajda.X-Y-Z
Luyckx, K., Vanderhaegen, J., Raemen, L., & Claes, L. (2025). Identity formation in adolescence and emerging adulthood: A process-oriented and applied perspective. European Journal of Developmental Psychology, 22(2), 168-187.https://doi.org/10.1080/17405629.2023.2250128
McIntyre, K. P., Mattingly, B. A., Stanton, S. C., Xu, X., Loving, T. J., & Lewandowski, G. W. (2023). Romantic relationships and mental health: Investigating the role of self-expansion on depression symptoms. Journal of Social and Personal Relationships, 40(1), 3-28. https://doi.org/10.1177/02654075221101127
Mehrolhassani, M. H., Yazdi-Feyzabadi, V., Mirzaei, S., Zolala, F., Haghdoost, A. A., & Oroomiei, N. (2020). The concept of virginity from the perspective of Iranian adolescents: a qualitative study. BMC public health, 20(1), 717. https://doi.org/10.1186/s12889-020-08873-5
Motamedi, M., Merghati-Khoei, E., Shahbazi, M., Rahimi-Naghani, S., Salehi, M., Karimi, M., ... & Khalajabadi-Farahani, F. (2016). Paradoxical attitudes toward premarital dating and sexual encounters in Tehran, Iran: a cross-sectional study. Reproductive health, 13(1), 102. https://doi.org/10.1186/s12978-016-0210-4
Mousavi, S. A., Keramat, A., Vakilian, K., & Chaman, R. (2012). Interpretation of opposite-sex friendship based on social ecology model in Iranian females. Iranian journal of psychiatry and behavioral sciences, 6(2), 69. https://pmc.ncbi.nlm.nih.gov/articles/PMC3940019/
Naghizadeh, S., Maasoumi, R., Mirghafourvand, M., & Khalajabadi-Farahani, F. (2024). Attitude toward virginity and its determinants among girls in Tabriz: Iran. Reproductive Health, 21(1), 149. https://doi.org/10.1186/s12978-024-01884-0
Navaneetham, P., Barani Kanth, D., & Shikhila, T. (2025). Effectiveness of Relationship Education Programs for Premarital Romantic and Sexual Relationships for Adolescents and Young Adults: A Systematic Review. Psychology of Sexuality & Mental Health Vol. 2, 97-130. https://doi.org/10.1007/978-981-97-8971-9_3
Ryff, C. D., & Keyes, C. L. M. (1995). The structure of psychological well-being revisited. Journal of personality and social psychology, 69(4), 719. https://psycnet.apa.org/buy/1996-08070-001
Shabani Shahreza, N., Hashemi, S. J., Marashi, S. M., & Amanelahi, A. (2024). Evaluation of sexual issues in Iranian adolescent girls (A review). International Journal of Medical Reviews, 11(1), 645-659. https://doi.org/10.30491/ijmr.2024.444899.1275
Trimble, A., Rocha, S., Smola, X. A., & Fuligni, A. J. (2025). Romantic Relationships and Psychological Well‐Being During the Transition to College. Journal of Adolescence. https://doi.org/10.1002/jad.70057
Vergara, G. A., Jobes, D. A., & Brausch, A. M. (2023). Self-injury functions, romantic relationship stress, and suicide attempts in adolescents. Journal of Contemporary Psychotherapy, 53(3), 191-199.https://doi.org/10.1007/s10879-023-09579-6
Yaghoubi, H., Karimi, M., & Omidi, A. (2012). Validation and factor structure of General Health Questionnaire (GHQ-12) in students. Behav Sci J, 6(2), 153-60.https://sid.ir/paper/129648/en
Azmoudeh,H , Maleki Pirbazari,M and SabzehAra Langaroudi,M . (2026). Emotional Relationships with Opposite Sex: Two Studies on the Mental Health of Adolescent Girls. Journal of Modern Psychology, 6(1), 38-49. doi: 10.22034/jmp.2025.569234.1165
MLA
Azmoudeh,H , , Maleki Pirbazari,M , and SabzehAra Langaroudi,M . "Emotional Relationships with Opposite Sex: Two Studies on the Mental Health of Adolescent Girls", Journal of Modern Psychology, 6, 1, 2026, 38-49. doi: 10.22034/jmp.2025.569234.1165
HARVARD
Azmoudeh H, Maleki Pirbazari M, SabzehAra Langaroudi M. (2026). 'Emotional Relationships with Opposite Sex: Two Studies on the Mental Health of Adolescent Girls', Journal of Modern Psychology, 6(1), pp. 38-49. doi: 10.22034/jmp.2025.569234.1165
CHICAGO
H Azmoudeh, M Maleki Pirbazari and M SabzehAra Langaroudi, "Emotional Relationships with Opposite Sex: Two Studies on the Mental Health of Adolescent Girls," Journal of Modern Psychology, 6 1 (2026): 38-49, doi: 10.22034/jmp.2025.569234.1165
VANCOUVER
Azmoudeh H, Maleki Pirbazari M, SabzehAra Langaroudi M. Emotional Relationships with Opposite Sex: Two Studies on the Mental Health of Adolescent Girls. JMP. 2026;6(1):38-49. doi: 10.22034/jmp.2025.569234.1165