Panel A shows the direct effect of anxiety on female sexual function is negative and significant (β = −0.2214, P = .0009). The direct effect of anxiety on sexual stress is positive and significant (β = 0.4408, P < .0001). The direct effect of female sexual function on sexual stress is negative and significant (β = −0.9420, P < .0001). Panel B shows the direct effect of depression on female sexual function is negative and significant (β = −0.3931, P = .0001). The direct effect of depression on sexual stress is positive and significant (β = 0.3869, P = .002). The direct effect of female sexual function on sexual stress is negative and significant (β = −0.3869, P = .002).