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Pawłowska A, Loeys T, Janssen E, Dewitte M. The Role of Dyadic Sexual Desire Similarity in Predicting Sexual Behaviors in Cohabitating Couples: An Ecological Momentary Assessment Study. JOURNAL OF SEX RESEARCH 2024; 61:261-273. [PMID: 36730837 DOI: 10.1080/00224499.2023.2170965] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
Although researchers are increasingly paying attention to the dyadic nature of sexual desire and its relevance to sexual and relational outcomes, our understanding of how sexual desire operates on a couple level and how it may influence the occurrence of sexual activity in relationships remains limited. This study used ecological momentary assessments to explore to what extent similarity in levels of desire for sex with one's sexual partner, or dyadic sexual desire, was associated with sexual initiations, receptivity to one's partner's initiations, and partnered sexual activity, and how these associations were moderated by perceived partner support. Ninety-four cohabitating couples (M age = 26.30, SD = 7.60) provided six reports a day for 10 consecutive days. We used response surface analysis to examine the associations among both the degree and direction of (dis)similarity in partners' dyadic desire and each of the three outcome variables. Our results revealed that although partners tended to experience similar levels of desire on a moment-to-moment basis, similarity in desire levels was not associated with the three outcome variables. Rather, higher desire within couples predicted each partner's behavioral outcomes. At lower levels of perceived partner support, dyadic sexual desire was negatively associated with women's receptivity to sexual initiations by their partners, indicating high context-sensitivity of women's sexual responding. These findings offer new insights into the links between the similarity in partners' levels of dyadic desire and sexual behaviors in couples, suggesting the need for increased focus on maintaining desire and promoting perceived partner support in clinical practice.
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Affiliation(s)
- Aleksandra Pawłowska
- Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands
- Department of Neurosciences, Institute for Family and Sexuality Studies, KU Leuven, Leuven, Belgium
| | - Tom Loeys
- Department of Data Analysis, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium
| | - Erick Janssen
- Department of Neurosciences, Institute for Family and Sexuality Studies, KU Leuven, Leuven, Belgium
| | - Marieke Dewitte
- Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands
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Leonhardt ND, Busby DM, Disalvo K, Hanna-Walker VR, Kim JJ, Willoughby BJ, Impett EA. Orgasm Consistency in Mixed-Gender Couples: Actor, Partner, and Discrepancy Effects from Dyadic Response Surface Analysis. JOURNAL OF SEX RESEARCH 2024; 61:216-227. [PMID: 36652377 DOI: 10.1080/00224499.2023.2164883] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
The potential link between orgasm consistency (i.e., the percentage of time an individual experiences orgasm during sexual interactions with a partner) and sexual satisfaction in mixed-gender sexual relationships remains underexamined in the literature. We combined two dyadic samples (N = 725 couples) and utilized Dyadic Response Surface Analysis (DRSA) to examine how both partners' orgasm consistency and their discrepancy of orgasm consistency predict both partners' sexual satisfaction. We found that partners' discrepancy in orgasm consistency was not uniquely connected to higher sexual satisfaction for either women or men; rather, the overall consistency of orgasm was connected to better sexual satisfaction for both partners. In addition, there was some evidence tentatively suggesting that men were more likely than women to report lower sexual satisfaction if his partner was orgasming more consistently than he was, as opposed to her reporting lower sexual satisfaction from him orgasming more consistently than she was; though this appears to be a rare scenario as only 5.9% of couples had women who orgasmed more consistently than men. This study may assist educators and clinicians as they help couples consider the sexual scripts surrounding orgasm consistency, and how they can attend to each others' desires in a way that maximizes sexual satisfaction for both partners.
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Affiliation(s)
| | | | | | | | - James J Kim
- Department of Psychology, Western University
| | | | - Emily A Impett
- Department of Psychology, University of Toronto Mississauga
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Pfaus JG, Safron A, Zakreski E. From distal to proximal to interactive: behavioral and brain synchrony during attraction, courtship, and sexual interaction-implications for clinical assessments of relationship style and quality. Sex Med Rev 2023; 11:312-322. [PMID: 37544764 DOI: 10.1093/sxmrev/qead034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2023] [Revised: 07/03/2023] [Accepted: 07/04/2023] [Indexed: 08/08/2023]
Abstract
INTRODUCTION Synchronous behaviors between individuals are nonverbal signs of closeness and common purpose. In the flow from initial attraction to intimate sexual interaction, attention and synchrony move from distal to proximal to interactive and are mediated by sensitized activation of neural systems for sexual motivation, arousal, and desire and those that recognize and mimic common facial and body movements between individuals. When reinforced by sexual pleasure and other relationship rewards, this results in the strengthening of attraction and bonding and the display of more common motor patterns. As relationships falter, nonverbal behaviors likely become asynchronous. OBJECTIVES To define behavioral, romantic, and sexual synchrony during phases of attraction and how their disruption can be observed and utilized by clinicians to assess individual relationship styles and quality. METHODS We review the literature on behavioral and attentional synchrony in humans and animals in an effort to understand experiential and innate mechanisms of synchrony and asynchrony and how they develop, as well as implications for attraction, relationship initiation, maintenance of romantic and sexual closeness, and relationship disintegration. RESULTS Evidence is presented that behavioral synchrony and the neural mechanisms that underlie it are vital to relationship formation and satisfaction. CONCLUSION Behavioral synchrony helps to create feelings of sexual and romantic synergy, cohesion, and arousal among individuals. Asynchrony is aversive and can spark feelings of discontent, aversion, and jealousy. Thus, observing patterns of nonverbal sexual and romantic synchrony between individuals offers insights into the potential quality of their relationships.
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Affiliation(s)
- James G Pfaus
- Department of Psychology and Life Sciences, Faculty of Humanities, Charles University, Prague, 18200, Czech Republic
- Center for Sexual Health and Intervention, Czech National Institute of Mental Health, Klecany, 25067, Czech Republic
| | - Adam Safron
- Center for Psychedelic and Consciousness Research, Johns Hopkins Bayview Medical Center, Baltimore, MD, 21224, United States
| | - Ellen Zakreski
- Department of Psychology and Life Sciences, Faculty of Humanities, Charles University, Prague, 18200, Czech Republic
- Center for Sexual Health and Intervention, Czech National Institute of Mental Health, Klecany, 25067, Czech Republic
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Clark AN, Lefkowitz ES, Zimmerman C. Sexual and Affectionate Behaviors in Asexual and Allosexual Adults. JOURNAL OF SEX RESEARCH 2023; 60:242-252. [PMID: 35316105 DOI: 10.1080/00224499.2022.2051161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Prior experience with physical behaviors - both sexual and affectionate - is common among adults in romantic relationships. However, less is known about differences in physical behaviors for asexual and allosexual adults, and these differences may explain how asexual adults navigate sexuality in romantic relationships. In this study we used sexual script theory to examine asexual (n = 109; 59% women; Mage = 27.7) and allosexual adults' (n = 403; 58% women; Mage = 29.0) prior experiences with and future likelihood to engage in sexual and affectionate behaviors in romantic relationships, and how these differences vary by gender. Asexual adults had less prior experience with and were less likely to intend to engage in future physical behaviors than allosexual adults. There were some gender differences in past experience and future likelihood. Prior experience with physical behaviors was associated with expected likelihood to engage in these behaviors for allosexual and asexual adults, although the association was stronger for asexual adults. These results have implications for how asexual adults engage in physical behaviors, and how differing interest in physical behaviors may cause conflict within asexual-allosexual couples.
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Affiliation(s)
- Alyssa N Clark
- Department of Human Development and Family Sciences, University of Connecticut, Storrs, Connecticut
| | - Eva S Lefkowitz
- Department of Human Development and Family Sciences, University of Connecticut, Storrs, Connecticut
| | - Corinne Zimmerman
- Department of Psychology, Illinois State University Illinois, Normal, Illinois
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Bell AR, Giil E, Træen B. Reduced Sexual Desire in Young Norwegian Women: A Mixed-Methods Study. SEXUALITY & CULTURE 2022; 26:1919-1939. [PMID: 35669850 PMCID: PMC9159043 DOI: 10.1007/s12119-022-09977-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/18/2022] [Indexed: 06/15/2023]
Abstract
Sexuality has become an area of social competence in which individuals strive to be recognized as sexually competent performers. However, a large proportion of young women experience reduced sexual desire. In this study, both quantitative and qualitative methods were applied. Using data from a questionnaire, the aim of this study was to explore the prevalence of, and the factors associated with, lack of sexual interest and desire among young women in Norway. Further, with the help of in-depth interviews, we investigated how young women with reduced sexual desire experience living with their desire problems and what they experience as the cause of their problems. The sample in the quantitative study consisted of 505 Norwegian women between the ages of 18 and 29 years. ANOVA was employed to explore differences in scores on psychological factors and relational factors, as well as between participants who experienced a lack of sexual interest and desire, and those who did not. The results indicate a high prevalence of lack of sexual interest and desire among women (37.1%), while low appearance satisfaction and low relationship satisfaction were central predictors of lack of sexual interest and desire. The sample in the qualitative study consisted of ten Norwegian women with reduced sexual desire between the ages of 18 and 29 years. Through thematic analysis, four themes emerged as experiences of living with reduced sexual desire: (1) physical and mental health, (2) being a young woman in today's society, (3) relational factors, (4) negative experiences, personal expectations toward sexuality, and sexual trauma.
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Affiliation(s)
- Ashley Rebecca Bell
- Department of Psychology, University of Oslo, Blindern, P.O Box 1094, 0317 Oslo, Norway
| | - Ebba Giil
- Department of Psychology, University of Oslo, Blindern, P.O Box 1094, 0317 Oslo, Norway
| | - Bente Træen
- Department of Psychology, University of Oslo, Blindern, P.O Box 1094, 0317 Oslo, Norway
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Jones AC, Lucero Jones R. A Mixed Methods Study of Sexual Communication in Various Couple Typologies Part I: Cluster Analysis. JOURNAL OF SEX & MARITAL THERAPY 2022; 48:593-606. [PMID: 35282791 DOI: 10.1080/0092623x.2022.2034687] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
This study presents the first part of a mixed-methods exploration of couple sexual communication. Typologies of heterosexual couples in committed, sexual relationships were created for further exploration of group differences in sexual communication. A cluster analysis categorized couples into four different couple typologies: mutually satisfied, satisfied men/dissatisfied women, satisfied women/dissatisfied men, and mutually dissatisfied. Using a MANOVA approach, the couple typologies were used to identify differences in how the couple types communicated about sex. The results revealed significant differences among the differing couple types, which will be explored qualitatively in part two of this analysis.
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Affiliation(s)
- Adam C Jones
- Department of Human Development, Family Studies, and Counseling, Texas Woman's University, Denton, TX, USA
| | - Rebecca Lucero Jones
- Department of Human Development, Family Studies, and Counseling, Texas Woman's University, Denton, TX, USA
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Park Y, MacDonald G. Single and Partnered Individuals' Sexual Satisfaction as a Function of Sexual Desire and Activities: Results Using a Sexual Satisfaction Scale Demonstrating Measurement Invariance Across Partnership Status. ARCHIVES OF SEXUAL BEHAVIOR 2022; 51:547-564. [PMID: 34997399 PMCID: PMC8741568 DOI: 10.1007/s10508-021-02153-y] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Revised: 09/10/2021] [Accepted: 09/12/2021] [Indexed: 06/14/2023]
Abstract
Although some evidence exists to suggest that single (i.e., unpartnered) individuals are less sexually satisfied on average than are partnered individuals, it is unclear whether the variables correlating with each group's sexual satisfaction are similar or different. This research sought to examine how desire for and actual engagement in solitary and partnered sexual activities are associated with both groups' sexual satisfaction. We first conducted a preliminary study (n = 572) to test and refine existing measures of sexual satisfaction for applicability across relationship status. In two follow-up studies (N = 1,238), measurement invariance (across relationship status and gender) of the resulting 4-item sexual satisfaction scale was established. Further, results across the studies showed that for singles dyadic sexual desire was negatively related to sexual satisfaction, whereas no significant link was found with solitary desire. For individuals in romantic relationships, having higher sexual desire involving a partner and lower solitary desire were both associated with greater sexual satisfaction. When analyzing participants' responses on the desired and actual frequency of engaging in specific sexual acts, we found that for both single and partnered individuals, frequent engagement in partnered acts was associated with greater sexual satisfaction. Wanting frequent engagement in partnered acts was associated with lower sexual satisfaction for both groups, but only if the current frequency of engaging in these acts was low. These findings suggest that at least during the COVID-19 pandemic, meeting desires for partnered sex plays an important role in maintaining a sexually satisfying life, regardless of one's relationship status.
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Affiliation(s)
- Yoobin Park
- Department of Psychology, University of Toronto, 100 St. George St., Toronto, ON, M5S 3G3, Canada.
| | - Geoff MacDonald
- Department of Psychology, University of Toronto, 100 St. George St., Toronto, ON, M5S 3G3, Canada
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Peixoto MM. Problematic sexual desire discrepancy in heterosexuals, gay men and lesbian women: differences in sexual satisfaction and dyadic adjustment. PSYCHOLOGY & SEXUALITY 2021. [DOI: 10.1080/19419899.2021.1999313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Maria Manuela Peixoto
- Centro de Investigação em Psicologia para o Desenvolvimento Positivo, Instituto de Psicologia e Ciências da Educação, Universidade Lusíada, Porto, Portugal
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Attaky A, Kok G, Dewitte M. Attachment Orientation Moderates the Sexual and Relational Implications of Sexual Desire Discrepancies. JOURNAL OF SEX & MARITAL THERAPY 2021; 48:343-362. [PMID: 34665076 DOI: 10.1080/0092623x.2021.1991537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
We examined the degree and direction of sexual desire discrepancies (SDD) between partners and how this relates to sexual function, sexual satisfaction, relationship satisfaction in 100 Saudi Arabian couples, taking into account both partners' attachment orientation. Men and women reported better outcomes when they matched on higher levels of sexual desire. In case of a mismatch, women reported higher sexual satisfaction when their partner's level of sexual desire was higher than their own. Attachment anxiety and avoidance moderated the associations between SDD and the outcome variables. This study offers unique information on SDD in couples with strong gender role expectations and cultural restrictions regarding sexuality. Therapeutic interventions should be directed at understanding the attachment meaning of sexual desire.
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Affiliation(s)
- Atia Attaky
- Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands
- Department of Neuropsychiatry Al-Mattaria Teaching Hospital, Cairo, Egypt
- Department of Psychiatry, Mutmaena Medical Center Riyadh, KSA
| | - Gerjo Kok
- Department of Work and Social Psychology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands
| | - Marieke Dewitte
- Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands
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10
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Pennanen-Iire C, Prereira-Lourenço M, Padoa A, Ribeirinho A, Samico A, Gressler M, Jatoi NA, Mehrad M, Girard A. Sexual Health Implications of COVID-19 Pandemic. Sex Med Rev 2021; 9:3-14. [PMID: 33309005 PMCID: PMC7643626 DOI: 10.1016/j.sxmr.2020.10.004] [Citation(s) in RCA: 58] [Impact Index Per Article: 19.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Revised: 10/15/2020] [Accepted: 10/25/2020] [Indexed: 12/12/2022]
Abstract
INTRODUCTION A novel coronavirus (COVID-19) reached pandemic levels by March 11th, 2020, with a destructive impact across socioeconomic domains and all facets of global health, but little is known of its impact on sexual health. OBJECTIVE To review current knowledge on sexual health-related containment measures during pandemics, specifically COVID-19, and focus on 2 main areas: intimacy and relational dynamics and clinical effects on sexual health. METHODS We carried out a literature search encompassing sexual health and pandemic issues using Entrez-PubMed and Google Scholar. We reviewed the implications of the COVID-19 pandemic on sexual health regarding transmission and safe sex practices, pregnancy, dating and intimacy amid the pandemic, benefits of sex, and impact on sexual dysfunctions. RESULTS Coronavirus transmission occurs via inhalation and touching infected surfaces. Currently, there is no evidence it is sexually transmitted, but there are sexual behaviors that pose a higher risk of infectivity due to asymptomatic carriers. Nonmonogamy plays a key role in transmission hubs. New dating possibilities and intimacy issues are highlighted. Sexual activity has a positive impact on the immune response, psychological health, and cognitive function and could mitigate psychosocial stressors. COVID-19 pandemic affects indirectly the sexual function with implications on overall health. CONCLUSION Increased awareness of health-care providers on sexual health implications related to the COVID-19 pandemic is needed. Telemedicine has an imperative role in allowing continued support at times of lockdown and preventing worsening of the sexual, mental, and physical health after the pandemic. This is a broad overview addressing sexual issues related to the COVID-19 pandemic. As this is an unprecedented global situation, little is known on sexuality related to pandemics. Original research is needed on the topic to increase the understanding of the impact the current pandemic may have on sexual health and function. Pennanen-Iire C, Prereira-Lourenço M, Padoa A, et al. Sexual Health Implications of COVID-19 Pandemic. Sex Med Rev 2021;9:3-14.
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Affiliation(s)
- Corina Pennanen-Iire
- Gynecology and Sexology, Tmi Corina Pennanen, Kuopio, Finland; Gynecology and Sexology, Terveystalo Oy, Varkaus, Finland.
| | | | - Anna Padoa
- Department of Obstetrics and Gynecology, Shamir-Assaf Harofe Medical Center, Tsrifin, Israel; Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - André Ribeirinho
- Psychiatry Department, Hospital Distrital de Santarém, Santarém, Portugal
| | - Ana Samico
- Psychiatry Department, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
| | - Marina Gressler
- Department of Urology, Santa Casa da Misericórdia, Porto Alegre, Brazil
| | - Noor-Ahmed Jatoi
- Department of Internal Medicine, King Fahd University Hospital, Al-Khobar, Saudi Arabia; Vascular Medicine Research Unit (Internal Medicine), College of Medicine, Imam AbdulRahman Bin Faisal University, Dammam, Saudi Arabia
| | - Mehri Mehrad
- Voiding Dysfunction and Neuro-Urology Clinic, Pars Hospital, Tehran, Iran; Department of Neuro-Urology, MehriMah Multidiciplinary Neuro-Urology Clinic, Tehran, Iran
| | - Abby Girard
- Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, USA
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Willoughby BJ, Leonhardt ND, Augustus RA. Associations Between Pornography Use and Sexual Dynamics Among Heterosexual Couples. J Sex Med 2020; 18:179-192. [PMID: 33288440 DOI: 10.1016/j.jsxm.2020.10.013] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2020] [Revised: 10/09/2020] [Accepted: 10/20/2020] [Indexed: 12/01/2022]
Abstract
BACKGROUND While links between pornography use and couple relational well-being have been the subject of multiple research studies, less attention has been paid to the associations between pornography use and specific sexual behavior within the relationship. AIM This study aimed to explore associations between each partner's pornography use, sexual desire, sexual satisfaction, and intercourse/non-intercourse sexual behavior. The confounding and moderating role of religiosity was also explored. METHODS A dyadic sample of 240 heterosexual couples was used. Measurement assessed pornography use, sexual desire, sexual satisfaction, and sexual behavior. OUTCOMES Sexual satisfaction as well as intercourse and non-intercourse sexual behaviors were examined. RESULTS Results suggested consistent gendered differences where female pornography use was directly associated with higher reports of female sexual desire, whereas male pornography use was directly associated with more male but less female partner desire and lower overall male sexual satisfaction. Male pornography use was also indirectly associated with sexual satisfaction for both partners and non-intercourse behaviors within the relationship through sexual desire. Overall, religiosity had little impact on the results of the study. CLINICAL TRANSLATION The complex associations between pornography use, sexual desire, and sexual behaviors suggested by our results highlight the importance of comprehensive and systemic assessment and education around sexuality when working with individuals and couples. STRENGTHS & LIMITATIONS The main strength of this study is the use of dyadic data. The main limitation is the cross-sectional nature of the data CONCLUSION: The associations between pornography use and a variety of outcomes are highly nuanced. This study provides an important step forward in more fully accounting for the complications of pornography use in a relationship. Willoughby BJ, Leonhardt ND, Augustus RA. Associations Between Pornography Use and Sexual Dynamics Among Heterosexual Couples. J Sex Med 2021;18:179-192.
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12
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Sutherland SE, Rehman US, Goodnight JA. A Typology of Women with Low Sexual Desire. ARCHIVES OF SEXUAL BEHAVIOR 2020; 49:2893-2905. [PMID: 32895873 DOI: 10.1007/s10508-020-01805-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/25/2019] [Revised: 07/10/2020] [Accepted: 07/18/2020] [Indexed: 06/11/2023]
Abstract
Low sexual desire is the most common sexual issue reported by women and research suggests that the presentation and experience of low sexual desire may vary considerably between women. This study explored whether women with low desire differ qualitatively from one another based on several key contextual factors theoretically associated with low desire. We collected data from women in long-term relationships (N = 508) using an online platform. Using latent profile analysis, we explored whether women could be distinguished from one another based on several contextual variables (sexual and relationship satisfaction, life stress, sexual communication). Results supported a 3-profile solution, with two distinct profiles emerging for women with low sexual desire. The first profile consisted of women with low desire who were dissatisfied with the sexual and nonsexual aspects of their relationships (Globally Distressed Group: 8%). The second profile consisted of women with low desire who were sexually, but not relationally, dissatisfied (Sexually Dissatisfied Group: 24%). In addition, a third profile emerged that consisted of generally satisfied women with average desire (Average Desire Group: 67%). t-tests revealed that the two low desire groups shared similar mean levels of sexual desire, but that their overall presentations were conceptually distinct. This research supports a categorical conceptualization of low sexual desire in women and suggests that evaluating category membership for women with low desire can provide valuable information about women's sexual experiences beyond assessing mean levels of sexual desire alone.
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Affiliation(s)
- Siobhan E Sutherland
- Department of Psychology, University of Waterloo, 200 University Ave. W., Waterloo, ON, N2L 3G1, Canada.
| | - Uzma S Rehman
- Department of Psychology, University of Waterloo, 200 University Ave. W., Waterloo, ON, N2L 3G1, Canada
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14
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Kim JJ, Muise A, Barranti M, Mark KP, Rosen NO, Harasymchuk C, Impett E. Are Couples More Satisfied When They Match in Sexual Desire? New Insights From Response Surface Analyses. SOCIAL PSYCHOLOGICAL AND PERSONALITY SCIENCE 2020. [DOI: 10.1177/1948550620926770] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
While sexual frequency and satisfaction are strong contributors to the quality and longevity of romantic relationships and overall well-being, mismatches in sexual desire between partners are common and have been linked with poorer satisfaction. Previous findings linking mismatches in desire with poorer relationship and sexual outcomes have typically been derived using difference scores, an approach that does not account for partners’ overall levels of desire. In a sample of 366 couples, we investigated whether partners who match in desire are more satisfied than desire-discrepant couples. Results of dyadic response surface analyses provided no support for a unique matching effect. Higher desire rather than matching in desire between partners predicted relationship and sexual satisfaction. These findings shed new light on whether the correspondence between partners’ levels of sexual desire is associated with satisfaction and suggest the need to focus on sustaining desire and successfully navigating differences rather than promoting matching in desire.
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Affiliation(s)
- James J. Kim
- University of Toronto, Ontario, Canada
- James J. Kim and Amy Muise contributed equally
| | - Amy Muise
- York University, Toronto, Ontario, Canada
- James J. Kim and Amy Muise contributed equally
| | | | | | | | | | - Emily Impett
- University of Toronto Mississauga, Ontario, Canada
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15
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Vowels LM, Mark KP. Strategies for Mitigating Sexual Desire Discrepancy in Relationships. ARCHIVES OF SEXUAL BEHAVIOR 2020; 49:1017-1028. [PMID: 32034534 PMCID: PMC7058563 DOI: 10.1007/s10508-020-01640-y] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/17/2018] [Revised: 01/09/2020] [Accepted: 01/11/2020] [Indexed: 05/31/2023]
Abstract
Sexual desire discrepancy, when one member of a couple experiences more or less sexual desire relative to their partner, is among the main reasons for couples to seek therapy. A great deal of prior research has examined the complexity of sexual desire and the role of sexual desire discrepancy in long-term relationships, but little research has specifically examined strategies used to mitigate sexual desire discrepancy when it arises. Thus, the purpose of the present mixed methods study was to identify the strategies that individuals in long-term relationships use during times of desire discrepancy and to address whether the use of specific strategies influenced sexual and relationship satisfaction and sexual desire. We collected data from 229 participants and our thematic content analysis produced 17 strategies, divided into five main groups (disengagement, communication, engagement in activity alone, engagement in other activity with partner, and have sex anyway). Specific strategies were associated with sexual and relationship satisfaction but not with sexual desire. Specifically, partnered strategies were associated with higher levels of sexual and relationship satisfaction compared to individual strategies. Additionally, participants who reported that their strategies were very helpful had higher levels of sexual and relationship satisfaction compared to participants who found them somewhat helpful followed by not at all helpful. These results have implications for clinicians, educators, and researchers and highlight the importance of using effective strategies to deal with desire discrepancy and communicating about them in relationships. The use of effective strategies can have implications for overall couple well-being.
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Affiliation(s)
- Laura M Vowels
- Department of Psychology, University of Southampton, Shackleton (Building 44), 46 Chamberlain Road, Southampton, SO17 1PS, UK.
| | - Kristen P Mark
- Department of Kinesiology and Health Promotion, University of Kentucky, Lexington, KY, USA
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Marieke D, Joana C, Giovanni C, Erika L, Patricia P, Yacov R, Aleksandar Š. Sexual Desire Discrepancy: A Position Statement of the European Society for Sexual Medicine. Sex Med 2020; 8:121-131. [PMID: 32192965 PMCID: PMC7261674 DOI: 10.1016/j.esxm.2020.02.008] [Citation(s) in RCA: 29] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2019] [Revised: 01/31/2020] [Accepted: 02/05/2020] [Indexed: 12/20/2022] Open
Abstract
Introduction There is a lack of theoretical and empirical knowledge on how sexual desire functions and interacts in a relationship. Aim To present an overview of the current conceptualization and operationalization of sexual desire discrepancy (SDD), providing clinical recommendations on behalf of the European Society of Sexual Medicine. Methods A comprehensive Pubmed, Web of Science, Medline, and Cochrane search was performed. Consensus was guided by a critical reflection on selected literature on SDD and by interactive discussions between expert psychologists, both clinicians and researchers. Main Outcome Measure Several aspects have been investigated including the definition and operationalization of SDD and the conditions under which treatment is required. Results Because the literature on SDD is scarce and complicated, it is precocious to make solid statements on SDD. Hence, no recommendations as per the Oxford 2011 Levels of Evidence criteria were possible. However, specific statements on this topic, summarizing the ESSM position, were provided. This resulted in an opnion-based rather than evidence-based position statement. Following suggestions were made on how to treat couples who are distressed by SDD: (i) normalize and depathologize variation in sexual desire; (ii) educate about the natural course of sexual desire; (iii) emphasize the dyadic, age-related, and relative nature of SDD; (iv) challenge the myth of spontaneous sexual desire; (v) promote open sexual communication; (vi) assist in developing joint sexual scripts that are mutually satisfying in addition to search for personal sexual needs; (vii) deal with relationship issues and unmet relationship needs; and (viii) stimulate self-differentiation. Conclusion More research is needed on the conceptualization and underlying mechanisms of SDD to develop clinical guidelines to treat couples with SDD. Marieke D, Joana G, Giovanni C, et al. Sexual Desire Discrepancy: A Position Statement of the European Society for Sexual Medicine. J Sex Med 2020;8:121–131.
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Affiliation(s)
- Dewitte Marieke
- Department of Clinical Psychological Science, Maastricht University, Maastricht, the Netherlands
| | - Carvalho Joana
- Escola de Psicologia e Ciências da Vida, Universidade Lusófona de Humanidades e Tecnologias, Lisbon, Portugal
| | - Corona Giovanni
- Endocrinology Unit, Medical Department, Azienda USL, Maggiore-Bellaria Hospital, Bologna, Italy
| | - Limoncin Erika
- Chair of Endocrinology and Medical Sexology (ENDOSEX), Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy
| | - Pascoal Patricia
- CICPSI, Faculdade de Psicologia, Universidade de Lisboa, Alameda da Universidade, Lisboa, Portugal; Universidade Lusófona, Escola de Psicologia e Ciências da Vida, Lisboa, Portugal; Faculdade de Psicologia e Ciências da Educação & CPUP, Universidade do Porto, Portugal
| | - Reisman Yacov
- Health Clinic, Amstelland Hospital, Amsterdam, the Netherlands
| | - Štulhofer Aleksandar
- Department of Sociology, Faculty of Humanities and Social Sciences, Zagreb, Croatia.
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Vowels LM, Mark KP. Partners' Daily Love and Desire as Predictors of Engagement in and Enjoyment of Sexual Activity. JOURNAL OF SEX & MARITAL THERAPY 2020; 46:330-342. [PMID: 31914872 DOI: 10.1080/0092623x.2019.1711274] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Romantic love and sexual desire have often been seen as two distinct constructs and studied separately. However, in most romantic relationships love, desire, and sex are intertwined. The purpose of the present study was to examine whether daily feelings of love and desire influence engagement in and enjoyment of sexual activity. Ninety mixed-sex couples (N = 180) completed a 30-day daily diary. The results were analyzed using hierarchical linear modeling and showed that both love and desire significantly predicted engagement in and enjoyment of sexual activity with desire being a stronger predictor. Clinical implications and future directions are discussed.
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Affiliation(s)
- Laura M Vowels
- Department of Psychology, University of Southampton, Southampton, United Kingdom
| | - Kristen P Mark
- Department of Kinesiology and Health Promotion, University of Kentucky, Lexington, KY, USA
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Vallejo-Medina P, Rojas-Paoli I, Álvarez-Muelas A. Validation of the Sexual Desire Inventory in Colombia. JOURNAL OF SEX & MARITAL THERAPY 2020; 46:385-398. [PMID: 32189586 DOI: 10.1080/0092623x.2020.1739181] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
Sexual desire is a cognitive and affective state that motivates an individual to engage in sexual activity. There are no validated measures to assess this construct in Colombia. The present study aimed to validate the Sexual Desire Inventory (SDI) and explore gender-and age-based differences in sexual desire in Colombian population. The sample was composed of 2,125 men and women who answered the Colombian version of the SDI. Results indicated strict invariance between genders, a three-dimension model, and acceptable validity and reliability indicators. Gender-based and age-based differences were observed in the three types of sexual desire. Implications and conclusions of these findings are presented.
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Affiliation(s)
- Pablo Vallejo-Medina
- SexLabKL, School of Psychology, Fundación Universitaria Konrad Lorenz, Bogotá, Colombia
| | - Isamar Rojas-Paoli
- SexLabKL, School of Psychology, Fundación Universitaria Konrad Lorenz, Bogotá, Colombia
| | - Ana Álvarez-Muelas
- Centro de Investigación, Mente, Cerebro y Comportamiento (CIMCYC), Universidad de Granada, Granada, Spain
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Prause N. Porn Is for Masturbation. ARCHIVES OF SEXUAL BEHAVIOR 2019; 48:2271-2277. [PMID: 30847758 DOI: 10.1007/s10508-019-1397-6] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/03/2019] [Accepted: 01/07/2019] [Indexed: 05/10/2023]
Affiliation(s)
- Nicole Prause
- , 7083 Hollywood Blvd., Los Angeles, CA, 90028, USA.
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20
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Sutherland SE, Rehman US, Fallis EE. A Descriptive Analysis of Sexual Problems in Long-Term Heterosexual Relationships. J Sex Med 2019; 16:701-710. [PMID: 30926515 DOI: 10.1016/j.jsxm.2019.02.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2018] [Revised: 02/12/2019] [Accepted: 02/21/2019] [Indexed: 01/23/2023]
Abstract
BACKGROUND Although much research has described individual sexual dysfunctions, few studies to date have examined the types of problems that couples consider most significant in their sexual relationships. AIM To clarify the types of relational sexual problems that are most common and most severe in the sexual lives of individuals in long-term romantic relationships. METHODS A community sample of 117 mixed-sex couples completed this in-lab study. Members of each couple separately completed a demographics questionnaire and a measure of their relational sexual problems, the Sexual Problems Questionnaire (SPQ). Descriptive analyses (eg, examination of means, frequency counts) were conducted to determine the most common and severe sexual problems reported by participants. t-Tests were performed to examine gender differences in mean severity ratings for each SPQ item. Qualitative data were examined by conducting a frequency count on the SPQ items that participants reported to be most important in their sexual relationships. Results of all frequency counts were divided by the total sample size and are reported as percentages. MAIN OUTCOME MEASURES Participants reported on the severity of their sexual problems using the 25-item SPQ. RESULTS Quantitative analyses revealed that the most common and problematic sexual problems endorsed by both sexes were frequency of sex, sexual initiation, and showing interest. A frequency count of participants' qualitative reports also revealed that frequency of sex (women = 36%; men = 39%), sexual initiation (women = 33%; men = 32%), and showing interest (women and men = 25%) were the most important sexual issues for most individuals. CLINICAL IMPLICATION The most pressing relational sexual problems for couples in long-term romantic relationships are consistent between sexes and pertain to the domain of sexual desire. STRENGTH & LIMITATIONS The current study used an expanded measure of sexual problems, which allowed participants to report on a broad range of issues in their sexual relationships. The direction of such relational sexual problems (eg, desiring more or less sexual frequency) was not explored. CONCLUSION The key problems in sexual relationships center on the theme of sexual desire, and men and women consider these issues to be problematic to a similar extent. Sutherland SE, Rehman US, Fallis EE. A Descriptive Analysis of Sexual Problems in Long-Term Heterosexual Relationships. J Sex Med 2019;16:701-710.
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Affiliation(s)
| | - Uzma S Rehman
- Department of Psychology, University of Waterloo, Waterloo, Ontario, Canada
| | - Erin E Fallis
- Department of Psychology, University of Waterloo, Waterloo, Ontario, Canada
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22
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Velten J, Brailovskaia J, Margraf J. Exploring the Impact of Personal and Partner Traits on Sexuality: Sexual Excitation, Sexual Inhibition, and Big Five Predict Sexual Function in Couples. JOURNAL OF SEX RESEARCH 2019; 56:287-299. [PMID: 30028211 DOI: 10.1080/00224499.2018.1491521] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Sexual difficulties are common among women and men and are associated with various mental and physical health problems. Although psychological traits are known to impact sexual attitudes and behavior, sexuality- and personality-related traits have not been jointly investigated to assess their relevance for sexual functioning in couples. The aim of this study was to investigate how psychological traits of two partners influence women's and men's sexual function. Data from 964 couples, representative of the adult population in Germany, were analyzed. Sexual function was assessed with the Female Sexual Function Index (FSFI) and the International Index of Erectile Function (IIEF). Sexuality-related traits were measured with the Sexual Excitation/Sexual Inhibition Inventory for Women and Men (SESII-W/M). Personality was measured with self-report and partner-rating versions of the Big Five Inventory (BFI). Sexual excitation was a positive and sexual inhibition was a negative predictor of sexual function in both genders. Women whose partners were sexually inhibited reported lower sexual function. Conscientious individuals reported better sexual function. Women whose partners were more conscientious also had better sexual function. Assessing partner-related factors may be helpful to identify predisposing and maintaining factors of sexual dysfunctions, especially in women.
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Affiliation(s)
- Julia Velten
- a Mental Health Research and Treatment Center , Ruhr-Universität Bochum , Bochum , Germany
| | - Julia Brailovskaia
- a Mental Health Research and Treatment Center , Ruhr-Universität Bochum , Bochum , Germany
| | - Jürgen Margraf
- a Mental Health Research and Treatment Center , Ruhr-Universität Bochum , Bochum , Germany
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23
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Nimbi FM, Tripodi F, Rossi R, Navarro-Cremades F, Simonelli C. Male Sexual Desire: An Overview of Biological, Psychological, Sexual, Relational, and Cultural Factors Influencing Desire. Sex Med Rev 2019; 8:59-91. [PMID: 30803921 DOI: 10.1016/j.sxmr.2018.12.002] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2018] [Revised: 12/15/2018] [Accepted: 12/16/2018] [Indexed: 01/10/2023]
Abstract
INTRODUCTION The literature showed the need for a better understanding of the male sexual response, which has historically been considered as simpler and more mechanistic compared with that in women. AIM To examine the literature on biopsychosocial factors associated with the level of sexual desire in men and discuss some interesting directions for future research. METHODS A systematic literature review was conducted. MAIN OUTCOME MEASURES 169 articles published in Google Scholar, Web of Science, Scopus, EBSCO, and Cochrane Library about male sexual desire and related biopsychosocial factors. RESULTS We found a lack of multidimensional studies on male sexual desire. Most existing research has focused on hypoactive sexual desire disorder in coupled heterosexual men. Biological factors play important roles in the level of sexual desire, but they are insufficient to explain the male sexual response. Psychological, relational, and sexual factors (eg depression, anxiety, emotions, attraction, conflicts, communication, sexual functioning, distress, satisfaction) are involved in the development/maintenance of lack of sexual interest in men. Cultural influence is also relevant, with cognitive factors linked to gender roles and sexual scripts of masculinity identified as important predictors of low sexual desire. CONCLUSION Male sexual desire is characterized by an interplay among biological, psychological, sexual, relational, and cultural elements. This interplay merits further study to better understand how sexual desire works and how treatments for low sexual interest could be improved. Nimbi FM,Tripodi F, Rossi R, et al. Male Sexual Desire: An Overview of Biological, Psychological, Sexual, Relational, and Cultural Factors Influencing Desire. Sex Med Rev 2020;8:59-91.
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Affiliation(s)
- Filippo Maria Nimbi
- Department of Dynamic and Clinical Psychology, Sapienza University of Rome, Rome, Italy; Institute of Clinical Sexology, Rome, Italy.
| | | | | | | | - Chiara Simonelli
- Department of Dynamic and Clinical Psychology, Sapienza University of Rome, Rome, Italy; Institute of Clinical Sexology, Rome, Italy
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24
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Pereira TJ, Machado PPP, Peixoto MM. Sexual and Relationship Satisfaction: The Role of Perceived (Non)problematic Sexual Desire Discrepancy in Gay and Heterosexual Men. JOURNAL OF SEX & MARITAL THERAPY 2019; 45:103-113. [PMID: 30628560 DOI: 10.1080/0092623x.2018.1488323] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
Sexual desire discrepancy has been associated with sexual and relationship dissatisfaction. Nonetheless, little is known regarding the role of desire discrepancy in gay men, as main research has been systematically conducted with heterosexual couples. Also, only one study has focused on problematic sexual desire discrepancies and sexual satisfaction with lesbian women. This study sought to understand if perceived sexual desire discrepancy influences sexual and relationship satisfaction in men, and to explore differences according to sexual orientation. A total of 346 men (245 heterosexual and 101 gay) completed an online survey and answered sociodemographic questions, a specific question about sexual desire discrepancy, and completed the Global Measure of Sexual Satisfaction and the Global Measure of Relationship Satisfaction. The main findings showed differences in sexual and relationship satisfaction according to sexual desire discrepancy groups, with men who experienced no desire discrepancy being more satisfied within their relationship and sex life compared to men who experienced both problematic and nonproblematic sexual desire discrepancy. Additionally, men who experienced nonproblematic sexual desire discrepancy reported being more sexually and relationship satisfied than men who experienced problematic sexual desire discrepancy. No sexual orientation differences were found. Overall, current findings emphasize the role of (non)problematic desire discrepancy in sexual and relationship satisfaction among heterosexual and gay men.
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Affiliation(s)
| | - Paulo P P Machado
- b School of Psychology , University of Minho, CIPSI-Research Center on Psychology , Braga , Portugal
| | - Maria Manuela Peixoto
- b School of Psychology , University of Minho, CIPSI-Research Center on Psychology , Braga , Portugal
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25
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Leonhardt ND, Willoughby BJ, Busby DM, Yorgason JB, Holmes EK. The Significance of the Female Orgasm: A Nationally Representative, Dyadic Study of Newlyweds' Orgasm Experience. J Sex Med 2018; 15:1140-1148. [DOI: 10.1016/j.jsxm.2018.05.018] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2018] [Revised: 05/09/2018] [Accepted: 05/26/2018] [Indexed: 11/29/2022]
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26
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Maas MK, Vasilenko SA, Willoughby BJ. A Dyadic Approach to Pornography Use and Relationship Satisfaction Among Heterosexual Couples: The Role of Pornography Acceptance and Anxious Attachment. JOURNAL OF SEX RESEARCH 2018; 55:772-782. [PMID: 29578817 PMCID: PMC6155976 DOI: 10.1080/00224499.2018.1440281] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
The majority of research on pornography use within committed relationships has found such use to be associated with negative outcomes. However, given the variability in pornography use among couples, the current study sought to examine moderators in the association between pornography use and relationship satisfaction in a large sample of heterosexual matched-paired couples (N = 6,626). Actor-partner interdependence models (APIMs) revealed that for men who are more anxiously attached, more pornography use is associated with higher relationship satisfaction; whereas for women who are more anxiously attached, more pornography use is associated with lower relationship satisfaction. For men who are more accepting of pornography, more pornography use is associated with more relationship satisfaction; however, for men who are less accepting of pornography, more pornography use is associated with less relationship satisfaction. There was little difference in relationship satisfaction at differing levels of pornography use for women who are high in pornography acceptance. For women who are low in pornography acceptance, pornography use is associated with less relationship satisfaction. Results are discussed and recommendations for practitioners are made through the lens of symbolic interaction theory.
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Affiliation(s)
- Megan K. Maas
- Department of Human Development and Family Studies, Michigan State University, 552 W. Circle Drive, 13D Human Ecology, East Lansing, MI 48824, , Phone: 517-432-3325
| | - Sara A. Vasilenko
- The Methodology Center, The Pennsylvania State University, 404 Health and Human Development Building, University Park, PA 16802
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27
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Mark KP, Lasslo JA. Maintaining Sexual Desire in Long-Term Relationships: A Systematic Review and Conceptual Model. JOURNAL OF SEX RESEARCH 2018. [PMID: 29521522 DOI: 10.1080/00224499.2018.1437592] [Citation(s) in RCA: 54] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
The most universally experienced sexual response is sexual desire. Though research on this topic has increased in recent years, low and high desire are still problematized in clinical settings and the broader culture. However, despite knowledge that sexual desire ebbs and flows both within and between individuals, and that problems with sexual desire are strongly linked to problems with relationships, there is a critical gap in understanding the factors that contribute to maintaining sexual desire in the context of relationships. This article offers a systematic review of the literature to provide researchers, educators, clinicians, and the broader public with an overview and a conceptual model of nonclinical sexual desire in long-term relationships. First, we systematically identified peer-reviewed, English-language articles that focused on the maintenance of sexual desire in the context of nonclinical romantic relationships. Second, we reviewed a total of 64 articles that met inclusion criteria and synthesized them into factors using a socioecological framework categorized as individual, interpersonal, and societal in nature. These findings are used to build a conceptual model of maintaining sexual desire in long-term relationships. Finally, we discuss the limitations of the existing research and suggest clear directions for future research.
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Affiliation(s)
- Kristen P Mark
- a Department of Kinesiology and Health Promotion , University of Kentucky
| | - Julie A Lasslo
- a Department of Kinesiology and Health Promotion , University of Kentucky
- b Department of Health Promotion & Administration , Eastern Kentucky University
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28
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Mark KP, Vowels LM, Murray SH. The Impact of Attachment Style on Sexual Satisfaction and Sexual Desire in a Sexually Diverse Sample. JOURNAL OF SEX & MARITAL THERAPY 2018; 44:450-458. [PMID: 29166227 DOI: 10.1080/0092623x.2017.1405310] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Research has indicated that adult romantic attachment is influential and important to sexual and relationship satisfaction. Sexual desire, although not a direct focus of attachment literature, is highly related to sexual and relationship satisfaction, suggesting it may also be impacted by attachment style in romantic couples. However, the research conducted on sexual desire, sexual satisfaction, and attachment has been largely heterocentric, making it difficult to determine whether the findings documented in the literature thus far are relevant in a sexually diverse group of individuals. The current study aimed to better understand the way that attachment style may impact sexual desire, sexual satisfaction, and relationship satisfaction in a sample of sexually diverse men and women. In total, 955 individuals (63.4% cisgender women, 30.7% cisgender men, 6.0% genderqueer, 54.8% straight, 20.4% bisexual, 18.4% gay) participated in a web-based study examining relationship dynamics. Three multivariate regression models indicated that attachment style significantly predicted relationship satisfaction (29% of variance accounted for), sexual satisfaction (19% of variance accounted for), and sexual desire (4% of variance accounted for). Attachment style appears to be a more important contributing factor to satisfaction than desire among diverse sexual orientations. Clinical implications and future directions are discussed.
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Affiliation(s)
- Kristen P Mark
- a Department of Kinesiology & Health Promotion , University of Kentucky , Lexington , KY , USA
| | - Laura M Vowels
- b Department of Family Sciences , University of Kentucky , Lexington , KY , USA
| | - Sarah H Murray
- c Family Relations & Applied Nutrition, AAMFT clinician in private practice, Macdonald Institute , Winnipeg , Manitoba , Canada
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29
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Bronner G, Hassin-Baer S, Gurevich T. Sexual Preoccupation Behavior in Parkinson's Disease. JOURNAL OF PARKINSONS DISEASE 2017; 7:175-182. [PMID: 27802244 DOI: 10.3233/jpd-160926] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
People with Parkinson's disease (PD) present with problematic sexual behaviors that are often misunderstood or ignored. Sexual problems in PD are part of a non-motor syndrome, and they play a prominent role in the life of affected individuals and their partners. Based on our considerable clinical experience, we describe four common types of sexual preoccupation behaviors in people with PD: (1) sexual behavior with underlying sexual dysfunction, (2) sexual desire discrepancy with partner after restored desire, (3) hypersexuality and compulsive sexual behavior, and (4) sexual behavior with underlying restless genital syndrome. We also suggest methods of assessing and diagnosing these sexual behaviors, and propose alternative possible treatments for people with PD and their partners/caregivers. Understanding these four behavioral types will assist healthcare professionals in explaining and educating people with PD and their partners, contribute to decreased stress and tension between them, and help them manage these sexual issues.
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Affiliation(s)
- Gila Bronner
- Sexual Medicine Center, Department of Urology, Sheba Medical Center, Tel-Hashomer, Israel.,Movement Disorders Institute, Department of Neurology, Sheba Medical Center, Tel-Hashomer, Israel
| | - Sharon Hassin-Baer
- Movement Disorders Institute, Department of Neurology, Sheba Medical Center, Tel-Hashomer, Israel.,Sackler Faculty of Medicine, Tel Aviv University, Israel
| | - Tanya Gurevich
- Movement Disorders Unit, Neurological Institute, Tel-Aviv Medical Center, Israel.,Sackler Faculty of Medicine, Tel Aviv University, Israel
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Frost DM, McClelland SI, Dettmann M. Sexual Closeness Discrepancies: What They Are and Why They Matter for Sexual Well-Being in Romantic Relationships. ARCHIVES OF SEXUAL BEHAVIOR 2017; 46:2353-2364. [PMID: 28364135 DOI: 10.1007/s10508-017-0960-2] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/01/2015] [Revised: 02/08/2017] [Accepted: 02/11/2017] [Indexed: 06/07/2023]
Abstract
This study examined the impact of sexual closeness on sexual well-being. We developed a nuanced and multifaceted conceptualization of sexual closeness in the form of a constellation of ideal sexual closeness with a partner, actual sexual closeness, and the discrepancy between the two. Data were obtained from a diverse sample of N = 619 participants who took part in the Lives and Relationships Study: A longitudinal survey of men and women in relationships living in the U.S. and Canada. Increases in sexual closeness discrepancies over a period of 1 year predicted concomitant decreases in two indicators of sexual well-being: sexual satisfaction and orgasm frequency evaluations. Decreases in sexual closeness discrepancies resulted in improvement in sexual well-being. Individuals who reported no sexual closeness discrepancies and experienced no changes in sexual closeness discrepancies tended to have the highest levels of sexual well-being. Importantly, sexual closeness discrepancies were robust predictors of sexual well-being, above and beyond individuals' actual sexual closeness, general relationship closeness, and other demographic and relationship characteristics known to be associated with sexual well-being. The present findings demonstrate that how close people feel sexually to their relationship partners is part of a general constellation of factors related to relationship closeness that, only when considered together, sufficiently explain the ways in which experiences of closeness impact sexual well-being in romantic relationships.
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Affiliation(s)
- David M Frost
- Department of Psychological Sciences, School of Psychology, University of Surrey, Guildford, Surrey, GU2 7XH, UK.
| | - Sara I McClelland
- Departments of Women's Studies and Psychology, University of Michigan, Ann Arbor, MI, USA
| | - Miranda Dettmann
- Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA
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31
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McClelland SI. Gender and Sexual Labor Near the End of Life: Advanced Breast Cancer and Femininity Norms. ACTA ACUST UNITED AC 2017. [DOI: 10.1080/23293691.2017.1276367] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Shrier LA, Blood EA. Momentary Desire for Sexual Intercourse and Momentary Emotional Intimacy Associated With Perceived Relationship Quality and Physical Intimacy in Heterosexual Emerging Adult Couples. JOURNAL OF SEX RESEARCH 2016; 53:968-978. [PMID: 26606678 DOI: 10.1080/00224499.2015.1092104] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Sexual desire and emotional intimacy are central to relationships, yet little is known about how these feelings vary within and between partners or relate to dyad functioning. We explored magnitude and stability of momentary sexual desire and emotional intimacy in relation to quality and functioning of heterosexual relationships. After reporting perceived relationship quality and physical intimacy enjoyment, members of 18 emerging adult heterosexual couples reported momentary partner-specific sexual desire and emotional intimacy several times a day for two weeks (2,224 reports). Mean and mean squared successive difference (MSSD) characterized magnitude and stability, respectively, of the momentary states. Regression models of relationship outcomes examined influence of the male versus female partner having greater or more stable desire and intimacy. Sexual desire and emotional intimacy magnitude and stability were associated with relationship quality and physical intimacy enjoyment differently for men versus women. Gender-specific differences between partners also predicted relationship outcomes. Men particularly perceived higher relationship quality and enjoyed physical intimacy more when they had higher and more stable sexual desire and their female partners had more stable emotional intimacy. Partner differences in momentary sexual desire and emotional intimacy may contribute to understanding quality and functioning of heterosexual relationships.
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Affiliation(s)
- Lydia A Shrier
- a Division of Adolescent/Young Adult Medicine , Boston Children's Hospital
- b Department of Pediatrics , Harvard Medical School
| | - Emily A Blood
- b Department of Pediatrics , Harvard Medical School
- c Clinical Research Center , Boston Children's Hospital
- d Department of Community and Family Medicine , Geisel School of Medicine at Dartmouth
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33
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Hartmann AJ, Crockett EE. When sex isn't the answer: Examining sexual compliance, restraint, and physiological stress. SEXUAL AND RELATIONSHIP THERAPY 2016. [DOI: 10.1080/14681994.2016.1154142] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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34
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Sutherland SE, Rehman US, Fallis EE, Goodnight JA. Understanding the phenomenon of sexual desire discrepancy in couples. CANADIAN JOURNAL OF HUMAN SEXUALITY 2015. [DOI: 10.3138/cjhs.242.a3] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Given that desire levels tend to fluctuate over time, discrepancies in sexual desire are an inevitable feature of sexual relationships. However, we know little about how such desire discrepancies relate to a couple's sexual satisfaction. Past studies that have examined the association between sexual desire discrepancy and sexual satisfaction in college/university samples have had inconsistent findings. Also, the results may not generalize to more established romantic relationships. The current study compared two different conceptualizations of sexual desire discrepancy; perceived sexual desire discrepancy was assessed by asking a participant to subjectively compare his/her own level of sexual desire to that of his/her partner. Actual desire discrepancy was computed by subtracting the female partner's score on a self-report measure of sexual desire from the male partner's score on the same measure. In Sample 1, we examined the relationship between actual sexual desire discrepancy and sexual satisfaction for 82 couples in committed long-term relationships. In Sample 2, we investigated the association between perceived sexual desire discrepancy and sexual satisfaction for 191 individuals in committed long-term relationships. Our results showed that higher perceived, but not actual, desire discrepancy was associated with lower sexual satisfaction. In addition, we found that perceived desire discrepancy outcomes differed when measured using different response scales. Findings highlight methodological issues to consider when measuring sexual desire discrepancy and extend the literature by showing that perceived sexual desire discrepancy is associated with sexual satisfaction for couples in committed long-term relationships. Limitations of the current study and implications for future research are discussed.
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Affiliation(s)
| | - Uzma S. Rehman
- Department of Psychology, University of Waterloo, Waterloo, ON
| | - Erin E. Fallis
- Department of Psychology, University of Waterloo, Waterloo, ON
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Elaut E, Buysse A, De Sutter P, Gerris J, De Cuypere G, T'Sjoen G. Cycle-Related Changes in Mood, Sexual Desire, and Sexual Activity in Oral Contraception-Using and Nonhormonal-Contraception-Using Couples. JOURNAL OF SEX RESEARCH 2014; 53:125-136. [PMID: 25420716 DOI: 10.1080/00224499.2014.976780] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Findings on women's sexuality across the menstrual cycle are inconsistent. One relatively consistent finding is a midcycle and premenstrual peak in sexual desire in freely cycling women. Results on the cycle-related effects on sexual behavior are less clear. Large proportions of reproductive-aged women use combined oral contraception (COC), but studies on potential cycle-related shifts in sexual desire and behavior are sparse. A prospective diary study assessed sexual desire, sexual behavior, and mood in 89 heterosexual couples. Women were using one of four contraceptive methods: (1) nonhormonal contraception, (2) low-dose COC containing 20 mcg ethinylestradiol and 75 mcg gestoden or desogestrel, (3) COC containing 35 mcg ethinylestradiol and 2 mg cyproteronacetate, and (4) COC containing 30 mcg ethinylestradiol and 3 mg drospirenone. No cycle effects of sexual desire were established in the COC group, but frequency of sexual intercourse declined in the last days of active pill taking. These results were similar in both female and male partners. Negative affect did not covary with sexual desire.
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Affiliation(s)
- Els Elaut
- a Centre for Sexology and Gender Problems , Ghent University Hospital
| | - Ann Buysse
- b Department of Experimental-Clinical and Health Psychology , Ghent University
| | - Petra De Sutter
- c Department of Reproductive Medicine, Obstetrics, and Gynaecology , Ghent University Hospital
| | - Jan Gerris
- c Department of Reproductive Medicine, Obstetrics, and Gynaecology , Ghent University Hospital
| | - Griet De Cuypere
- a Centre for Sexology and Gender Problems , Ghent University Hospital
| | - Guy T'Sjoen
- a Centre for Sexology and Gender Problems , Ghent University Hospital
- d Department of Endocrinology , Ghent University Hospital
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Herbenick D, Mullinax M, Mark K. Sexual desire discrepancy as a feature, not a bug, of long-term relationships: women's self-reported strategies for modulating sexual desire. J Sex Med 2014; 11:2196-206. [PMID: 25052706 DOI: 10.1111/jsm.12625] [Citation(s) in RCA: 45] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
INTRODUCTION Sexual desire discrepancy is commonly reported by couples in long-term romantic relationships. Given the idiosyncratic nature of desire, and the lack of a "one size fits all" model approach to address desire concerns, it is useful to understand more about the range of ways that women and their partners modulate sexual desire. AIM This study aims to assess women's strategies to influence their sexual desire and the self-reported effectiveness of these strategies. METHODS One hundred seventy-nine women who had been in a relationship with a male partner for 5+ years completed an anonymous Internet-based survey. MAIN OUTCOME MEASURES Participants responded to three open-ended items about the strategies they use to address desire issues and how helpful those strategies are. RESULTS The most common responses regarding what participants did to get desire back on track included: communication, trying to meet partner's needs, having sex without desire, and having patience/letting time work out the problem. Women also mentioned several specific strategies they had employed: communication, scheduling sex, lingerie, and a date night. However, a large number of women discussed that the issue was not resolved, and they were dissatisfied with attempted strategies. CONCLUSIONS This research provides valuable insight into the construction of women's sexual desire and the strategies used to navigate sexual desire in long-term relationships.
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Affiliation(s)
- Debby Herbenick
- Center for Sexual Health Promotion, Indiana University, Bloomington, IN, USA; Department of Applied Health Science, School of Public Health, Indiana University, Bloomington, IN, USA
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Willoughby BJ, Farero AM, Busby DM. Exploring the effects of sexual desire discrepancy among married couples. ARCHIVES OF SEXUAL BEHAVIOR 2014; 43:551-62. [PMID: 24045904 DOI: 10.1007/s10508-013-0181-2] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/18/2012] [Revised: 02/20/2013] [Accepted: 04/16/2013] [Indexed: 05/25/2023]
Abstract
Previous studies have found associations between the individual discrepancy of desired sexual frequency and actual sexual frequency and relational outcomes among premarital couples. The present study extended this research by using a sample of 1,054 married couples to explore how actor and partner individual sexual desire discrepancy (SDD) scores were associated with relationship satisfaction, stability, communication, and conflict during marriage. All participants took an online survey which assessed both couple sexual dynamics and relationship outcomes. Findings suggested that higher actor individual SDD was generally associated with negative relational outcomes, including lower reported relationship satisfaction, stability, and more reported couple conflict. These effects were found after controlling for background factors, baseline sexual frequency and desire, and couple desire discrepancies. Some partner effects were also found and were generally in the same direction. Marital length did not moderate the effects found although gender moderated associations between individual SDD and reported couple communication. Negative associations between individual SDD and communication were particularly strong when the husband reported high discrepancies between desired and actual sexual frequency. Results suggested that higher individual sexual desire discrepancies among married individuals may undermine relationship well-being. Applications of these findings to a clinical setting are also discussed.
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Affiliation(s)
- Brian J Willoughby
- School of Family Life, Brigham Young University, 2081 JFSB, Provo, UT, 84602, USA,
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Mark KP. The impact of daily sexual desire and daily sexual desire discrepancy on the quality of the sexual experience in couples. CANADIAN JOURNAL OF HUMAN SEXUALITY 2014. [DOI: 10.3138/cjhs.23.1.a2] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Recent research has found associations between sexual desire, desire discrepancy, and satisfaction outcomes in individuals and couples on a broad level. The present study aimed to extend these findings to the event level through examining daily experiences of sexual desire, sexual desire discrepancy, and quality of the sexual experience in a sample of 87 mixed-sex couples (174 individuals) over a 30-day period through daily electronic report. Participants were in their relationships for an average of 9.3 years. Data were analyzed using over-time Actor Partner Interdependence Models (APIM). For women and men, higher actor daily sexual desire predicted higher actor quality of the sexual experience. In addition, higher partner daily sexual desire predicted higher actor quality of the sexual experience. Event-level desire discrepancy between the couple was also a significant predictor of actor quality of the sexual experience for women, though not for men. These results confirm that day-to-day sexual desire and desire discrepancy are important indicators of quality of the sexual relationship and emphasize the importance of considering event-level characteristics when examining sexual behaviour and couple dynamics. Implications and suggestions for future research are also discussed.
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Affiliation(s)
- Kristen P. Mark
- Department of Kinesiology & Health Promotion, College of Education, University of Kentucky
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Kwena ZA, Mwanzo IJ, Bukusi EA, Achiro LF, Shisanya CA. A cross-sectional survey of prevalence and correlates of couple sexual concurrency among married couples in fishing communities along Lake Victoria in Kisumu, Kenya. Sex Transm Infect 2014; 90:139-44. [PMID: 24154655 PMCID: PMC5608652 DOI: 10.1136/sextrans-2013-051168] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
OBJECTIVE Sexual concurrency has been associated with HIV infection. Since HIV in sub-Saharan Africa is mostly spread within the context of heterosexual couples, it is necessary that intervention is focused on such couples. We sought to establish the correlates of couple sexual concurrency in Kisumu, Kenya. METHODS We conducted 1090 gender-matched interviews in 545 couples in a cross-sectional survey. A random sample of fishermen and their spouses from 33 fish-landing beaches along the shores of Lake Victoria in Kisumu were asked to enrol in the study. Couples were separated into different private rooms for simultaneous interviews that documented socioeconomic and behavioural characteristics, and information on number of sexual partnerships in the preceding 6 months and their status. Based on reported concurrency status of the spouses, a couple was categorised as either concurrent when at least one spouse reported a concurrent sexual relationship or non-concurrent. RESULTS Overall, 32.1% of the men and 6.2% of the women had concurrent sexual relationships in the 6 months preceding the study, resulting in 37.6% of the couples being sexually concurrent. Unmet sexual desire, intra-spousal suspicions of infidelity, male dominance scripts, domestic violence, couples' children and women's age were the correlates of couple sexual concurrency. CONCLUSIONS Unmet sexual desires, inter-spousal infidelity suspicions, male dominance scripts and domestic violence were the main correlates of couple sexual concurrency in these fishing communities.
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Affiliation(s)
- Zachary A Kwena
- Center for Microbiology Research, Kenya Medical Research Institute, Kisumu, Kenya
| | - Isaac J Mwanzo
- Department of Community Health, Kenyatta University, Nairobi, Kenya
| | - Elizabeth A Bukusi
- Center for Microbiology Research, Kenya Medical Research Institute, Kisumu, Kenya
| | - Lilian F Achiro
- Center for Microbiology Research, Kenya Medical Research Institute, Kisumu, Kenya
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Willoughby BJ, Carroll JS, Busby DM. Differing relationship outcomes when sex happens before, on, or after first dates. JOURNAL OF SEX RESEARCH 2012; 51:52-61. [PMID: 23121225 DOI: 10.1080/00224499.2012.714012] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
While recent studies have suggested that the timing of sexual initiation within a couple's romantic relationship has important associations with later relationship success, few studies have examined how such timing is associated with relationship quality among unmarried couples. Using a sample of 10,932 individuals in unmarried, romantic relationships, we examined how four sexual-timing patterns (i.e., having sex prior to dating, initiating sex on the first date or shortly after, having sex after a few weeks of dating, and sexual abstinence) were associated with relationship satisfaction, stability, and communication in dating relationships. Results suggested that waiting to initiate sexual intimacy in unmarried relationships was generally associated with positive outcomes. This effect was strongly moderated by relationship length, with individuals who reported early sexual initiation reporting increasingly lower outcomes in relationships of longer than two years.
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