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Lyons HA, Warner DF, Orbuch TL. Sexual Expression and Subsequent Marital Quality Among Partnered Older Adults. ARCHIVES OF SEXUAL BEHAVIOR 2024:10.1007/s10508-024-02956-9. [PMID: 39164539 DOI: 10.1007/s10508-024-02956-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Revised: 05/22/2024] [Accepted: 07/07/2024] [Indexed: 08/22/2024]
Abstract
A great deal of research has linked aspects of couples' sex lives to the quality of their relationships. Yet most of this work is with younger couples. Although sexual frequency is associated with positive marital quality, less is known regarding how sexual expression-sexual attitudes, desires, and behaviors-influences later positive and negative marital quality, particularly in older couples. Using latent class analysis and dyadic data on 620 heterosexual couples in long-term marriages from Rounds 2 and 3 of the National Social Life, Health, and Aging Project, we examined how couple-level configurations of sexual expression influence later marital quality. Generally, the latent classes with more agreement on sexual expression and higher overall sexual frequency were associated with later higher positive marital quality for both wives and husbands. Sexual expression configurations were associated with wives' negative marital quality, not husbands' negative marital quality. Across classes, wives' better mental health and husbands' functional limitations were associated with later marital quality. It is essential for practitioners to recognize the relevance of sexual expression to marital quality in older couples.
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Affiliation(s)
- Heidi A Lyons
- The Department of Sociology, Anthropology, Social Work, and Criminal Justice, Oakland University, Rochester, MI, 48309, USA.
| | - David F Warner
- The Department of Sociology, University of Alabama at Birmingham, Birmingham, AL, USA
- Center for Family and Demographic Research, Bowling Green State University, Bowling Green, OH, USA
| | - Terri L Orbuch
- The Department of Sociology, Anthropology, Social Work, and Criminal Justice, Oakland University, Rochester, MI, 48309, USA
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2
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Bergeron S, Vaillancourt-Morel MP, Péloquin K, Rosen NO. Intimacy Promotes Couples' Sexual Well-Being on a Daily Basis and Over One Year: The Role of Positive Sexual Cues. ARCHIVES OF SEXUAL BEHAVIOR 2024; 53:2737-2749. [PMID: 38872013 DOI: 10.1007/s10508-024-02912-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Revised: 04/18/2024] [Accepted: 05/20/2024] [Indexed: 06/15/2024]
Abstract
There is growing interest in identifying factors that promote sexual well-being in romantic relationships. One such factor is intimacy-a process involving self-disclosure and empathic response that is positively associated with sexuality outcomes. However, most work among community couples examined cross-sectional associations in mixed-sex/gender couples using a single sexual outcome, which may not capture daily variations in intimacy and different dimensions of sexual well-being among a diversity of unions over time. Additionally, potential mediating mechanisms of the intimacy-sexual well-being association, such as attention to positive sexual cues (i.e., sexual thoughts and feelings), have been neglected. Adopting daily diary and longitudinal designs, the present study examined whether greater intimacy was associated with higher levels of positive sexual cues and, in turn, higher sexual well-being (sexual desire, satisfaction and distress). A convenience sample of 211 couples (Mage = 30.2 years; SD = 8.3; 75 sexually diverse couples) completed a survey on days of sexual activity with their partner, over a 35-day period and 12 months later. Daily results showed that intimacy was related to greater attention to positive sexual cues for both partners, which in turn was associated with their greater sexual desire and satisfaction and lower sexual distress. Longitudinal results showed that a person's greater daily intimacy was linked to their own greater sexual desire and satisfaction 12 months later via their own higher positive sexual cues, but not to their partner's cues or well-being. Findings extend interpersonal models of sexual well-being and support the role of intimacy and positive sexual cues therein.
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Affiliation(s)
- Sophie Bergeron
- Department of Psychology, Université de Montréal,, C.P. 6128, Succursale Centre-Ville, Montréal, QC, H3C 3J7, Canada.
| | | | - Katherine Péloquin
- Department of Psychology, Université de Montréal,, C.P. 6128, Succursale Centre-Ville, Montréal, QC, H3C 3J7, Canada
| | - Natalie O Rosen
- Departments of Psychology & Neuroscience, Obstetrics & Gynecology, Dalhousie University, Halifax, NS, Canada
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3
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Andreoli G, Rafanelli C, Gremigni P, Hofmann SG, Casu G. Positive sexuality, relationship satisfaction, and health: a network analysis. Front Psychol 2024; 15:1420148. [PMID: 38903470 PMCID: PMC11189356 DOI: 10.3389/fpsyg.2024.1420148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2024] [Accepted: 05/24/2024] [Indexed: 06/22/2024] Open
Abstract
Introduction Positive sexuality, defined as the happiness and fulfillment individuals derive from their sexual experiences, expressions, and behaviors, has been linked to relationship satisfaction and health. However, the intricate associations between positive sexuality and relationship functioning and health indicators have rarely been explored from a network perspective. This approach, by analyzing the interconnections among these factors within a broader system, can offer insights into complex dynamics and identify key variables for targeted interventions. Methods The present study applied network analysis to uncover interconnections between positive sexuality, relationship satisfaction, and health indicators, highlight the most relevant variables and explore potential gender-based differences in a sample of 992 partnered individuals (51% women, aged 18-71 years). Networks were estimated via Gaussian Graphical Models, and network comparison test was used to compare men and women. Results Results indicated that variables related to positive sexuality were more highly interconnected than the rest of the network. There were small-to-negligible connections between positive sexuality and relationship satisfaction variables, both of which had negligible or no connections with health. The network was globally invariant across gender, though a few connections were gender-specific. The most important variables, regardless of gender, related to pleasurable feelings during sexual intercourse. Discussion The findings underscore the importance of enhancing positive sexual experiences within intimate relationships and have implications for research and clinical practice in positive sexuality.
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Affiliation(s)
- Giovanbattista Andreoli
- Department of Psychology, University of Bologna, Bologna, Italy
- Department of Psychology, Philipps-Universität Marburg, Marburg, Germany
| | | | - Paola Gremigni
- Department of Psychology, University of Bologna, Bologna, Italy
| | - Stefan G. Hofmann
- Department of Psychology, Philipps-Universität Marburg, Marburg, Germany
| | - Giulia Casu
- Department of Psychology, University of Bologna, Bologna, Italy
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Ogallar-Blanco AI, Lara-Moreno R, García-Pérez R, Liñán-González A, Godoy-Izquierdo D. Cracking the code to female sexual satisfaction: the serial mediation of sexual behavior and the perceived importance of healthy sexuality from sexual self-efficacy. Front Psychol 2024; 15:1305399. [PMID: 38827890 PMCID: PMC11143792 DOI: 10.3389/fpsyg.2024.1305399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Accepted: 04/29/2024] [Indexed: 06/05/2024] Open
Abstract
Introduction Sexual satisfaction has been shown to have a strong association with many aspects of sexual health and wellbeing. It is further considered a robust indicator of an individual's health status and general wellbeing, revealing that a person can enjoy pleasurable and healthy sexual experiences, beyond the mere absence of sexual and reproductive health issues. Objectives This study aimed to analyze the relationship between sexual satisfaction, sexual behaviors, sexual self-efficacy, and the importance personally attributed to maintaining an active and satisfying sexual life among young and middle-aged women aged 18-50. Design A descriptive correlational study with a cross-sectional design was conducted. Methods Participants (N = 1,076 women) completed self-reports on sexual self-efficacy beliefs, frequency of sexual behaviors, the importance attributed to active and healthy sexuality, and multidimensional sexual satisfaction. Results The supported mediation model indicated that sexual self-efficacy was related to sexual satisfaction directly and indirectly through sexual behavior and a serial path through sexual behavior and the perceived importance of healthy sexuality. The total effect was significant, and the full model explained 7.3% of the global sexual satisfaction variance (F = 17.218, p = 0.000), with the mediated effect accounting for 44.3%. Conclusion This study confirms a partial serial mediation model by which sexual self-efficacy significantly predicts sexual satisfaction through sexual behaviors and the importance attributed to a healthy sexuality. Due to its significant contribution, the perceived importance of sexuality should be considered when studying correlates of sexual satisfaction. These findings have interesting implications for the development of strategies aimed at sexual health promotion and sexual education among women in early and middle adulthood.
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Affiliation(s)
- Adelaida Irene Ogallar-Blanco
- Departamento de Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología, University of Granada, Granada, Spain
| | - Raquel Lara-Moreno
- Departamento de Psicología Social, Facultad de Psicología, University of Granada, Granada, Spain
| | - Raquel García-Pérez
- Departamento de Enfermería, Facultad de Ciencias de la Salud, Parque Tecnológico de la Salud, University of Granada, Granada, Spain
| | - Antonio Liñán-González
- Departamento de Enfermería, Facultad de Ciencias de la Salud, University of Granada, Melilla, Spain
| | - Débora Godoy-Izquierdo
- Departamento de Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología, University of Granada, Granada, Spain
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Hanna-Walker V, Busby DM, Moore EWG, Holmes EK. The Association Between Sexual Initiation and Membership in Dyadic Profiles of Perceived Shared Power. ARCHIVES OF SEXUAL BEHAVIOR 2024; 53:1091-1105. [PMID: 38277097 DOI: 10.1007/s10508-023-02758-5] [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: 05/06/2021] [Revised: 11/20/2023] [Accepted: 11/21/2023] [Indexed: 01/27/2024]
Abstract
There is scarce empirical evidence examining whether sexual initiation and power are associated with each other. Utilizing latent profile analyses, we examined in a nationally representative sample of US newlywed heterosexual couples (N = 1,948 couples) whether wives' and husbands' sexual initiation patterns and satisfaction with these patterns were associated with membership in different profiles of wives' and husbands' perceptions of shared relational power while accounting for both partner's satisfaction with sexual frequency. We found four profiles of wives' and husbands' perceptions of power. The most common profile was when both wives and husbands perceived high levels of power compared to other profiles, but wives had significantly higher reports of perceived power than husbands (High Power, Wife Higher; 40.8%). Husbands' sexual initiation patterns were not associated with profile membership. Wives who reported equal sexual initiation patterns had a higher probability of being in the High Power, Wife Higher profile compared to the Wife Low Power, Husband Moderate Power profile. Both wives' and husbands' satisfaction with sexual initiation patterns were associated with profile membership. Wives and husbands that were satisfied with sexual initiation patterns had a higher probability of being in the High Power, Wife Higher profile compared to the profile where both wives and husbands had high perceptions of shared relational power compared to other profiles, but their scores were not significantly different from each other (High Power, Equal).
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Affiliation(s)
- Veronica Hanna-Walker
- Department of Human Development and Family Sciences, University of Connecticut, 348 Mansfield Road, U-1058, Storrs, CT, 06269-1058, USA.
| | - Dean M Busby
- School of Family Life, Brigham Young University, Provo, UT, USA
| | - E Whitney G Moore
- Department of Kinesiology, East Carolina University, Greenville, NC, USA
| | - Erin K Holmes
- School of Family Life, Brigham Young University, Provo, UT, USA
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Soares RF, Leites GT, de Araujo TG, Pedreti GP, Cerentini TM, da Rosa PV. Masturbation, sexual function, and genital self-image of undergraduate women: a cross-sectional study. J Sex Med 2024; 21:211-216. [PMID: 38258991 DOI: 10.1093/jsxmed/qdad173] [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: 08/08/2023] [Revised: 10/23/2023] [Accepted: 11/18/2023] [Indexed: 01/24/2024]
Abstract
BACKGROUND The relationship between factors related to masturbation, sexual function, and genital self-image among women has not been fully explored in the literature. AIM The study sought to investigate the association between masturbation frequency, feelings, and behaviors with sexual function and genital self-image in young women. METHODS A cross-sectional survey among 110 undergraduate female students was conducted. Online self-administered questionnaires to assess sociodemographic characteristics, masturbatory frequency, feelings, and behavior were completed. Participants also answered the Brazilian version of the Female Sexual Function Index (FSFI) and the Female Genital Self-Image Scale (FGSIS). OUTCOMES The outcome includes masturbation frequency and behaviors associated, as well as scores on the FSFI and FGSIS. RESULTS Women showed higher scores in FSFI subdomains when masturbation was considered important for them, along with reported feelings of empowerment and satisfaction during this activity. However, those who experienced negative emotions during masturbation, such as shame or guilt, demonstrated a significant association with lower scores in both FSFI and FGSIS. Masturbation frequency was found to correlate with better sexual function specifically in the desire domain among women who engaged in daily masturbation. Additionally, an association was observed between higher scores in the FGSIS and increased scores in the domains of satisfaction, arousal, and orgasm within the FSFI. There was an association in the domain's satisfaction, arousal, and orgasm of the FSFI with greater scores in FGSIS. CLINICAL IMPLICATIONS The clinical implications encompass the augmentation of understanding pertaining to female sexual function. STRENGTHS AND LIMITATIONS The study provides valuable insights into the sexual behavior of undergraduate female students, and its methodology improves openness in responses, as it provides anonymity given the sensitive nature of the topic studied. Study limitations include the unsuitability of the FSFI questionnaire for sexually inactive women in the past 4 weeks; the participation bias and reporting bias in sexuality searches; and the unknown validity of the investigator-derived questionnaire about masturbation, as it has not been previously validated. CONCLUSION Masturbation frequency has minimal to no impact on female sexual function, whereas harboring positive feelings toward it and maintaining a positive genital self-image may exert a positive influence on sexual function.
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Affiliation(s)
- Renata Fernandes Soares
- Department of Physiotherapy, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Rio Grande do Sul, 90050-170, Brazil
| | - Gabriela Tomedi Leites
- Department of Physiotherapy, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Rio Grande do Sul, 90050-170, Brazil
| | - Tatiane Gomes de Araujo
- Service of Care Integrate the Sexual Health, Hospital Materno Infantil Presidente Vargas, Secretaria Municipal de Saúde, Prefeitura de Porto Alegre, Porto Alegre, Rio Grande do Sul, 900350-076, Brazil
| | - Gabriela Paludo Pedreti
- Department of Physiotherapy, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Rio Grande do Sul, 90050-170, Brazil
| | - Taís Marques Cerentini
- Department of Physiotherapy, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Rio Grande do Sul, 90050-170, Brazil
| | - Patricia Viana da Rosa
- Department of Physiotherapy, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Rio Grande do Sul, 90050-170, Brazil
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7
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Xie Z, Duan Z. Balancing public health and privacy rights: a mixed-methods study on disclosure obligations of people living with HIV to their partners in China. Harm Reduct J 2024; 21:30. [PMID: 38311762 PMCID: PMC10840163 DOI: 10.1186/s12954-023-00920-9] [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: 11/09/2023] [Accepted: 12/24/2023] [Indexed: 02/06/2024] Open
Abstract
BACKGROUND In 2021, a Chinese court, based on the newly enacted Civil Code, first revoked a marriage license due to the spouse's failure to disclose their HIV infection before the marriage. This landmark case ignited a fresh debate on whether people living with HIV (PLHIV) have a legal duty to inform their spouses and sexual partners. Advances in medicine have partially isolated HIV transmission from sexual contact, extending the legal basis for the obligation to disclose beyond disease prevention. This study investigates some possibly unforeseen challenges for PLHIV in China to fulfill this duty, and the outcomes of their decisions in light of the government's goal to promote health. METHODS This study aims to provide a detailed examination of the legal provisions and practices concerning partner notification among PLHIV in China. A mixed-methods research approach was employed between 2019 and 2020, combining questionnaire surveys, in-depth interviews, and participatory observations. A total of 433 valid responses were obtained through a questionnaire posted on a Chinese online platform for PLHIV. Following the collection and random coding of the questionnaire data, 40 individuals living with HIV were selected for in-depth interviews. Subsequently, a six-month field investigation was conducted in Guan ai jia yuan (Caring Home) in Jinhua City to further explore this issue. RESULTS A considerable proportion of PLHIV exhibit a high rate of disclosure to their spouses (nearly 80%). In the context of sexual partners, 56% of PLHIV stated that their sexual partners were aware of their HIV infection. Whether married PLHIV disclosing to their spouses or unmarried/divorced PLHIV disclosing to sexual partners, however, a substantial majority expressed apprehension about the potential disruption to their relationships that the disclosure might cause. The sole exception was observed among married PLHIV in extramarital relationships who demonstrated a slightly diminished level of concern in this context. Reasons for non-disclosure predominantly included undetectable viral load and the adoption of protective measures. DISCUSSION This study reveals that a prevailing "HIV stigma" hinders PLHIV from voluntarily fulfilling the disclosure duties bestowed by Article 38 of the Regulations on the Prevention and Control of HIV/AIDS, and the unclear legal provisions of the new Civil Code play a significant role in this regard. Addressing this issue necessitates not only increasing societal tolerance toward PLHIV and reducing instances of social exclusion but also shifting the legal basis of disclosure duties from disease prevention to rights and obligations within the legal relationships of the parties involved. When it comes to the recipients of disclosure, for instance, it is crucial to differentiate between spouses and sexual partners. As for PLHIV failing to fulfill their disclosure duties, apart from interventions involving indirect notifications, the addition of further legal responsibilities may not be advisable. Intentional transmission actions, on the other hand, should still be subject to severe penalties. CLINICAL TRIAL NUMBER Not applicable.
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Affiliation(s)
- Ziyi Xie
- Macao Polytechnic University, Faculty of Humanities and Social Science, Macao, China
| | - Zhizhuang Duan
- Zhejiang Normal University, Xingzhi College, Jinhua, China.
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8
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Letkiewicz AM, Li LY, Hoffman LMK, Lieberman L, Hsu KJ, Shankman SA. Cognitive inflexibility and heightened error monitoring are related to lower sexual functioning. Int J Psychophysiol 2024; 196:112281. [PMID: 38104774 PMCID: PMC10843768 DOI: 10.1016/j.ijpsycho.2023.112281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 12/11/2023] [Accepted: 12/12/2023] [Indexed: 12/19/2023]
Abstract
Sexual functioning is an important predictor of well-being and relationship satisfaction. Previous research indicates that several aspects of cognitive function are related to sex-related behaviors and functioning among individuals with sex-related disorders, neurological disorders, and in older adults; however, this has been relatively underexamined in younger populations. To examine this, the present study assessed whether behavioral and/or neurophysiological measures of cognitive function are associated with sexual functioning in a community sample of young 489 adults (64 % female) ages 18-30. Cognitive flexibility (n = 460) and inhibition (n = 466) were measured using neuropsychological assessment (D-KEFS), and conflict monitoring and error monitoring were measured by event-related potentials (conflict N2: n = 394; error-related negativity: n = 389). After separately testing relations between the different measures of cognitive function and sexual functioning, we assessed whether results (1) remained after covarying for externalizing and internalizing dimensions (PID-5; n = 489) or (2) varied by gender. Finally, we tested whether any aspects of cognitive function were unique predictors of sexual functioning. Cognitive flexibility and error monitoring (i.e., error-related negativity) were both significantly related to sexual functioning among males and females, such that poorer cognitive flexibility and heightened error monitoring were related to lower sexual functioning. No significant effects emerged for inhibition or conflict monitoring. In a multiple regression model, cognitive flexibility and error monitoring each accounted for a unique portion of variance in sexual functioning beyond other aspects of cognitive function and psychopathology-related traits. Results suggest that cognitive function is a meaningful correlate of sexual functioning in young adulthood, which should be considered further in future research.
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Affiliation(s)
- Allison M Letkiewicz
- Department of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, IL, USA.
| | - Lilian Y Li
- Department of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, IL, USA
| | - Lija M K Hoffman
- Department of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, IL, USA
| | - Lynne Lieberman
- Northwell Health, Center for Traumatic Stress, Resilience, and Recovery, Glen Oaks, NY, USA
| | - Kevin J Hsu
- Department of Psychological and Social Sciences, Pennsylvania State University, Abington, PA, USA
| | - Stewart A Shankman
- Department of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, IL, USA; Department of Psychology, Northwestern University, Chicago, IL, USA
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9
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Busby DM, Leonhardt ND, Hanna-Walker V, Leavitt CE. Is the association of sexual quality with relationship satisfaction really stronger when the sexual relationship is functioning poorly? JOURNAL OF MARITAL AND FAMILY THERAPY 2024; 50:233-255. [PMID: 38044553 DOI: 10.1111/jmft.12683] [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: 12/08/2022] [Revised: 09/08/2023] [Accepted: 11/15/2023] [Indexed: 12/05/2023]
Abstract
The purpose of this article is to bring empirical evidence to the oft-quoted assumption that sexual quality has a stronger association with the overall relationship when sexuality is dysfunctional as compared to when it is optimal. Using three national samples to analyze a structural equation model, the results verified this assumption with some adaptations. There was an interaction between the association of sexual quality and the overall relationship depending on how sexually satisfied couples were in the sexuality area. However, it was when sexuality was only moderately satisfying rather than at high or low levels that it had the strongest associations with relationship satisfaction. Also, female sexual quality had a significant association with both partner's relationship satisfaction whereas male's sexual quality only had actor effects. Additionally, the sexual relationship had a stronger association with relationship satisfaction and dissatisfaction for couples who reported both low levels of sexual satisfaction and dissatisfaction.
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Affiliation(s)
- Dean M Busby
- School of Family Life, Brigham Young University, Provo, Utah, USA
| | | | - Veronica Hanna-Walker
- Department of Human Development and Familiy Sciences, University of Connecticut, Storrs, Connecticut, USA
| | - Chelom E Leavitt
- School of Family Life, Brigham Young University, Provo, Utah, USA
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10
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Perdoch Sladká D, Kreidl M. The Link Between Sexual Disagreements and Separation Proneness: Differences Between Men and Women in a Culturally Diverse Sample. JOURNAL OF SEX RESEARCH 2023:1-9. [PMID: 37962846 DOI: 10.1080/00224499.2023.2270508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2023]
Abstract
Traditional gender ideologies suggest that sexual disagreements are associated with union instability more strongly among men than among women. Previous studies of this topic were based on one panel survey initiated in the United States in the late 1980s and they provided contradictory results. We revisited this issue using the Generations and Gender Survey, a more recent panel that interviewed 19,446 respondents (43.3% were male and 56.7% were female; M age = 44.72, SD = 13.49) in mixed-sex partnerships in seven European countries. The results show that the association between sexual disagreements and separation proneness is stronger among women than among men. This conclusion contradicts expectations based on traditional feminine and masculine ideologies and indicates that the role of sexual disagreements in union instability deviates from traditional expectations.
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Affiliation(s)
| | - Martin Kreidl
- Department of Sociology, Faculty of Social Studies, Masaryk University
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11
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Wellings K, Gibson L, Lewis R, Datta J, Macdowall W, Mitchell K. "We're Just Tired": Influences on Sexual Activity Among Male-Partnered Women in Midlife; A Mixed Method Study. JOURNAL OF SEX RESEARCH 2023; 60:1304-1317. [PMID: 36757684 DOI: 10.1080/00224499.2023.2165613] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
Studies into decline in sexual activity among women in midlife produce equivocal findings, some implicating hormonal and physiological changes, others psycho-social and environmental factors. Women's perspectives rarely inform interpretation of the data. Associations between sexual satisfaction, activity and function, and health and lifestyle factors were explored using data from 2133 female participants in the third British National Survey of Sexual Attitudes and Lifestyles (2010-2012). Semi-structured interviews (2012-2015) with 23 women aged 45-59 reporting sexual dissatisfaction in Natsal-3 explored their perceptions of the influences on their sexual activity. Analysis of the survey data showed sexual dissatisfaction to be less common than low frequency and function. Neither menopausal stage nor age was independently associated with any of the dimensions of sexual experience. Only relationship unhappiness was independently associated with all three and communicational difficulty with two (dissatisfaction and lower function). In-depth interviews identified influences on sexual activity not captured in the survey. Tiredness attributed to contemporary challenges of midlife was a dominant theme. Relationship quality mediated its adverse impact. Sexual experience in midlife must be interpreted in light of both life-stage and era, notably, the increasing demands on women in contemporary society and their impact on vitality. Efforts to address sexual wellbeing should take account of the wider social context.
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Affiliation(s)
- Kaye Wellings
- Public Health & Policy, London School of Hygiene and Tropical Medicine, London, UK
| | - Lorna Gibson
- Department of Social and Environmental Health Research, London School of Hygiene and Tropical Medicine, London, UK
| | - Ruth Lewis
- MRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, UK
| | - Jessica Datta
- Social and Environmental Research, London School of Hygiene and Tropical Medicine, London, UK
| | - Wendy Macdowall
- Department of Public Health, Environments and Society, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK
| | - Kirstin Mitchell
- MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK
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12
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Pereira MG, Bernardo AC, Fernandes I, Almeida AC. Quality of life in heterosexual menopausal women: The indirect effect of sexual and marital satisfaction, menopause representations, and psychological morbidity. Health Care Women Int 2023:1-19. [PMID: 37669426 DOI: 10.1080/07399332.2023.2245374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Revised: 08/03/2023] [Accepted: 08/03/2023] [Indexed: 09/07/2023]
Abstract
Menopause may negatively impact Quality of Life (QoL). Our study used a cross-sectional design and research participants were 99 women in natural menopause. In our study, we analyzed the relationship between age at menopause onset, hormone therapy use, duration of couple relationship, menopause duration, psychological morbidity, marital satisfaction, menopause representations, and QoL following the Wilson and Cleary Health-Related QoL conceptual model. The authors found that negative representations, lower marital satisfaction, psychological morbidity, and shorter duration of menopause contributed to lower QoL. Moreover, the authors found that psychological morbidity and menopause representations (identity and control/cure dimensions) had an indirect effect between marital satisfaction and vasomotor, psychosocial, and sexual QoL. Also, we found that age at the onset of menopause showed a moderating effect in the final model. Future studies should replicate these results in a longitudinal design and analyze how the variables that showed a moderating role and indirect effects will function as moderators and mediators, respectively, over time.
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Affiliation(s)
| | | | | | - Ana C Almeida
- Research Centre in Psychology (CIPsi), University of Minho, Braga, Portugal
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13
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Fischer N. Singles Not Sexually Satisfied? Prevalence and Predictors of Sexual Satisfaction in Single versus Partnered Adults. INTERNATIONAL JOURNAL OF SEXUAL HEALTH : OFFICIAL JOURNAL OF THE WORLD ASSOCIATION FOR SEXUAL HEALTH 2023; 35:515-528. [PMID: 38596451 PMCID: PMC10903649 DOI: 10.1080/19317611.2023.2241849] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Accepted: 07/24/2023] [Indexed: 04/11/2024]
Abstract
Objective The present study assesses the importance of individual, sexual behavioral, and evaluative factors on sexual satisfaction among single and partnered adults. Method Using data from a large web-sample of single (n = 1,075) and partnered (n = 3,063) individuals aged 18-89 from Norway. Results Higher contentment with sexual activity, sexual intercourse frequency, satisfaction with singlehood, and relationship satisfaction predicted higher sexual satisfaction, across relationship status and sex. Conclusions To tackle singlism and stereotypes about singles' sex lives, there is a need to further examine sexuality in singlehood.
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Affiliation(s)
- Nantje Fischer
- Department of Psychology, National Research Centre on Sexual Health and Wellbeing (NaRSex), University of Oslo, Oslo, Norway
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Maasoumi R, Sabetghadam S, Keramat A, Aghayan SS. Help-seeking challenges for female sexual concerns: a qualitative study from Iran. BMC Health Serv Res 2023; 23:713. [PMID: 37386632 DOI: 10.1186/s12913-023-09719-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Accepted: 06/20/2023] [Indexed: 07/01/2023] Open
Abstract
BACKGROUND To effectively manage sexual health, people must have access to sexual health services. A small percentage of women with sexual concerns seek professional help. Hence, the need to explain the help-seeking challenges is felt from the perspective of women and health care providers. METHODS This study explored Iranian women's challenges when seeking help for sexual concerns. Using a purposive sampling method, 26 in-depth interviews were conducted in Rasht in 2019-2020. The participants included sexually active women of reproductive age over 18 years old and 8 health care providers. The recorded interviews were transcribed and analyzed through content analysis. RESULTS From the description of 17 subthemes provided by the participants, two main themes were achieved, "Unfavorable sexuality development context" and "Inefficient sexual health services." CONCLUSIONS According to the results, it is suggested that policymakers pay more attention to the challenges women and health care providers face in help-seeking and promote sexuality education and sexual health services to achieve a higher level of help-seeking among women.
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Affiliation(s)
- Raziyeh Maasoumi
- Department of Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
- Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Shadi Sabetghadam
- Student Research Committee, School of Nursing and Midwifery, University of Medical Sciences, Shahroud, Shahroud, Iran.
- Reproductive Health research center, Guilan University of Medical Sciences, Rasht, Iran.
| | - Afsaneh Keramat
- Department of Reproductive health, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran
| | - Seyed Shahrokh Aghayan
- Department of Clinical Sciences, School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran
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15
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Rokach A, Clayton S. The Consequences of Child Abuse. Healthcare (Basel) 2023; 11:healthcare11111650. [PMID: 37297790 DOI: 10.3390/healthcare11111650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Revised: 05/24/2023] [Accepted: 05/26/2023] [Indexed: 06/12/2023] Open
Abstract
This review provides an overview of the consequences of early adverse experiences across various domains of life. Drawing on the Adverse Childhood Experiences (ACEs) conceptual framework, we discuss the ACE pyramid and the varying degrees of consequences that ACE exposure may elicit. Using online search engines such as Google Scholar, the authors sifted through empirical research to locate relevant articles and research to help prepare this review. This article sheds light on the implications of ACEs for health, socio-emotional and psychosocial well-being, relationships, personality, and cognitive functioning.
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Affiliation(s)
- Ami Rokach
- Psychology Department., Faculty of Health, York University, Toronto, ON M3J 1P3, Canada
| | - Shauna Clayton
- Department of Kinesiology and Health Science, Faculty of Health, York University, Toronto, ON M3J 1P3, Canada
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16
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Imanpour Barough S, Riazi H, Keshavarz Z, Nasiri M, Montazeri A. The relationship between coping strategies with sexual satisfaction and sexual intimacy in women with multiple sclerosis. Ann Gen Psychiatry 2023; 22:22. [PMID: 37226276 DOI: 10.1186/s12991-023-00451-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/05/2023] [Accepted: 05/13/2023] [Indexed: 05/26/2023] Open
Abstract
BACKGROUND Multiple sclerosis profoundly affects the sexual aspects of patients' life, especially in women. Various coping strategies are used by women with multiple sclerosis to overcome, tolerate, or minimize these sexual effects. The present study aimed to assess the relationship between sexual satisfaction, sexual intimacy, and coping strategies in women with multiple sclerosis. METHODS This cross-sectional study was performed on a sample of 122 married women who were members of Iran's MS society in Tehran, Iran. The study was conducted from December 2018 to September 2019. Data were collected using the Index of Sexual Satisfaction (ISS), the Sexual Intimacy Questionnaire (SIQ), and the Folkman and Lazarus Coping Strategies Questionnaire. Frequency, percentage, mean and standard deviation were used to explore the observations. Independent t-test and logistic regression were applied to analyze the data using the SPSS-23. RESULTS The majority (n = 71, 58.2%) used an emotion-focused coping strategy with the highest score for the escape-avoidance subscale [mean (SD): 13.29 (5.40)]. However, 41.8% of the patients (n = 51) used a problem-focused coping strategy with the highest score for the positive reappraisal strategy subscale [mean (SD): 10.50 (4.96)]. The sexual satisfaction in women with problem-focused coping strategies was significantly higher than women who used emotion-focused coping strategies (95.6 vs. 84.71, P-value = 0.001). There was a negative association between sexual intimacy and higher emotion-focused coping strategy (OR = 0.919, 95% CI 0.872-0.968, P = 0.001). CONCLUSIONS Problem-focused coping strategy in women with multiple sclerosis increases sexual satisfaction, while the emotion-focused coping strategy has a significant negative relationship with sexual intimacy.
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Affiliation(s)
- Samaneh Imanpour Barough
- Students Research Office, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Hedyeh Riazi
- Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
| | - Zohreh Keshavarz
- Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Maliheh Nasiri
- Department of Biostatistics, School of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Ali Montazeri
- Population Health Research Group, Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran.
- Faculty of Humanity Sciences, University of Science and Culture, Tehran, Iran.
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17
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Leavitt CE, Leonhardt ND, Eldredge JG, Busby DM, Clarke RW. A trifecta: patterns in orgasm consistency, relational satisfaction, and sexual satisfaction. J Sex Med 2023; 20:525-535. [PMID: 36779553 DOI: 10.1093/jsxmed/qdad001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Revised: 12/28/2022] [Accepted: 12/31/2022] [Indexed: 02/14/2023]
Abstract
BACKGROUND We based this study on the sexual wholeness model, which considers emotional, physical, and meaning elements of sexuality, and previous research that indicates variability in the associations among orgasm consistency, relational satisfaction, and sexual satisfaction. AIM We performed a person-based latent class approach to examine variables linked with the trifecta of orgasm consistency, relational satisfaction, and sexual satisfaction. METHODS We used a Mechanical Turk sample that consisted of 1645 sexually active participants (1032 women) to evaluate classes and related variables. OUTCOMES Women divided into 5 classes and men into 3 classes. High orgasm consistency alone did not ensure sexual or relational satisfaction. RESULTS We found that 5 groups emerged for women: high orgasm/low satisfaction (6%), low trifecta (8%), low orgasm/high satisfaction (16%), moderate orgasm/high satisfaction (15%), and high trifecta (55%). For men, 3 groups emerged: lower orgasm/high satisfaction (12%), moderate trifecta (14%), and high trifecta (74%). We also found that high orgasm consistency for women did not guarantee relational and sexual satisfaction, nor did lower orgasm consistency for men or women guarantee problematic relational and sexual satisfaction. CLINICAL IMPLICATIONS Communication, attachment, and sexual harmony were key elements associated with positive trifecta outcomes. Clinicians and educators may emphasize the importance of these variables when individuals encounter sexual or relational distress. STRENGTHS AND LIMITATIONS Data analytic techniques revealed a variety of groups for men and women and associations between a host of physical, psychological, and meaning variables and the trifecta of orgasm consistency, relational satisfaction, and sexual satisfaction. However, this study is cross-sectional and correlational, which limits the conclusions that we can draw from it. CONCLUSION While the variables of orgasm consistency, relational satisfaction, and sexual satisfaction are each informative, together they help clinicians, educators, and researchers better understand the complexity of sex.
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Affiliation(s)
- Chelom E Leavitt
- School of Family Life, Brigham Young University, Provo, Utah 84603, United States
| | - Nathan D Leonhardt
- School of Family Life, Brigham Young University, Provo, Utah 84603, United States
| | - Joanna Gurr Eldredge
- School of Family Life, Brigham Young University, Provo, Utah 84603, United States
| | - Dean M Busby
- School of Family Life, Brigham Young University, Provo, Utah 84603, United States
| | - Rebecca W Clarke
- School of Family Life, Brigham Young University, Provo, Utah 84603, United States
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18
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Access to Ovulation Tests and Strategic Timing of Intercourse in a Low Fertility Context. POPULATION RESEARCH AND POLICY REVIEW 2023. [DOI: 10.1007/s11113-023-09769-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
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19
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Karakose S, Urs M, Marshall JE, Ledermann T. Depression, Anxiety, Stress, and Sexual Satisfaction in Couples. JOURNAL OF SEX & MARITAL THERAPY 2023:1-14. [PMID: 36688349 DOI: 10.1080/0092623x.2023.2166637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
Sexual satisfaction is an important concept in relationships contributing to psychological general well-being. The present study examined dyadic associations between mental health variables, particularly depression, anxiety, and stress, and sexual satisfaction. Using data of 102 heterosexual married couples from Turkey (mean age = 30.06 years), we sought to investigate whether a person's depression, anxiety, and stress were associated with his or her own as well as the partner's sexual satisfaction. Actor-Partner Independence Model (APIM) analysis revealed that husbands' anxiety and stress were associated with their own sexual satisfaction and husbands' depression was associated with both their own and the wives' sexual satisfaction. Wives' depression and stress were associated with their own sexual satisfaction but not with the satisfaction of their husbands. Additionally, wives' anxiety was not neither associated with their own nor their husbands' sexual satisfaction.
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Affiliation(s)
- Selin Karakose
- Department of Human Development and Family Science, Florida State University, Tallahassee, FL, USA
| | | | - Jordan E Marshall
- Department of Human Development and Family Science, Florida State University, Tallahassee, FL, USA
| | - Thomas Ledermann
- Department of Human Development and Family Science, Florida State University, Tallahassee, FL, USA
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20
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Turner JJ, Crapo JS, Kopystynska O, Bradford K, Higginbotham BJ. Economic distress and perceptions of sexual intimacy in remarriage. Front Psychol 2023; 13:1056180. [PMID: 36687913 PMCID: PMC9853282 DOI: 10.3389/fpsyg.2022.1056180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Accepted: 12/16/2022] [Indexed: 01/09/2023] Open
Abstract
Introduction Economic distress and the relationship stability of remarried couples has been subject to some exploration, but less emphasis has been placed on how economic distress among remarried couples impacts other relationship domains, particularly sexual intimacy. Methods Through the lens of multidimensional family development theory (MFDT), this study utilizes longitudinal data over a three-year period to examine the links between economic distress, couple engagement, relationship satisfaction, and perceptions of sexual intimacy among remarried couples (n = 1,161 couples; 97% White). Results Through a dyadic structural equation model, results showed that wives' report of economic distress was directly related to their self-rejection of a partner's sexual advances. Findings also revealed gender differences in how both relationship satisfaction and couple engagement influenced one to accept or reject their partner's sexual advances, with couple engagement acting as a significant predictor for wives. Relationship satisfaction was also found to explain (i.e., mediate) the relation between economic distress and sexual intimacy, but only for husbands. Discussion Implications for further research and interventions designed to strengthen the relationships of remarried couples dealing with economic distress and intimacy issues are offered.
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Affiliation(s)
- Joshua J. Turner
- Department of Human Development and Family Studies, Utah State University, Logan, UT, United States,*Correspondence: Joshua J. Turner, ✉
| | - J. Scott Crapo
- Department of Human Development and Family Studies, Utah State University, Logan, UT, United States,J. Scott Crapo, ✉
| | - Olena Kopystynska
- Department of Family Life and Human Development, Southern Utah University, Cedar City, UT, United States
| | - Kay Bradford
- Department of Human Development and Family Studies, Utah State University, Logan, UT, United States
| | - Brian J. Higginbotham
- Department of Human Development and Family Studies, Utah State University, Logan, UT, United States
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21
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Peri-Rotem N, Skirbekk V. Religiosity, Sex Frequency, and Sexual Satisfaction in Britain: Evidence from the Third National Survey of Sexual Attitudes and Lifestyles (Natsal). JOURNAL OF SEX RESEARCH 2023; 60:13-35. [PMID: 36017991 DOI: 10.1080/00224499.2022.2108745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Previous studies on the relationship between religiosity and sexual behavior have yielded mixed results, partly due to variations by gender and marital status. Furthermore, less is known about this relationship in relatively secularized societies, as in the case of Britain. In this study, we used data from the third British National Survey of Sexual Attitudes and Lifestyles (Natsal-3) to explore the link between religiosity (11% of men and 16% of women stated that religion and religious beliefs were very important to them) and sex frequency and satisfaction among men and women in different types of relationships. Women and men who saw religion as more important in their lives reported having less sex on average, though this was mainly driven by the significantly lower sex frequency among non-cohabiting religious individuals compared to their less religious peers. At the same time, religiosity was linked with overall higher levels of sex life satisfaction. This relationship appeared to be largely mediated by attitudes on the appropriate context for sexual intercourse. These findings highlight the importance of sociocultural norms in shaping sexual behavior and sexual satisfaction.
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Affiliation(s)
- Nitzan Peri-Rotem
- Department of Sociology, Philosophy and Anthropology, University of Exeter
| | - Vegard Skirbekk
- Centre for Fertility and Health, Norwegian Institute of Public Health
- Columbia Aging Center, Mailman School of Public Health, Columbia University
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22
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Meskó N, Őry F, Happ Z, Zsidó AN. Sex differences in predictors of relationship satisfaction: The effects of dyadic coping, love, sexual motivation and having children. INTERPERSONA: AN INTERNATIONAL JOURNAL ON PERSONAL RELATIONSHIPS 2022. [DOI: 10.5964/ijpr.7217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
The present study explored sex differences in the predictors of relationship satisfaction (dyadic coping, love, sexual motivation, having children). A total of 465 Hungarian participants (319 women and 146 men) with a mean age of 33.6 years completed an online test battery comprising four self-report measures. The results revealed that women’s relationship satisfaction had more significant predictors than men’s, and half of the common predictors showed significant sex differences. Men’s satisfaction was positively predicted by the Intimacy and Passion components of love, while it was negatively predicted by Negative Dyadic Coping and by having at least one child. Besides Intimacy and Passion, two common predictors across sexes, women’s satisfaction was also positively predicted by the Commitment component of love, and also by successful coping with dyadic stress. By contrast, negative predictors were having sex as a means of coping with emotional problems (Sex as Coping), the individual aspect of dyadic coping (One’s Own Dyadic Coping), and Negative Dyadic coping. The findings are discussed in both bio-psychological and social constructionist approaches.
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23
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Chow WK, Hetherington K, McGill BC, Sansom-Daly UM, Daly R, Miles G, Cohn RJ, Wakefield CE. 'Like ships in the night': A qualitative investigation of the impact of childhood cancer on parents' emotional and sexual intimacy. Pediatr Blood Cancer 2022; 69:e30015. [PMID: 36200485 DOI: 10.1002/pbc.30015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Revised: 08/19/2022] [Accepted: 08/29/2022] [Indexed: 11/07/2022]
Abstract
BACKGROUND Childhood cancer is highly distressing for families and can place strain on parents' relationships. Parental functioning and cohesiveness are important predictors of family functioning and adaptation to stress. This qualitative study investigated the perceived impact of childhood cancer on parents' relationship with their partner, with a focus on emotional and sexual intimacy. METHODS We conducted semi-structured interviews with 48 parents (42 mothers, six fathers) of children under the age of 18 who had completed curative cancer treatment. We analysed the interviews using thematic analysis. RESULTS At interview, parents were on average 40.7 years old (SD = 5.5, range: 29-55 years), and had a child who had completed cancer treatment between 3 months and 10.8 years previously (M = 22.1 months). All participants were living with their partner in a married/de facto relationship. Most parents reported that their child's cancer treatment had a negative impact on emotional and sexual intimacy with their partner, with some impacts extending to the post-treatment period. Reasons for compromised intimacy included exhaustion and physical constraints, having a shifted focus, and discord arising from different coping styles. Some parents reported that their relationship strengthened. Parents also discussed the impact of additional stressors unrelated to the child's cancer experience. CONCLUSIONS Parents reported that childhood cancer had a negative impact on aspects of emotional and sexual intimacy, although relationship strengthening was also evident. It is important to identify and offer support to couples who experience ongoing relationship stress, which may have adverse effects on family functioning and psychological wellbeing into survivorship.
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Affiliation(s)
- Wan Ka Chow
- School of Clinical Medicine, Discipline of Paediatrics, UNSW Medicine and Health, UNSW Sydney, Kensington, New South Wales, Australia.,Behavioural Sciences Unit, Kids Cancer Centre, Sydney Children's Hospital, Randwick, New South Wales, Australia
| | - Kate Hetherington
- School of Clinical Medicine, Discipline of Paediatrics, UNSW Medicine and Health, UNSW Sydney, Kensington, New South Wales, Australia.,Behavioural Sciences Unit, Kids Cancer Centre, Sydney Children's Hospital, Randwick, New South Wales, Australia
| | - Brittany C McGill
- School of Clinical Medicine, Discipline of Paediatrics, UNSW Medicine and Health, UNSW Sydney, Kensington, New South Wales, Australia.,Behavioural Sciences Unit, Kids Cancer Centre, Sydney Children's Hospital, Randwick, New South Wales, Australia
| | - Ursula M Sansom-Daly
- School of Clinical Medicine, Discipline of Paediatrics, UNSW Medicine and Health, UNSW Sydney, Kensington, New South Wales, Australia.,Behavioural Sciences Unit, Kids Cancer Centre, Sydney Children's Hospital, Randwick, New South Wales, Australia
| | - Rebecca Daly
- School of Clinical Medicine, Discipline of Paediatrics, UNSW Medicine and Health, UNSW Sydney, Kensington, New South Wales, Australia.,Behavioural Sciences Unit, Kids Cancer Centre, Sydney Children's Hospital, Randwick, New South Wales, Australia
| | - Gordon Miles
- Acute Services: Paediatric Consultation Liaison, Princess Margaret Hospital, Subiaco, Western Australia, Australia
| | - Richard J Cohn
- School of Clinical Medicine, Discipline of Paediatrics, UNSW Medicine and Health, UNSW Sydney, Kensington, New South Wales, Australia.,Behavioural Sciences Unit, Kids Cancer Centre, Sydney Children's Hospital, Randwick, New South Wales, Australia
| | - Claire E Wakefield
- School of Clinical Medicine, Discipline of Paediatrics, UNSW Medicine and Health, UNSW Sydney, Kensington, New South Wales, Australia.,Behavioural Sciences Unit, Kids Cancer Centre, Sydney Children's Hospital, Randwick, New South Wales, Australia
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Træen B, Fischer N, Grøndahl P. Norwegian Data on Prevalence, Sexual Risk Behaviors, Sexual Problems, and Sexual Satisfaction in Women Who Have Sex Exclusively with Women, Women Who Have Sex Exclusively with Men, and Women Who Have Sex with Men and Women. INTERNATIONAL JOURNAL OF SEXUAL HEALTH : OFFICIAL JOURNAL OF THE WORLD ASSOCIATION FOR SEXUAL HEALTH 2022; 35:152-166. [PMID: 38596766 PMCID: PMC10903604 DOI: 10.1080/19317611.2022.2137267] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/23/2021] [Revised: 09/14/2022] [Accepted: 10/03/2022] [Indexed: 04/11/2024]
Abstract
Objective The study explores the difference between Women Who Have Sex Exclusively with Men (WSEM), Women Who Have Sex Exclusively with Women (WSEW), and Women Who Have Sex with Women and Men (WSWM). Method The data were obtained from a survey of a probability-based web sample of 1967 Norwegian women. Results Most WSWM identified themselves as heterosexuals (76.3%), and three out of 10 used a condom when having sex with a new partner. The highest number of sex partners during the last year was reported by WSWM. More WSEW than the other categories reported premature orgasm. Conclusions WSWM should be targeted in health campaigns.
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Affiliation(s)
- Bente Træen
- Department of Psychology, University of Oslo, Oslo, Norway
| | - Nantje Fischer
- Department of Psychology, University of Oslo, Oslo, Norway
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25
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Ogallar-Blanco AI, Lara-Moreno R, Godoy-Izquierdo D. Going beyond "With a Partner" and "Intercourse": Does Anything Else Influence Sexual Satisfaction among Women? The Sexual Satisfaction Comprehensive Index. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:10232. [PMID: 36011867 PMCID: PMC9408228 DOI: 10.3390/ijerph191610232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/23/2022] [Revised: 08/12/2022] [Accepted: 08/14/2022] [Indexed: 06/15/2023]
Abstract
The validated tools for measuring sexual satisfaction (SS) assess in fact other phenomena such as sexual functioning, assess SS within the context of a romantic heterosexual relationship and intercourse-type activity or were designed to be applied only in therapeutic or rehabilitation contexts. Consequently, they offer an incomplete understanding of SS, particularly among women. We thus developed an alternative measure of SS, the Sexual Satisfaction Comprehensive Index (SSCI), considering both the individual and with-a-partner dimensions, as well as the actual and desired experiences of satisfaction, along with other dimensions affecting SS, and explored its psychometric properties. A total of 1080 young to mid-aged women with different sociodemographic, relationship and sexual identity backgrounds voluntarily completed several measures of SS, including the SSCI. Results showed that the SSCI is a reliable measure for assessing SS. An exploratory and a confirmatory factor analysis confirmed the latent multidimensional structure of the SSCI, supporting its factorial validity. In addition, the SSCI showed appropriate convergent validity with other measures commonly used to assess SS. In sum, the SSCI was revealed to be a useful multidimensional index of SS for research and practice contexts which allows the practitioner or the researcher to make decisions on which dimension(s) are to be evaluated. This study focused on women's SS, and future research with other gender, sexual and cultural identities is necessary to support its utility in multi-identity and multi-sexuality scenarios.
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Affiliation(s)
- Adelaida I. Ogallar-Blanco
- Health Psychology and Behavioral Medicine Research Group (CTS-267), Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Cartuja University Campus, 18071 Granada, Spain
- Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology, University of Granada, Cartuja University Campus, 18071 Granada, Spain
| | - Raquel Lara-Moreno
- Health Psychology and Behavioral Medicine Research Group (CTS-267), Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Cartuja University Campus, 18071 Granada, Spain
- Department of Social Psychology, Faculty of Psychology, University of Granada, Cartuja University Campus, 18071 Granada, Spain
| | - Débora Godoy-Izquierdo
- Health Psychology and Behavioral Medicine Research Group (CTS-267), Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Cartuja University Campus, 18071 Granada, Spain
- Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology, University of Granada, Cartuja University Campus, 18071 Granada, Spain
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26
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Fischer N, Træen B. A Seemingly Paradoxical Relationship Between Masturbation Frequency and Sexual Satisfaction. ARCHIVES OF SEXUAL BEHAVIOR 2022; 51:3151-3167. [PMID: 35790612 PMCID: PMC9255456 DOI: 10.1007/s10508-022-02305-8] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/16/2021] [Revised: 02/01/2022] [Accepted: 02/02/2022] [Indexed: 05/12/2023]
Abstract
Despite many benefits related to masturbation, we know surprisingly little about how solo sex is associated with sexual satisfaction. Using questionnaire data from a probability-based sample of 4,160 Norwegians aged 18-89 years, we explored subgroups of women and men that differed in their masturbation-sexual satisfaction typology and examined whether sociodemographic, psychological, and sexual behavioral characteristics were associated with distinct masturbation-satisfaction patterns. A cluster analysis revealed four similar groupings for women and men, reflecting sex lives characterized by high masturbation/sexual satisfaction, low masturbation/sexual satisfaction, high masturbation/sexual dissatisfaction, or low masturbation/sexual dissatisfaction. While being younger, higher pornography consumption, and sexual variety were primarily associated with increased masturbation frequency, sexual distress and a negative body and genital self-image were more clearly associated with sexual dissatisfaction. Predicting different masturbation-satisfaction groupings also revealed some gender-specific findings in the use of pornography, and in the association between masturbation and intercourse frequency, which suggested a complementary pattern for women and a compensatory pattern for men. Our findings emphasize that the linkage between masturbation and sexual satisfaction warrants closer focus.
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Affiliation(s)
- Nantje Fischer
- Department of Psychology, University of Oslo, Gaustadalleén 30, 0373, Oslo, Norway.
| | - Bente Træen
- Department of Psychology, University of Oslo, Gaustadalleén 30, 0373, Oslo, Norway
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27
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Cao D, Bai C, Zhang G. Psychological Distress Among Infertility Patients: A Network Analysis. Front Psychol 2022; 13:906226. [PMID: 35837642 PMCID: PMC9274242 DOI: 10.3389/fpsyg.2022.906226] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Accepted: 05/30/2022] [Indexed: 11/13/2022] Open
Abstract
BackgroundPsychological distress is common among infertility patients. Total scale scores are often used to represent the severity of anxiety, depression, or stress, which ignores important differences between specific symptoms, and relationships between symptoms. This study aimed to identify patterns of psychological distress experienced by infertility patients and to identify the most central symptoms of anxiety, depression, and stress.MethodFrom June to September 2016, 740 infertility patients were included in this cross-sectional study. Infertility patients were asked to complete the Generalized Anxiety Disorder-7, Patients Health Questionnaire-9 (PHQ-9), and Fertility Problem Inventory. Network analysis was used to examine the patterns of psychological distress in infertility patients and to test the most central symptoms of anxiety, depression, and stress.ResultsRestlessness was the most central symptom in infertility patients. “Feelings of guilt” had the highest strength among PHQ-9 symptoms. “Relationship concern stress” and “sexual concern stress” had the strongest connections in the network. Stability estimation indicated that the order of node strength centrality was more stable than the order of closeness and betweenness (the CS-coefficients were 0.75, 0.13, and 0.67, respectively). In addition, network structure and global strength were invariant across gender.LimitationsThe cross-sectional design did not permit identification of causal relationships. Patients in this study were recruited from one reproductive hospital; especially, most patients had low socioeconomic status, which limits generalizability of the findings.ConclusionThis study reinforces the need to better understand the underlying causes of psychological distress in infertile patients. A more detailed investigation of the relationship between these symptoms could provide information for psychosocial interventions aimed beyond “alleviating psychological distress.” We should consider the individual psychological symptom pattern and its potential causes in infertility patients instead of assuming a consistent psychological distress structure.
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Affiliation(s)
- Danfeng Cao
- Department of Obstetrics, The First Affiliated Hospital of Shandong First Medical University and Shandong Provincial Qianfoshan Hospital, Jinan, China
| | - Caifeng Bai
- School of Nursing, Ningxia Medical University, Yinchuan, China
| | - Guoxiang Zhang
- Department of Obstetrics, The First Affiliated Hospital of Shandong First Medical University and Shandong Provincial Qianfoshan Hospital, Jinan, China
- *Correspondence: Guoxiang Zhang,
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Khorshidi M, Alimoradi Z, Bahrami N, Griffiths MD. Predictors of women’s sexual quality of life during the COVID-19 pandemic: An Iranian cross-sectional study. SEXUAL AND RELATIONSHIP THERAPY 2022. [DOI: 10.1080/14681994.2022.2089645] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Affiliation(s)
- Mahshid Khorshidi
- Students Research Committee, School of Nursing & Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Zainab Alimoradi
- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Nasim Bahrami
- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Mark D. Griffiths
- International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, United Kingdom
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Batz F, Lermer E, Hatzler L, Vilsmaier T, Schröder L, Chelariu-Raicu A, Behr J, Mahner S, Buspavanich P, Thaler CJ. The Impact of the COVID-19 Pandemic on Sexual Health in Cis Women Living in Germany. J Sex Med 2022; 19:907-922. [PMID: 35370105 PMCID: PMC8898699 DOI: 10.1016/j.jsxm.2022.02.025] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2021] [Revised: 02/12/2022] [Accepted: 02/26/2022] [Indexed: 01/25/2023]
Abstract
BACKGROUND Preliminary research shows a substantial impact of the COVID-19 pandemic on women's sexual health, whereby empirical work on sexual well-being of minoritized sexual identities is still rare. AIM The objective of this study was to explore sexual health in heterosexual, lesbian and bisexual cis women during the first wave of COVID-19 pandemic in Germany. METHODS An anonymous nationwide online survey was conducted among cis women during the first nationwide lockdown in Germany from April 20th to July 20th, 2020. The questionnaire was distributed via e-mail, online chats and social-media platforms. OUTCOMES Demographic variables and self-report measures from the Sexual Behavior Questionnaire (SBQ-G) "before the pandemic" and "since the pandemic" were collected. RESULTS A total of 1,368 cis women participants were included: heterosexual women (n = 844), lesbian women (n = 293), bisexual women (n = 231). Results indicate overall decrease in frequency of sexual contacts and masturbation during the COVID-19 pandemic. Regarding differences before and during the pandemic lesbian women showed significant changes in sexual arousal whereas heterosexual women showed significant changes in all dimensions except capability to enjoy sexual intercourse. The data of bisexual women showed significant changes in almost all dimensions except for frequency of sexual intercourse and sexual arousal. Results of the multiple regression analysis revealed that being younger than 36 years-old, and being in a relationship as well as being heterosexual (compared with being lesbian) is positively associated with general satisfaction with sexual life during the pandemic. CLINICAL IMPLICATIONS The findings suggest that during a pandemic sexual and mental health care for (cis) women should be provided and address the specific needs of sexual minority groups. STRENGTHS & LIMITATIONS This is the first study to describe sexual behavior in heterosexual, lesbian and bisexual women during the COVID-19 pandemic in Germany. Limitations, however, include the fact that the data described were obtained at only one time point so there is a possibility of recall bias, and that the results cannot be generalized because of the underrepresentation of women over age 46. CONCLUSION This study examined the impact of the COVID-19 pandemic and resulting social constraints on the sexual health of particular groups of lesbian and bisexual women, which may improve preparedness for future public health and policy crises. Batz F, Lermer E, Hatzler L, et al. The Impact of the COVID-19 Pandemic on Sexual Health in Cis Women Living in Germany. J Sex Med 2022;19:907-922.
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Affiliation(s)
- Falk Batz
- Department of Obstetrics and Gynecology and Center for Gynecological Endocrinology and Reproductive Medicine, University Hospital, LMU Munich, Germany
| | - Eva Lermer
- Center for Leadership and People Management, LMU Munich, Germany; Applied Business and Media Psychology - Ansbach University of Applied Sciences, Ansbach, Germany
| | - Laura Hatzler
- Institute of Sexology and Sexual Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany; Department of Gynecology and Breast Center, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Theresa Vilsmaier
- Department of Obstetrics and Gynecology and Center for Gynecological Endocrinology and Reproductive Medicine, University Hospital, LMU Munich, Germany
| | - Lennard Schröder
- Department of Obstetrics and Gynecology and Center for Gynecological Endocrinology and Reproductive Medicine, University Hospital, LMU Munich, Germany
| | - Anca Chelariu-Raicu
- Department of Obstetrics and Gynecology and Center for Gynecological Endocrinology and Reproductive Medicine, University Hospital, LMU Munich, Germany
| | - Joachim Behr
- Research Department of Experimental and Molecular Psychiatry, Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Berlin, Germany; Department of Psychiatry, Psychotherapy and Psychosomatics, Brandenburg Medical School Theodor Fontane, Neuruppin, Germany; Faculty of Health Sciences Brandenburg, Joint Faculty of the University of Potsdam, Brandenburg University of Technology Cottbus-Senftenberg and Brandenburg Medical School, Potsdam, Germany
| | - Sven Mahner
- Department of Obstetrics and Gynecology and Center for Gynecological Endocrinology and Reproductive Medicine, University Hospital, LMU Munich, Germany
| | - Pichit Buspavanich
- Institute of Sexology and Sexual Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany; Department of Psychiatry, Psychotherapy and Psychosomatics, Brandenburg Medical School Theodor Fontane, Neuruppin, Germany; Faculty of Health Sciences Brandenburg, Joint Faculty of the University of Potsdam, Brandenburg University of Technology Cottbus-Senftenberg and Brandenburg Medical School, Potsdam, Germany; Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Berlin, Germany; Institute Gender in Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.
| | - Christian J Thaler
- Department of Obstetrics and Gynecology and Center for Gynecological Endocrinology and Reproductive Medicine, University Hospital, LMU Munich, Germany
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Busby DM, Hanna-Walker VR, Leavitt CE, Carroll JS. The sexual wholeness model: An initial evaluation with two samples. JOURNAL OF MARITAL AND FAMILY THERAPY 2022; 48:643-664. [PMID: 34003492 DOI: 10.1111/jmft.12529] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/19/2020] [Revised: 03/17/2021] [Accepted: 04/23/2021] [Indexed: 06/12/2023]
Abstract
Based upon the psychological needs delimited in self-determination theory, we created the sexual wholeness model to encapsulate the different dimensions (physical, emotional, and meaning) that create couple sexuality. We evaluated the model with data from two national samples (Sample 1, n = 610; Sample 2, n = 884), by examining the association between sexual, relationship, and life satisfaction, and attachment with the different elements of the sexual wholeness model using harmonious sexual passion as an intermediate variable. The emotional dimension had the strongest associations in both samples with harmonious sexual passion and all other outcomes except attachment. The physical dimension of sexuality had a surprisingly strong association with attachment and sexual satisfaction. In addition, couples' self-evaluation of the degree of sexual wholeness in their relationship was strongly associated with harmonious passion and all other outcomes, providing another level of validity to the dimensions of the model and the potential utility for using this model to assist in couple therapy.
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Tan PL. Changes in Frequency and Patterns of Marital Sexual Activity During COVID-19: Evidence From Longitudinal Data Prior to, During and After Lockdown in Singapore. J Sex Med 2022; 19:188-200. [PMID: 35058151 PMCID: PMC8763353 DOI: 10.1016/j.jsxm.2021.12.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2021] [Revised: 11/29/2021] [Accepted: 12/02/2021] [Indexed: 12/01/2022]
Abstract
BACKGROUND The literature suggests that the pandemic has affected sexual activity and sexual desire around the world, potentially due to increased levels of stress, movement restrictions under lockdown conditions, and changes in relationship quality. AIM To investigate changes in frequency and patterns of marital sexual activity and the role of potential factors underlying these changes, during and after COVID-19 lockdown. METHODS This longitudinal study followed 409 heterosexual married female participants who completed a baseline survey in April-July 2018 and biweekly online surveys over the next 14 weeks; an online survey in May 2020 during the lockdown in Singapore; and an online survey in June 2020 after the lockdown was lifted. Participants were recruited in 2018 using street intercept and screened for inclusion and exclusion criteria. Logistic fixed-effects models were used to test for changes in frequency and patterns of marital sexual activity and assess underlying factors. Pseudo-design-based sample weights were applied. OUTCOMES The 2018 in-person baseline survey collected information on demographic characteristics and ideal frequency of marital sex, while follow-up online questionnaires in May-June 2020 included items on exact dates of marital sexual activity of previous weeks; stress and fatigue levels; both spouses' stay-at-home statuses during lockdown; and marital satisfaction. RESULTS 409 heterosexual married women were included in this study. Compared to pre-pandemic levels, the proportion of participants not having marital sex within a week remained stable while weekly sexual frequency increased, with more evenly distributed sexual activity on weekdays and weekends. Stress, fatigue, and marital satisfaction levels predicted probability of non-activity and sexual frequency. CLINICAL TRANSLATION The increase in weekly sexual frequency has implications for sexual and reproductive health, including sexual satisfaction and prevalence of infertility and low birth weight associated with waiting time to pregnancy. STRENGTHS & LIMITATIONS The longitudinal nature of the dataset provides unique insights into differences in frequency of marital sexual activity during compared to before the pandemic. Unlike previous studies, detailed data on exact dates of sexual activity allow for detection of differences in sexual activity by day of the week. However, dates of sexual activity were recorded retrospectively and may contain recall errors. Data were collected only from wives and hence dates of marital sexual activities were not cross-validated with husbands. CONCLUSION Results point to more active and flexible marital sex lives during the pandemic, with effects that persisted after the lockdown ended. Tan PL. Changes in Frequency and Patterns of Marital Sexual Activity During COVID-19: Evidence From Longitudinal Data Prior to, During and After Lockdown in Singapore. J Sex Med 2022;19:188-200.
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Affiliation(s)
- Poh Lin Tan
- Lee Kuan Yew School of Public Policy, National University of Singapore, Singapore.
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Štulhofer A, Mehulić J, Briken P, Klapilová K, de Graaf H, Carvalheira AA, Löfgren-Mårtenson C, Nobre P, Chollier M, Köse Ö, Elmerstig E, Lançon C, Plášilová L, Schröder J. Perceived Changes in Sexual Interest and Distress About Discrepant Sexual Interest During the First Phase of COVID-19 Pandemic: A Multi-Country Assessment in Cohabiting Partnered Individuals. ARCHIVES OF SEXUAL BEHAVIOR 2022; 51:231-246. [PMID: 35039982 PMCID: PMC8763301 DOI: 10.1007/s10508-021-02279-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/11/2020] [Revised: 12/02/2021] [Accepted: 12/22/2021] [Indexed: 05/07/2023]
Abstract
Due to COVID-19 pandemic, different restrictive measures in terms of physical distancing and lockdowns have been introduced in most European countries, affecting all facets of social life. Currently, little is known about how partnered individuals perceive changes in their sexual life during this complex emergency. This study explored retrospectively assessed changes in sexual interest for one's partner and levels of distress related to perceived sexual interest discrepancy during the first phase of the pandemic in a large-scale online sample of partnered individuals (n = 4813; Mage = 38.5 years, SD = 10.74) recruited between May and July 2020 in seven European Union countries and Turkey. We also examined the possible role of approach/avoidance motives for sex in reported changes in sexual interest and associated distress. Most participants (53%) reported no change in their sexual interest during the pandemic, followed by those who reported an increase (28.5%). The pattern was similar across the eight countries. Distress about discrepant sexual interest, which was only weakly related to changes in sexual interest, was significantly associated with relationship quality and emotional closeness with a partner, coping with and worrying about the pandemic, and specific motivation for sex. In contrast to avoidant and relationship-focused approach motivation, ego-focused approach motivation was related to stable sexual interest during the pandemic. The current study contributes to the understanding of the link between sexual interest and complex emergencies. Considering that the COVID-19 pandemic continues, the reported experiences and perceptions are prone to change.
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Affiliation(s)
- Aleksandar Štulhofer
- Department of Sociology, Faculty of Humanities and Social Sciences, University of Zagreb, I. Lučića, 10000, Zagreb, Croatia.
| | - Jasmina Mehulić
- Department of Psychology, Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb, Croatia
| | - Peer Briken
- Center for Psychosocial Medicine, Institute for Sex Research, Sexual Medicine and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | | | | | | | | | - Pedro Nobre
- Faculty of Psychology and Educational Sciences, University of Porto, Porto, Portugal
| | - Marie Chollier
- Assistance Publique Hôpitaux de Marseille, Marseilles, France
| | | | - Eva Elmerstig
- Centre for Sexology and Sexuality Studies, Department of Social Work, Malmö University, Malmö, Sweden
| | - Christophe Lançon
- CEReSS-Health Services and Quality of Life Research, Aix-Marseille University, Marseilles, France
| | - Leona Plášilová
- National Institute of Mental Health, Klecany, Czech Republic
| | - Johanna Schröder
- Center for Psychosocial Medicine, Institute for Sex Research, Sexual Medicine and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
- Department of Psychology, Medical School Hamburg, Hamburg, Germany
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Goud S, Swayntika A, Indla V, Kolli N. Correlation of factors associated with marital satisfaction-A cross-sectional study from an urban place in Andhra Pradesh. ARCHIVES OF MENTAL HEALTH 2022. [DOI: 10.4103/amh.amh_146_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Zhu Y, Wang B, Zhu Q, Ye J, Kuang Y. OUP accepted manuscript. Hum Reprod 2022; 37:1287-1296. [PMID: 35258084 DOI: 10.1093/humrep/deac044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2021] [Revised: 02/07/2022] [Indexed: 11/13/2022] Open
Affiliation(s)
- Yanwen Zhu
- Department of Assisted Reproduction, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Bian Wang
- Department of Assisted Reproduction, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Qianqian Zhu
- Department of Assisted Reproduction, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Jing Ye
- Department of Assisted Reproduction, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Yanping Kuang
- Department of Assisted Reproduction, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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Stephenson KR, Pickworth C, Jones PS. Gender differences in the association between sexual satisfaction and quality of life. SEXUAL AND RELATIONSHIP THERAPY 2021. [DOI: 10.1080/14681994.2021.2004309] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Affiliation(s)
| | | | - Parker S. Jones
- Department of Psychology, Willamette University, Salem, OR, USA
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36
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Alimoradi Z, Ghorbani S, Bahrami N, Griffiths M, Pakpour A. Socio-demographic predictors of dyadic sexual communication among Iranian married women. SEXOLOGIES 2021. [DOI: 10.1016/j.sexol.2021.09.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Cerwenka S, Dekker A, Pietras L, Briken P. Single and Multiple Orgasm Experience Among Women in Heterosexual Partnerships. Results of the German Health and Sexuality Survey (GeSiD). J Sex Med 2021; 18:2028-2038. [PMID: 34702686 DOI: 10.1016/j.jsxm.2021.09.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Revised: 08/24/2021] [Accepted: 09/16/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND Orgasm occurrence plays an important role in general sexual satisfaction for women. Until now, only few studies have focused on examining a broad spectrum of sexuality- and relationship-specific factors associated with orgasm in heterosexual women currently in a long-term relationship or on differences between the overall experience of orgasm and multiple orgasms. AIM The present study aims to understand how various sexuality- and relationship-associated factors are related to experiencing partnered orgasm among heterosexual women having stable relationships in Germany. Moreover, the study aims to differentiate between the overall experience of orgasm and the experience of multiple orgasms and shed light on their impact on general sexual satisfaction. METHODS Within the nationwide representative survey GeSiD (German Health and Sexuality Survey), n = 1,641 sexually active women aged between 18 and 75 years in heterosexual relationships reported their experience of orgasm during the latest sexual encounter. Data on the type of sexual practices, frequency of sexual activity and of masturbation, relationship satisfaction, feelings of love, closeness, and general sexual satisfaction were analyzed. OUTCOMES The overall experience of orgasm, the experience of multiple orgasms, and associations between experiencing orgasm and sexual satisfaction. RESULTS Frequency of sexual activity, relationship satisfaction, feelings of love and closeness were moderately to strongly positively correlated with each other and each showed positive associations with the likelihood of orgasm. Greater number of sexual practices and frequency of sexual activity were associated with an increased likelihood of experiencing multiple orgasms, which in turn was correlated with higher sexual satisfaction. CLINICAL IMPLICATIONS In clinical and therapeutic work with women who have difficulty achieving orgasm, central issues should be the perceived relationship quality as well as regular sexual activity with the partner. STRENGTHS & LIMITATIONS The present population-representative study is the first in Germany to identify significant factors associated with the experience of orgasm among heterosexual women in relationships. Further studies ought to include the frequency of orgasms in partnered sex over a longer period of time as well as the experience of orgasm during masturbation. CONCLUSION The experience of orgasm for women is related to a variety of complex interpersonal mechanisms and to be associated with sexual satisfaction. Cerwenka S, Dekker A, Pietras L, et al. Single and Multiple Orgasm Experience Among Women in Heterosexual Partnerships. Results of the German Health and Sexuality Survey (GeSiD). J Sex Med 2021;XX:XXX-XXX.
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Affiliation(s)
- Susanne Cerwenka
- Institute for Sex Research, Sexual Medicine and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
| | - Arne Dekker
- Institute for Sex Research, Sexual Medicine and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Laura Pietras
- Institute for Sex Research, Sexual Medicine and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Peer Briken
- Institute for Sex Research, Sexual Medicine and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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Roels R, Janssen E. Attachment Orientations, Sexual Behavior, and Relationship Satisfaction in Young, Mixed-Sex Couples: A Dyadic Approach. JOURNAL OF SEX & MARITAL THERAPY 2021; 48:147-166. [PMID: 34605381 DOI: 10.1080/0092623x.2021.1982799] [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 if and to what degree attachment orientations of both partners moderate the link between different behavioral characteristics of the sexual relationship and relationship satisfaction in the early stages of romantic attachment. A sample of 126 young, mixed-sex couples (N = 252, mean age = 23.3, SD = 2.4; average relationship duration = 1.9 years, SD = 0.9) filled out questionnaires assessing attachment anxiety and avoidance, a range of intimate and sexual couple behaviors, and relationship satisfaction. Exploratory factor analyses revealed two behavioral factors: Intimate behavior (kissing, cuddling) and sexual behavior (oral sex, coitus). Although frequency of sexual behavior was not directly associated with relationship satisfaction, we found a significant positive interaction with anxious attachment, indicating that higher frequencies of sexual behavior were associated with greater self-reported relationship satisfaction in more anxiously attached individuals. Exploration of the effects of intimate behaviors on relationship satisfaction revealed significant positive associations as well, but, unexpectedly, only for avoidantly attached individuals. These results call for a dyadic and differentiated approach to the study of sexuality in couples and are in line with prior findings that the impact of intimate and sexual behaviors on relationship satisfaction varies depending on attachment orientations.
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Affiliation(s)
- Rick Roels
- Department of Neurosciences, Institute for Family and Sexuality Studies, University of Leuven, Leuven, Belgium
- Department of Psychiatry, UPC KU Leuven, Belgium
| | - Erick Janssen
- Department of Neurosciences, Institute for Family and Sexuality Studies, University of Leuven, Leuven, Belgium
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Conroy AA, Ruark A, Neilands TB, Darbes LA, Johnson MO, Tan JY, Mkandawire J. Development and Validation of the Couple Sexual Satisfaction Scale for HIV and Sexual Health Research. ARCHIVES OF SEXUAL BEHAVIOR 2021; 50:3297-3311. [PMID: 34609644 DOI: 10.1007/s10508-021-02098-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/10/2020] [Revised: 06/28/2021] [Accepted: 06/29/2021] [Indexed: 06/13/2023]
Abstract
Sexual satisfaction is an important dimension of relationship quality with implications for sexual and reproductive health (SRH), and HIV prevention, care, and treatment. We developed and validated the Couple Sexual Satisfaction Scale (CSSS) with heterosexual couples in sub-Saharan Africa. Using data from qualitative interviews with 94 partnered women and men in Swaziland and Malawi, we generated a 22-item scale and administered it to 211 couples with at least one partner living with HIV in Malawi. We performed an exploratory factor analysis (EFA) to identify and confirmatory factor analysis (CFA) to test the factor structure. To assess validity, we tested for associations between the CSSS and relationship quality, consistent condom use, and intimate partner violence (IPV) using generalized estimating equations. The EFA yielded two factors, general sexual satisfaction (13-item CSSS-Gen subscale, e.g., "I am satisfied with the sweetness of sex in our relationship") and HIV-specific sexual satisfaction (4-item CSSS-HIV subscale, e.g., "My appetite for sex has gone down due to HIV"), accounting for 78% of the shared variance. The CFA supported the two-factor solution: χ2(118) = 203.60; CFI = 0.909; SRMR = 0.057; RMSEA = 0.058. Participants with higher CSSS-Gen scores reported higher coital frequency and relationship quality (intimacy, trust, unity, equality, relationship satisfaction, commitment, partner social support), and less consistent condom use, physical IPV, and emotional IPV. Participants with higher CSSS-HIV scores reported higher coital frequency and relationship quality (trust, partner support), and less consistent condom use, and sexual IPV. The CSSS demonstrated good psychometric properties and provides new opportunities to study sexual reproductive health and HIV-related health behaviors among couples in sub-Saharan Africa.
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Affiliation(s)
- Amy A Conroy
- Center for AIDS Prevention Studies, Division of Prevention Sciences, University of California, 550 16th Street, 3rd Floor, San Francisco, CA, 94158, USA.
| | - Allison Ruark
- Department of Medicine, Brown University, Providence, RI, USA
- Ukwanda Centre for Rural Health, Department of Global Health, Faculty of Medicine and Health Sciences,, Stellenbosch University, Stellenbosch, South Africa
| | - Torsten B Neilands
- Center for AIDS Prevention Studies, Division of Prevention Sciences, University of California, 550 16th Street, 3rd Floor, San Francisco, CA, 94158, USA
| | - Lynae A Darbes
- Department of Health Behavior and Biological Sciences, Center for Sexuality and Health Disparities, School of Nursing, University of Michigan, Ann Arbor, MI, USA
| | - Mallory O Johnson
- Center for AIDS Prevention Studies, Division of Prevention Sciences, University of California, 550 16th Street, 3rd Floor, San Francisco, CA, 94158, USA
| | - Judy Y Tan
- Center for AIDS Prevention Studies, Division of Prevention Sciences, University of California, 550 16th Street, 3rd Floor, San Francisco, CA, 94158, USA
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Arenella K, Steffen A. Women's sexual satisfaction in the context of midlife relationships: examining an ecological model. J Women Aging 2021; 34:621-636. [PMID: 34486955 DOI: 10.1080/08952841.2021.1967070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
This study examined an ecological model of sexual satisfaction in midlife women. Participants were 1,411 midlife women who participated in the Midlife in the United States (MIDUS) study. Regression analyses were used to test the hypothesis that an ecological model - including the macrosystem level variable of religiosity, the exosystem level variables of SES, social support, and parenthood, the mesosystem level variables of affectual solidarity, relationship length, and sexual functioning, and the microsystem level variables of age, negative affect, and physical health - would together predict sexual satisfaction. Partial support for an ecological understanding of sexual satisfaction was found.
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Affiliation(s)
- Katherine Arenella
- Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, Minnesota, USA
| | - Ann Steffen
- Department of Psychological Sciences, University of Missouri - St. Louis, St. Louis, Missouri, USA
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Louis JP, Louis KM. The Development of the Love and Respect Marriage Scale. JOURNAL OF SEX & MARITAL THERAPY 2021; 48:194-216. [PMID: 34404338 DOI: 10.1080/0092623x.2021.1963362] [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
The constructs of love and respect have been known to be essential ingredients contributing positively to marital satisfaction, but to-date they have mostly been measured using separate scales. However, given the overlap between both constructs this study set out, using self-report methodologies, to develop a comprehensive scale which measures both love and respect known as The Love and Respect Marriage Scale. Using a nonclinical community Singapore sample (n = 400), an initial item pool was developed, and through exploratory factor analysis, a robust factor structure emerged that consisted of eight subscales and 46 items. This factor structure was shown to be a consistent and cross-culturally acceptable model using samples from USA, n = 396, South Africa, n = 390, Nigeria, n = 364, and India, n = 306. Good reliability values were achieved. Construct, convergent, divergent, and incremental validity were also demonstrated as comparisons were made with shorter established marriage scales. Implications and advantages of a longer marital scale were discussed.Supplemental data for this article is available online at https://doi.org/10.1080/0092623X.2021.1963362 .
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Affiliation(s)
- John Philip Louis
- Louis Counselling & Training Services Pte. Ltd., Singapore, Singapore
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Shreffler KM, Gibbs L, Tiemeyer S, McQuillan J, Greil AL. Is Reproductive Orientation Associated with Sexual Satisfaction Among Partnered U.S. Women? ARCHIVES OF SEXUAL BEHAVIOR 2021; 50:2459-2469. [PMID: 34346003 PMCID: PMC8515561 DOI: 10.1007/s10508-021-01984-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Revised: 03/02/2021] [Accepted: 03/10/2021] [Indexed: 06/13/2023]
Abstract
Little is known about how "reproductive orientation" (i.e., trying to get pregnant, ambivalent about pregnancy, trying to avoid pregnancy, or having had a sterilization surgery) is associated with sexual satisfaction among women of childbearing age. Using data from the National Survey of Fertility Barriers (N = 2811), we examined the association of reproductive orientation with sexual satisfaction, adjusting for relationship characteristics including union type (cohabitation versus marriage), quality, and length; infertility history; and demographic characteristics including age, parity, and race/ethnicity. Results indicated that women who were ambivalent or trying to get pregnant reported significantly higher levels of sexual satisfaction than women who were sterile in the unadjusted model, but not in the models that included relationship quality. The association of reproductive orientation and sexual satisfaction depended upon relationship quality; among women with lower relationship quality, "trying" was associated with higher, and among those with higher relationship quality, with lower sexual satisfaction.
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Affiliation(s)
- Karina M Shreffler
- College of Nursing, University of Oklahoma Health Sciences Center, 1100 N. Stonewall Ave., Oklahoma City, OK, 73117, USA.
| | - Larry Gibbs
- Department of Sociology and Anthropology, Southern Oregon University, Ashland, OR, USA
| | - Stacy Tiemeyer
- Center for Integrative Research on Childhood Adversity, Oklahoma State University Center for Health Sciences, Tulsa, OK, USA
| | - Julia McQuillan
- Department of Sociology, The University of Nebraska at Lincoln, Lincoln, NE, USA
| | - Arthur L Greil
- Department of Sociology, Alfred University, Alfred, NY, USA
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Leonhardt ND, Willoughby BJ, Dyer WJ, Neppl TK, Lorenz FO. One Line of Sexual Decline? Growth Mixture Modeling for Midlife Sexual Satisfaction. ARCHIVES OF SEXUAL BEHAVIOR 2021; 50:2641-2665. [PMID: 34331166 DOI: 10.1007/s10508-021-01978-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2019] [Revised: 02/18/2021] [Accepted: 03/02/2021] [Indexed: 06/13/2023]
Abstract
Most research has shown that sexual satisfaction in long-term relationships tends to decline over time. Studies showing the average trajectory, however, are limited by only assessing one slope. With longitudinal data from the Flourishing Families Project, Marital Instability Dataset, and the Iowa Youth and Families Project, we utilized growth mixture modeling to assess what trajectories of sexual satisfaction exist in midlife marriages. In the three samples (one individual, two dyadic), we found clear evidence for heterogeneous sexual satisfaction trajectories, for both wives and husbands. Through the datasets, we found some trajectories did decline over time. We also found stably high, stably medium, stably low, and some trajectories that showed an increase in sexual satisfaction over time. Overall, trajectories were similar for wives and husbands, though some classes had one partner with variability while the other was stable, some classes had trajectories with wives having higher sexual satisfaction than husbands, and some classes had trajectories with husbands having higher sexual satisfaction than wives. Demographic variables were not strong distinguishers of these differing trajectories. Both marital satisfaction and perceived marital stability trajectories (based on sexual satisfaction classes) generally had similar patterns to sexual satisfaction trajectories, with a few exceptions. Both marital satisfaction and perceived marital stability were less likely to significantly change over time, have discrepancies between wives and husbands, and have either low marital satisfaction or high perceived marital instability, even if sexual satisfaction was low. These data can help couples recognize various possibilities for sexual satisfaction over time, perhaps helping them to avoid cultural myths of inevitably declining sexual satisfaction.
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Affiliation(s)
- Nathan D Leonhardt
- Department of Psychology, University of Toronto, 100 St. George Street, 4th Floor, Sidney Smith Hall, Toronto, ON, M5S 3G3, Canada.
| | | | - W Justin Dyer
- Department of Religion, Brigham Young University, Provo, UT, USA
| | - Tricia K Neppl
- Department of Human Development and Family Studies, Iowa State University, Ames, IA, USA
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Alsawalqa RO. A qualitative study to investigate male victims' experiences of female-perpetrated domestic abuse in Jordan. CURRENT PSYCHOLOGY 2021; 42:5505-5520. [PMID: 34075287 PMCID: PMC8159248 DOI: 10.1007/s12144-021-01905-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/21/2021] [Indexed: 12/05/2022]
Abstract
Battered husband syndrome has not been investigated in an Arab context, despite evidence of a significant increase in violence against men by women. This study investigated male victims' experiences of female-perpetrated domestic abuse in Jordan using a qualitative exploratory descriptive approach. Data were collected through semi-structured interviews with 33 married men from Amman and analyzed using interpretative phenomenological analysis. Five themes were identified: 1. causes of domestic abuse against men; 2. types of domestic abuse against men; 3. effects of domestic abuse against men; 4. men's perception of reducing or stopping abuse by their wives; and 5. abusive wives' characteristics. Participants experienced psychological, emotional and verbal abuse, coercive control, emotional neglect, and physical violence with varying degrees of severity, which affected both them and their families. Abusive wives used numerous tactics, including sex, children, isolation, and money to enable abuse. Moreover, clan and traditional thinking, societal structures, and norms led participants to divorce, stay in an abusive relationship, or use violence against their wives. The leading causes of abuse against the husband were wives' neglecting the house, children, appearance, and personal hygiene; wasting money; wives' family interfering in the couple's private marital affairs; the wife's betrayal; and traditional thinking. New perspectives toward domestic abuse in Jordan need to be developed to help us better understand the nature of abuse against men, provide resources and support for them, reduce the prevalence of domestic abuse, and protect Jordanian families. SUPPLEMENTARY INFORMATION The online version contains supplementary material available at 10.1007/s12144-021-01905-2.
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Affiliation(s)
- Rula Odeh Alsawalqa
- grid.9670.80000 0001 2174 4509Department of Sociology, The University of Jordan, Amman, Jordan
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Abstract
Objectives: This study examines the relationship between sexual obligation and perceived stress among older adults in the United States.Methods: Using longitudinal data from three waves of the National Social Life, Health, and Aging Project (NSHAP), our sample included 1,477 partnered, sexually-active respondents aged 57 to 85 at the baseline survey. We estimated mixed-effects models to test how feelings of sexual obligation are related to changes in perceived stress score.Results: Sexual obligation was positively associated with perceived stress score. The positive relationship between sexual obligation and perceived stress score became stronger over the study period among older men, although it remained relatively stable among older women. Relationship quality only partially explains this relationship.Conclusions: Feeling more obligated to have sex had a significantly greater effect on older men's perceived level of stress over time than older women's. This association became marginally significant after relationship quality was controlled for, suggesting that relationship quality was a key explanatory factor for the gendered patterns in sexual obligation's linkage to stress. These results highlight the importance of understanding gendered sexuality among aging older adults within the context of their relationship.Clinical Implications: Older adults' feelings of sexual obligation can manifest in their daily stress experience. Clinicians seeking to lower older adults', in particular older men's, stress levels should address the context of their sexual life and if they feel obligated to have sex, along with the positive and negative aspects of their relationship, as these could elevate their stress levels over time.
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Affiliation(s)
- Shannon Shen
- Department of Sociology, Texas A&M University-San Antonio, San Antonio, Texas, USA
| | - Hui Liu
- Department of Sociology, Michigan State University, East Lansing, Michigan, USA
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Cox DW, Fleckenstein JR, Sims-Cox LR. Comparing the Self-Reported Health, Happiness, and Marital Happiness of a Multinational Sample of Consensually Non-Monogamous Adults with Those of the U.S. General Population: Additional Comparisons by Gender, Number of Sexual Partners, Frequency of Sex, and Marital Status. ARCHIVES OF SEXUAL BEHAVIOR 2021; 50:1287-1309. [PMID: 34105057 DOI: 10.1007/s10508-021-01973-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/01/2019] [Revised: 02/15/2021] [Accepted: 02/25/2021] [Indexed: 05/25/2023]
Abstract
The primary objective of this cross-sectional study was to examine the associations of self-reported health, happiness, marital happiness, frequency of sexual activity, and number of partners from a multinational survey of individuals who are consensually non-monogamous (CNM) or open to being CNM, completed in 2012 with 4062 respondents. We compared data from this survey with the 2010-2014 US General Social Surveys (GSS). This study explored these variables and their predictors by gender (including 612 non-binary-gendered CNM individuals), marital status, number of partners, sexual frequency, age, education, and income and were broken down by behavioral sexual orientation, marital status, and other relevant categories. Respondents in our CNM sample generally reported being as healthy (sometimes healthier; e.g., all respondents M-W Z = 7.66, p < .001, η2 = 0.007), happy (frequently happier; e.g., multiple-partnered Z = 15.43, p < .001, η2 = 0.069), happy in their marriages (in some cases happier; e.g., multiple-partnered females Z = 2.61, p = .009, η2 = 0.067), and reported having more frequent sexual activity (e.g., all Z = 29.54, p < .001, η2 = 0.094) with more partners (e.g., all Z = 60.75, p < .001, η2 = 0.393) compared to corresponding individuals within the GSS. This study contributes to knowledge about commonalities and differences between the general population and those who are CNM regarding health, happiness, and happiness in marriage, including differences in optimal number of sexual partners and sexual frequency.
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Affiliation(s)
- Derrell W Cox
- Integrated Research Institute, Tulsa, OK, 73072, USA.
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Prause N, Siegle GJ, Coan J. Partner intimate touch is associated with increased interpersonal closeness, especially in non-romantic partners. PLoS One 2021; 16:e0246065. [PMID: 33690603 PMCID: PMC7946224 DOI: 10.1371/journal.pone.0246065] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Accepted: 12/31/2020] [Indexed: 11/19/2022] Open
Abstract
Relationship closeness promotes desirable health outcomes. Most interventions to increase relationship closeness are verbal, which may not suit all couples. We consider whether Orgasmic Meditation (OM), a structured, partnered, largely non-verbal practice that includes genital touch, also increases relationship closeness. We hypothesized that OM would increase feelings of closeness for both romantic and non-romantic partners. This is important, because intimate touch with non-romantic partners is commonly considered deleterious by clinicians, which may inadvertently increase feelings of shame. Dyads (n = 125) reported their feelings of closeness before and after OM. Approximately half of the participants were romantic partners, while the other half only engaged in OM together (non-romantic). Closeness after OM increased on average across participants. Non-romantic dyads increased self-other overlap more than romantic dyads. These data support that a partnered, largely non-verbal practice is associated with increased feelings of closeness in the moment, including for individuals who are not in a romantic relationship.
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Affiliation(s)
- Nicole Prause
- Liberos, Los Angeles, California, United States of America
| | - Greg J. Siegle
- Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States of America
| | - James Coan
- Department of Psychology, University of Virginia, Charlottesville, North Carolina, United States of America
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Altgelt EE, Meltzer AL. Associations Between Premarital Factors and First-Married, Heterosexual Newlywed Couples' Frequency of Sex and Sexual Satisfaction Trajectories. JOURNAL OF SEX RESEARCH 2021; 58:146-159. [PMID: 31833785 DOI: 10.1080/00224499.2019.1695722] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Sex is a defining feature of marriage with important implications for marital success. Nevertheless, frequency and quality of sex decline across the early years of marriage. Given many modern-day couples in the U.S. are delaying marriage and thus experiencing many traditional aspects of marriage before their nuptials, the current research explored the extent to which premarital factors such as courtship duration, cohabitation, and children are associated with trajectories of couples' sexual relationships during the early years of marriage. Using a 4-year longitudinal study of newlywed couples, results demonstrated that couples with longer (versus shorter) courtships or who did (versus did not) cohabit engaged in less frequent sex at the start of marriage; interestingly, couples with longer (versus shorter) courtships or with (versus without) children prior to marriage experienced less steep declines in frequency of sex over time. Couples who did (versus did not) cohabit were less sexually satisfied initially and over time; couples with longer (versus shorter) courtships experienced less steep declines in sexual satisfaction over time. Notably, each of these associations emerged independent of related individual differences and marital quality. These findings highlight the notion that premarital factors can explain, at least in part, differences in newlywed couples' sexual relationships.
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Moor A, Haimov Y, Shreiber S. When Desire Fades: Women Talk About Their Subjective Experience of Declining Sexual Desire in Loving Long-term Relationships. JOURNAL OF SEX RESEARCH 2021; 58:160-169. [PMID: 32286897 DOI: 10.1080/00224499.2020.1743225] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Women's sexual desire has been shown to decline over the course of loving long-term relationships. Yet, accounts of partnered women's subjective experience of this occurrence are rather limited. In order to broaden the examination of this topic, the present exploratory qualitative study extended it cross-culturally to explore how women in Israel are impacted by, perceive, and experience this decline in their sexual desire, with the objective of sketching an account of the experiences of women who share this reality. Semi-structured interviews were conducted with 15 women, aged 25 and over, in fulfilling long-term heterosexual relationships. The participants reported a sharp decline in sexual desire in comparison to the early stages of the relationship, experiencing it as quite perplexing given their love and affection for their partner. All also described their intimate connection as based on much more than sex. Additionally, while the reduction in desire did not result from difficulties in the relationship it did create some. These included frustration, conflict, and pressure from partner, which often led to sexual compliance on the women's part. Suggested solutions included open and honest dialogue, thoughtfulness, and mutual respect. A critical discussion of the findings outlines implications for partnered women's and couples' wellbeing.
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Vaillancourt-Morel MP, Rosen NO, Štulhofer A, Bosisio M, Bergeron S. Pornography Use and Sexual Health among Same-Sex and Mixed-Sex Couples: An Event-Level Dyadic Analysis. ARCHIVES OF SEXUAL BEHAVIOR 2021; 50:667-681. [PMID: 33398695 DOI: 10.1007/s10508-020-01839-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/19/2020] [Revised: 08/23/2020] [Accepted: 09/10/2020] [Indexed: 06/12/2023]
Abstract
A large number of partnered individuals regularly use or are in a relationship with someone who uses pornography. However, knowledge concerning the association between pornography use and partnered sexual health-sexual satisfaction, distress, and function-is fragmentary. The current study used an event-level dyadic design to examine the associations between pornography use and sexual satisfaction, distress, and function on days when partnered sexual activity occurred. A convenience sample of 217 couples (Mage = 30.2; SD = 8.3; 72 same-sex couples) completed a short survey on days of sexual activity with their partner, over a 35-day period. Self-report measures included questions about daily pornography use and masturbation as well as daily sexual satisfaction, distress, and function. Using pornography on days of partnered sexual activity was reported by half of the couples. An individual's solitary pornography use on days of partnered sexual activity was related to their partner's higher sexual distress and, for women's use only, to their own higher quality of lubrication, compared to sex days without solitary pornography use. There was no evidence of an association between pornography use on sex days, whether alone or with the partner, and all other aspects of sexual health including sexual satisfaction. Our findings capture the complexity of the associations between pornography and sexual health. Men and women's pornography use may create idealized fantasies around appearance and performance, which may lead the partner to feel distressed about their sex life. Women's pornography use might facilitate their sexual responsiveness during partnered sexual activity.
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Affiliation(s)
- Marie-Pier Vaillancourt-Morel
- Department of Psychology, Université du Québec à Trois-Rivières, Pavillon Michel-Sarrazin, 3600 rue Sainte-Marguerite, C.P. 500, Trois-Rivières, QC, Canada.
| | - Natalie O Rosen
- Department of Psychology and Neuroscience, Dalhousie University, Halifax, NS, Canada
- Department of Obstetrics and Gynaecology, IWK Health Centre and Dalhousie University, Halifax, NS, Canada
| | | | - Myriam Bosisio
- Department of Psychology, Université de Montréal, Montreal, QC, Canada
| | - Sophie Bergeron
- Department of Psychology, Université de Montréal, Montreal, QC, Canada
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