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Godbout N, Martel NW, Gewirtz-Meydan A, Girard M, Hébert M. When sexual distress shares the bed: the role of sexual self-esteem in the relationship between dispositional mindfulness and sexual distress in sex therapy patients. J Sex Med 2024; 21:951-960. [PMID: 39167770 DOI: 10.1093/jsxmed/qdae095] [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: 11/02/2023] [Revised: 07/03/2024] [Accepted: 07/23/2024] [Indexed: 08/23/2024]
Abstract
BACKGROUND Sexual distress (eg, feeling distressed, unhappy, frustrated, stressed, dissatisfied, or bothered about their sexuality) is a central concern reported by patients seeking sex therapy, and might be related to sexual self-esteem and mindfulness disposition, yet research is needed to examine the links among those variables within the specific population of patients seeking therapy. AIM This study aimed to examine the indirect role of sexual self-esteem in the relationship between dispositional mindfulness and sexual distress. METHODS The study was conducted among 696 patients undergoing sexual therapy (mean age 34.19 ± 11.21 years, age range 18-78 years). Participants identified as women (57.3%), men (38.5%), or nonbinary (4.2%). They completed self-report questionnaires assessing dispositional mindfulness (Five Facet Mindfulness Questionnaire), sexual self-esteem (Multidimensional Sexuality Questionnaire), and sexual distress (Sexual Distress Scale-Revised), during their first few sessions (ie, first to third sessions [the assessment phase]). OUTCOMES Sexual distress was the main outcome, as measured with the Sexual Distress Scale-Revised. RESULTS Results indicated that 54% (n = 376) of patients reported elevated sexual distress based on the questionnaire threshold score. Path analyses indicated an indirect effect in which higher dispositional mindfulness was associated with higher levels of sexual self-esteem, which in turn was associated with lower sexual distress. Results also highlighted that specific facets of mindfulness were related to higher sexual self-esteem (ie, describing, and nonreacting) and lower sexual distress (ie, nonjudgment and acting with awareness). The integrative model explained 23% of the variance of sexual distress scores. CLINICAL IMPLICATION Findings suggest that addressing specifically sexual self-esteem and mindfulness may represent relevant clinical avenues to reduce sexual distress among sex therapy patients. STRENGTHS AND LIMITATIONS Strengths of this study include the novel examination of the role of sexual self-esteem in the link between mindfulness disposition and sexual distress in a large clinical sample of patients seeking sex therapy. Limitations includes reliance on patient self-report and a cross-sectional design that limit conclusion regarding causality. CONCLUSION This study makes a valuable contribution to the existing body of research highlighting the pivotal roles of sexual self-esteem in the link between dispositional mindfulness and reduced sexual distress among adults undergoing sex therapy, allowing us to identify potential targets of intervention.
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Affiliation(s)
- Natacha Godbout
- Department of Sexology, Faculty of Social Sciences, Université du Québec à Montréal, Montréal, H2L 2C4, Québec, Canada
| | - Nadia Willard Martel
- Department of Sexology, Faculty of Social Sciences, Université du Québec à Montréal, Montréal, H2L 2C4, Québec, Canada
| | - Ateret Gewirtz-Meydan
- School of Social Work, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, 3498838, Israel
| | - Marianne Girard
- Department of Sexology, Faculty of Social Sciences, Université du Québec à Montréal, Montréal, H2L 2C4, Québec, Canada
| | - Martine Hébert
- Department of Sexology, Faculty of Social Sciences, Université du Québec à Montréal, Montréal, H2L 2C4, Québec, Canada
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Abdi F, Pakzad R, Alidost F, Aghapour E, Mehrnoush V, Banaei M. Effect of pornography use on the sexual satisfaction: a systematic review and meta-analysis. J Addict Dis 2024:1-18. [PMID: 39267458 DOI: 10.1080/10550887.2024.2401680] [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: 09/17/2024]
Abstract
OBJECTIVE Dissatisfaction with an inividual's sex life is underlying factor that can lead to pornography addiction. The current research aims to understand the relationship between pornography use and sexual satisfaction. METHODS The pooled correlation coefficient with 95% confidence interval was calculated using random effects. The meta-regression method was used to examine factors affecting heterogeneity between studies and Egger's test was used to evaluate of publication bias. RESULTS 41 studies with a total sample size of 70541 participants were included in the meta-analysis. The pooled estimate for the correlation coefficient in total, in male and in female -0.06 (95% CI: -0.09 to -0.02), -0.07 (95% CI: -0.16 to 0.02) and -0.04 (95% CI: -0.08 to -0.01). The pooled estimate of correlation coefficient was -0.04 (95% CI: -0.07 to -0.02) in cross-sectional, -0.12 (95% CI: -0.19 to -0.05) in cohort, 0.00 (95% CI: -0.15 to 0.15) in studies that used self-report questionnaire and -0.06 (95% CI: -0.08 to -0.03) in studies that used online survey. Based on the results of the meta-regression, the publication year was found to have a significant effect on heterogeneity among studies (B = 0.013, p = 0.018). However, study design, age, data collection method, quality score and sample size did not have a significant effect. CONCLUSIONS There was a significant negative correlation between pornography and sexual satisfaction and the disaggregation of results by gender also indicated this negative correlation among women. However, the relationship between pornography and sexual satisfaction was not significant in men.
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Affiliation(s)
- Fatemeh Abdi
- Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran
- Nursing and Midwifery Care Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran
| | - Reza Pakzad
- Faculty of Health, Ilam University of Medical Sciences, Ilam, Iran
| | - Farzaneh Alidost
- School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Ehsan Aghapour
- Department of Social Welfare Management, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Vahid Mehrnoush
- Section of General Surgery, Division of Clinical Sciences, Northern Ontario School of Medicine University
| | - Mojdeh Banaei
- Mother and Child Welfare Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
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Walsh K, Lowe SR, Ward S. Sexual Victimization, Emotion Dysregulation, and Sexual Consent Feelings and Communication During a Recent Sexual Encounter. JOURNAL OF SEX RESEARCH 2024:1-9. [PMID: 38940414 DOI: 10.1080/00224499.2024.2368044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/29/2024]
Abstract
Sexual consent has been a major focus of campus campaigns to reduce sexual violence (SV). However, these campaigns often educate students about consent with little attention to the complex ways consent can be experienced, expressed, and interpreted by others. Further, little research has focused on the consent feelings and communication cues of students who have a history of SV, nor have studies examined how the ability to attend to and regulate emotions relates to internal feelings or external communication of consent. This secondary analysis examined SV histories, emotion dysregulation, and internal and external consent cues in a sample of 610 college students (72% women) who completed an online self-report survey. Findings revealed that students with SV histories (n = 257) reported greater emotion dysregulation, lower internal consent, and greater use of passive external consent cues compared to students without SV histories; greater emotion dysregulation was associated with lower internal consent. In a path model, SV history was indirectly related to use of direct nonverbal and passive consent cues through greater emotion dysregulation and lower internal consent. Contrary to expectations, higher internal consent was associated with greater use of passive external consent cues. Consent programming could be augmented to encourage attention to and regulation of emotions in sexual situations to improve communication and sexual well-being.
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Affiliation(s)
- Kate Walsh
- Department of Psychology, University of Wisconsin-Madison
- Gender & Women's Studies, University of Wisconsin-Madison
| | | | - Stephanie Ward
- Department of Psychology, University of Wisconsin-Madison
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Dixon HC, Reynolds LM, Consedine NS. Mindfulness Between the Sheets: Does a Brief Mindfulness Intervention Improve Community-Dwelling Populations' Sexual Experiences and Motivations, and Are Effects Moderated by Attachment Insecurity? JOURNAL OF SEX RESEARCH 2024; 61:574-587. [PMID: 37071492 DOI: 10.1080/00224499.2023.2196279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/19/2023]
Abstract
Research is increasingly linking mindfulness with better relationship outcomes. Less clear is whether these benefits extend to the sexual domain or whether the benefits of mindfulness are moderated by individual characteristics. Accordingly, the current report tested whether a brief online mindfulness intervention improved the cognitive, affective, and behavioral aspects of sexual experiences and whether effects varied by attachment anxiety and avoidance. Participants (N = 90) first completed a measure of attachment before reporting their sexual experiences each day for 7-days. Participants then listened to a mindfulness recording every day for 4 weeks. Finally, sexual experiences were reported on every day for 7 days again. Consistent with previous studies, no benefits of the mindfulness intervention were detected for more avoidant persons. Less consistent with expectation, however, the mindfulness intervention did not improve sexual outcomes in general, nor did it buffer other-focused avoidance-based sexual motivations or bolster sexual communal strength among more anxiously attached persons. However, the intervention did increase reports of positive sexuality among more anxious persons. Results are discussed in terms of the differential utility and limits of short mindfulness interventions looking to enhance sexual functioning in different populations and the potential mechanisms behind the presence and absence of effects.
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Affiliation(s)
- H C Dixon
- Department of Psychological Medicine, University of Auckland
| | - L M Reynolds
- Department of Psychological Medicine, University of Auckland
| | - N S Consedine
- Department of Psychological Medicine, University of Auckland
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5
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Qu S, Li R, Wang J. Increased sensitivity for negative emotional images in individuals with problematic pornography use. Front Psychol 2024; 15:1287455. [PMID: 38605833 PMCID: PMC11007122 DOI: 10.3389/fpsyg.2024.1287455] [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: 09/04/2023] [Accepted: 03/18/2024] [Indexed: 04/13/2024] Open
Abstract
Background Despite the frequent comorbidity of affective and addictive disorders, the significance of affective dysregulation in problematic pornography use (PPU) is commonly disregarded. The objective of this study is to investigate whether individuals with PPU demonstrate increased sensitivity to negative emotional stimuli in comparison to healthy controls (HCs). Methods Electrophysiological responses were captured via event-related potentials (ERPs) from 27 individuals with PPU and 29 HCs. They completed an oddball task involving the presentation of deviant stimuli in the form of highly negative (HN), moderately negative (MN), and neutral images, with a standard stimulus being a neutral kettle image. To evaluate participants' subjective feelings of valence and arousal, the Self-Assessment Manikin (SAM) was employed. Results Regarding subjective evaluations, individuals with PPU indicated diminished valence ratings for HN images as opposed to HCs. Concerning electrophysiological assessments, those with PPU manifested elevated N2 amplitudes in response to both HN and MN images when contrasted against neutral images. Additionally, PPU participants displayed an intensified P3 response to HN images in contrast to MN images, a distinction not evident within the HCs. Discussion These outcomes suggest that individuals with PPU exhibited heightened reactivity toward negative stimuli. This increased sensitivity to negative cues could potentially play a role in the propensity of PPU individuals to resort to pornography as a coping mechanism for managing stress regulation.
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Affiliation(s)
- Shuangyi Qu
- School of Psychology, Chengdu Medical College, Chengdu, Sichuan, China
| | - Ruiyu Li
- School of Psychology, Chengdu Medical College, Chengdu, Sichuan, China
| | - Jianfeng Wang
- School of Psychology, Chengdu Medical College, Chengdu, Sichuan, China
- Sichuan Applied Psychology Research Center, Chengdu Medical College, Chengdu, Sichuan, China
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Tabatabaeian A, Hosseinian S, Taheri A, Leavitt CE. The Mediating Role of Emotion Regulation in the Relationship Between Sexual Mindfulness and Relational Quality in a Sample of Iranian Women. JOURNAL OF SEX & MARITAL THERAPY 2024; 50:468-481. [PMID: 38374609 DOI: 10.1080/0092623x.2024.2309965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/21/2024]
Abstract
Mindfulness during sex has shown many positive relational and sexual outcomes. However, little is known about the ways in which sexual mindfulness works to improve an individual's experience. This study investigated the mediating role of emotion regulation strategies in the relationship between sexual mindfulness and relational quality in a sample of Iranian women. Using a multi-stage cluster sampling method, we examined data from 265 women aged 19 to 50 years (M = 31.76, SD = 8.47). Results showed a significant positive relationship between relational quality and sexual mindfulness (p < .001, β = .13), sexual mindfulness and reappraisal strategy (p < .001, β = .65), and relational quality and reappraisal strategy (p < .001, β = .78). The reduction of the path coefficient in the full mediation model compared to the direct model indicating a partial mediation role of the reappraisal strategy was confirmed in relation to sexual mindfulness and relational quality. These findings may help identify one path, emotion regulation, through which sexual mindfulness works. This study provides psychologists and counselors evidence that both sexual mindfulness and emotion regulation are positive skills that likely improve the quality of their clients' relationships.
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Affiliation(s)
- Asma Tabatabaeian
- Department of Counseling, Faculty of Education and Psychology, Alzahra University, Tehran, Iran
| | - Simin Hosseinian
- Department of Counseling, Faculty of Education and Psychology, Alzahra University, Tehran, Iran
| | - Azadeh Taheri
- Department of Counseling, Faculty of Education and Psychology, Alzahra University, Tehran, Iran
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Fischer VJ, Andersson G, Billieux J, Infanti A, Vögele C. The Role of Emotion Regulation Strategies for Sexual Function and Mental Health: A Cluster Analytical Approach. JOURNAL OF SEX & MARITAL THERAPY 2023; 50:123-136. [PMID: 37822263 DOI: 10.1080/0092623x.2023.2264863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/13/2023]
Abstract
We investigated distinct profiles in emotion regulation strategies (reappraisal and suppression) and their associations with sexual function and mental health. The online survey sample consisted of 5436 adult participants. The gender stratified cluster analysis resulted in a four-cluster solution for both men and women. Better sexual function and mental health scores were found for participants with high cognitive reappraisal and low expressive suppression. High expressive suppression was associated with higher anxiety and depression and worse sexual function. Sexological care should take into account the assessment of emotion regulation abilities and emotion regulation training interventions to support reappraisal strategies.
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Affiliation(s)
- Vinicius Jobim Fischer
- Department of Behavioural and Cognitive Sciences, University of Luxembourg, Esch-sur-Alzette, Luxembourg
| | - Gerhard Andersson
- Department of Behavioural Science and Learning, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden
- Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden
| | - Joël Billieux
- Institute of Psychology, University of Lausanne, Lausanne, Switzerland
| | - Alexandre Infanti
- Department of Behavioural and Cognitive Sciences, University of Luxembourg, Esch-sur-Alzette, Luxembourg
| | - Claus Vögele
- Department of Behavioural and Cognitive Sciences, University of Luxembourg, Esch-sur-Alzette, Luxembourg
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8
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Gérard M, Charvier K, Leduc H, Courtois F. Looking Beyond the Chair: Psycho-Perceptual Predictors of Sexual Distress and Sexual Satisfaction in Individuals with Spinal Cord Injury. JOURNAL OF SEX RESEARCH 2023:1-18. [PMID: 37819254 DOI: 10.1080/00224499.2023.2260816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/13/2023]
Abstract
Despite a large body of biomedical research, little is known about the psychological and perceptual predictors of sexual satisfaction (SS) and sexual distress (SD) post spinal cord injury (SCI). Guided by a bio-psycho-perceptual framework, this cross-sectional research aimed at assessing SS and SD in a large SCI sample using validated patient-reported outcome measures (PROM). Significant correlates and predictors of SS and SD were also identified. Ninety-one men and women with SCI completed PROMs of SS and SD, as well as psychological (mood, sexual and body esteem) and perceptual (interoceptive awareness, trait mindfulness, sexual mindfulness) factors. Neurological profiles were also assessed, along with experience of orgasm. Correlates of SS and SD were first identified using Pearson's correlations, then multiple hierarchical regression models were computed to isolate predictors. Orgasm experience and psychological factors emerged as moderate correlates of both SS and SD, while neurological factors did not. Interoceptive awareness and trait mindfulness showed weak associations with SD and none with SS. Among the tested predictors, experience of orgasm emerged as the strongest for SS (β = -.29, p < .01), followed by mood, which predicted SS and SD. Sexual and body esteem was predictive of SD only. In sexually active participants, sexual mindfulness predicted both SS (β = 0.55, p < .001) and SD (β = -0.56, p < .001) above and beyond all other variables. This study reveals unique aspects of SS and SD postinjury and supports further consideration of psychological and perceptual dimensions of SCI sexuality in rehabilitation research.
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Affiliation(s)
- Marina Gérard
- Psychology Department, Université du Québec à Montréal
| | | | - Hugues Leduc
- Psychology Department, Université du Québec à Montréal
| | - Frédérique Courtois
- Sexology Department, Université du Québec à Montréal
- CIUSSS du Centre-Sud-de-l'Île-de-Montréal (CCSMTL), Gingras Lindsay Montreal Rehabilitation Institute (IRGLM)
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9
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Dixon HC, Reynolds LM, Consedine NS. Containing Attachment Concerns: Does Trait Mindfulness Buffer the Links between Attachment Insecurity and Maladaptive Sexual Motivations? JOURNAL OF SEX RESEARCH 2023; 60:1126-1137. [PMID: 35230199 DOI: 10.1080/00224499.2022.2043229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Individuals reporting greater insecure attachment are more likely to report maladaptive sexual motivations, such as sex to avoid negative relational and personal outcomes (e.g., conflict). Despite the costs of such sexual motivations, research is less clear regarding what might buffer the extent to which attachment insecurities manifest in such motives. The current study examined whether trait mindfulness moderates the links between attachment insecurity and maladaptive sexual motives. Participants (N = 194) completed measures of trait mindfulness, general sexual motivations, and attachment. As predicted, the links between attachment anxiety and having sex to cope and affirm the self were eliminated among individuals reporting higher levels of the acting with awareness facet of trait mindfulness. No such buffering effects were seen for attachment avoidance. Instead, acting with awareness mindfulness appeared to increase the extent to which more avoidantly attached individuals reported coping and self-affirmation-based sexual motives. These findings contribute to knowledge regarding the potential utility and limits of mindfulness in relational and sexual contexts, perhaps suggesting that mindfulness may help anxiously attached individuals manage the extent to which attachment concerns manifest in maladaptive sexual motivations. Findings of the study may inform both theory regarding mindfulness in interpersonal functioning and how mindfulness interventions might be deployed in sex therapy contexts.
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Affiliation(s)
- H C Dixon
- Department of Psychological Medicine, University of Auckland
| | - L M Reynolds
- Department of Psychological Medicine, University of Auckland
| | - N S Consedine
- Department of Psychological Medicine, University of Auckland
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10
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Hojjati Najafabadi S, Vakilian K, Ghaemmaghami M, Zamanian M, Beigi M. Investigating the effect of mindfulness counselling on sexual functioning of women with premenstrual syndrome. SEXUAL & REPRODUCTIVE HEALTHCARE 2023; 37:100886. [PMID: 37423143 DOI: 10.1016/j.srhc.2023.100886] [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: 01/24/2023] [Revised: 05/19/2023] [Accepted: 07/04/2023] [Indexed: 07/11/2023]
Abstract
Mindfulness exercises can improve a wide range of the psychological and interpersonal consequences of premenstrual syndrome. Nevertheless, there is sparse information about the effect of mindfulness counselling on sexual dysfunction in women with this condition. This study aimed to determine the effect of mindfulness counselling on the sexual functioning of women with premenstrual syndrome. In this controlled randomized study, 112 women diagnosed with premenstrual syndrome referred to selected urban healthcare centers in Isfahan, Iran, were randomly allocated to two groups (intervention and control), each with 56 participants. The intervention group underwent mindfulness counselling in eight 60-minute sessions online via Google Meet. The control group did not receive any kind of intervention. The principal measure was score on the Rosen Female Sexual Functioning Index (FSFI) before, immediately, and one month after the intervention. The data were analyzed by SPSS 23, through descriptive and analytical statistical tests (chi-square, Mann-Whitney, independent t-test, ANOVA, and repeated measure) with a significance level of 0.05. There was no statistically significant difference in the mean FSFI score (or the subscores) between the intervention and control groups (p greater than 0.05) at baseline. In the intervention group, there were significant increases (relative to both baseline and in comparison with the control group) in the mean subscores for sexual desire (P < 0.0001), orgasm (P = 0.01), satisfaction (P = 0.0001), sexual pain (P = 0.003), and general sexual functioning (P < 0.0001) immediately after and one month after the intervention, but the score for sexual arousal was significantly greater only at the one-month evaluation (P < 0.0001) and there were no differences in the scores for vaginal lubrication. On the other hand. Mindfulness counselling was effective in improving the sexual functioning of women suffering from premenstrual syndrome, and should be used for this purpose in healthcare centers.
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Affiliation(s)
- Sara Hojjati Najafabadi
- Student of Midwifery Counseling, School of Medicine Arak University Of Medical Sciences, Arak, Iran
| | - Katayon Vakilian
- Arak University Of Medical Sciences, School of Medicine, Traditional and Complementary Medicine Research Center (TCMRC), Arak University of Medical Sciences, Arak, Iran.
| | - Mehrnoush Ghaemmaghami
- Arak University Of Medical Sciences, School of Medicine, Arak University of Medical Sciences, Arak, Iran
| | - Maryam Zamanian
- Department of Epidemiology, School of Health, Arak University of Medical Sciences, Arak, Iran
| | - Marjan Beigi
- Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
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11
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Privara M, Bob P. Pornography Consumption and Cognitive-Affective Distress. J Nerv Ment Dis 2023; 211:641-646. [PMID: 37505898 PMCID: PMC10399954 DOI: 10.1097/nmd.0000000000001669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/30/2023]
Abstract
ABSTRACT According to recent studies, the growing consumption of Internet pornography mainly in male population becomes an increasing problem, which is closely linked to compulsive sexual behavior. Some findings also suggest that Internet pornography consumption might represent a defense mechanism against excessive stress, which enables to cope with stressful events, helps in mood regulation, and decreases depression and anxiety. Users of online pornography involved in these activities also reported that their self-exposition to pornographic material may create guilty feelings and internal conflict in themselves with respect to their own "involuntary" sexual behavior, which suggest that psychosocial stress and possibly traumatic experiences may play a significant role in Internet pornography addiction. Taken together, these findings show that stressful experiences, anxiety, and depression are strongly related to pornography consumption. In addition, conflicting emotional experiences as well as identity problems significantly increase vulnerability to addictive sexual behavior and pornography consumption.
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12
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Peixoto MM. Mindfulness, Self-Compassion, and Acceptance as Predictors of Sexual Satisfaction in Cisgender Heterosexual Men and Women. Healthcare (Basel) 2023; 11:1839. [PMID: 37444673 DOI: 10.3390/healthcare11131839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Revised: 06/07/2023] [Accepted: 06/21/2023] [Indexed: 07/15/2023] Open
Abstract
Sexual satisfaction is a relevant indicator of sexual health, and psychotherapeutic interventions for sexual dysfunction also promote sexual satisfaction in men and women. Cognitive-behavioral psychotherapies for sexual dysfunction, including third-wave approaches, are effective in treating sexual dysfunction. Thus, third-wave cognitive-behavioral constructs may play a significant role in sexual satisfaction. This study intends to examine the predictive role of mindfulness awareness and attention, self-compassion and acceptance, and action constructs on cisgender heterosexual men's and women's sexual satisfaction. A web survey including self-report measures for assessing mindfulness awareness and attention (MAAS), self-compassion (SCS), acceptance and action (AAQ), and sexual satisfaction (GMSEX) was disseminated during 2022, and a sample of 420 participants was collected (n = 238 women; 56.7%; n = 182 men; 43.3%). No statistically significant differences were found between cisgender heterosexual men and women on mindfulness awareness and attention, self-compassion, acceptance and action, and sexual satisfaction. In addition, all variables account for 6.5% of cisgender heterosexual men's and women's sexual satisfaction variance, and mindfulness awareness and attention, self-compassion, and acceptance and action positively predicted sexual satisfaction. Overall, mindfulness awareness and attention, self-compassion, and acceptance and action play a significant predictive role in cisgender heterosexual men's and women's sexual satisfaction.
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Affiliation(s)
- Maria Manuela Peixoto
- The Center for Psychology at University of Porto, Faculty of Psychology and Educational Sciences of University of Porto, 4200-135 Porto, Portugal
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13
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Guyon R, Fernet M, Girard M, Cousineau MM, Tardif M, Godbout N. Who am I as a Sexual Being? The Role of Sexual Self-Concept Between Dispositional Mindfulness and Sexual Satisfaction among Child Sexual Abuse Survivors. JOURNAL OF INTERPERSONAL VIOLENCE 2023; 38:5591-5612. [PMID: 36113079 PMCID: PMC9969487 DOI: 10.1177/08862605221123290] [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] [Indexed: 05/15/2023]
Abstract
Childhood sexual abuse (CSA) is associated with long-lasting and pervasive impacts on survivors' sexual health, particularly on their sexual satisfaction. Dispositional mindfulness has been found to be associated with greater sexual satisfaction among adult CSA survivors. However, the mechanisms involved in this association remain understudied. The present study examined the role of sexual self-concept (i.e., sexual esteem, sexual preoccupation, and sexual depression) in the relationship between dispositional mindfulness and sexual satisfaction among CSA survivors. A total of 176 adult CSA survivors (60.6% women, 39.4% men) completed an online survey assessing dispositional mindfulness, sexual self-concept, and sexual satisfaction. Path analyses revealed that dispositional mindfulness was positively related to sexual satisfaction through a significant indirect effect of higher sexual esteem and lower sexual depression. The integrative model explained 66.5% of the variance in sexual satisfaction. These findings highlight the key roles that dispositional mindfulness and sexual self-concept play in CSA survivors' sexual satisfaction. Implications for interventions based on trauma-sensitive mindfulness targeting the sexual self-concept are discussed, as they may promote sexual satisfaction in adult CSA survivors.
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14
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Black Queer Women’s Pleasure: A Review. CURRENT SEXUAL HEALTH REPORTS 2023. [DOI: 10.1007/s11930-023-00357-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/20/2023]
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15
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Valderrama Rodríguez MF, Sánchez-Sánchez LC, García-Montes JM, Petisco-Rodríguez C. A Scoping Review of the Influence of Mindfulness on Men's Sexual Activity. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3739. [PMID: 36834434 PMCID: PMC9966447 DOI: 10.3390/ijerph20043739] [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: 12/29/2022] [Revised: 02/06/2023] [Accepted: 02/18/2023] [Indexed: 06/18/2023]
Abstract
Mindfulness practice and mindfulness-based interventions are widely known, especially for women's sexuality. However, it is currently unknown how this practice affects the experience of male sexuality, possibly due to the existence of pharmacological treatments that are usually the first choice of treatment for men. The objectives of this study are to explore the influence of mindfulness on different components of men's sexuality from a scoping review of relevant scientific articles existing in the literature. A literature search from 2010 to 2022 was carried out in the electronic databases MEDLINE, Embase, PsycINFO, Web of Science, Scopus, PubMed, Dialnet, SciELO Citation Index, and Redalyc. Out of the 238 studies, 12 that met the defined selection criteria were selected. The analysis of these studies seems to indicate that the practice of mindfulness favours different variables of male sexuality, such as satisfaction and sexual functioning or genital self-image. Mindfulness-based interventions represent a valuable and promising contribution. No adverse effects were detected from the review of scientific articles considered in this work. Nevertheless, more randomized studies with active control groups are necessary to establish the benefits of mindfulness-based interventions in sex therapy for men.
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Affiliation(s)
| | - Laura C. Sánchez-Sánchez
- Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology, University of Granada, Campus Cartuja, SN, 180071 Granada, Spain
| | - José Manuel García-Montes
- Department of Psychology, University of Almería, Carretera Sacramento, S/N, La Cañada de San Urbano, 04120 Almería, Spain
| | - Cristina Petisco-Rodríguez
- Faculty of Education, Pontifical University of Salamanca, Calle Henry Collet, 52-70, 37007 Salamanca, Spain
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16
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Efrati Y. Compulsive Sexual Behavior in Adolescents: The Roles of Personality, Attachment Orientations, Cognitive Mechanisms, and Psychopathology. COGNITIVE THERAPY AND RESEARCH 2023. [DOI: 10.1007/s10608-023-10359-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
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17
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Sood R, Kuhle CL, Thielen JM, Kapoor E, Vencill JA, Mara KC, Faubion SS. Association of mindfulness with female sexual dysfunction. Maturitas 2022; 161:27-32. [PMID: 35688491 PMCID: PMC11309572 DOI: 10.1016/j.maturitas.2022.02.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Revised: 02/01/2022] [Accepted: 02/10/2022] [Indexed: 12/14/2022]
Abstract
OBJECTIVES Female sexual dysfunction (FSD) affects women of all ages. It is often a multifactorial problem with a strong psychosocial component. Mindfulness may help alleviate FSD with nonjudgmental, present-moment awareness and decreased emotional reactivity. The goal of this study was to assess the association between dispositional or trait mindfulness and FSD. STUDY DESIGN In this cross-sectional study at a tertiary care women's health clinic, 1718 cisgender women (mean age, 51.9 years) completed the Mindfulness Attention Awareness Scale (MAAS), Female Sexual Function Index (FSFI), and Female Sexual Distress Scale-Revised (FSDS-R). MAIN OUTCOME MEASURES Regression analysis was used to test the associations of mindfulness, sexual function, and sexual distress with univariate and multivariable analyses, adjusting for potential confounders. RESULTS Within the sample, 57% of women met FSD criteria (FSFI scores ≤26.55 and FSDS-R ≥ 11). On univariate analysis, higher MAAS scores, signifying greater mindfulness, were associated with higher (better) sexual function scores, lower sexual distress scores, and lower odds of FSD. This association persisted on multivariable analysis after adjusting for potential confounders. CONCLUSIONS Higher trait mindfulness was associated with better sexual function, lower sexual distress, and lower likelihood of FSD. Further studies are needed to assess the role of mindfulness in mitigating FSD.
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Affiliation(s)
- Richa Sood
- Menopause and Women's Sexual Health Clinic, Mayo Clinic, Rochester, MN, United States; Mayo Clinic Women's Health, Mayo Clinic, Rochester, MN, United States.
| | - Carol L Kuhle
- Menopause and Women's Sexual Health Clinic, Mayo Clinic, Rochester, MN, United States; Mayo Clinic Women's Health, Mayo Clinic, Rochester, MN, United States
| | - Jacqueline M Thielen
- Mayo Clinic Women's Health, Mayo Clinic, Rochester, MN, United States; Division of General Internal Medicine, Mayo Clinic, Jacksonville, FL, United States
| | - Ekta Kapoor
- Menopause and Women's Sexual Health Clinic, Mayo Clinic, Rochester, MN, United States; Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, Rochester, MN, United States; Mayo Clinic Women's Health, Mayo Clinic, Rochester, MN, United States; Women's Health Research Center, Mayo Clinic, Rochester, MN, United States
| | - Jennifer A Vencill
- Menopause and Women's Sexual Health Clinic, Mayo Clinic, Rochester, MN, United States; Mayo Clinic Women's Health, Mayo Clinic, Rochester, MN, United States; Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, United States
| | - Kristin C Mara
- Division of Clinical Trials and Biostatistics, Mayo Clinic, Rochester, MN, United States
| | - Stephanie S Faubion
- Mayo Clinic Women's Health, Mayo Clinic, Rochester, MN, United States; Women's Health Research Center, Mayo Clinic, Rochester, MN, United States; Division of General Internal Medicine, Mayo Clinic, Jacksonville, FL, United States
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18
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Yu S, Zhou Y, Zhang Q, Xu W. Dispositional mindfulness, perceived social support and emotion regulation among Chinese firefighters: a longitudinal study. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-020-00930-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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19
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Okabe Y, Ito D. Psychometric Properties of the Problematic Pornography Use Scale in a Japanese Sample. ARCHIVES OF SEXUAL BEHAVIOR 2022; 51:1221-1235. [PMID: 34853978 DOI: 10.1007/s10508-021-02141-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/05/2020] [Revised: 05/10/2021] [Accepted: 08/27/2021] [Indexed: 06/13/2023]
Abstract
Problematic pornography use (PPU) is the inability to control the use of pornography and is considered a form of compulsive sexual behavior. It can have a negative effect on one's life and is an important clinical and social issue. In Japan, there is no assessment tool to measure PPU and very little research has been done. The Problematic Pornography Use Scale is one of the scales assessing the severity of PPU. This study validated a Japanese version of the Problematic Pornography Use Scale (PPUS-J) and examined its psychometric properties in a sample of 1011 individuals through an online survey (502 men, 509 women; Mage = 35.9 years, SD = 13.75). The results of the confirmatory factor analysis indicated that the four factors in the original scale were consistent with the factors in the PPUS-J, and strict invariance could be assumed for male and female participants. With regard to reliability, internal consistency indices were appropriate both at the overall and subscale levels for male and female participants. The PPUS-J showed good convergent and divergent validity due to the relationship between the subscales and other measures such as the Sexual Compulsivity Scale. These results demonstrate the validity of the PPUS-J for assessing problematic pornography use in a Japanese sample. Given the paucity of studies conducted in non-Western cultures and on women, this study will be useful in advancing research on PPU across different cultures. Future studies should examine test-retest reliability of the PPUS-J and its use with clinical groups.
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Affiliation(s)
- Yushun Okabe
- Graduate School of Education, Hyogo University of Teacher Education, 942-1 Shimokume Kato-city, Hyogo, 673-1494, Japan.
| | - Daisuke Ito
- Department Clinical Psychology, Graduate School of Education, Hyogo University of Teacher Education, 1-5-7 Higashikawasaki-cho, Kobe, Hyogo, Japan
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20
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Mandal E, Lip M. Mindfulness, relationship quality, and conflict resolution strategies used by partners in close relationships. CURRENT ISSUES IN PERSONALITY PSYCHOLOGY 2022; 10:135-146. [PMID: 38013919 PMCID: PMC10653557 DOI: 10.5114/cipp.2021.111981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Revised: 03/30/2021] [Accepted: 11/22/2021] [Indexed: 11/29/2023] Open
Abstract
BACKGROUND Mindfulness is a specific state of attention which involves a constant focus on what is happening at the present time in a way that is neither judgmental nor evaluative. The aim of this study was to investigate the importance of mindfulness for relationship quality and conflict resolution strategies in close relationships. Five components of mindfulness were examined: observing, describing, acting with awareness, nonjudging, and nonreactivity. PARTICIPANTS AND PROCEDURE The study included 153 participants (79 women, 74 men; aged 19-60 years). 39.2% of the respondents were married, 20.9% were engaged, 39.9 were in romantic relationships. The mean duration of the close relationship was 6.25 years. The following measures were used: the Five Facet Mindfulness Questionnaire, the Patterns of Problem Solving Questionnaire, and the Dyadic Adaptation Scale. RESULTS Acting with awareness, dialogue and avoiding conflict escalation strategy were predictors of relationship quality. The relationship status (marriage and engagement) was also a predictor of relationship quality. Gender, age, and duration of the relationship were not predictors of relationship quality. The results showed correlation between mindfulness and relationship quality (r = .28). There was a positive correlation between nonjudging and satisfaction in the relationship and between describing and emotional expression. Also, there was a negative correlation between nonreactivity and compatibility. Mindfulness was positively correlated with dialogue and negatively correlated with escalation of and withdrawal from a conflict. CONCLUSIONS Mindfulness is important to the relationship's quality and conflict resolution strategies. Among the components of mindfulness, especially acting with awareness is important to relationship quality.
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Affiliation(s)
- Eugenia Mandal
- Institute of Psychology, University of Silesia, Katowice, Poland
| | - Martyna Lip
- Institute of Psychology, University of Silesia, Katowice, Poland
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21
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Fischer VJ, Andersson G, Billieux J, Vögele C. The Relationship Between Emotion Regulation and Sexual Function and Satisfaction: A Scoping Review. Sex Med Rev 2022; 10:195-208. [PMID: 35012894 DOI: 10.1016/j.sxmr.2021.11.004] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Revised: 11/16/2021] [Accepted: 11/22/2021] [Indexed: 12/19/2022]
Abstract
INTRODUCTION Sexual problems are characterized by difficulties in the ability to respond sexually or to obtain sexual pleasure. Their etiology is assumed to be multifactorial, demanding a biopsychosocial treatment approach. Positive sexual experiences involve the dynamic interplay between cognitive, emotional, and motivational factors. Difficulties in emotion identification or impairment in emotion regulation may thus play a pivotal role in the development and maintenance of sexual problems. OBJECTIVES To conduct a scoping review of the literature on the effects of emotion regulation on sexual function and satisfaction. METHODS We conducted a scoping review using Cinahl, Lilacs, Scielo, Scopus, PsycInfo and Pubmed electronic databases using search terms related to emotion regulation and sexual function and satisfaction. RESULTS 27 articles met the inclusion criteria and were further analyzed. Overall, emotion regulation difficulties were associated with poorer sexual health outcomes, difficulties in the sexual response cycle and overall lower sexual satisfaction. Laboratory studies and intervention trials found positive effects of promoting emotion regulation change on sexual function and satisfaction. CONCLUSIONS Despite the methodological diversity of studies, it can be concluded from this review that difficulties in emotion regulation are related to sexual difficulties and sexual dissatisfaction. Future research should consider emotion regulation-focused interventions to mitigate sexual health problems.. Fischer VJ, Andersson G, Billieux J, et al. The Relationship Between Emotion Regulation and Sexual Function and Satisfaction: A Scoping Review. Sex Med Rev 2021;XX:XXX-XXX.
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Affiliation(s)
- Vinicius Jobim Fischer
- Department of Behavioral and Cognitive Sciences, University of Luxembourg, Campus Belval, Maison des Sciences Humaines, Esch-sur-Alzette, Luxembourg.
| | - Gerhard Andersson
- Department of Behavioral Sciences and Learning (IBL), Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden
| | - Joël Billieux
- Cognitive and Affective Regulation Lab (CARLA), Institute of Psychology, University of Lausanne, Quartier UNIL-Mouline, Bâtiment Géopolis, Lausanne, Switzerland
| | - Claus Vögele
- Department of Behavioral and Cognitive Sciences, University of Luxembourg, Campus Belval, Maison des Sciences Humaines, Esch-sur-Alzette, Luxembourg
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22
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Musetti A, Gori A, Alessandra A, Topino E, Terrone G, Plazzi G, Cacioppo M, Franceschini C. The Interplay Between Problematic Online Pornography Use, Psychological Stress, Emotion Dysregulation and Insomnia Symptoms During the COVID-19 Pandemic: A Mediation Analysis. Nat Sci Sleep 2022; 14:83-92. [PMID: 35082545 PMCID: PMC8786338 DOI: 10.2147/nss.s348242] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2021] [Accepted: 01/13/2022] [Indexed: 12/16/2022] Open
Abstract
PURPOSE Although a link between problematic online pornographic use (POPU) and insomnia symptoms has been established, psychological and psychopathological mechanisms underlying this relationship are still not clear. Psychological stress and emotion dysregulation have been pointed out as relevant in the development and maintenance of insomnia. This study aims to explore the associations between POPU, psychological stress, emotion dysregulation and insomnia symptoms and to understand the mediating role of psychological stress and emotion dysregulation in the relationship between POPU and insomnia symptoms. PARTICIPANTS AND METHODS A sample of 776 Italian adults aged 19-48 years (51.4% female; M age = 28.49; SD = 7.33) completed questionnaires regarding demographics, COVID-19-related variables, POPU, psychological stress, emotion dysregulation, and insomnia symptoms. RESULTS After controlling for demographic covariates and COVID-19-related variables, multiple mediation model showed that higher psychological stress and emotion dysregulation fully mediated the link between POPU and insomnia. CONCLUSION The findings underscore the significance of the negative consequences of POPU and underline the importance of working on this and its effects on psychological stress and emotion dysregulation to limit insomnia.
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Affiliation(s)
- Alessandro Musetti
- Department of Humanities, Social Sciences and Cultural Industries, University of Parma, Parma, Italy
| | - Alessio Gori
- Department of Health Sciences, University of Florence, Florence, Italy
| | | | - Eleonora Topino
- Department of Human Sciences, Lumsa University of Rome, Rome, Italy
| | - Grazia Terrone
- Department of History, Cultural Heritage, Education and Society, University of Rome Tor Vergata, Rome, Italy
| | - Giuseppe Plazzi
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy.,IRCCS Institute of Neurological Sciences of Bologna (ISNB), Bologna, Italy
| | - Marco Cacioppo
- Department of Human Sciences, Lumsa University of Rome, Rome, Italy
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23
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van Anders SM, Herbenick D, Brotto LA, Harris EA, Chadwick SB. The Heteronormativity Theory of Low Sexual Desire in Women Partnered with Men. ARCHIVES OF SEXUAL BEHAVIOR 2022; 51:391-415. [PMID: 34426898 PMCID: PMC8382213 DOI: 10.1007/s10508-021-02100-x] [Citation(s) in RCA: 26] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Revised: 06/28/2021] [Accepted: 06/29/2021] [Indexed: 05/10/2023]
Abstract
Low sexual desire in women partnered with men is typically presumed to be a problem-one that exists in women and encourages a research agenda on causation and treatment targeting women. In this paper, we present a distinct way forward for research on low sexual desire in women partnered with men that attends to a more structural explanation: heteronormativity. A heteronormative worldview assumes that relationships and structures are heterosexual, gender (usually conflated with sex) is binary and complementary, and gender roles fit within narrow bounds including nurturant labor for women. We propose the heteronormativity theory of low sexual desire in women partnered with men, arguing that heteronormative gender inequities are contributing factors. We outline four hypotheses and their predictions related to: inequitable divisions of household labor, blurring of partner and mother roles, objectification of women, and gender norms surrounding sexual initiation. We discuss some mechanisms-social, physiological, and otherwise-for the heteronormativity theory, especially related to stress, objectification, and nurturance. We close by noting some limitations of our paper and the ways that the heteronormativity theory of low sexual desire in women partnered with men provides a rigorous, generative, and empirical way forward.
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Affiliation(s)
- Sari M van Anders
- Department of Psychology, Queen's University, 62 Arch Street, Kingston, ON, K7L 3N6, Canada.
- Department of Gender Studies, Queen's University, Kingston, ON, Canada.
- Centre for Neuroscience Studies, Queen's University, Kingston, ON, Canada.
| | - Debby Herbenick
- School of Public Health, Indiana University, Bloomington, IN, USA
| | - Lori A Brotto
- Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, BC, Canada
| | - Emily A Harris
- Department of Psychology, Queen's University, 62 Arch Street, Kingston, ON, K7L 3N6, Canada
| | - Sara B Chadwick
- Departments of Psychology and Women's and Gender Studies, University of Michigan, Ann Arbor, MI, USA
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24
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Dussault É, Lafortune D, Canivet C, Boislard MA, Leavitt CE, Godbout N. Validation of the French sexual mindfulness measure and its links with psychosexual well-being. SEXUAL AND RELATIONSHIP THERAPY 2021. [DOI: 10.1080/14681994.2021.2009794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Éliane Dussault
- Department of Sexology, Université du Québec à Montréal, Québec, Canada
| | - David Lafortune
- Department of Sexology, Université du Québec à Montréal, Québec, Canada
| | - Cloé Canivet
- Department of Sexology, Université du Québec à Montréal, Québec, Canada
| | | | | | - Natacha Godbout
- Department of Sexology, Université du Québec à Montréal, Québec, Canada
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25
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Lafortune D, Girard M, Bolduc R, Boislard MA, Godbout N. Insecure Attachment and Sexual Satisfaction: A Path Analysis Model Integrating Sexual Mindfulness, Sexual Anxiety, and Sexual Self-Esteem. JOURNAL OF SEX & MARITAL THERAPY 2021; 48:535-551. [PMID: 34879210 DOI: 10.1080/0092623x.2021.2011808] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
This study examines the intermediary role of three variables (sexual mindfulness, sexual anxiety, and sexual self-esteem) in a path analysis model to explain the association between insecure attachment and sexual satisfaction. A community sample of 543 adults completed an online survey. Results supported our hypothesized integrative model, which explained 44.1% of the variance in sexual satisfaction and presented satisfactory fit indices. This study suggests that the association between attachment insecurities and lower sexual satisfaction could be partially explained by a proximal association with lower sexual mindfulness, which emphasizes the relevance of examining sexual mindfulness during the screening and treatment of people presenting low sexual satisfaction.Supplemental data for this article is available online at https://doi.org/10.1080/0092623X.2021.2011808 .
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Affiliation(s)
- David Lafortune
- Département de sexologie, Université du Québec à Montréal, Case postale 8888, succursale Centre-ville, Montréal, Québec, H3C 3P8, Canada
| | - Marianne Girard
- Département de sexologie, Université du Québec à Montréal, Case postale 8888, succursale Centre-ville, Montréal, Québec, H3C 3P8, Canada
| | - Roxanne Bolduc
- Département de sexologie, Université du Québec à Montréal, Case postale 8888, succursale Centre-ville, Montréal, Québec, H3C 3P8, Canada
| | - Marie-Aude Boislard
- Département de sexologie, Université du Québec à Montréal, Case postale 8888, succursale Centre-ville, Montréal, Québec, H3C 3P8, Canada
| | - Natacha Godbout
- Département de sexologie, Université du Québec à Montréal, Case postale 8888, succursale Centre-ville, Montréal, Québec, H3C 3P8, Canada
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26
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Selice L, Morris KL. Mindfulness and Sexual Dysfunction: A Systematic Research Synthesis. JOURNAL OF SEX & MARITAL THERAPY 2021; 48:323-342. [PMID: 34693896 DOI: 10.1080/0092623x.2021.1991536] [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
Throughout the previous decade, research exploring the associations between mindfulness and sexual dysfunction has grown exponentially. Researchers have highlighted inverse associations between mindfulness and various sexual dysfunctions, including erectile dysfunction, hypersexuality, and sexual distress, as well as positive associations between mindfulness and sexual desire, sexual satisfaction, and overall sexual functioning. This study sought to describe the state of extant literature exploring the association between mindfulness and sexual dysfunction, identify areas for future study within this area of research, and inform clinical practice when working with those experiencing sexual dysfunction. A systematic search of peer-reviewed journal articles revealed a final sample of 18 articles. After collecting data from all included articles, results support the inverse association between mindfulness and various sexual dysfunctions. Additionally, results highlight that current mindfulness and sexual dysfunction literature focuses more on the individual's experience and does not fully consider how the couple system is often impacted by, and may contribute to, the maintenance of sexual dysfunction. Furthermore, results demonstrate the importance of including LGBTQ + populations in future research, as extant literature in this area has focused primarily on the heterosexual experience.
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Affiliation(s)
- Lauren Selice
- Department of Human Development and Family Science, Florida State University, Tallahassee, Florida, USA
| | - Katherine L Morris
- Department of Human Development and Family Science, Florida State University, Tallahassee, Florida, USA
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27
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Fischer VJ, Andersson G, Billieux J, Vögele C. A randomized controlled trial of an Internet-based emotion regulation intervention for sexual health: study protocol. Trials 2021; 22:706. [PMID: 34654460 PMCID: PMC8518194 DOI: 10.1186/s13063-021-05586-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2021] [Accepted: 09/01/2021] [Indexed: 11/10/2022] Open
Abstract
Introduction Emotion regulation difficulties have been associated with mental disorders and sexual dysfunctions. Traditional face-to-face transdiagnostic emotion regulation interventions have shown positive results for emotional and personality disorders. Only recently have the effects of these interventions on sexual health started to be investigated. Internet-delivered psychological interventions have several advantages over face-to-face interventions, such as cost-effectiveness, accessibility, and suitability for people who experience shame because of their stigmatized problematic behaviors and those who avoid seeking help. The aims of the SHER 2—TREpS (Portuguese acronym for Emotion Regulation training for sexual health) project are as follows: (a) determine the efficacy of an Internet-based emotion regulation intervention for sexual health and sexual satisfaction and (b) explore the effects of the intervention on (1) emotion regulation skills, (2) mental health, and (3) sexual self-perception. Methods and analysis The study will use a randomized controlled trial design. Eligible participants will be randomly allocated to one of two groups: intervention (Internet-based emotion regulation training) or waitlist control. Assessments will take place before the start of the trial, at the end of the trial, and at 6-month follow up, after which participants assigned to the waitlist control condition will receive the same intervention. Primary outcomes include sexual function and satisfaction and secondary outcomes self-report measures of depression, anxiety, difficulties in emotion regulation, and sexual self-perception. This intervention study is financed by the Luxembourg National Research Fund (FNS). Ethics and dissemination Ethics approval was obtained from the Ethics Review Panel of the University of Luxembourg. Findings will be disseminated via peer-reviewed publications and conference presentations.
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Affiliation(s)
- Vinicius Jobim Fischer
- Institute for Health and Behaviour, Department of Behavioural and Cognitive Sciences, University of Luxembourg - Campus Belval, 11, Porte des Sciences, L-4366 Esch-sur-Alzette, Luxembourg, Sweden.
| | - Gerhard Andersson
- Department of Behavioural Science and Learning, Department of Biomedical and Clinical Sciences, Linköping University, SE-581 83, Linköping, Sweden
| | - Joël Billieux
- Cognitive and Affective Regulation Lab (CARLA), Institute of Psychology, University of Lausanne, uartier UNIL-Mouline - Bâtiment Géopolis - Bureau 4240, CH-1015, Lausanne, Switzerland
| | - Claus Vögele
- Institute for Health and Behaviour, Department of Behavioural and Cognitive Sciences, University of Luxembourg - Campus Belval, 11, Porte des Sciences, L-4366 Esch-sur-Alzette, Luxembourg, Sweden
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28
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Hoagland KC, Grubbs JB. Pornography Use and Holistic Sexual Functioning: a Systematic Review of Recent Research. CURRENT ADDICTION REPORTS 2021. [DOI: 10.1007/s40429-021-00378-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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29
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Sánchez-Sánchez LC, Rodríguez MFV, García-Montes JM, Petisco-Rodríguez C, Fernández-García R. Mindfulness in Sexual Activity, Sexual Satisfaction and Erotic Fantasies in a Non-Clinical Sample. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:1161. [PMID: 33525611 PMCID: PMC7908537 DOI: 10.3390/ijerph18031161] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/12/2020] [Revised: 01/25/2021] [Accepted: 01/26/2021] [Indexed: 11/22/2022]
Abstract
The goal of this study is to better understand the relation between the practice of Mindfulness and the sexual activity, sexual satisfaction and erotic fantasies of Spanish-speaking participants. This research focuses on the comparison between people who practice Mindfulness versus naïve people, and explores the practice of Mindfulness and its relation with the following variables about sexuality: body awareness and bodily dissociation, personal sexual satisfaction, partner and relationship-related satisfaction, desire, subjective sexual arousal, genital arousal, orgasm, pain, attitudes towards sexual fantasies and types of sexual fantasies. The sample consisted of 106 selected adults, 32 men and 74 women, who completed six measures on an online survey platform: (a) Mindfulness Attention Awareness Scale (MAAS), (b) Scale of Body Connection (SBC), (c) New Sexual Satisfaction Scale (NSSS), (d) Scale of Sexual Activity in Women (SSA-W) and Men (SSA-M), (e) Hurlbert Index of Sexual Fantasy (HISF), (f) Wilson's Sex Fantasy Questionnaire. In the MAAS, Body Awareness subscale (SBC), NSSS, SSA-W and SSA-M, HISF and intimate fantasies subscale (Wilson's questionnaire), people in the Mindfulness condition showed higher scores and these differences were statistically significant. These results may have relevant implications in the sexuality of clinical and non-clinical samples.
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Affiliation(s)
- Laura C. Sánchez-Sánchez
- Department of Evolutionary and Educational Psychology, Faculty of Science Education and Sport, University of Granada, Calle Santander, Nº 1, 52071 Melilla, Spain;
| | - María Fernanda Valderrama Rodríguez
- Department of Psychology, University of Almería, Carretera Sacramento S/N, La Cañada de San Urbano, 04120 Almería, Spain; (M.F.V.R.); (J.M.G.-M.)
| | - José Manuel García-Montes
- Department of Psychology, University of Almería, Carretera Sacramento S/N, La Cañada de San Urbano, 04120 Almería, Spain; (M.F.V.R.); (J.M.G.-M.)
| | - Cristina Petisco-Rodríguez
- Faculty of Education, Pontifical University of Salamanca, Calle Henry Collet, 52-70, 37007 Salamanca, Spain
| | - Rubén Fernández-García
- Department of Nursing, Physiotherapy and Medicine, University of Almería, Carretera Sacramento S/N, La Cañada de San Urbano, 04120 Almería, Spain;
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30
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Karremans JC, Kappen G, Schellekens M, Schoebi D. Comparing the effects of a mindfulness versus relaxation intervention on romantic relationship wellbeing. Sci Rep 2020; 10:21696. [PMID: 33303938 PMCID: PMC7730385 DOI: 10.1038/s41598-020-78919-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2020] [Accepted: 11/19/2020] [Indexed: 12/17/2022] Open
Abstract
There is increasing scientific interest in the potential association between mindfulness and romantic relationship wellbeing. To date, however, experimental studies using active control groups and testing dyadic effects (i.e. examining both actor and partner effects) are lacking. In the current study, romantically involved individuals engaged for 2 weeks daily in either guided mindfulness exercises, or guided relaxation exercises. Participants, and their partners, completed measures of relationship wellbeing at pre- and post-intervention, and at 1-month follow up. The mindfulness intervention significantly promoted relationship wellbeing, for both participants (i.e. actor effects) and their partners (i.e. partner effects). However, these findings did not significantly differ from changes in relationship wellbeing in the relaxation condition. Theoretical implications of these findings for understanding the association between mindfulness and romantic relationship wellbeing are discussed. Moreover, the findings are discussed in light of recent debates about the relative lack of proper control groups in mindfulness research.
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Affiliation(s)
- Johan C Karremans
- Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands.
| | - Gesa Kappen
- Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands
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Examining the correlates of psychological flexibility in romantic relationship and family dynamics: A meta-analysis. JOURNAL OF CONTEXTUAL BEHAVIORAL SCIENCE 2020. [DOI: 10.1016/j.jcbs.2020.09.010] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
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Dubé JP, Dawson SJ, Rosen NO. Emotion Regulation and Sexual Well-being Among Women: Current Status and Future Directions. CURRENT SEXUAL HEALTH REPORTS 2020. [DOI: 10.1007/s11930-020-00261-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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Henckens MJMJ, de Vries P, Janssen E, De Sutter T, van den Hout AJHC, van Hooren SAH, van Lankveld JJDM. Associations of Affect, Action Readiness, and Sexual Functioning. Sex Med 2020; 8:691-698. [PMID: 32641223 PMCID: PMC7691879 DOI: 10.1016/j.esxm.2020.06.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2020] [Revised: 06/11/2020] [Accepted: 06/14/2020] [Indexed: 11/18/2022] Open
Abstract
Introduction Emotions are theorized to contain the components of affect and action readiness. Affect guides behavior by causing an approach or withdrawal orientation. Action readiness is the individual's degree of willingness to interact with the environment. Emotions contribute to changes in behavior and physiological responses. Aim The present study applied these notions to sexuality and examined the associations between affect, action readiness, and sexual functioning. Methods Participants were male patients with urologic condition (N = 70) with and without sexual problems. Main Outcome Measure Affect and action readiness were jointly assessed using the latent factor of affective polarity of the Positive and Negative Affect Schedule. Trait affective polarity was assessed questioning generally experienced feelings. State affective polarity was assessed after exposure to an erotic stimulus and questioning momentaneously experienced feelings. Sexual functioning was assessed using the International Index of Erectile Functioning questionnaire. Results A significant increase of approach-oriented action readiness was found after erotic stimulation, relative to trait levels. In addition, significant associations were found between state approach-oriented action readiness and various aspects of sexual functioning. Interventions based on principles of positive psychology might be developed to reinforce action readiness in men with erectile dysfunction. The strength of the current research concerns the introduction of action readiness as a potential psychological factor implied in sexual functioning. Limitations pertain to the use of the algorithm used to calculate state approach-oriented action readiness and the use of the current sample of patients with urological conditions, limiting generalizability of findings. Conclusion Action readiness was found to correlate positively with all aspects of sexual functioning. Further research into the role of action readiness in sexuality is recommended. Henckens MJMJ, de Vries P, Janssen E, et al. Associations of Affect, Action Readiness, and Sexual Functioning. Sex Med 2020;8:691–698.
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Affiliation(s)
| | - Peter de Vries
- Department of Urology, Zuyderland MC, Heerlen, The Netherlands
| | - Erick Janssen
- Institute for Family and Sexuality Studies, Department of Neurosciences, University of Leuven, Belgium
| | | | | | - Susan A H van Hooren
- KenVaK, Research Centre for the Arts Therapies, Heerlen, The Netherlands; Zuyd University of Applied Sciences, Faculty of Healthcare, Heerlen, The Netherlands; Open University, Faculty of Psychology, Heerlen, The Netherlands
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Stephenson KR, Welch JP. Statistical Mediators of the Association Between Mindfulness and Sexual Experiences in Men with Impaired Sexual Function. ARCHIVES OF SEXUAL BEHAVIOR 2020; 49:1545-1557. [PMID: 31713094 DOI: 10.1007/s10508-019-01467-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/08/2018] [Revised: 04/17/2019] [Accepted: 05/10/2019] [Indexed: 06/10/2023]
Abstract
Mindfulness-based therapy has shown promise as a treatment for female sexual dysfunction and has the potential to be an efficacious treatment for male sexual dysfunction. However, there has been little empirical evidence regarding the mechanisms through which mindfulness may improve sexual experiences, especially for men. Recent theoretical reviews have suggested potential mediators that may explain the beneficial effects of mindfulness on symptoms of male sexual dysfunction, including reduced avoidance of sex, reduced distraction during sex, and/or reduced activation of negative sexual schemas. We attempted an initial statistical test of these factors as potential mediators of the association between trait mindfulness and multiple sexual outcomes (sexual function, sexual satisfaction, and sexual distress) using a cross-sectional correlational design. A total of 163 men with self-reported current impairments in one or more aspects of sexual function completed self-report scales using a secure online survey. Bivariate correlations indicated that mindfulness was significantly associated with sexual satisfaction, sexual distress, and premature ejaculation, but not other aspects of sexual function. Sexual avoidance statistically mediated the link between mindfulness and sexual satisfaction, both distraction and activation of negative schemas statistically mediated the link between mindfulness and premature ejaculation, and all three factors statistically mediated the link between mindfulness and sexual distress. These results generally supported previous theoretical work and have implications for future treatment outcome research.
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Affiliation(s)
- Kyle R Stephenson
- Department of Psychology, Willamette University, 900 State Street, Salem, OR, 97301, USA.
| | - John P Welch
- Department of Psychology, Willamette University, 900 State Street, Salem, OR, 97301, USA
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Bachem R, Levin Y, Solomon Z. Posttraumatic Stress and Sexual Satisfaction in Husbands and Wives: A Dyadic Analysis. ARCHIVES OF SEXUAL BEHAVIOR 2020; 49:1533-1543. [PMID: 32246223 DOI: 10.1007/s10508-020-01680-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Revised: 03/04/2020] [Accepted: 03/04/2020] [Indexed: 06/11/2023]
Abstract
Trauma survivors who suffer from posttraumatic stress symptoms (PTSS) are known to experience impairments in sexual satisfaction. However, the negative effects of PTSS are not limited to the primary survivors, as they can lead to secondary PTSS in their spouses as well. The implications of secondary PTSS in the sexuality of couples remain unknown. This study aimed to investigate whether specific symptom clusters of PTSS (i.e., intrusions, hyperarousal, and avoidance) are implicated in the sexual satisfaction of couples. We assessed a sample of primarily exposed Israeli veterans from the Yom Kippur War and their wives who had been secondarily exposed (N = 191). The dyadic data were analyzed in an Actor-Partner Independence Model. When scrutinizing specific PTSS clusters, the husbands' avoidance related to their own sexual satisfaction. The wives' hyperarousal related to their own and their spouses' sexual satisfaction, whereas their intrusions were associated only with their husbands' sexual satisfaction. In conclusion, PTSS in one spouse is related to both spouses' sexual satisfaction; it is therefore recommended that clinicians adopt a dyadic approach when delivering interventions.
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Affiliation(s)
- Rahel Bachem
- I-Core Research Center for Mass Trauma, Tel Aviv University, Chaim Levanon 30, 6997801, Tel Aviv, Israel.
- Bob Shapell School of Social Work, Tel-Aviv University, Tel Aviv, Israel.
| | - Yafit Levin
- I-Core Research Center for Mass Trauma, Tel Aviv University, Chaim Levanon 30, 6997801, Tel Aviv, Israel
- Bob Shapell School of Social Work, Tel-Aviv University, Tel Aviv, Israel
| | - Zahava Solomon
- I-Core Research Center for Mass Trauma, Tel Aviv University, Chaim Levanon 30, 6997801, Tel Aviv, Israel
- Bob Shapell School of Social Work, Tel-Aviv University, Tel Aviv, Israel
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Leavitt CE, Allsop DB, Busby DM, Driggs SM, Johnson HM, Saxey MT. Associations of mindfulness with adolescent outcomes and sexuality. J Adolesc 2020; 81:73-86. [PMID: 32387815 DOI: 10.1016/j.adolescence.2020.04.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2019] [Revised: 04/06/2020] [Accepted: 04/21/2020] [Indexed: 10/24/2022]
Abstract
INTRODUCTION Using an online survey, we evaluated how adolescent trait and state mindfulness was associated with positive adolescent outcomes in non-sexually active and sexually active adolescents. Additionally, we evaluated a newly developed measure, the Sexual Mindfulness Measure (SMM), with adolescents. METHODS We asked 2000 U.S. adolescents (half boys/girls; 1/3 low, medium, and high incomes) aged 13-18 (one group 13-15, another 16-18) about trait mindfulness, sexual state mindfulness, and adolescent outcomes. Using Confirmatory Factor Analysis and structured equation modeling, we evaluated the reliability and validity of the SMM and its associations with adolescent outcomes. RESULTS Using a trait mindfulness measure, we found that mindful adolescents with no sexual experience, showed positive associations with self-efficacy, body-esteem, and disclosure with both fathers and mothers. Evaluating adolescents who were sexually active, we confirmed that the SMM had a two-factor structure and demonstrated acceptable reliability for both male and female adolescents. We found that the SMM was associated with positive sexual attitudes, body image, self-efficacy, and disclosure to parents above and beyond trait mindfulness. CONCLUSIONS Trait mindfulness was associated with positive self-assessments and parental disclosure. The SMM provided an important assessment of how sexually active adolescents' ability to remain aware and non-judgmental during sexual experiences may be positively associated with outcomes such as sexual consent, positive body image, self-efficacy, disclosure to parents, and negatively associated with sexual shame and sexual anxiety above and beyond trait mindfulness.
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Affiliation(s)
| | - David B Allsop
- The School of Family Life, Brigham Young University, USA
| | - Dean M Busby
- The School of Family Life, Brigham Young University, USA
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Juarascio A, Manasse S, Clark KE, Schaumberg K, Kerrigan S, Goldstein SP, Evans BC, Wyckoff E, Murray HB, Felonis CR, Forman E. Understanding the overlap and differences in terms describing patterns of maladaptive avoidance and intolerance of negative emotional states. PERSONALITY AND INDIVIDUAL DIFFERENCES 2020. [DOI: 10.1016/j.paid.2020.109859] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
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Bőthe B, Tóth-Király I, Potenza MN, Orosz G, Demetrovics Z. High-Frequency Pornography Use May Not Always Be Problematic. J Sex Med 2020; 17:793-811. [PMID: 32033863 DOI: 10.1016/j.jsxm.2020.01.007] [Citation(s) in RCA: 57] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2019] [Revised: 12/18/2019] [Accepted: 01/07/2020] [Indexed: 12/22/2022]
Abstract
BACKGROUND Previously, variable-centered analytic approaches showed positive, weak-to-moderate associations between frequency of pornography use (FPU) and problematic pornography use (PPU). However, person-centered studies are sparse in the literature, and these could provide insight into whether there are individuals who use pornography frequently and do not experience problems or whether there are individuals with comparable high-frequency use who differ on reported experiencing of negative consequences. AIM The aims of the present study were (i) to identify profiles of pornography use based on FPU and PPU by applying a person-centered analytic approach and (ii) to examine whether the identified profiles could be distinguished based on theoretically relevant demographic and psychological constructs. METHODS Latent profile analyses were conducted on 3 nonclinical samples recruited from general websites and a pornography site (study 1: N = 14,006; study 2: N = 483; study 3: N = 672). RESULTS Results were consistent across all studies. 3 distinct pornography-use profiles emerged: nonproblematic low-frequency pornography use (68-73% of individuals), nonproblematic high-frequency pornography use (19-29% of individuals), and problematic high-frequency use (3-8% of individuals). Nonproblematic and problematic high-frequency-use groups showed differences in several constructs (ie, hypersexuality, depressive symptoms, boredom susceptibility, self-esteem, uncomfortable feelings regarding pornography, and basic psychological needs). CLINICAL TRANSLATION FPU should not be considered as a sufficient or reliable indicator of PPU because the number of people with nonproblematic high-frequency use was 3-6 times higher than that with problematic high-frequency use. These results suggest that individuals with PPU use pornography frequently; however, FPU may not always be problematic. STRENGTHS & LIMITATIONS Self-report cross-sectional methods have possible biases that should be considered when interpreting findings (eg, underreporting or overreporting). However, the present research included 3 studies and involved large community samples and visitors of a pornography website. The present study is the first that empirically investigated pornography-use profiles with a wide range of correlates using both severity of PPU and FPU as profile indicators on specific and general samples. CONCLUSION The present study is a first step in the differentiated examination of pornography-use profiles, taking into consideration both PPU and FPU, and it provides a foundation for further clinical and large-scale studies. Different psychological mechanisms may underlie the development and maintenance of FPU with or without PPU, suggesting different treatment approaches. Therefore, the present results may guide clinical work when considering reasons for seeking treatment for PPU. Bőthe B, Tóth-Király I, Potenza MN, et al. High-Frequency Pornography Use May Not Always Be Problematic. J Sex Med 2020;17:793-811.
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Affiliation(s)
- Beáta Bőthe
- Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary; Département de Psychologie, Université de Montréal, Montreal, Canada.
| | | | - Marc N Potenza
- Departments of Psychiatry and Neuroscience, Child Study Center, Yale University School of Medicine, New Haven, CT, USA; Substance Abuse Center, Connecticut Mental Health Center, New Haven, CT, USA
| | - Gábor Orosz
- Department of Psychology, Stanford University, Stanford, CA, USA; Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary
| | - Zsolt Demetrovics
- Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary
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Weitkamp K, Hänisch I, Heesch SC. A controlled pilot study to test the online intervention Self:Cervix focusing on cervical pain, numbness, sexual pleasure and well-being. PSYCHOLOGY & SEXUALITY 2020. [DOI: 10.1080/19419899.2020.1713874] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Affiliation(s)
- Katharina Weitkamp
- University of Zurich, Clinical Psychology for Children/Adolescents and Families/Couples, Switzerland
| | - Ineka Hänisch
- Faculty of Life Sciences, MSH Medical School Hamburg, Germany
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Leavitt CE, Lefkowitz ES, Waterman EA. The role of sexual mindfulness in sexual wellbeing, Relational wellbeing, and self-esteem. JOURNAL OF SEX & MARITAL THERAPY 2019; 45:497-509. [PMID: 30714489 PMCID: PMC6640099 DOI: 10.1080/0092623x.2019.1572680] [Citation(s) in RCA: 46] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
In this study we examine the role of sexual mindfulness in individuals' sexual satisfaction, relational satisfaction, and self-esteem. Midlife U.S. men and women (N = 194 married, heterosexual individuals; 50.7% female; 94% Caucasian, age range 35-60 years) completed an online survey. More sexually mindful individuals tended to have better self-esteem, be more satisfied with their relationships and, particularly for women, be more satisfied with their sex lives. Some of these associations occurred even after controlling for trait mindfulness. These findings may also allow researchers and therapists to better address an individual's sexual wellbeing, relational wellbeing, and self-esteem by teaching sexual mindfulness skills.
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Affiliation(s)
| | - Eva S. Lefkowitz
- Human Development and Family Studies, University of Connecticut, Storrs, Connecticut, USA
| | - Emily A. Waterman
- Department of Psychology, University of New Hampshire, Durham, New Hampshire, USA
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