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Rocha S, Fernández XM, Castro YR, Ferreira S, Teixeira L, Campos C, Rocha NB. Exploring the associations between early maladaptive schemas and impulsive and compulsive buying tendencies. Front Psychiatry 2023; 14:1157710. [PMID: 37484671 PMCID: PMC10362270 DOI: 10.3389/fpsyt.2023.1157710] [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: 02/03/2023] [Accepted: 06/06/2023] [Indexed: 07/25/2023] Open
Abstract
The main purpose of this preliminary study was to investigate a potential relationship between early maladaptive schemas (EMSs) and impulsive and compulsive buying tendencies in a sample of young adults (college students). This research adds to the cognitive perspective of consumer behavior that the cognitive schemas putatively associated with early experiences may have a strong impact on impulsive and compulsive buying. Data was obtained from 365 participants in a cross-sectional study design. Participants completed an online survey with the following instruments: Young Schema Questionnaire; Impulsive Buying Tendency Measurement Scale; Richmond Compulsive Buying Scale; and Hospital Anxiety and Depression Scale. Using multiple linear hierarchical regressions, we confirmed that the domain of over vigilance and inhibition schemas was positively associated with impulsive and compulsive buying tendencies, while an opposite association was found for the domain of impaired limits. Being a female was also a predictor of impulsive buying and compulsive buying. The results were discussed in terms of the coping mechanisms to deal with negative emotions, as a way to obtain rewards, or as a way to escape painful self-awareness. Other mechanisms related to the internalization of perfectionist expectations and the propensity to shame were also explored.
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Affiliation(s)
- Susana Rocha
- Centre for Social and Organizational Studies (CEOS.PP), ISCAP - Porto Accounting and Business School, Polytechnic University of Porto, Porto, Portugal
- Faculty of Education and Social Work, University of Vigo, Vigo, Spain
| | - Xosé Manuel Fernández
- Centre for Social and Organizational Studies (CEOS.PP), ISCAP - Porto Accounting and Business School, Polytechnic University of Porto, Porto, Portugal
| | - Yolanda Rodríguez Castro
- Centre for Social and Organizational Studies (CEOS.PP), ISCAP - Porto Accounting and Business School, Polytechnic University of Porto, Porto, Portugal
| | - Simão Ferreira
- Center for Translational Health and Medical Biotechnology Research, School of Health, Polytechnic of Porto, Porto, Portugal
| | - Liliana Teixeira
- Center for Translational Health and Medical Biotechnology Research, School of Health, Polytechnic of Porto, Porto, Portugal
- Center for Innovative Care and Health Technology, School of Health Sciences, Polytechnic of Leiria, Leiria, Portugal
| | - Carlos Campos
- Neurocognition Group | LabRP, Center for Rehabilitation Research, School of Health, Polytechnic Institute of Porto, Porto, Portugal
- Digital Human‑Environment Interaction Lab (HEI‑LAB), Lusófona University, Porto, Portugal
| | - Nuno Barbosa Rocha
- Center for Translational Health and Medical Biotechnology Research, School of Health, Polytechnic of Porto, Porto, Portugal
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Allen A, Tully-Wilson C. Early Adaptive Schemas and Sexual Wellbeing in Women: Exploring Differences in Menopausal Status. INTERNATIONAL JOURNAL OF APPLIED POSITIVE PSYCHOLOGY 2023:1-29. [PMID: 37361625 PMCID: PMC10185943 DOI: 10.1007/s41042-023-00100-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/11/2023] [Indexed: 06/28/2023]
Abstract
There is limited research concerning the relationship between early adaptive schema, from Young's Schema Theory, and women's sexual wellbeing. Schema Theory posits that early adaptive schema start forming in early childhood from core emotional needs being met, and positively influence individuals' concept of self, relationships with others, and their behaviours. Building on this theory, the current study explored the relationship of early adaptive schema and adult women's sexual wellbeing at pre-, peri-, and post-menopause. Four hundred and sixty-seven women, mostly partnered and heterosexual, from over ten countries, participated in an online survey measuring relationships between early adaptive schema and sexual wellbeing, measured by sexual functioning and sexual satisfaction. The strength of association of early adaptive schema and sexual well-being were evaluated in addition to known predictors. The results showed higher early adaptive schema were associated with higher sexual wellbeing, measured by sexual satisfaction and sexual functioning,with medium-to-large effect sizes, at pre and peri-menopause, and produced a non-significant result for post-menopause. The association of early adaptive schema continued after known factors were accounted for. The results support the use of early adaptive schema to promote sexual wellbeing for women at pre- and peri-menopause.
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Affiliation(s)
- Andrew Allen
- School of Health, University of the Sunshine Coast, 90 Sippy Downs Drive, Sippy Downs, Queensland 4556 Australia
| | - Colleen Tully-Wilson
- School of Health, University of the Sunshine Coast, 90 Sippy Downs Drive, Sippy Downs, Queensland 4556 Australia
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Doremami F, Salimi H, Heidari Z, Torabi F. The relationship between sexual self-concept and contraception sexual behavior in 15 to 49 years old women covered by community health centers. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2023; 12:27. [PMID: 37034866 PMCID: PMC10079194 DOI: 10.4103/jehp.jehp_1185_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Accepted: 05/30/2022] [Indexed: 06/19/2023]
Abstract
BACKGROUND One of the most important goals of sexual intercourse is to arouse the psychological effects of intercourse and to increase sexual self-concept, which changes following sexual behaviors such as the use of contraception methods. This study was performed to investigate the relationship between sexual self-concept and contraception sexual behavior in 15-49-year-old women covered by community health centers. MATERIALS AND METHODS The present descriptive correlational study was performed on 297 married women referring to Isfahan community health centers in 2020 who were selected as cluster that randomly classified. The tools included demographic information and the Snell's Multidimensional Sexual Self-Concept Questionnaire, the data of which were analyzed via SPSS version 22 software by Mann-Whitney U test and Pearson correlation. RESULTS Among a total of 297 women, 5.4% of the samples used hormonal methods and 94.6% used non-hormonal methods, which was the most common intermittent method. The results also showed that the mean score of negative sexual self-concept in women using the hormonal level method was significantly higher (P = 0.012). Positive and positive sexual self-concept score was significantly higher in women using non-hormonal methods (P = 0.048 and P = 0.002). Therefore, there was a significant relationship between sexual self-concept and contraception method. CONCLUSION Due to the relationship between contraception and sexual self-concept, it is recommended to pay attention to the aspects of sexual self-concept and contraception during reproductive health counselling sessions so that if there is a disorder, useful advice can be provided or referred, if necessary.
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Affiliation(s)
- Fatemeh Doremami
- Master Student of Midwifery, Isfahan University of Medical Sciences, Iran
| | - Hajar Salimi
- Assistant Professor of Psychiatry, Behavioural Sciences Research Centre, Department of Psychiatry, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Zeinab Heidari
- Reproductive Sciences and Sexual Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Fatemeh Torabi
- Reproductive Sciences and Sexual Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
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Damiris IK, Allen A. Exploring the Relationship between Early Adaptive Schemas and Sexual Satisfaction. INTERNATIONAL JOURNAL OF SEXUAL HEALTH : OFFICIAL JOURNAL OF THE WORLD ASSOCIATION FOR SEXUAL HEALTH 2023; 35:13-29. [PMID: 38596764 PMCID: PMC10903692 DOI: 10.1080/19317611.2022.2155897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Revised: 10/15/2022] [Accepted: 11/24/2022] [Indexed: 04/11/2024]
Abstract
Rationale Early maladaptive schemas (EMS) develop from unmet core emotional needs during childhood and adolescence. EMS influence the way individuals perceive themselves and others, while also sharing associations with various sexual difficulties. Contrastingly, Early Adaptive Schemas (EAS) develop when core emotional needs are met. Yet, the potential influence of EAS on sexual wellbeing remains underinvestigated. Objective The current study assessed the relationship between EAS and sexual satisfaction as a primary component of sexual wellbeing. Method The study design was an online, cross-sectional survey. Participants included 732 adults (Mage = 32.05, SDage = 9.30), who completed self-report questionnaires assessing sexual satisfaction and EAS. Results Two, three-step hierarchical regressions evaluated the effect of EAS on sexual satisfaction, controlling for several potentially confounding variables. Results indicated that the only EAS that was associated with sexual satisfaction in both men and women was Realistic Expectations. EAS of Social Belonging and Success were associated with sexual satisfaction for women alone, whereas Self-Compassion was for men. Conclusion Findings provide preliminary evidence that EAS are associated with sexual satisfaction. As such, schema therapy may be a useful therapeutic framework for improving sexual satisfaction, when indicated.
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Affiliation(s)
- Isabella K. Damiris
- School of Health and Behavioral Sciences, University of the Sunshine Coast, Sunshine Coast, Australia
| | - Andrew Allen
- School of Health and Behavioral Sciences, University of the Sunshine Coast, Sunshine Coast, Australia
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Alimoradi Z, Zarabadipour S, Arrato NA, Griffiths MD, Andersen BL, Bahrami N. The relationship between cognitive schemas activated in sexual context and early maladaptive schemas among married women of childbearing age. BMC Psychol 2022; 10:131. [PMID: 35606832 PMCID: PMC9125923 DOI: 10.1186/s40359-022-00829-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Accepted: 05/03/2022] [Indexed: 11/11/2022] Open
Abstract
BACKGROUND Healthy sex can be affected by cognitive schemas activated in the sexual context (CSASCs) and early maladaptive schemas (EMSs). Cognitive schemas are the nuclear structure of the cognitive system which facilitate the interaction between individuals and their environments. CSASCs are emotional and behavioral responses in the sexual context. EMSs are extremely stable, enduring and are developed throughout the life of the individual, beginning in childhood. The present study investigated the relationship between CSASCs and EMSs among married women of childbearing age. METHODS In a cross-sectional study, 260 married women of childbearing age participated. Using two-stage sampling, ten comprehensive urban health centers were first randomly selected and then 26 individuals from each center were invited to participate. Data collection included demographic variables, the Young Schema Questionnaire-Short Form (YSQ-SF) with 15 EMSs (emotional deprivation, abandonment, mistrust/abuse, social alienation, defectiveness, incompetence, dependency, vulnerability to harm, enmeshment, subjugation of needs, self-sacrifice, emotional inhibition, unrelenting standards, entitlement, and insufficient self-control), and the Cognitive Schema Activation in Sexual Context Questionnaires (CSASCQ) with five subscales (undesirability/rejection, incompetence, self-depreciation, difference/loneliness, and helplessness). Data analysis was performed using a uni-variable and multi-variable linear regression model with a stepwise method at a significance level of 0.05. RESULTS The mean age of the participants was 32.48 years and the average duration of their marriage was 10.34 years. The average score of early maladaptive schemas on the YSQ-SF was 151.5 (out of 450). Higher scores indicate more severe maladaptive schemas, although the total score has no defined cutoff point. Scores greater than 15 on each subscale constitute the internalization of that particular maladaptive schema. The highest average subscale scores were the schemas of self-sacrifice and unrelenting standards (M = 16.12, 15.90, respectively), indicating that these two schemas play important roles in the cognition of the participants. The mean score on the CSASCQ was 34.60 (SD ± 12.59; range: 25-125), with the highest mean reported on the loneliness subscale. Hypoactive sexual desire was the most common unpleasant sexual problem (6.9%) and disillusion was the most dominant feeling experienced by participants (33.3%). The results of the multivariable model showed that the following were significant predictors of the CSASC: three subscales of EMS (emotional deprivation [β = 0.28], social isolation [β = 0.31], and emotional inhibition [β = 0.14]) and two demographic variables (job [β = 0.11] and consanguineous marriage [β = 0.20]). In total, the multi-variable model explained 92% of variance of CSASCs. CONCLUSIONS The present study found a significant and meaningful association between EMSs and CSASCs adjusting for the effect of socio-demographic characteristics. The findings indicate that the study of schemas and schema therapy should be considered in both premarital and marital counseling.
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Affiliation(s)
- Zainab Alimoradi
- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, 34197-59811 Iran
| | - Simin Zarabadipour
- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, 34197-59811 Iran
| | - Nicole A. Arrato
- Stress and Immunity Cancer Projects Lab, Department of Psychology, Ohio State University, Columbus, OH USA
| | | | - Barbara L. Andersen
- Stress and Immunity Cancer Projects Lab, Department of Psychology, Ohio State University, Columbus, OH USA
| | - Nasim Bahrami
- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, 34197-59811 Iran
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Rossi V, Galizia R, Tripodi F, Simonelli C, Porpora MG, Nimbi FM. Endometriosis and Sexual Functioning: How Much Do Cognitive and Psycho-Emotional Factors Matter? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095319. [PMID: 35564711 PMCID: PMC9100036 DOI: 10.3390/ijerph19095319] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/03/2022] [Revised: 04/23/2022] [Accepted: 04/25/2022] [Indexed: 12/02/2022]
Abstract
Women with endometriosis often suffer from genito-pelvic pain. The objective of the present study was to analyze the relationship between cognitive and psycho-emotional factors and sexual functioning of women with endometriosis, comparing women with and without endometriosis. A total of 87 women with endometriosis (EG) and 100 women without endometriosis (CG) completed a socio-demographic questionnaire; the short-form of McGill Pain Questionnaire (SF-MPQ); the Female Sexual Functioning Index (FSFI); the Sexual Distress Scale (SDS); the Symptoms Checklist (SCL-90-R); the Toronto Alexithymia Scale (TAS-20); the Positive and Negative Affects Scale (PANAS); the Sexual Dysfunctional Belief Questionnaire (SDBQ); the Sexual Modes Questionnaire (SMQ); and the Questionnaire of Cognitive Schema Activation in Sexual Context (QCSASC). EG obtained worse scores than CG in SF-MPQ, Pain subscale of FSFI, and SDS. EG reached higher scores than CG on almost all scales of SCL-90-R and lower scores in the “Identifying Feelings” scale of TAS-20. Furthermore, EG reported more negative emotions toward sexuality than CG (PANAS) higher scores on the “Affection Primacy” scale of SDBQ and the “Helpless” sexual cognitive schema of QCSASC than CG. No significant differences were found in SMQ. Sexual health professionals should address psychological, emotional, and cognitive factors since they seem involved in patients’ sexual experiences.
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Affiliation(s)
- Valentina Rossi
- Institute of Clinical Sexology, 00198 Rome, Italy;
- Correspondence: ; Tel.: +39-3480324419
| | - Roberta Galizia
- Department of Dynamic, Clinical and Health Psychology, “Sapienza” University, 00185 Rome, Italy; (R.G.); (C.S.); (F.M.N.)
| | | | - Chiara Simonelli
- Department of Dynamic, Clinical and Health Psychology, “Sapienza” University, 00185 Rome, Italy; (R.G.); (C.S.); (F.M.N.)
| | - Maria Grazia Porpora
- Department of Maternal and Child Health and Urology, “Sapienza” University, 00161 Rome, Italy;
| | - Filippo Maria Nimbi
- Department of Dynamic, Clinical and Health Psychology, “Sapienza” University, 00185 Rome, Italy; (R.G.); (C.S.); (F.M.N.)
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Peixoto MM, Nobre PJ. Cognitive-Emotional Predictors of Sexual Functioning in Lesbians, Gays, and Heterosexuals. ARCHIVES OF SEXUAL BEHAVIOR 2020; 49:1823-1838. [PMID: 32462413 DOI: 10.1007/s10508-020-01732-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/16/2017] [Revised: 04/24/2020] [Accepted: 04/27/2020] [Indexed: 06/11/2023]
Abstract
Cognitive-emotional dimensions play a core role in predisposing and maintaining sexual difficulties. This study aimed to assess the role of personality traits, sexual beliefs, cognitive schemas, automatic thoughts and affective states in predicting sexual functioning in a Portuguese sample. A total of 226 lesbian women, 254 heterosexual women, 243 gay men, and 274 heterosexual men completed a web-survey. For each sample, hierarchical regression analyses were conducted, separately. Results indicated that positive affective states and fewer thoughts associated with failure and disengagement during sexual activity act as significant predictors for sexual functioning, in both lesbian and heterosexual women's groups. Specific predictors of better sexual functioning in lesbian women were lower activation of schemas of undesirability and incompetence, and fewer thoughts associated with sexual abuse, body-image and sexual passivity were, whereas particular predictors of better sexual functioning for heterosexual women were erotic thoughts, lower activation of schemas of undesirability and difference/loneliness, and beliefs related to sexual desire as a sin. For men's groups, the best predictor of sexual functioning was the presence of erotic thoughts. Particularly for gay men's group, fewer failure anticipation thoughts were also a predictor of better sexual functioning. Overall, this study supports the core and predictive role of cognitive-emotional dimensions in sexual functioning for lesbian and heterosexual women, as for gay and heterosexual men.
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Affiliation(s)
- Maria Manuela Peixoto
- Psychology for Positive Development Research Center, Lusíada University, Rua Dr. Lopo de Carvalho, 4369-006, Porto, Portugal.
| | - Pedro J Nobre
- Faculty of Psychology and Education Science, Center for Psychology at University of Porto, University of Porto, Porto, Portugal
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Rodriguez A, Ratanasiripong P, Hardaway K, Barron L, Toyama S. Latinx College Students: How Schemas and Attachments Impact Depression and Relationship Satisfaction. HISPANIC JOURNAL OF BEHAVIORAL SCIENCES 2020. [DOI: 10.1177/0739986320910165] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
Latinx college students face challenges regarding depression. The relationships between early maladaptive schemas (EMS) and attachment style on depression and relationship satisfaction were investigated among 236 Latinx college student participants. The Young Schema Questionnaire–Short Form (YSQ-S3) total score was utilized to identify overall schema. Significant correlations were found. Overall schema, attachment anxiety, attachment avoidance, and depression were all positively correlated, while attachment anxiety, attachment avoidance, and depression were negatively correlated with relationship satisfaction. In multiple regression analyses, Model 1, overall schema and attachment anxiety significantly predicted depression. In Model 2, overall schema, attachment anxiety, and attachment avoidance significantly predicted relationship satisfaction, with EMS acting as a positive predictor. Results suggest that Latinx college students with EMS and anxious attachment style endorse more depression, while the influence of EMS and attachment style on relationship satisfaction needs to be further investigated. Considerations for the use of schema therapy and future research are discussed.
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Questionnaire of Cognitive Schema Activation in Sexual Context: translation and psychometric properties of the Italian version. Int J Impot Res 2018; 30:253-264. [DOI: 10.1038/s41443-018-0055-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2018] [Revised: 05/22/2018] [Accepted: 06/17/2018] [Indexed: 11/08/2022]
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Abdolmanafi A, Winter S, Ghorban Jahromi R, Farahani H, Peixoto MM, Nobre P. Psychometric properties of the Persian version of the Questionnaire of Cognitive Schema Activation in Sexual Context (QCSASC) in unsuccessful sexual situations. SEXUAL AND RELATIONSHIP THERAPY 2017. [DOI: 10.1080/14681994.2017.1412418] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Atefe Abdolmanafi
- Department of Sexology, School of Public Health, Faculty of Health Sciences, Curtin University, Western Australia, Australia
| | - Sam Winter
- Department of Sexology, School of Public Health, Faculty of Health Sciences, Curtin University, Western Australia, Australia
| | - Reza Ghorban Jahromi
- Department of Educational and Personality Psychology, Science and Research Branch, Islamic Azad University, Tehran, Iran
| | - Hojatollah Farahani
- Department of Psychology, Azad University of Tehran Medical Sciences, Tehran, Iran
| | - Maria Manuela Peixoto
- Psychotherapy and Psychopathology Research Unit, Research Center on Psychology, School of Psychology, University of Minho, Braga, Portugal
| | - Pedro Nobre
- Department of Psychology, Faculty of Psychology and Education Science, University of Porto, Porto, Portugal
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Peixoto MM, Nobre P. The Activation of Incompetence Schemas in Response to Negative Sexual Events in Heterosexual and Lesbian Women: The Moderator Role of Personality Traits and Dysfunctional Sexual Beliefs. JOURNAL OF SEX RESEARCH 2017; 54:1188-1196. [PMID: 28059574 DOI: 10.1080/00224499.2016.1267103] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Personality traits and dysfunctional sexual beliefs have been described as vulnerability factors for sexual dysfunction in women, and have also been proposed as dispositional variables for the activation of incompetence schemas in response to negative sexual events. However, no study has tested the role of personality traits and dysfunctional sexual beliefs in the activation of incompetence schemas. The current study aimed to assess the moderator role of neuroticism, extraversion, and dysfunctional sexual beliefs in the association between frequency of unsuccessful sexual episodes and activation of incompetence schemas in heterosexual and lesbian women. An online survey was completed by 1,121 women (831 heterosexual; 290 lesbian). Participants completed the NEO Five-Factor Inventory (NEO-FFI), the Sexual Dysfunctional Beliefs Questionnaire-Female Version (SDBQ), and the Questionnaire of Cognitive Schemas Activated in Sexual Context (QCSASC). Findings indicate that neuroticism moderates the association between frequency of negative sexual events and activation of incompetence schemas in heterosexual women. Moreover, several sexual beliefs also act as moderators of the relationship between negative sexual episodes and the activation of cognitive schemas in both heterosexual and lesbian women. Overall, findings support the cognitive-emotional model of sexual dysfunctions, emphasizing the role of personality traits and dysfunctional sexual beliefs as facilitators of the activation of incompetence schemas in response to negative events in women.
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Affiliation(s)
| | - Pedro Nobre
- b Faculty of Psychology and Education Science , University of Porto
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Forbes MK, Baillie AJ, Eaton NR, Krueger RF. A Place for Sexual Dysfunctions in an Empirical Taxonomy of Psychopathology. JOURNAL OF SEX RESEARCH 2017; 54:465-485. [PMID: 28121167 PMCID: PMC5433908 DOI: 10.1080/00224499.2016.1269306] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Sexual dysfunctions commonly co-occur with various depressive and anxiety disorders. An emerging framework for understanding the classification of mental disorders suggests that such comorbidity is a manifestation of underlying dimensions of psychopathology (or "spectra"). In this review, we synthesize the evidence that sexual dysfunctions should be included in the empirical taxonomy of psychopathology as part of the internalizing spectrum, which accounts for comorbidity among the depressive and anxiety disorders. The review has four parts. Part 1 summarizes the empirical basis and utility of the empirical taxonomy of psychopathology. Part 2 reviews the prima facie evidence for the hypothesis that sexual dysfunctions are part of the internalizing spectrum (i.e., high rates of comorbidity; shared cognitive, affective, and temperament characteristics; common neural substrates and biomarkers; shared course and treatment response; and the lack of causal relationships between them). Part 3 critically analyzes and integrates the results of the eight studies that have addressed this hypothesis. Finally, Part 4 examines the implications of reconceptualizing sexual dysfunctions as part of the internalizing spectrum, and explores avenues for future research.
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Affiliation(s)
- Miriam K Forbes
- a Departments of Psychiatry and Psychology , University of Minnesota
| | - Andrew J Baillie
- b Centre for Emotional Health and Centre of Research Excellence in Mental Health and Substance Use , Macquarie University
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Incompetence Schemas and Sexual Functioning in Heterosexual and Lesbian Women: The Mediator Role of Automatic Thoughts and Affective States During Sexual Activity. COGNITIVE THERAPY AND RESEARCH 2016. [DOI: 10.1007/s10608-016-9811-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Advances in the understanding and behavioural management of sexual dysfunctions. Curr Opin Psychiatry 2014; 27:369-73. [PMID: 25055043 DOI: 10.1097/yco.0000000000000081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
PURPOSE OF REVIEW Sexual medicine is a branch often neglected by professionals from different specialties associated with it. However, research in this field has picked up in recent years, owing to recently renewed interest in upholding the sexual rights of the population in general and lesbian, gay, bisexual and transgender groups in particular. The recently released Diagnostic and statistical manual of mental disorders, fifth edition, by the American Psychiatric Association in May 2013 has stirred up the supporters and critics (of Diagnostic and statistical manual of mental disorders, fifth edition) alike. RECENT FINDINGS Diagnostic and statistical manual of mental disorders, fifth edition, has updated diagnostic criteria for some of the sexual disorders to improve understanding and diagnostic validity. Certain sexual dysfunctions have been regrouped and sexual response cycle-based classification has been partially withdrawn. Research in the area of behavioral management of sexual dysfunctions has given some novel concepts, particularly for women. SUMMARY Although improvements in behavioral management (of sexual dysfunctions) and classification/diagnostic criteria in Diagnostic and statistical manual of mental disorders, fifth edition, is a step forward in the field of sexual medicine, we need to further improve our understanding in many of the lacunae, still bearing on the field of sexual medicine, lest we may fall at the first hurdle.
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