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Lutmer A, Walker AM. Patterns of Verbal and Nonverbal Communication During Sex. ARCHIVES OF SEXUAL BEHAVIOR 2024; 53:1449-1462. [PMID: 38361172 DOI: 10.1007/s10508-024-02811-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/16/2023] [Revised: 01/01/2024] [Accepted: 01/09/2024] [Indexed: 02/17/2024]
Abstract
Sexual communication functions as an important relational process expediating satisfying sexual experiences (Sprecher & Hendrick, 2004). Much of the existing literature on sexual communication concerning sexual pleasure biases verbal communication (Babin, 2012). This study adds to the existing research regarding patterns of communication surrounding sex and during sex through qualitative analysis. Further, this inquiry focused on participants' full histories, rather than their tendencies within any current relationship. We analyzed 78 qualitative interview transcripts from participants between the ages of 18 and 69. Participants reported a reluctance to communicate anything but pleasure, discomfort, or dislike during sex to avoid discouraging their partners. Though participants reported a perception that communicating pleasure served as encouragement and affirmation to their partners, most preferred to communicate pleasure nonverbally. Some participants reported a tendency to communicate pain or dislike verbally. Some preferred communication about sexual topics only before or after sexual activities. Participants shared that a high level of comfort with their partner increased sexual communication. How sexual partners communicate sex not only affects pleasure but can only affect intimacy between partners and health. This adds to the scant literature on nonverbal communication during sex and some people's preference for that style (Blunt-Vinti et al., 2019).
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Affiliation(s)
- Audrey Lutmer
- Department of Sociology, Georgia State University, Atlanta, GA, USA
| | - Alicia M Walker
- Department of Sociology, Anthropology, and Gerontology, Missouri State University, 901 S National Ave., Strong Hall 466, Springfield, MO, 65810, USA.
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2
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Dogan JN, Thorpe SY, Malone N, Jester J, Stevens-Watkins D, Hargons C. 'My partner will think I'm weak or overthinking my pain': how being superwoman inhibits Black women's sexual pain disclosure to their partners. CULTURE, HEALTH & SEXUALITY 2023; 25:567-581. [PMID: 35533710 PMCID: PMC11214807 DOI: 10.1080/13691058.2022.2072956] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Accepted: 04/28/2022] [Indexed: 05/10/2023]
Abstract
Black women experience persistent sexual pain that may often last longer than White women. Despite the value of sexual communication to alleviate sexual pain concerns, many women do not disclose sexual pain to their partners. Limited research explores barriers to disclosing sexual pain to partners among Black women. This study seeks to fill this gap. Relying on an integration of Sexual Script theory and Superwoman Schema, the study explored the barriers that premenopausal, cisgender Black women from the Southern USA perceived when disclosing sexual pain to their primary partners. We identified five common themes from women's open-ended responses to an online survey: (a) distressing emotions associated with disclosure; (b) limited knowledge and communication skills; (c) protecting partner's feelings and ego; (d) invading privacy; and (e) taking sole responsibility for managing sexual pain. Findings suggest a combination of intrapsychic, interpersonal and cultural factors influence Black women's perceived ability to have direct and open dyadic communication about sexual pain with their partners. Implications for Black women's sexual health and relationship outcomes are discussed.
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Affiliation(s)
- Jardin N Dogan
- Educational, School, and Counseling Psychology, University of Kentucky, Lexington, KY, USA
| | - Shemeka Y Thorpe
- Educational, School, and Counseling Psychology, University of Kentucky, Lexington, KY, USA
| | - Natalie Malone
- Educational, School, and Counseling Psychology, University of Kentucky, Lexington, KY, USA
| | - Jasmine Jester
- Educational, School, and Counseling Psychology, University of Kentucky, Lexington, KY, USA
| | | | - Candice Hargons
- Educational, School, and Counseling Psychology, University of Kentucky, Lexington, KY, USA
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3
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Sullivan-Myers C, Sherman KA, Beath AP, Cooper MJW, Duckworth TJ. Body image, self-compassion, and sexual distress in individuals living with endometriosis. J Psychosom Res 2023; 167:111197. [PMID: 36805454 DOI: 10.1016/j.jpsychores.2023.111197] [Citation(s) in RCA: 10] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Revised: 01/12/2023] [Accepted: 02/11/2023] [Indexed: 02/17/2023]
Abstract
OBJECTIVE Extensive psychological burden is associated with the experience of living with endometriosis, including negative changes to body image and sexual functioning. Emerging evidence suggests that potential protective factors such as body appreciation and self-compassion may help mitigate these adverse impacts of endometriosis. This study aimed to investigate the association of body image, both positive (body appreciation) and negative (body image disturbance) dimensions, with sexual distress and the potential buffering effect of self-compassion on the body image-sexual distress link. METHODS Data were collected via an online cross-sectional survey (N = 471) assessing body image disturbance, body appreciation, self-compassion and sexual distress in individuals with endometriosis. A series of hierarchical linear regression analyses were conducted to explore the relationship between key variables. RESULTS >80% of the sample reported clinically significant sexual distress and high levels of body image disturbance. Regression analyses indicated a moderate positive effect of body image disturbance with sexual distress, and a weaker inverse effect of self-compassion with sexual distress. Body appreciation was not associated with sexual distress, and no moderating effects of self-compassion were evident. CONCLUSION The high prevalence of sexual distress identified in this sample, along with the finding that body image disturbance was strongly associated with sexual distress, suggest that psychosocial interventions addressing body image may help ameliorate sexual distress in individuals with endometriosis.
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Affiliation(s)
- C Sullivan-Myers
- Centre for Emotional Health, School of Psychological Sciences, Macquarie University, Sydney, NSW, Australia
| | - K A Sherman
- Centre for Emotional Health, School of Psychological Sciences, Macquarie University, Sydney, NSW, Australia; Centre for Ageing, Cognition and Wellbeing, Macquarie University, Sydney, NSW, Australia.
| | - A P Beath
- School of Psychological Sciences, Macquarie University, Sydney, NSW, Australia
| | - M J W Cooper
- Department of Obstetrics and Gynaecology, The University of Sydney, Level 7 187 Macquarie St, Sydney, NSW, Australia
| | - T J Duckworth
- School of Psychology, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, SA, Australia
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Helfenstein F, Kohl Schwartz AS, Imesch P, Rauchfuss M, Wölfler MM, Haeberlin F, von Orelli S, Leeners B. Comparison of male and female perspective in couples involved in sexual relationships and facing endometriosis. Sex Med 2023; 11:qfad013. [PMID: 37256216 PMCID: PMC10226817 DOI: 10.1093/sexmed/qfad013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2022] [Revised: 03/13/2023] [Accepted: 03/21/2023] [Indexed: 06/01/2023] Open
Abstract
Background While the sexuality of patients with endometriosis is an established topic in research, the possible effect of endometriosis on partnership sexuality has come to the fore only recently. To improve counseling, more information is needed on how both partners experience sexuality in the context of endometriosis. Aim Previous research regarding endometriosis and sexuality normally focused on one partner to explore couples' intimate relations, whereas this study provides a comparison on both partners' perspectives on their common sexuality. Methods An overall 302 couples received a questionnaire based on the Brief Index of Sexual Functioning and Sexual History Form, which was modified by endometriosis specialists to better focus on endometriosis-specific aspects. To detect different perspectives on common sexuality within the couple, the Wilcoxon test and the Pearson chi-square test were performed. Outcomes Various aspects of couple sexuality were assessed by both partners to investigate divergent perspectives between the man and the woman within a couple. Results On one hand, male and female partners seem to have divergent perspectives on sexual satisfaction in general, desired frequency of sexual contacts, and the question of the female partner engaging in sexual activity despite discomfort. On the other, they have similar perspectives on who takes initiative in sexual contacts, satisfaction with variety in the sexual relationship, and the impact of sexual limitations on their satisfaction within the partnership. Clinical implications Endometriosis research addressing issues related to sexuality should include male partners; the same applies to consulting women with endometriosis in the context of their relationships rather than as individuals. Strengths and Limitations This is the first analysis conducted on a larger scale of data from both partners in couples dealing with endometriosis. As it provides quantitative information only, some qualitative information remains unexplored. Conclusion As both partners showed tendencies to overestimate their partners' sexual satisfaction and had different perspectives on sensitive topics in sexuality, such as the female partner engaging in sexual activity despite discomfort, addressing sexual communication could be a starting point in counseling couples dealing with endometriosis.
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Affiliation(s)
- Fabienne Helfenstein
- Department of Reproductive Endocrinology, University Hospital Zurich, 8910 Zurich, Switzerland
| | - Alexandra S Kohl Schwartz
- Department of Reproductive Endocrinology, University Hospital Zurich, 8910 Zurich, Switzerland
- Department of Reproductive Endocrinology, Canton Hospital Lucerne, 6000 Lucerne, Switzerland
| | - Patrick Imesch
- Department of Gynecology, University Hospital Zurich, 8910 Zurich, Switzerland
| | | | - Monika M Wölfler
- Division of Gynecology, Endocrinology, and Reproductive Medicine, Department of Obstetrics and Gynecology, University Hospital Graz, 8036 Graz, Austria
| | - Felix Haeberlin
- Department of Gynecology and Obstetrics, Canton Hospital St Gallen, 9000 St Gallen, Switzerland
| | - Stefanie von Orelli
- Department of Gynecology and Obstetrics, Triemli Hospital Zurich, 8063 Zurich, Switzerland
| | - Brigitte Leeners
- Department of Reproductive Endocrinology, University Hospital Zurich, 8910 Zurich, Switzerland
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Lafortune D, Girard M, Dussault É, Philibert M, Hébert M, Boislard MA, Goyette M, Godbout N. Who seeks sex therapy? Sexual dysfunction prevalence and correlates, and help-seeking among clinical and community samples. PLoS One 2023; 18:e0282618. [PMID: 36877709 PMCID: PMC9987801 DOI: 10.1371/journal.pone.0282618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Accepted: 02/20/2023] [Indexed: 03/07/2023] Open
Abstract
Sexual dysfunctions (SD; e.g., female sexual interest/arousal disorder, erectile disorder, female orgasmic disorder, delayed ejaculation, genito-pelvic pain/penetration disorder, etc.) affect up to a third of individuals, impairing sexuality, intimate relationships, and mental health. This study aimed to compare the prevalence of SDs and their sexual, relational, and psychological correlates between a sample of adults consulting in sex therapy (n = 963) and a community-based sample (n = 1,891), as well as examine barriers to sexual health services for SD and the characteristics of individuals seeking such services. Participants completed an online survey. Analyses showed that participants in the clinical sample reported lower levels of sexual functioning and sexual satisfaction and higher levels of psychological distress than participants in the community-based sample. Moreover, higher SD rates were related to lower relational satisfaction and higher psychological distress in the community sample, and to lower sexual satisfaction in both samples. Among participants in the community sample who sought professional services for SD, 39.6% reported that they were unable to access services, and 58.7% reported at least one barrier to receiving help. This study provides important data regarding the prevalence of SD and the link between SD and psychosexual health in clinical and nonclinical samples, as well as barriers to treatment access.
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Affiliation(s)
- David Lafortune
- Department of Sexology, Université du Québec à Montréal, Québec, Canada
- * E-mail:
| | - Marianne Girard
- Department of Sexology, Université du Québec à Montréal, Québec, Canada
| | - Éliane Dussault
- Department of Sexology, Université du Québec à Montréal, Québec, Canada
| | - Mathieu Philibert
- Department of Sexology, Université du Québec à Montréal, Québec, Canada
| | - Martine Hébert
- Department of Sexology, Université du Québec à Montréal, Québec, Canada
| | | | - Mathieu Goyette
- 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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Merwin KE, Bergeron S, Jodouin JF, Mackinnon SP, Rosen NO. Few Differences in Sexual Talk by Gender/Sex and Dyad Type: A Retrospective and Daily Diary Study with Couples. ARCHIVES OF SEXUAL BEHAVIOR 2022; 51:3715-3733. [PMID: 35882742 DOI: 10.1007/s10508-022-02363-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Revised: 06/06/2022] [Accepted: 06/06/2022] [Indexed: 06/15/2023]
Abstract
Sexual talk is a type of verbal communication that occurs exclusively during sexual activity and that is specific to the sexual activity itself. Previous research has identified two types of sexual talk: individualistic (i.e., self-focused) and mutualistic (i.e., sharing/partner-focused), which have generally been linked to greater sexual and relationship well-being. Whether sexual talk use varies by gender/sex (i.e., men, women, gender/sex diverse individuals; GSD) or dyad type (i.e., same- vs. mixed-gender/sex) has not been examined. Given initial evidence that the types of sexual talk may contribute differently to sexual and relationship well-being, it is important to identify factors (e.g., gender/sex) that may be associated with the amount of sexual talk used. We examined differences by gender/sex and dyad type in the average sexual talk use among long-term couples (N = 229; 69 same-gender/sex) using retrospective cross-sectional dyadic data. We also examined these differences in the same sample (N = 217) using a 35-day dyadic daily diary study. Retrospectively, but not daily, women reported using more mutualistic talk than men, especially when partnered with a woman. There were no significant gender/sex or dyad type differences in use of individualistic talk retrospectively or daily. Exploratory analyses with the GSD couples suggested that there may be gender/sex and dyad type differences retrospectively and daily, for individualistic and not mutualistic talk; however, these analyses must be interpreted with caution due to the small subsample size of GSD couples.
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Affiliation(s)
- Kathleen E Merwin
- Department of Psychology and Neuroscience, Dalhousie University, 1355 Oxford St., P.O. Box 15000, Halifax, NS, B3H4R2, Canada
| | - Sophie Bergeron
- Department of Psychology, Université de Montréal, Montréal, QC, Canada
| | | | - Sean P Mackinnon
- Department of Psychology and Neuroscience, Dalhousie University, 1355 Oxford St., P.O. Box 15000, Halifax, NS, B3H4R2, Canada
| | - Natalie O Rosen
- Department of Psychology and Neuroscience, Dalhousie University, 1355 Oxford St., P.O. Box 15000, Halifax, NS, B3H4R2, Canada.
- Department of Obstetrics and Gynaecology, IWK Health Centre, Halifax, NS, Canada.
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Lorenz TK, Ramsdell EL, Brock RL. Communication changes the effects of sexual pain on sexual frequency in the pregnancy to postpartum transition. J Psychosom Obstet Gynaecol 2022; 43:91-98. [PMID: 33076744 DOI: 10.1080/0167482x.2020.1826429] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Abstract
PURPOSE To evaluate how sexual pain influences changes in sexual frequency from the pregnancy to postpartum transition, and to examine how couple's sexual communication interacts with sexual pain during pregnancy. METHODS We explored data following 159 mixed-sex couples across the transition from pregnancy to 6 months postpartum. Couples completed the Relationship Quality Interview and the Marital Satisfaction Inventory-Revised, which assessed their sexual communication, pain and other sexual problems during pregnancy, and frequency of intercourse at pregnancy and postpartum. RESULTS Overall, couples reported a decline in sexual activity from pregnancy to postpartum. Women's sexual pain during pregnancy influenced changes in sexual frequency only among couples who reported poorer communication about sex. Among couples reporting sexual pain and good communication, pain did not impact changes in sexual frequency (i.e. they experienced significant declines in sexual activity into the postpartum period, as expected). In contrast, among couples with poor communication, sexual frequency did not significantly decline. CONCLUSION Our findings suggest that sexual communication alters the effects of sexual pain on postpartum sexual activity. Future research should examine if sexual communication training during pregnancy improves postpartum sexual wellbeing.
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Affiliation(s)
- Tierney K Lorenz
- Department of Psychology, The University of Nebraska-Lincoln, Lincoln, NE, USA.,Center for Brain, Biology and Behavior, The University of Nebraska-Lincoln, Lincoln, NE, USA
| | - Erin L Ramsdell
- Department of Psychology, The University of Nebraska-Lincoln, Lincoln, NE, USA
| | - Rebecca L Brock
- Department of Psychology, The University of Nebraska-Lincoln, Lincoln, NE, USA
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Mallory AB. Dimensions of couples' sexual communication, relationship satisfaction, and sexual satisfaction: A meta-analysis. JOURNAL OF FAMILY PSYCHOLOGY : JFP : JOURNAL OF THE DIVISION OF FAMILY PSYCHOLOGY OF THE AMERICAN PSYCHOLOGICAL ASSOCIATION (DIVISION 43) 2022; 36:358-371. [PMID: 34968095 PMCID: PMC9153093 DOI: 10.1037/fam0000946] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Despite consistent evidence that sexual communication positively correlates with relationship and sexual satisfaction, there has been empirical murkiness regarding which aspects of sexual communication matter more or less for relationship and sexual satisfaction. A systematic meta-analysis was conducted to investigate if the strength of the association between sexual communication and relationship and sexual satisfaction varied by dimensions of sexual communication and individual, interpersonal, and cultural factors. The meta-analysis included 93 studies with 209 unique effect sizes, which represented 38,499 unique individuals in a current relationship. The multilevel meta-analysis evidenced a positive association between sexual communication and both relationship (r = .37) and sexual satisfaction (r = .43). For relationship satisfaction and sexual satisfaction, the effect size for quality of sexual communication (r = .43; .52) was larger compared to the frequency of sexual communication (r = .31; .31) and sexual self-disclosure (r = .28; .39). After controlling for the average age and relationship length of the sample, samples with married participants (r = .49) had larger effect sizes compared to samples with mixed relationship statuses (r = .35). Higher levels of individualism (b = .003) strengthened, and higher levels of gender inequality (b = -.06) weakened, the association between sexual communication and sexual satisfaction. Finally, when sociosexuality was low, sexual communication had a large association with relationship satisfaction for men (r = .69) and a small association for women (r = .16). Measurement, sample characteristics, and cultural factors have an important role in understanding the link between partners' sexual communication and their relationship and sexual satisfaction. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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Lucero Jones R, Jones AC, Fife ST. A Mixed Methods Study of Sexual Communication in Various Couple Typologies Part II: Qualitative Content Analysis. JOURNAL OF SEX & MARITAL THERAPY 2022; 48:663-679. [PMID: 35240952 DOI: 10.1080/0092623x.2022.2041515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
This study presents the second part of a mixed methods exploration of couple sexual communication. The purpose of this study was to better understand the sexual communication processes that characterize various couple typologies. A qualitative content analysis was used to examine the responses of couples who were grouped together according to the typologies developed from the cluster analysis conducted in Part I of this study (Jones & Lucero Jones, 2022). The results revealed 3 primary themes regarding sexual communication: sexual communication behaviors, sexual decision-making processes, and sexual communication outcomes. Most importantly, the 15 subthemes revealed the inner workings of sexual communication in couples of varying typologies. Clinicians may use the findings from this study to recognize communication patterns in couples that may be contributing to sexual dissatisfaction. Furthermore, the study highlights critical sexual communication behaviors and patterns for improvement and connection in the sexual relationship.
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Affiliation(s)
- Rebecca Lucero Jones
- Department of Human Development, Family Studies, and Counseling, Texas Woman's University, Denton, TX, USA
| | - Adam C Jones
- Department of Human Development, Family Studies, and Counseling, Texas Woman's University, Denton, TX, USA
| | - Stephen T Fife
- Department of Community, Family and Addiction Sciences, Texas Tech University, Lubbock, TX, USA
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Ekholm E, Lundberg T, Carlsson J, Norberg J, Linton SJ, Flink IK. ”A lot to fall back on”: experiences of dyspareunia among queer women. PSYCHOLOGY & SEXUALITY 2021. [DOI: 10.1080/19419899.2021.2007988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Elin Ekholm
- School of Law, Psychology and Social Work, Örebro University, Örebro, Sweden
| | - Tove Lundberg
- Department of Psychology, Lund University, Lund, Sweden
| | - Jan Carlsson
- School of Law, Psychology and Social Work, Örebro University, Örebro, Sweden
| | - Joakim Norberg
- School of Law, Psychology and Social Work, Örebro University, Örebro, Sweden
| | - Steven J. Linton
- School of Law, Psychology and Social Work, Örebro University, Örebro, Sweden
| | - Ida K. Flink
- School of Law, Psychology and Social Work, Örebro University, Örebro, Sweden
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Alimoradi Z, Ghorbani S, Bahrami N, Griffiths M, Pakpour A. Socio-demographic predictors of dyadic sexual communication among Iranian married women. SEXOLOGIES 2021. [DOI: 10.1016/j.sexol.2021.09.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Manjula V., Munivenkatappa M, Navaneetham J, Philip M. Quality of Marital Relationship and Sexual Interaction in Couples With Sexual Dysfunction: An Exploratory Study From India. JOURNAL OF PSYCHOSEXUAL HEALTH 2021. [DOI: 10.1177/26318318211047547] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background: Sexual dysfunction and marital intimacy and quality are found to have a reciprocal relationship. Examining this relationship in couples seeking help for sexual dysfunctions in the cultural context of India is worthwhile. Aim: This study aims to explore the nature of sexual functioning, sexual interaction, sexual communication, and marital intimacy and quality in couples with sexual dysfunction. Further, relationship between the above variables is also examined. Methods: A cross-sectional, single-group exploratory design was adopted. A sample of 155 married heterosexual individuals, with a clinical diagnosis of sexual dysfunction in either of the spouses, was included in the study. The tools used included MINI neuropsychiatric interview, Marital Quality Scale, Marital Intimacy Questionnaire, Dyadic Sexual Communication Scale, and Sexual Interaction Inventory. Results: Erectile dysfunction and premature ejaculation in men and hypoactive sexual desire disorder in women were the most common sexual dysfunctions. Majority of the sample were young adults. About 82% of the sample had moderate-to-severe levels of marital distress. Mood disorder was the most common psychiatric disorder reported in the sample. High levels of intimacy problems were seen with no significant gender differences in the overall marital quality or intimacy. Difficulty in the overall sexual interactions was found; however, higher levels of dissatisfaction with the frequency of sex and lower self-acceptance was reported by men compared to women. Significant interrelationships were found between marital quality and intimacy, sexual interaction, and sexual communication. Conclusions: Sexual dysfunctions and marital distress are closely related. Sexual interaction and sexual communication play a significant role in marital quality and intimacy.
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Affiliation(s)
- Manjula V.
- Department of Psychology, Christ (deemed to be) University, Bangalore, Karnataka, India
| | - Manjula Munivenkatappa
- Department of Clinical Psychology, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India
| | - Janardhana Navaneetham
- Department of Psychiatric Social Work, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India
| | - Mariamma Philip
- Department of Biostatistics, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India
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Yang L, Lee JA, Heer E, Pernar C, Colditz GA, Pakpahan R, Imm KR, Kim EH, Grubb RL, Wolin KY, Kibel AS, Sutcliffe S. One-year urinary and sexual outcome trajectories among prostate cancer patients treated by radical prostatectomy: a prospective study. BMC Urol 2021; 21:81. [PMID: 34001094 PMCID: PMC8130427 DOI: 10.1186/s12894-021-00845-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Accepted: 04/28/2021] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND To examine one-year trajectories of urinary and sexual outcomes, and correlates of these trajectories, among prostate cancer patients treated by radical prostatectomy (RP). METHODS Study participants were recruited from 2011 to 2014 at two US institutions. Self-reported urinary and sexual outcomes were measured at baseline before surgery, and 5 weeks, 6 months and 12 months after surgery, using the modified Expanded Prostate Cancer Index Composite-50 (EPIC-50). Changes in EPIC-50 scores from baseline were categorized as improved (beyond baseline), maintained, or impaired (below baseline), using previously-reported minimum clinically important differences. RESULTS Of the 426 eligible participants who completed the baseline survey, 395 provided data on at least one EPIC-50 sub-scale at 5 weeks and 12 months, and were analyzed. Although all mean EPIC-50 scores declined markedly 5 weeks after surgery and then recovered to near (incontinence-related outcomes) or below (sexual outcomes) baseline levels by 12 months post-surgery, some men experienced improvement beyond their baseline levels on each sub-scale (3.3-51% depending on the sub-scale). Having benign prostatic hyperplasia (BPH) at baseline (prostate size ≥ 40 g; an International Prostate Symptom Index Score ≥ 8; or using BPH medications) was associated with post-surgical improvements in voiding dysfunction-related bother at 5 weeks (OR = 3.9, 95% CI: 2.1-7.2) and 12 months (OR = 3.3, 95% CI: 2.0-5.7); and in sexual bother at 5 weeks (OR = 5.7, 95% CI:1.7-19.3) and 12 months (OR = 3.0, 95% CI: 1.2-7.1). CONCLUSIONS Our findings provide additional support for considering baseline BPH symptoms when selecting the best therapy for early-stage prostate cancer.
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Affiliation(s)
- Lin Yang
- Department of Cancer Epidemiology and Prevention Research, Cancer Research and Analytics, Cancer Care Alberta, Alberta Health Services, 5th Floor, Holy Cross Centre, Box ACB, 2210 - 2 St. SW, Calgary, AB T2S 3C3 Canada
- Departments of Oncology and Community Health Sciences, University of Calgary, Calgary, Canada
- Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, 600 S. Taylor Ave., 2nd floor, Rm. 208S, Campus Box 8100, St. Louis, MO 63110 USA
| | - Jung Ae Lee
- Agricultural Statistics Laboratory, University of Arkansas, Fayetteville, USA
| | - Emily Heer
- Department of Cancer Epidemiology and Prevention Research, Cancer Research and Analytics, Cancer Care Alberta, Alberta Health Services, 5th Floor, Holy Cross Centre, Box ACB, 2210 - 2 St. SW, Calgary, AB T2S 3C3 Canada
| | - Claire Pernar
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA USA
| | - Graham A. Colditz
- Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, 600 S. Taylor Ave., 2nd floor, Rm. 208S, Campus Box 8100, St. Louis, MO 63110 USA
| | - Ratna Pakpahan
- Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, 600 S. Taylor Ave., 2nd floor, Rm. 208S, Campus Box 8100, St. Louis, MO 63110 USA
| | - Kellie R. Imm
- Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, 600 S. Taylor Ave., 2nd floor, Rm. 208S, Campus Box 8100, St. Louis, MO 63110 USA
- Division of Health Behavior Research, Department of Preventive Medicine, Keck School of Medicine of the
University of Southern California, 2001 N Soto St., Los Angeles, CA 90032 USA
| | - Eric H. Kim
- Department of Cancer Epidemiology and Prevention Research, Cancer Research and Analytics, Cancer Care Alberta, Alberta Health Services, 5th Floor, Holy Cross Centre, Box ACB, 2210 - 2 St. SW, Calgary, AB T2S 3C3 Canada
- Departments of Oncology and Community Health Sciences, University of Calgary, Calgary, Canada
- Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, 600 S. Taylor Ave., 2nd floor, Rm. 208S, Campus Box 8100, St. Louis, MO 63110 USA
- Agricultural Statistics Laboratory, University of Arkansas, Fayetteville, USA
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA USA
- Division of Urological Surgery, Department of Surgery, Washington University School of Medicine, St Louis, USA
- Department of Urology, Medical University of South Carolina, Charleston, USA
- Coeus Health, Chicago, IL USA
- Division of Urology, Department of Surgery, Brigham and Women’s Hospital, Boston, USA
- Division of Health Behavior Research, Department of Preventive Medicine, Keck School of Medicine of the
University of Southern California, 2001 N Soto St., Los Angeles, CA 90032 USA
| | - Robert L. Grubb
- Division of Urological Surgery, Department of Surgery, Washington University School of Medicine, St Louis, USA
- Department of Urology, Medical University of South Carolina, Charleston, USA
| | | | - Adam S. Kibel
- Division of Urology, Department of Surgery, Brigham and Women’s Hospital, Boston, USA
| | - Siobhan Sutcliffe
- Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, 600 S. Taylor Ave., 2nd floor, Rm. 208S, Campus Box 8100, St. Louis, MO 63110 USA
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Attaky A, Schepers J, Kok G, Dewitte M. The Role of Sexual Desire, Sexual Satisfaction, and Relationship Satisfaction in the Sexual Function of Arab Couples Living in Saudi Arabia. Sex Med 2021; 9:100303. [PMID: 33529812 PMCID: PMC8072168 DOI: 10.1016/j.esxm.2020.100303] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2020] [Revised: 12/03/2020] [Accepted: 12/06/2020] [Indexed: 01/12/2023] Open
Abstract
INTRODUCTION This study is one of the first to examine the association between relationship and sexual variables as approached from a dyadic perspective in Saudi Arabian couples. Theoretical models assign an important role to relationship factors in women's sexuality. AIM We examined the role of sexual and relationship satisfaction relative to sexual desire in explaining sexual function in a sample of clinical versus nonclinical couples. METHODS This is a cross-sectional, observational study in a sample of 50 heterosexual couples with sexual problems and 50 control couples without problems (N = 100 couples; 200 men and women). MAIN OUTCOME MEASURE All participants completed an Arabic version of measures of relationship satisfaction, sexual satisfaction, sexual desire, sexual distress, and sexual function. RESULTS Results showed that in the clinical group, sexual function of women was predicted by their own and their partner's level of sexual satisfaction, and their own level of solitary and dyadic sexual desire. Men's sexual function was predicted by their own sexual satisfaction and their partner's relationship satisfaction. In the control group, the sexual function of women was predicted only by their level of sexual satisfaction. In men, sexual function was predicted by their own sexual satisfaction and their level of dyadic sexual desire. CONCLUSION These results suggest that sexual desire rather than relationship satisfaction plays an important role in women's sexual dysfunction. Being the most consistent determinant of male and female sexual functioning, sexual satisfaction is an important target of intervention in Arabian couples. A Attaky, J Schepers, G Kok, et al. The Role of Sexual Desire, Sexual Satisfaction, and Relationship Satisfaction in the Sexual Function of Arab Couples Living in Saudi Arabia. Sex Med 2021;9:100303.
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Affiliation(s)
- Atia Attaky
- Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands; Department of Neuropsychiatry, Al-Mattaria Teaching Hospital, Cairo, Egypt; Mutmaena Medical Psychiatric Center Riyadh. 1622. KSA.
| | - Jan Schepers
- Department of Methodology and Statistics, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands
| | - Gerjo Kok
- Department of Work and Social Psychology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands
| | - Marieke Dewitte
- Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands
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Vencill JA, Kacel EL, Avulova S, Ehlers SL. Barriers to sexual recovery in women with urologic cancers. Urol Oncol 2020; 40:372-378. [PMID: 33248897 DOI: 10.1016/j.urolonc.2020.11.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2020] [Revised: 09/27/2020] [Accepted: 11/04/2020] [Indexed: 01/23/2023]
Abstract
Sexual health concerns are prevalent and distressing in oncology patients and survivors. While urologic cancers are more prevalent in men, women often have more advanced disease at initial diagnosis, require more advanced surgical resection, and experience higher postoperative complication rates, as well as morbidity and mortality. Women with urologic cancers undergo treatment that is highly likely to impact their sexual function and well-being, however, attention to sexual recovery in this patient population has been limited. Barriers to sexual recovery in women with urologic cancers are biopsychosocial in nature and include complications related to treatment procedures, cancer-related distress, sexual anxiety and avoidance, partner and relational dynamics, and sexual communication skills. Healthcare providers do not adequately address sexual difficulties for these patients and their partners. Sexual minority women and transgender patients with urologic cancer have unique psychosocial and sexual health needs though, due to a lack of research, these remain poorly understood. More research is needed to pinpoint the sexual health needs of this specific oncology population and to explore how various treatment options, such as pelvic organ-sparing cystectomy, can impact sexual health outcomes. Evidence-based and multidisciplinary oncologic and survivorship care, which includes licensed mental health providers, certified sex therapists, and other sexual health experts, is essential for assisting women in their sexual recovery following urologic cancer.
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Affiliation(s)
- Jennifer A Vencill
- Division of General Internal Medicine, Mayo Clinic, Rochester, MN; Department of Psychiatry & Psychology, Mayo Clinic, Rochester, MN.
| | | | | | - Shawna L Ehlers
- Department of Psychiatry & Psychology, Mayo Clinic, Rochester, MN
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Fergus KB, Cohen AJ, Cedars BE, Rowen TS, Patino G, Breyer BN. Risk Factors for Sexual Pain Among Physically Active Women. Sex Med 2020; 8:501-509. [PMID: 32439324 PMCID: PMC7471064 DOI: 10.1016/j.esxm.2020.03.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Revised: 03/27/2020] [Accepted: 03/31/2020] [Indexed: 10/26/2022] Open
Abstract
INTRODUCTION Sexual pain is common among women but little is known about associations with exercise and physical activity. AIM To determine the prevalence of sexual pain among physically active women and to evaluate cycling and other potential risk factors. METHODS This is a secondary data analysis of a study on the urinary and sexual wellness of physically active women recruited through sporting clubs and targeted social media advertising. We used multivariable logistic regression to assess the role of cycling and exercise in reporting any, frequent, or severe sexual pain, controlling for demographic, relationship, and health risk factors. MAIN OUTCOME MEASURE Sexual pain, including frequency and severity, was measured using the Female Sexual Function Index. RESULTS A total of 2,039 women were included, with 1,097 (54%) reporting any level of sexual pain, 364 (18%) experiencing frequent pain, and 378 (19%) reporting severe pain. Less than 5% of women reported diabetes or hypertension, and the cohort had a median body mass index of 23.3 (interquartile range 21.4-25.7). Increasing age and body mass index were protective against any sexual pain, as was cycling (odds ratio [OR] 0.73 [95% CI 0.59-0.90]). Participants who reported being "moderately satisfied" (OR 0.53 [95% CI 0.31-0.91]) or "very satisfied" (OR 0.33 [95% CI 0.19-0.56]) with their emotional closeness to a sexual partner had decreased odds of any sexual pain. CONCLUSION Experiencing any sexual pain is common in physically active women, with a prevalence of over 50%; however, weekly energy expenditure from exercise was not associated with sexual pain. Cycling participation and higher levels of emotional closeness and intimacy were associated with less pain. Patients between the ages of 18 and 30 years who were normal or underweight incurred the highest risk of sexual pain. Fergus KB, Cohen AJ, Cedars BE, et al. Risk Factors for Sexual Pain Among Physically Active Women. Sex Med 2020;8:501-509.
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Affiliation(s)
- Kirkpatrick B Fergus
- Department of Urology, University of California-San Francisco, San Francisco, CA, USA
| | - Andrew J Cohen
- Department of Urology, University of California-San Francisco, San Francisco, CA, USA
| | - Benjamin E Cedars
- Department of Urology, University of California-San Francisco, San Francisco, CA, USA
| | - Tami S Rowen
- Department of Obstetrics and Gynecology, University of California-San Francisco, San Francisco, CA, USA
| | - German Patino
- Department of Urology, University of California-San Francisco, San Francisco, CA, USA; Hospital San Ignacio, Bogota, Colombia
| | - Benjamin N Breyer
- Department of Urology, University of California-San Francisco, San Francisco, CA, USA; Department of Biostatistics and Epidemiology, University of California-San Francisco, San Francisco, CA, USA.
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Abstract
Vulvodynia is a condition that occurs in 8-10% of women of all ages and is characterized by pain at the vulva that is present during sexual and/or non-sexual situations. Diagnosis is established through careful medical history and pelvic examination, including the cotton-swab test. The onset and maintenance of vulvodynia involves a complex interplay of peripheral and central pain mechanisms, pelvic floor muscle and autonomic dysfunction, anxiety, depression and childhood maltreatment as well as cognitive-affective, behavioural and interpersonal factors. Given the absence of empirically supported treatment guidelines, a stepwise approach of pelvic floor physical therapy and cognitive behavioural therapy as well as medical management is suggested, with surgery as the last option. Vulvodynia has a negative effect on the quality of life of women and their partners, and imposes a profound personal and societal economic burden. In addition, women with vulvodynia are more likely to report other chronic pain conditions, which further alters their quality of life. Future efforts should aim to increase girls', women's and healthcare professionals' education and awareness of vulvodynia, phenotype different subgroups of women based on biopsychosocial characteristics among more diverse samples, conduct longitudinal studies and improve clinical trial designs.
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Merwin KE, Rosen NO. Perceived Partner Responsiveness Moderates the Associations Between Sexual Talk and Sexual and Relationship Well-Being in Individuals in Long-Term Relationships. JOURNAL OF SEX RESEARCH 2020; 57:351-364. [PMID: 31090449 DOI: 10.1080/00224499.2019.1610151] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Sexual communication promotes sexual and relationship well-being. Previous research has frequently neglected couples' communication that occurs exclusively during sexual activity, and that is specific to that sexual interaction (i.e., sexual talk). We examined associations between individualistic and mutualistic (i.e., self- and other-focused) sexual talk and sexual and relationship well-being, and the potential moderating role of perceived partner responsiveness to sexual talk (PPR). An MTurk community sample of 303 individuals (171 female) in committed relationships completed online measures assessing sexual satisfaction, sexual functioning, sexual distress, relationship satisfaction, sexual talk, and PPR. Greater mutualistic talk was associated with higher female sexual functioning, whereas greater individualistic talk was associated with lower relationship satisfaction. At higher levels of PPR, using more mutualistic talk was associated with less sexual distress and more individualistic talk was associated with greater sexual satisfaction. At lower levels of PPR, more mutualistic talk was associated with more sexual distress and more individualistic talk was linked to poorer sexual satisfaction. PPR may help buffer against the negative associations between self-focused (i.e., individualistic) sexual talk and sexual and relationship well-being, whereas other-focused (i.e., mutualistic) sexual talk may be beneficial for sexual and relationship well-being, unless a partner is perceived as very unresponsive.
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Affiliation(s)
| | - Natalie O Rosen
- Department of Psychology and Neuroscience, Dalhousie University
- Department of Obstetrics and Gynaecology, IWK Health Centre
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Persistent Genitopelvic Pain: Classification, Comorbidities, Chronicity, and Interpersonal Factors. CURRENT SEXUAL HEALTH REPORTS 2020. [DOI: 10.1007/s11930-020-00239-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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20
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Relationship intimacy, sexual distress, and help-seeking for sexual problems among older European couples: a hybrid dyadic approach. Int J Impot Res 2019; 32:525-534. [PMID: 31745260 DOI: 10.1038/s41443-019-0214-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2019] [Revised: 10/29/2019] [Accepted: 11/05/2019] [Indexed: 11/08/2022]
Abstract
There is evidence that emotional intimacy can buffer the distress associated with sexual difficulties. Considering that older adults are at an increased risk of chronic illness, many of which (including their medical treatment) can impact their sexual well-being, the link between intimacy and sexual distress may be particularly relevant for older couples. To start bridging the gap in our understanding of the links between older couples' emotional intimacy, distress about sexual function, and seeking professional help for sexuality-related issues, the current study used a 4-country sample with 218 Norwegian, 207 Danish, 135 Belgian, and 117 Portuguese couples aged 60-75 years. Two hypotheses were explored with a hybrid dyadic analysis: (1) a couple's emotional intimacy is negatively related to partner's distress about sexual function, but (2) positively associated with their help-seeking for sexual health issues. Less than 10% of participants in the current study reported seeking professional help, with the majority reporting their primary care physician as the contacted person. Couples' emotional intimacy was consistently (and negatively) associated with female partners' sexual distress across countries, but was unrelated to help-seeking for sexual problems. The findings illustrate the role of shared emotional intimacy in older women's distress about sexual function, but also indicate that older couples characterized by high intimacy should not be assumed to seek professional help for sexually related issues more readily than other couples.
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Séguin LJ, Blais M. Pleasure is just the tip of the iceberg: Social representations, personal beliefs, and attributed meanings to partnered orgasm. THE CANADIAN JOURNAL OF HUMAN SEXUALITY 2019. [DOI: 10.3138/cjhs.2019-0027] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- Léa J. Séguin
- Department of Sexology, Université du Québec à Montréal, Montreal, QC
| | - Martin Blais
- Department of Sexology, Université du Québec à Montréal, Montreal, QC
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Mallory AB, Stanton AM, Handy AB. Couples' Sexual Communication and Dimensions of Sexual Function: A Meta-Analysis. JOURNAL OF SEX RESEARCH 2019; 56:882-898. [PMID: 30777780 PMCID: PMC6699928 DOI: 10.1080/00224499.2019.1568375] [Citation(s) in RCA: 45] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Research and clinical data have shown that couples with sexual problems report a lack of sexual communication. However, no published meta-analyses have evaluated the relationship between sexual communication and sexual function. This meta-analysis examines the correlation between couples' sexual communication and dimension of sexual function across 48 studies. Sexual communication was positively associated with sexual desire (r = .16), sexual arousal (r = .21), lubrication (r = .17), orgasm (r = .23), erectile function (r = .19), less pain (r = .12), and overall sexual function (r = .35). The effect sizes for sexual desire (r = .21; r = .12) and orgasm (r = .26; r = .16) were higher for women than for men. For overall sexual function, studies with married participants (r = .47) had a larger effect size than studies with participants with multiple relationship types (r = .31) or than studies with dating participants (r = .11). Effect sizes were larger for studies conducted outside of the United States (r = .39) compared to studies conducted in the United States (r = .12). We discuss the importance of addressing the relationship between sexual communication and sexual function, as well as future directions for research in this area.
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Affiliation(s)
- Allen B Mallory
- Department of Human Development and Family Sciences, The University of Texas at Austin
- The Population Research Center, The University of Texas at Austin
| | | | - Ariel B Handy
- Department of Psychology, The University of Texas at Austin
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Arthur EK, Wills CE, Browning K, Overcash J, Menon U. The Self-Efficacy to Communicate about Sex and Intimacy (SECSI) scale: psychometric assessment in women treated for cancer. Support Care Cancer 2019; 28:1449-1457. [PMID: 31273504 DOI: 10.1007/s00520-019-04963-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2018] [Accepted: 06/20/2019] [Indexed: 12/15/2022]
Abstract
PURPOSE The purpose of this study was to conduct a preliminary validation of the psychometric performance of the newly developed Self-Efficacy to Communicate about Sex and Intimacy (SECSI) scale in a sample of women treated for cancer. METHODS Partnered women (n = 250) who had received treatment for cancer completed an online survey that included the SECSI scale and measures of health-related quality of life, depression, anxiety, sexual function, sexual distress, self-efficacy for sexual functioning, sexual behaviors, relationship satisfaction, and satisfaction with sexual communication. Sociodemographic and clinical cancer characteristics data were collected. RESULTS High internal consistency and strong test-retest reliability of the SECSI scale were shown with a Cronbach's alpha coefficient of 0.94 and test-retest reliability of r = 0.82, respectively. Construct validity of the SECSI scale, including discriminant, convergent, and divergent validity, was supported except regarding hypothesized relationships between SECSI scores and participant age and time since treatment. CONCLUSIONS The SECSI scale is a valid, reliable measure for use with partnered women treated for cancer. Clinicians working with cancer survivors who may be at risk for difficulties communicating about sex and intimacy needs after cancer treatment may use this scale to identify women who would benefit from interventions to increase their confidence to communicate with their partner. The SECSI scale fills an important gap in ability to assess self-efficacy to communicate about sex and intimacy.
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Affiliation(s)
- Elizabeth K Arthur
- College of Nursing, The Ohio State University, 1585 Neil Ave., Columbus, OH, 43210, USA.
| | - Celia E Wills
- College of Nursing, The Ohio State University, 1585 Neil Ave., Columbus, OH, 43210, USA
| | - Kristine Browning
- College of Nursing, The Ohio State University, 1585 Neil Ave., Columbus, OH, 43210, USA
| | - Janine Overcash
- College of Nursing, The Ohio State University, 1585 Neil Ave., Columbus, OH, 43210, USA
| | - Usha Menon
- College of Nursing, University of South Florida, 12901 Bruce B. Downs, MDN 22, Tampa, FL, 33612-4742, USA
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Rosen NO, Bergeron S. Genito-Pelvic Pain Through a Dyadic Lens: Moving Toward an Interpersonal Emotion Regulation Model of Women's Sexual Dysfunction. JOURNAL OF SEX RESEARCH 2019; 56:440-461. [PMID: 30252510 DOI: 10.1080/00224499.2018.1513987] [Citation(s) in RCA: 44] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Researchers and clinicians alike widely acknowledge the inherently interpersonal nature of women's sexual dysfunctions given that both partners impact and are impacted by these difficulties. Yet theoretical models for understanding the role of interpersonal factors in women's sexual dysfunctions are severely lacking and have the potential to guide future research and inform more effective interventions. The most widely studied sexual dysfunction in women that has espoused a dyadic approach by including both members of affected couples is genito-pelvic pain/penetration disorder (GPPPD). In this article we use the example of GPPPD to introduce a novel interpersonal emotion regulation model of women's sexual dysfunction. We first review current knowledge regarding distal and proximal interpersonal factors in GPPPD. Then, we describe our theoretical model and consider relevant pain and sex-related research on emotion regulation processes-emotional awareness, expression, and experience-in the context of GPPPD, including sexual function, satisfaction, and distress. Next, we review how existing theories from the fields of chronic pain and sex and relationships research have informed our model and how our model further builds on them. Finally, we discuss the implications of our model and its applications, including to other sexual dysfunctions in women.
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Affiliation(s)
- Natalie O Rosen
- a Department of Psychology and Neuroscience , Dalhousie University
- b Department of Obstetrics and Gynecology , IWK Health Centre
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25
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26
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Merwin KE, O'Sullivan LF, Rosen NO. We Need to Talk: Disclosure of Sexual Problems Is Associated With Depression, Sexual Functioning, and Relationship Satisfaction in Women. JOURNAL OF SEX & MARITAL THERAPY 2017; 43:786-800. [PMID: 28107110 DOI: 10.1080/0092623x.2017.1283378] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Women with sexual problems (e.g., difficulties with desire, arousal, lubrication, orgasm, and pain during sexual activity) experience more depressive symptoms, and poorer sexual functioning and relationship satisfaction compared with unaffected women. A robust literature highlights the importance of sexual communication, and sexual self-disclosures in particular, for the well-being of individuals in romantic relationships. However, little is known about the disclosure of sexual problems to romantic partners and its association with women's psychological, sexual, and relationship well-being. This study examined the proportion of women (N = 277) who disclose (vs. do not disclose) sexual problems to their partner, and the consequences of disclosure. Women (Mage = 29.79, SD = 6.54) completed online validated measures assessing sexual problems, relationship satisfaction, sexual functioning, and depressive symptoms. The majority (69.3%) reported disclosing sexual problems to their current romantic partner. Disclosers reported fewer depressive symptoms, and greater sexual functioning and relationship satisfaction compared to nondisclosers. Disclosing sexual problems may benefit women's well-being by enhancing intimacy or allowing couples to adapt sexual activities to accommodate sexual problems. Clinicians might use cognitive-behavioral strategies to assist women in disclosing sexual problems to partners to maximize the potential psychological, sexual, and relationship benefits.
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Affiliation(s)
- Kathleen E Merwin
- a Department of Psychology and Neuroscience , Dalhousie University , Halifax , NS , Canada
| | - Lucia F O'Sullivan
- b Department of Psychology , University of New Brunswick , Fredericton , NB , Canada
| | - Natalie O Rosen
- a Department of Psychology and Neuroscience , Dalhousie University , Halifax , NS , Canada
- c Department of Obstetrics and Gynaecology , IWK Health Centre , Halifax , NS , Canada
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Muin DA, Sheikh Rezaei S, Tremmel-Scheinost M, Salama M, Luger A, Wolzt M, Husslein PW, Bayerle-Eder M. Men's sexual response to female partner's intranasal oxytocin administration for hypoactive sexual desire disorder: an open prospective cohort study. Fertil Steril 2017; 107:781-787.e3. [DOI: 10.1016/j.fertnstert.2016.12.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2016] [Revised: 11/07/2016] [Accepted: 12/07/2016] [Indexed: 10/20/2022]
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Kim HY, Ko E. Factors Influencing Sexual Function in Postmenopausal Married Women. KOREAN JOURNAL OF WOMEN HEALTH NURSING 2016; 22:287-296. [PMID: 37684877 DOI: 10.4069/kjwhn.2016.22.4.287] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2016] [Revised: 12/14/2016] [Accepted: 12/15/2016] [Indexed: 09/10/2023] Open
Abstract
PURPOSE This study identified the level of marital intimacy, menopausal symptom and sexual function, and examined factors affecting sexual function in postmenopausal married women. METHODS With cross-sectional survey, a sample of 245 subjects aged 45 to 60 years was recruited from January to March, 2014. Data were collected using self-reported questionnaires which included marital intimacy questionnaire (MIQ), menopause rating scale (MRS), and female sexual function index (FSFI). Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression. RESULTS Marital intimacy, menopausal symptom and sexual function scores of subjects were 3.46±1.14, 13.71±6.61, and 12.55±8.33, respectively. Marital intimacy and menopausal symptom were related to sexual function. Variables including marital intimacy, psychosocial and urogenital menopausal symptom, period since menopause and body mass index therapy explained 51.5% in sexual function of participants. CONCLUSION When nurses plan sexual counseling and education for sexual function of postmenopausal married women, it is necessary to consider marital intimacy, menopausal symptoms, and menopause-related factors.
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Affiliation(s)
- Hye Young Kim
- College of Nursing, Research Institute of Nursing Science, Chonbuk National University, Jeonju, Korea
| | - Eun Ko
- College of Nursing, Research Institute of Nursing Science, Chonbuk National University, Jeonju, Korea
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Rancourt KM, Rosen NO, Bergeron S, Nealis LJ. Talking About Sex When Sex Is Painful: Dyadic Sexual Communication Is Associated With Women's Pain, and Couples' Sexual and Psychological Outcomes in Provoked Vestibulodynia. ARCHIVES OF SEXUAL BEHAVIOR 2016; 45:1933-1944. [PMID: 26739823 DOI: 10.1007/s10508-015-0670-6] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/27/2015] [Revised: 11/02/2015] [Accepted: 11/17/2015] [Indexed: 06/05/2023]
Abstract
Provoked vestibulodynia (PVD) is a recurrent vulvovaginal pain condition associated with psychological and sexual consequences for affected women and their partners, including lower quality of dyadic sexual communication compared to pain-free couples. Although greater sexual communication is associated with positive sexual and relational outcomes for both pain-free couples and couples experiencing painful sex, little is known about its role in women's pain and psychological outcomes, especially in a relational context. The present study examined associations between dyadic sexual communication and pain, sexual satisfaction, sexual functioning, and depressive symptoms in a sample of 107 couples in which the woman was diagnosed with PVD via a standardized gynecological assessment. Women completed a measure of pain intensity, and both members of the couple completed measures of their dyadic sexual communication, sexual satisfaction, sexual functioning, and depressive symptoms. Analyses were guided by the actor-partner interdependence model. Women and partners' own perceptions of greater dyadic sexual communication were associated with their own greater sexual satisfaction and sexual functioning, and lower depressive symptoms. Partners' perceptions of greater dyadic sexual communication were also associated with women's lower pain and greater sexual satisfaction. Results point to the importance of dyadic coping conceptualizations for both individual and interpersonal outcomes in PVD. Dyadic sexual communication may be a key treatment target for interventions aimed at improving the pain and psychological and sexual impairments of women with PVD and their partners.
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Affiliation(s)
- Kate M Rancourt
- Department of Psychology and Neuroscience, Dalhousie University, 1355 Oxford Street, PO Box 15000, Halifax, NS, B3H 4R2, Canada.
| | - Natalie O Rosen
- Department of Psychology and Neuroscience, Dalhousie University, 1355 Oxford Street, PO Box 15000, Halifax, NS, B3H 4R2, Canada
- Department of Obstetrics and Gynecology, IWK Health Centre, Halifax, NS, Canada
| | - Sophie Bergeron
- Department of Psychology, Université de Montréal, Montréal, QC, Canada
| | - Logan J Nealis
- Department of Psychology and Neuroscience, Dalhousie University, 1355 Oxford Street, PO Box 15000, Halifax, NS, B3H 4R2, Canada
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Lim R, Liong ML, Leong WS, Khan NAK, Yuen KH. Effect of Stress Urinary Incontinence on the Sexual Function of Couples and the Quality of Life of Patients. J Urol 2016; 196:153-8. [DOI: 10.1016/j.juro.2016.01.090] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/14/2016] [Indexed: 12/21/2022]
Affiliation(s)
- Renly Lim
- School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia
| | - Men Long Liong
- Department of Urology, Island Hospital, Penang, Malaysia
| | - Wing Seng Leong
- Department of Urology, Lam Wah Ee Hospital, Penang, Malaysia
| | | | - Kah Hay Yuen
- School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia
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31
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Female Sexual Pain Disorders: a Review of the Literature on Etiology and Treatment. CURRENT SEXUAL HEALTH REPORTS 2015. [DOI: 10.1007/s11930-015-0053-y] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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