Childhood Interpersonal Trauma and Sexual Satisfaction in Patients Seeing Sex Therapy: Examining Mindfulness and Psychological Distress as Mediators

Abstract

Mindful attention and awareness may promote sexual satisfaction. However, experiencing cumulative childhood interpersonal trauma (CCT; sexual abuse, neglect, etc.) is associated with distress, which might interfere with dispositional mindfulness and lead to lower sexual satisfaction. Although the concept of mindfulness emerged as an interesting variable to understand sexual difficulties, little empirical data are available on this topic. This study tested an integrative mediation model of the relation between CCT, psychological distress, dispositional mindfulness, and sexual satisfaction within a clinical sample of 410 adult patients consulting in sex therapy. Patients completed questionnaires assessing CCT, psychological distress, dispositional mindfulness, and sexual satisfaction. Results showed that the majority of patients reported experiences of childhood interpersonal trauma. Path analyses highlighted three distinct significant paths from CCT to sexual satisfaction. First, dispositional mindfulness mediated the relationship between CCT and sexual satisfaction. Second, psychological distress also mediated the relationship between CCT and sexual satisfaction. Third, the effect of CCT on sexual satisfaction was sequentially mediated through greater levels of psychological distress and lower levels of dispositional mindfulness. The model explained 19% of the variance in sexual satisfaction. Findings suggest that dispositional mindfulness and psychological distress are key processes explaining sexual satisfaction in CCT survivors.

Internet- and mobile-based psychological interventions for sexual dysfunctions: a systematic review and meta-analysis

“…It is also unclear to what extent comorbid conditions such as anxiety or depression might complicate the treatment of sexual dysfunctions and which disorder should be addressed first 54 . Beyond clarifying who benefits from IMIs for sexual dysfunction, it has not yet been studied in detail which intervention components are responsible for positive treatment outcomes [55][56][57][58] . Due to their structured and standardized presentation of treatment components, IMIs are particularly well suited to investigate mechanisms of action and the significance of different components for treatment success 59 .…”

Edukasi Seksual Pada Orangtua Anak Usia Dini dan Pelatihan Edukasi Mandiri Pelecehan Seksual Pada Bunda PAUD

“…Pendidikan kesehatan tentang pencegahan kekerasan pada anak usia dini perlu ditingkatkan intensitas pemberiannya melalui kegiatan pembelajaran di sekolah. Sasaran utama adalah orang tua dan guru (Bunda) PAUD (Godbout, Bakhos, Dussault, & Hébert, 2020). Teknologi pada masa ini selain sebagai pemicu terjadinya pelecehan seksual dengan pornografinya, namun disisi lain dapat dimanfaatkan dalam mengedukasi masyarakat (Aisyah & Hasiana, 2020;Neherta & Nurdin, 2017).…”

Treatment of Traumatised Sexuality

“…Sex therapy is based on a combination of knowledge about sexual physiology and sexual responses as well as methods for the modification of responses. In addition, many therapists find it necessary to consider dynamic issues related to the individual's history of development, established patterns of sexual arousal, interplay between the partners involved, current stresses in the client's environment, individual motivation and capacity, knowledge about, and attitudes towards sexuality in general, as well as the client's ideas of the ultimate goals of the treatment (Hall, 2008;Brotto et al, 2012;Goodbout et al, 2020;Gewirtz-Meydan and Ofir-Lavee, 2021). The bio-psycho-social model described by Engel (1977Engel ( , 1980 offers a useful perspective for many sexologists and has become the gold standard for sexologists.…”