Prevalence of sexual problems and associated distress among gay and heterosexual men

Peixoto, Maria Manuela; Nobre, Pedro

doi:10.1080/14681994.2014.986084

Cited by 36 publications

(25 citation statements)

References 42 publications

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“…Further research should examine how internalized heterosexism affects other areas of sexual function. In men, the main problem is related to ejaculation, regardless of sexual orientation, although it was more prevalent among heterosexual men (Peixoto and Nobre 2014). Also, all men had problems with their erection, but it was significantly more prevalent among non-heterosexual men, which could be associated with a higher sexual inhibition due to the threat of performance failure or higher performance anxiety (Bancroft et al 2005).…”

Section: Negative Outcomes Of Sexual Behaviormentioning

confidence: 96%

Sexual Behavior and Sexual Risks Among Spanish University Students: a Descriptive Study of Gender and Sexual Orientation

Castro

2015

Sex Res Soc Policy

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University years are characterized by new experiences and relationships, some of which can prove to be risky. This is of particular concern when considering sexual behavior. The main objective of this study was to examine sexual behavior and some of its negative consequences in a sample of Spanish university students according to gender and sexual orientation. The data were collected from 1451 students of both sexes (29 % men, 71 % women) between 18 and 26 years old in a mid-size university in Spain. Eighty-seven percent of the participants had engaged in sexual relations with vaginal penetration and 20.4 % had engaged in sexual relations with anal penetration. In both cases, inconsistent condom use was found as well as the consumption of alcohol and drugs before sexual contacts. Cases of sexually transmitted infections (STIs), sexual problems, and sexual victimization were also detected. We found statistically significant gender and sexual orientation differences in sexual behavior, STI history, sexual victimization, and sexual problems. These results are discussed in light of the effectiveness of university education and prevention programs. A need to develop new policies for promoting sexual health in Spanish university students is suggested.

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Section: Negative Outcomes Of Sexual Behaviormentioning

confidence: 96%

Sexual Behavior and Sexual Risks Among Spanish University Students: a Descriptive Study of Gender and Sexual Orientation

Castro

2015

Sex Res Soc Policy

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“…Also, although available, data from the IIEF (Rosen et al 1997) and FSFI (Rosen et al 2000), were not used to differentiate the groups of men and women with sexual problems since these measures do not take into account important criteria defined by Diagnostic and Statistical Manual of Mental Disorders (APA 2013), such as time since the onset (6 months) and distress related to sexual difficulties, a fundamental aspect highlighted in previous studies (Lau et al 2006;Mitchell et al 2013;Peixoto and Nobre 2015;Stephenson and Meston 2012).…”

Section: Discussionmentioning

confidence: 99%

“…Self-perceived distress plays a major role in sexual dysfunction clinical diagnosis (APA 2013), suggesting that only a subgroup of men and women experience moderate to extreme distress associated with their sexual difficulties, regardless of sexual orientation (Lau et al 2006;Mitchell et al 2013;Peixoto and Nobre 2015). Feeling distress about sexual difficulties could be more relevant then the sexual difficulties per se (Stephenson and Meston 2012).…”

Section: Self-perceived Sexual Problems In Menmentioning

confidence: 97%

Cognitive Schemas Activated in Sexual Context: A Comparative Study with Homosexual and Heterosexual Men and Women, With and Without Sexual Problems

Peixoto

Nobre

2014

Cogn Ther Res

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The role of cognitive schemas on sexual functioning has been studied in samples of heterosexual men and women. However, there are no published studies on the impact of cognitive schemas on sexual functioning in gay men or lesbian women. The current study analyzed the differences in cognitive schemas associated with negative sexual events in a sample of heterosexual and homosexual men and women, with and without sexual problems. A total of 168 women and 148 men completed a web-survey. Participants answered questions about self-perceived sexual problems, and completed the Questionnaire of Cognitive Schemas Activated in Sexual Context. Results for men and women were analyzed in separate MANOVAs (sexual problems 9 sexual orientation). Men with sexual problems scored significantly higher in negative cognitive schemas when facing an adverse sexual episode compared with sexually healthy men, regardless of sexual orientation. Women with sexual problems also scored significantly higher in Undesirability/rejection, Incompetence, and Difference/loneliness schemas when compared women without sexual problems, regardless of sexual orientation. Also, sexual orientation was also found to have a significant effect among women, with lesbian women activating significantly more Undesirability/rejection, Difference/loneliness, and Helpless schemas, than heterosexual women. Overall, findings suggest that, despite some specific patterns particularly in lesbian women, the role of cognitive schemas on sexual functioning is very similar in heterosexual and homosexual men and women. These results highlight the core role of cognitive factors on sexual problems in gay men and lesbian women.

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“…Problems including low sexual desire, erectile dysfunction and ejaculatory dysregulation have been reported in large samples of MSM across the UK, US, Australia and Europe (429)(430)(431)(433)(434)(435)(436). Distress associated with anodyspareunia (pain with receptive anal penetration) has also been reported as having a negative impact on sexual pleasure and activity (436).…”

Section: Clinical Features and Aetiologymentioning

confidence: 99%

2016 United Kingdom national guideline on the sexual health care of men who have sex with men

et al. 2018

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This guideline is intended for use in UK Genitourinary medicine clinics and sexual health services but is likely to be of relevance in all sexual health settings, including general practice and Contraception and Sexual Health (CASH) services, where men who have sex with men (MSM) seek sexual health care or where addressing the sexual health needs of MSM may have public health benefits. For the purposes of this document, MSM includes all gay, bisexual and all other males who have sex with other males and both cis and trans men. This document does not provide guidance on the treatment of particular conditions where this is covered in other British Association for Sexual Health and HIV (BASHH) Guidelines but outlines best practice in multiple aspects of the sexual health care of MSM. Where prevention of sexually transmitted infections including HIV can be addressed as an integral part of clinical care, this is consistent with the concept of combination prevention and is included. The document is designed primarily to provide guidance on the direct clinical care of MSM but also makes reference to the design and delivery of services with the aim of supporting clinicians and commissioners in providing effective services. Methodology This document was produced in accordance with the guidance set out in the BASHH CEG’s document ‘Framework for guideline development and assessment’ published in 2010 at http://www.bashh.org/guidelines and with reference to the Agree II instrument. Following the production of the updated framework in April 2015, the GRADE system for assessing evidence was adopted and the draft recommendations were regraded. Search strategy (see also Appendix 1) Ovid Medline 1946 to December 2014, Medline daily update, Embase 1974 to December 2014, Pubmed NeLH Guidelines Database, Cochrane library from 2000 to December 2014. Search language English only. The search for Section 3 was conducted on PubMed to December 2014. Priority was given to peer-reviewed papers published in scientific journals, although for many issues evidence includes conference abstracts listed on the Embase database. In addition, for ‘Identification of problematic recreational drug and alcohol use’ section and ‘Sexual problems and dysfunctions in MSM’ section, searches included PsycINFO. Methods Article titles and abstracts were reviewed and if relevant the full text article was obtained. Priority was given to randomised controlled trial and systematic review evidence, and recommendations made and graded on the basis of best available evidence. Piloting and feedback The first draft of the guideline was circulated to the writing group and to a small group of relevant experts, third sector partners and patient representatives who were invited to comment on the whole document and specifically on particular sections. The revised draft was reviewed by the CEG and then reviewed by the BASHH patient/public panel and posted on the BASHH website for public consultation. The final draft was piloted before publication. Guideline update The guidelines will be reviewed and revised in five years’ time, 2022.

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Prevalence of sexual problems and associated distress among gay and heterosexual men

Cited by 36 publications

References 42 publications

Sexual Behavior and Sexual Risks Among Spanish University Students: a Descriptive Study of Gender and Sexual Orientation

Sexual Behavior and Sexual Risks Among Spanish University Students: a Descriptive Study of Gender and Sexual Orientation

Cognitive Schemas Activated in Sexual Context: A Comparative Study with Homosexual and Heterosexual Men and Women, With and Without Sexual Problems

2016 United Kingdom national guideline on the sexual health care of men who have sex with men

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