Psychological and Interpersonal Dimensions of Sexual Function and Dysfunction

McCabe, Marita P.; Althof, Stanley E.; Assalian, Pierre; Chevret‐Méasson, Marie; Leiblum, Sandra R.; Simonelli, Chiara; Wylie, Kevan

doi:10.1111/j.1743-6109.2009.01618.x

Cited by 314 publications

(137 citation statements)

References 46 publications

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“…Recent calls in the literature have advocated for more research on how interpersonal variables may affect women's pain experience and the sexual experiences of both members of the couple (McCabe et al, 2010). Further, pain and sexual impairment may be distinct and partially independent phenomena, as evidenced by the lack of significant correlation between pain intensity during intercourse and overall sexual function, as well as pain and sexual satisfaction, in a recent study of women with PVD (Rosen, Bergeron, Leclerc, Lambert, & Steban, 2010).…”

Section: Introductionmentioning

confidence: 99%

Provoked Vestibulodynia: Mediators of the Associations Between Partner Responses, Pain, and Sexual Satisfaction

et al. 2012

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Provoked vestibulodynia (PVD) is a chronic, recurrent vulvo-vaginal pain condition affecting 12% of the general population, and is associated with sexual dysfunction, psychological distress, and reduced quality of life. There is growing interest in the role of interpersonal variables in PVD, which have been widely neglected. In a sample of 175 couples, the present study examined the mediating roles of partner and participant catastrophizing and self-efficacy in the association between solicitous partner responses and pain intensity, and that of dyadic adjustment in the association between solicitous and negative partner responses and sexual satisfaction. Couples completed measures of partner responses, catastrophizing, self-efficacy, dyadic adjustment, and depression. Women also completed measures of pain, sexual satisfaction, and sexual function. Controlling for depression and solicitousness perceived by the other member of the couple, catastrophizing and self-efficacy partially mediated the association between higher solicitous responses and higher pain during intercourse, accounting for 26% and 25% of the variance in this association for woman and partner-perceived responses, respectively.For both women and partners, only pain catastrophizing was a unique mediator. Controlling for depression, sexual function and partner-perceived responses, dyadic adjustment partially mediated the association between higher participant-perceived solicitous responses and higher sexual satisfaction, and between higher participant-perceived negative responses and lower sexual satisfaction, accounting for 26% of the variance in each association. The current findings suggest that catastrophizing and dyadic adjustment may constitute a route by which partner responses exacerbate pain and increase or decrease sexual satisfaction in PVD couples.

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Section: Introductionmentioning

confidence: 99%

Provoked Vestibulodynia: Mediators of the Associations Between Partner Responses, Pain, and Sexual Satisfaction

et al. 2012

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“…Also cognitive changes because of anxiety are mechanisms playing some roles in these processes (Barlow, 1986;Dove, 2000). In those with anxiety, fears concerning sexual performance or relationship issues, such as intimacy and partner rejection lead to sexual avoidance (McCabe et al, 2010;Schnatz et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

Psychological Treatment of Major Depression: An Analysis of the Sexual Desire

Mohammadkhani

Dobson

Tamannaeifar

et al. 2016

PCP

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Objective: Sexual dysfunction is frequently reported as a side effect of many antidepressant medications. As a result, for those depressed patients to whom sexual desire is important, psychological treatment may be a better intervention. Thus, the present study aimed to determine the possible changes in sexual desire following psychological treatments in depression, when focus of therapy is not on sexual function.Methods: This is a quasi-experimental study, which was conducted in Tehran, Iran. A total of 281 depressed patients in the remission phase underwent psychological treatments, either cognitive behavioral therapy (CBT, n=131) or mindfulness-based cognitive therapy (MBCT, n=150). The therapy did not focus on any aspect of sexual function. Using a single item measure before and after treatment, sexual desire of the patients was categorized into intact, mild, moderate, or severe decline. A total of 255 participants completed the study questionnaires and were randomly assigned to CBT (122) and MBCT groups (133). Before therapy, 128(50.2%) participants were categorized in intact sexual desire group, 73(28.6%) in mild sexual desire dysfunction group, 40(15.7%) in moderate sexual desire dysfunction group, and 14(5.5%) in severe sexual desire dysfunction group. Logistic regression was used for analyzing the data by SPSS-16. Results Conclusion:CBT might be superior to MBCT in improving sexual desire in patients with depression. Further studies using validated sexual function questionnaires are necessary.

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“…Depression, interpersonal and sociocultural factors, life stresses, and anxiety play a significant role in reducing sexual desire and as a consequence increased infertility concerns (2).…”

Section: Issn 2330-4456mentioning

confidence: 99%