The Dual Control Model of Sexual Response: A Scoping Review, 2009–2022

Janssen, Erick; Bancroft, John

doi:10.1080/00224499.2023.2219247

Cited by 12 publications

(13 citation statements)

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“…They declare only slightly lower arousal compared to women from the control group, but there is a large discrepancy between them and their partners in this respect (Table 2). This may be complemented by the dual control model, which states that sexual arousal is influenced by excitatory and inhibitory mechanisms, with women generally exhibiting greater inhibition and men greater arousal [37,38]. The central neuroendocrine mechanisms regulating the sexual response in women are today described as dynamic, creating a balance between stimulating and inhibiting factors [39,40].…”

Section: Discussionmentioning

confidence: 99%

Sexual Function in Women with Polycystic Ovary Syndrome Living in Stable Heterosexual Relationships: A Cross-Sectional Study

Warchala,

Madej,

Kochanowicz

et al. 2024

JCM

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Background/Objective: The prevalence and character of female sexual dysfunction (FSD) in polycystic ovary syndrome (PCOS) have not been precisely determined. The aim of this study was to assess FSD using the Changes in Sexual Functioning Questionnaire (CSFQ-14) in women with PCOS and their partners compared to a control group, as well as correlations between five subscales, the total score of the CSFQ, and seven questions of the Visual Analogue Scale (VAS). Methods: The study sample (N = 160) comprised two groups: (1) women with PCOS and their partners (n = 91) and (2) women without PCOS and their partners (control group; n = 69). Results: The total scores of the CSFQ did not reveal FSD in either group of women. Regarding all subscales and the total score, the analysis showed a statistically significant difference between women and their partners (in all cases: p < 0.001). The discrepancy in arousal between women and men in the PCOS group was large (the mean difference was −2.32; t = −11.29, p < 0.001, Cohen’s d = −1.26). The importance (VAS1), the level (VAS7) of sexual satisfaction, and the intensity of sexual thoughts (VAS2) correlated with almost all domains of the CSFQ. Conclusions: In conclusion, normal sexual function in PCOS does not mean proper sexual functioning in a sexual relationship.

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Section: Discussionmentioning

confidence: 99%

Sexual Function in Women with Polycystic Ovary Syndrome Living in Stable Heterosexual Relationships: A Cross-Sectional Study

Warchala,

Madej,

Kochanowicz

et al. 2024

JCM

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“…According to the dual control model (DCM) ( Bancroft and Janssen, 2000 ; Janssen and Bancroft, 2007 ; Bancroft et al, 2009 ), excitatory and inhibitory forces operate independently from each other, and adaptive sexual responses are based on a balanced interplay between these dynamics. Correspondingly, SE and SI have been considered as the gas pedal and brake of sexual arousal, respectively ( Janssen and Bancroft, 2023 ). Affirming the theoretical assumption of independent forces, self-reported propensities for SE and SI have been shown to be either uncorrelated ( Janssen et al, 2002a ; Quinta Gomes et al, 2018 ), or to express only small positive or negative correlations ( Graham et al, 2006 ; Velten et al, 2016a ).…”

Section: Introductionmentioning

confidence: 99%

“…So far, studies on attentional processes have centered on SE, as this DCM dimension is more strongly associated with processing of external sexual information ( Janssen and Bancroft, 2023 ). Initial evidence revealed associations between SE and target detection time, as a measure of attentional engagement, in a dot probe task ( Prause et al, 2008 ).…”

Section: Introductionmentioning

confidence: 99%

“…However, recent evidence also strengthens the importance of SI ( Unterhorst et al, 2018 ; Turner et al, 2019 ; Aguiar et al, 2023 ). Notably, the DCM suggests that sexual arousal and behavior cannot be fully understood without considering the dynamic interplay of the SE/SI system – something that has not systematically been done in prior research, which predominantly focused on the independent impact of both forces ( Janssen and Bancroft, 2023 ). Results of an erotic film clip study, conducted by Velten et al (2016c) , nevertheless highlighted the importance of considering interactive effects.…”

Section: Introductionmentioning

confidence: 99%

“…Based on the theoretic framework of the DCM, it is crucial to pay special attention to interactive effects of SE/SI as opposed to independent contributions. Given that diverging association patterns between SE/SI and sexual arousal have been described in male vs. female samples ( Clifton et al, 2015 ; Hodgson et al, 2016 ; Janssen and Bancroft, 2023 ), gender-mixed samples could mask complex SE/SI interactions and render it difficult to correctly identify them. Importantly, gender differences have been reported for SE and SI properties, with higher SE levels in males and higher SI levels in females ( Carpenter et al, 2008 ).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Interplay between sexual excitation and inhibition: impact on sexual function and neural correlates of erotic stimulus processing in women

Schmidt,

Hennig,

Munk

2024

Front. Behav. Neurosci.

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BackgroundAs outlined by the dual control model (DCM), individual differences in the regulation of sexual arousal following sexual stimulation depend on two distinct neurophysiological processes: sexual excitation (SE) and sexual inhibition (SI). Although associations with sexual function, behavior, and cue processing have been demonstrated in previous research, underlying neural correlates remain insufficiently explored. Moreover, interactive effects of SE/SI as proposed by the DCM, as well as factors impacting SE/SI properties, such as the use of oral contraceptives (OCs), have not received adequate attention in existing research.Methods90 healthy, sexually active women (n = 51 using OCs, n = 39 naturally cycling) completed an Emotional-Picture-Stroop-Paradigm (EPSP) while a 64-channel EEG was recorded. LPP amplitudes toward erotic and neutral stimuli were consecutively computed as a marker of motivational salience and approach motivation. Additionally, women provided self-reports of SE/SI and sexual function. Moderation analyses were performed to assess interactive effects of SE/SI in predicting LPP amplitudes and sexual function.ResultsSexual function was negatively associated with SI levels but unrelated to SE. Higher SI was associated with reduced LPP amplitudes in response to erotic stimuli. This negative association was, however, attenuated for women high in SE, suggesting interactive effects of SE/SI. Furthermore, women using OCs reported lower SE compared to naturally cycling women.ConclusionThe observed findings provide additional psychophysiological evidence supporting the DCM and underscore the relevance of interactive SE/SI effects in stimulus processing and approach motivation. They also highlight the possible impact of OCs on psychosexual variables that warrants further research.

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Topological differences of striato‐thalamo‐cortical circuit in functional brain network between premature ejaculation patients with and without depression

Zhang,

Niu,

et al. 2024

Brain and Behavior

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IntroductionPremature ejaculation (PE), a common male sexual dysfunction, often accompanies by abnormal psychological factors, such as depression. Recent neuroimaging studies have revealed structural and functional brain abnormalities in PE patients. However, there is limited neurological evidence supporting the comorbidity of PE and depression. This study aimed to explore the topological changes of the functional brain networks of PE patients with depression.MethodsResting‐state functional magnetic resonance imaging (rs‐fMRI) data were acquired from 60 PE patients (30 with depression and 30 without depression) and 29 healthy controls (HCs). Functional brain networks were constructed for all participants based on rs‐fMRI data. The nodal parameters including nodal centrality and efficiency were calculated by the method of graph theory analysis and then compared between groups. In addition, the results were corrected for multiple comparisons by family‐wise error (FWE) (p < .05).ResultsPE patients with depression had increased degree centrality and global efficiency in the right pallidum, as well as increased degree centrality in the right thalamus when compared with HCs. PE patients without depression showed increased degree centrality in the right pallidum and thalamus, as well as increased global efficiency in the right precuneus, pallidum, and thalamus when compared with HCs. PE patients with depression demonstrated decreased degree centrality in the right pallidum and thalamus, as well as decreased global efficiency in the right precuneus, pallidum, and thalamus when compared to those without depression. All the brain regions above survived the FWE correction.ConclusionThe results suggested that increased and decreased functional connectivity, as well as the capability of global integration of information in the brain, might be related to the occurrence of PE and the comorbidity depression in PE patients, respectively. These findings provided new insights into the understanding of the pathological mechanisms underlying PE and those with depression.

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The Dual Control Model of Sexual Response: A Scoping Review, 2009–2022

Cited by 12 publications

References 180 publications

Sexual Function in Women with Polycystic Ovary Syndrome Living in Stable Heterosexual Relationships: A Cross-Sectional Study

Sexual Function in Women with Polycystic Ovary Syndrome Living in Stable Heterosexual Relationships: A Cross-Sectional Study

Interplay between sexual excitation and inhibition: impact on sexual function and neural correlates of erotic stimulus processing in women

Topological differences of striato‐thalamo‐cortical circuit in functional brain network between premature ejaculation patients with and without depression

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