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Torralbas-Ortega J, Valls-Ibáñez V, Roca J, Campoy-Guerrero C, Sastre-Rus M, García-Expósito J. Sexual Affectivity in Autism Spectrum Disorder: Bibliometric Profile of Scientific Production. ARCHIVES OF SEXUAL BEHAVIOR 2025; 54:673-684. [PMID: 39269514 PMCID: PMC11836160 DOI: 10.1007/s10508-024-02996-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Revised: 08/22/2024] [Accepted: 08/23/2024] [Indexed: 09/15/2024]
Abstract
The aim of the present study was to describe the scientific production on sexuality and affectivity of autistic people. The inclusion criteria were articles published in all languages from the year 2000 to 2023, excluding reviews, proceedings, and other works not considered original. The search was performed in the Web of Science Core Collection and RStudio was utilized to analyze the records, with the "Bibliometrix 4.1.0" package and the VOSviewer software. A total of 314 articles were included, from the USA, Australia, and parts of Europe. The production peak was found in the year 2020, the most cited articles referred to the children's population, and the most important journals were specialized on the subject. As for the thematic content, 29 keywords emerged that were grouped into three clusters. In the first group, children associated with vulnerability and victimization were underlined, in which multifocal interventions were needed to prevent risk; in the second, we found adolescents and the need for sex education that is adapted and comprehensive; and lastly, adults who must be able to perform an adequate transition that eases the adaptation of neurodivergent individuals.
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Affiliation(s)
- Jordi Torralbas-Ortega
- Hospital de La Santa Creu i Sant Pau, Barcelona, Spain
- Nursing Care Research Group, Sant Pau Biomedical Research Institute (IIB Sant Pau), Barcelona, Spain
| | | | - Judith Roca
- Department of Nursing and Physiotherapy, University of Lleida, Montserrat Roig St. 25198, Lleida, Spain.
- Nursing, Sustainability and Innovation Research Group (GREISI), Health Education, Lleida, Spain.
| | - Carme Campoy-Guerrero
- Department of Nursing and Physiotherapy, University of Lleida, Montserrat Roig St. 25198, Lleida, Spain
- African Societies Study Group, Lleida, Spain
| | - Meritxell Sastre-Rus
- Hospital de La Santa Creu i Sant Pau, Barcelona, Spain
- Nursing Care Research Group, Sant Pau Biomedical Research Institute (IIB Sant Pau), Barcelona, Spain
| | - Judith García-Expósito
- Department of Nursing and Physiotherapy, University of Lleida, Montserrat Roig St. 25198, Lleida, Spain
- Bachelor of Nursing, University of Andorra, Sant Julià de Lòria, Andorra
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Park Y, Gordon AM, Prather AA, Mendes WB. Better sleep, lower blood pressure, and less stress following sex: Findings from a large-scale ecological momentary assessment study. Health Psychol 2024; 43:904-912. [PMID: 39311810 PMCID: PMC11972830 DOI: 10.1037/hea0001423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2024]
Abstract
OBJECTIVE Previous cross-sectional studies have shown that more (vs. less) sexually active individuals tend to be mentally and physically healthier, but little is known about the proximal mechanisms underlying such associations. METHOD We analyzed two experience sampling data sets (N = 8,452, 66,181 observations; 72% male, age M = 46.42, 76% White) to examine changes in sleep, cardiovascular responses, and affect in the morning following sex, putative processes implicated in long-term mental and physical health benefits of sex. RESULTS Consistent with previous findings, our results showed significant between-person associations, suggesting more positive daily health outcomes for more sexually active individuals. Further, we found significant within-person associations suggesting that when people reported having (vs. not having) sex the previous night, they experienced better sleep quality, fewer sleep disturbances and shorter wake after sleep onset, lower blood pressure, less stress, more positive affect, and better coping in the morning. None of these associations were moderated by gender or relationship status. CONCLUSIONS Our findings provide novel evidence suggesting short-term psychological and physiological benefits of sex, which may accrue to create better health over time. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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Affiliation(s)
- Yoobin Park
- Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, CA 94107, USA
| | - Amie M. Gordon
- Department of Psychology, University of Michigan, Ann Arbor, MI 48109, USA
| | - Aric A. Prather
- Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, CA 94107, USA
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Huțul TD, Karner-Huțuleac A. The Roles of Frequency of Pornography Use, and Moral Incongruence in the Relationship Between Sexual Satisfaction, and Psychological Distress Related to the Use of Pornography: A Moderated Mediation Model. INTERNATIONAL JOURNAL OF SEXUAL HEALTH : OFFICIAL JOURNAL OF THE WORLD ASSOCIATION FOR SEXUAL HEALTH 2024; 36:329-342. [PMID: 39148923 PMCID: PMC11323863 DOI: 10.1080/19317611.2024.2349592] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/29/2023] [Revised: 04/19/2024] [Accepted: 04/25/2024] [Indexed: 08/17/2024]
Abstract
Objective This study aims to examine how the frequency of pornography use mediates between sexual satisfaction and psychological distress related to the use of pornography, moderated by moral incongruence. Method 943 individuals from Romania, aged 18-65 (M = 27.95; SD = 9.29), 70.1% of whom were women, all in romantic relationships. Results The frequency of pornography use mediated the link between sexual satisfaction and psychological distress, with moral incongruence moderating this relationship. Conclusion Moral incongruence plays a crucial role in understanding the dynamics between sexual satisfaction, pornography use, and psychological distress related to the use of pornography.
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Affiliation(s)
- Tudor-Daniel Huțul
- Department of Psychology, Faculty of Psychology and Education Sciences, Alexandru Ioan Cuza University of Iași, Iași, Romania
| | - Adina Karner-Huțuleac
- Department of Education Sciences, Faculty of Psychology and Education Sciences, Alexandru Ioan Cuza University of Iași, Iași, Romania
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Latella D, Grimaldi A, Calabrò RS. Sexual Functioning and Sexual Health in Female Patients following Stroke: A Scoping Review with Implications for Rehabilitation. J Pers Med 2024; 14:267. [PMID: 38541009 PMCID: PMC10970891 DOI: 10.3390/jpm14030267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2024] [Revised: 02/23/2024] [Accepted: 02/26/2024] [Indexed: 01/31/2025] Open
Abstract
The impact of stroke on the sexual functioning of female survivors can arise from direct neurological effects or be triggered indirectly through various psychophysiological processes. Although an increasing number of publications exist, the topic of sexuality remains seldom discussed in the stroke literature, even though patients have expressed a need for sexual rehabilitation services. A literature review on sexual functioning in post-stroke females examining existing rehabilitation programs addressing patients' sexuality and exploring the perspectives of nurses and caregivers on sexual issues constitutes a novel approach. Therefore, we conducted a scoping review to better investigate this hot topic. Studies were identified by searching Scopus, PubMed, Web of Science, Cochrane Library, PsychINFO, and Embase databases. Current data indicates substantial connections between stroke and female sexual dysfunction (SD), including factors like desire/libido, sexual satisfaction, and sexual intercourse. Some intervention programs have been created to provide specific guidance to healthcare professionals in addressing patients' requirements for sexual recovery, although their adequacy remains uncertain. However, to date, there are neither specific rehabilitation programs for post-stroke female SD nor healthcare personnel trained to deal with post-stroke sexual issues adequately and efficiently. The incorporation of sexual rehabilitation into the overall rehabilitation process for stroke patients is crucial, ideally within an interdisciplinary framework. Despite being a fundamental aspect of post-stroke women's lives, sexuality remains taboo.
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Affiliation(s)
- Desirèe Latella
- IRCSS Centro Neurolesi Bonino Pulejo, S.S. 113 Via Palermo, C.da Casazza, 98124 Messina, Italy;
| | - Alessandro Grimaldi
- Department of Nervous System and Behavioural Sciences, Psychology Section, University of Pavia, Piazza Botta, 11, 27100 Pavia, Italy;
| | - Rocco Salvatore Calabrò
- IRCSS Centro Neurolesi Bonino Pulejo, S.S. 113 Via Palermo, C.da Casazza, 98124 Messina, Italy;
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Walters TL, Lefkowitz ES. Does Sex Improve With Experience?: A Latent Transition Analysis of College Students' Penile-Vaginal Sex-related Consequences. J Youth Adolesc 2023; 52:461-474. [PMID: 36587180 DOI: 10.1007/s10964-022-01728-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2022] [Accepted: 12/17/2022] [Indexed: 01/02/2023]
Abstract
Sex researchers have primarily focused on first penile-vaginal sex and negative consequences. However, because sexual behaviors and attitudes change with age, sex-related consequences may also change. In this study, 275 college students reported on penile-vaginal sex-related consequences the prior day in 733 daily diaries across two or more semesters. Participants were primarily female (63%) and heterosexual (98%). The sample was racially and ethnically diverse, with 30% identifying as Hispanic and, of the non-Hispanic participants, 35% White, 24% Black/African American, 20% Asian-American/Alaskan Native, 2% American Indian, and 2% Hawaiian/Pacific Islander. During their first semester, participants were, on average, 18.4 years old (SD = 0.4). Latent class analysis identified three classes: High Positive (56%), Intimacy and Satisfaction Only (34%), and Moderate Positive With Health Concerns (10%). Over time, students were likely to transition out of the Moderate Positive With Health Concerns and High Positive classes, and into the Intimacy and Satisfaction Only class. The findings suggest that discussing protection from health concerns and positive aspects of sexuality may lead to better student engagement in safe sex programming.
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Affiliation(s)
- Tracy L Walters
- Department of Human Development and Family Sciences, University of Connecticut, 348 Mansfield Road, U-1058, Storrs, CT, 06269-1058, USA.
| | - Eva S Lefkowitz
- Department of Human Development and Family Sciences, University of Connecticut, 348 Mansfield Road, U-1058, Storrs, CT, 06269-1058, USA
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Silva Esteves de Hollanda G, Pereira Nogueira W, Iansã de Lima Barroso B, de Lima Brito Magalhães R, Moreira Freire ME, de Oliveira E Silva AC. Quality of sexual life of riparian women: Analysis of sexual practices and attitudes. ENFERMERIA CLINICA (ENGLISH EDITION) 2022; 32:405-412. [PMID: 35598872 DOI: 10.1016/j.enfcle.2022.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Accepted: 04/21/2022] [Indexed: 12/15/2022]
Abstract
OBJECTIVE To analyse the sexual practices, attitudes, and sexual quality of life of Riparian woman and associated factors. METHOD A cross-sectional analytical study conducted among Riparian women using the Study of Sexual Behaviour (SSB) questionnaire. A bivariate analysis and binary logistic regressions were performed to identify factors associated with sexual quality of life. RESULTS A total of 138 women participated in the study (n = 138). Of the women, 34.1% and 33.3% reported pain and loss of interest during or after sex, respectively. In terms of practices during sex, women reported kissing (85.5%), cuddling (89.1%), mutual masturbation (37.2%), oral sex (34.8%), and anal sex (23.9%). However, the majority reported not using condoms during sex (63.0%). In terms of sexual quality of life, 39.9% of the women rated it as good. Higher education and early sexual initiation increase the chances of a "good" sexual quality of life. CONCLUSION Because Riparian women engage in some risky sexual behaviours, such as not using condoms, educational strategies on the prevention of sexually transmitted infections should be reinforced and incorporated in this population. This may help improve these women's sexual quality of life.
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Affiliation(s)
| | - Wynne Pereira Nogueira
- Programa de postgrado en Enfermería, Federal University of Paraíba, João Pessoa, Paraiba, Brasil
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Silva Esteves de Hollanda G, Pereira Nogueira W, Iansã de Lima Barroso B, de Lima Brito Magalhães R, Moreira Freire ME, de Oliveira e Silva AC. Calidad de vida sexual de las mujeres ribereñas: análisis de las prácticas y actitudes sexuales. ENFERMERIA CLINICA 2022. [DOI: 10.1016/j.enfcli.2022.04.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Wesche R, Claxton SE, Waterman EA. Emotional Outcomes of Casual Sexual Relationships and Experiences: A Systematic Review. JOURNAL OF SEX RESEARCH 2021; 58:1069-1084. [PMID: 32991206 PMCID: PMC8579856 DOI: 10.1080/00224499.2020.1821163] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
Casual sexual relationships and experiences (CSREs) are common and emotionally significant occurrences. Given the uncommitted, often emotionally complicated nature of CSREs, researchers have asked whether these experiences may have positive and/or negative emotional consequences. We reviewed 71 quantitative articles examining emotional outcomes of CSREs, including subjective emotional reactions (e.g., excitement, regret) and emotional health (e.g., depression, self-esteem). Overall, people evaluated their CSREs more positively than negatively. In contrast, CSREs were associated with short-term declines in emotional health in most studies examining changes in emotional health within a year of CSRE involvement. Emotional outcomes of CSREs differed across people and situations. Women and individuals with less permissive attitudes toward CSREs experienced worse emotional outcomes of CSREs. Alcohol use prior to CSREs, not being sexually satisfied, and not knowing a partner well were also associated with worse emotional outcomes. These findings suggest directions for prevention/intervention related to CSREs. For example, skill-building related to sexual decision-making may help individuals decide whether, and under what circumstances, CSREs are likely to result in positive or negative emotional outcomes. In addition, the limitations of extant research suggest directions for future inquiry (e.g., examining whether verbal and nonverbal consent practices predict emotional outcomes of CSREs).
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Affiliation(s)
- Rose Wesche
- Department of Human Development and Family Science, Virginia Polytechnic Institute and State University, Blacksburg, VA
| | | | - Emily A. Waterman
- Nebraska Center for Research on Children, Youth, Families and Schools, University of Nebraska-Lincoln, Lincoln, NE
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Wesche R, Lefkowitz ES, Maggs JL. Short-Term Consequences of Sex: Contextual Predictors and Change Across College. ARCHIVES OF SEXUAL BEHAVIOR 2021; 50:1613-1626. [PMID: 33907943 PMCID: PMC8629131 DOI: 10.1007/s10508-020-01874-w] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/07/2019] [Revised: 10/21/2020] [Accepted: 10/23/2020] [Indexed: 06/12/2023]
Abstract
Although sexual experiences are normative by young adulthood, individuals continue to explore and develop their sexual behaviors and cognitions across the college years. Thus, perceived consequences of sexual experiences may change. Similarly, characteristics of sexual experiences such as partner type, alcohol use, and sexual behavior type predict perceived consequences, and these associations may change over time. In this study, we addressed links between characteristics of sexual experiences (casual vs. committed partner, heavy alcohol use on sex days, and kissing/touching only vs. oral/penetrative sex) and short-term perceived consequences of sexual experiences (physical satisfaction, emotional intimacy, not satisfied, guilt, not ready), using daily data collected longitudinally across seven college semesters. We also examined whether perceived consequences of sex change across college and whether within-person daily associations between sexual experience characteristics and perceived consequences of sex change across college. An ethnically and racially diverse sample of traditionally aged first year university students (N = 566; 54% female; 98% heterosexual) completed online surveys, yielding 8,838 daily reports about sexual behaviors. Multilevel models indicated that partner type, heavy alcohol use, and sexual behavior type predicted within-person differences in perceived consequences of sex. Interactions between characteristics of sexual experiences and college semester indicated that differences in perceived consequences of sexual experiences with casual versus committed partners lessened over time. The likelihood of reporting physical satisfaction and guilt after only kissing/touching (but not oral/penetrative sex) decreased across college semesters. Findings inform understanding of normative sexual development by demonstrating that perceived consequences and their predictors change across time.
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Affiliation(s)
- Rose Wesche
- Department of Human Development and Family Science, Virginia Polytechnic Institute and State University, 313 Wallace Hall (0416), 295 West Campus Drive, Blacksburg, VA, 24061, USA.
| | - Eva S Lefkowitz
- Department of Human Development and Family Studies, University of Connecticut, Storrs, CT, USA
| | - Jennifer L Maggs
- Department of Human Development and Family Studies, The Pennsylvania State University, State College, PA, USA
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