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van Ditzhuijzen J, Overeem A. Pleasure-Inclusive Sex Education, Sexual Agency, and Sexual Well-Being in Adolescents and Young Adults: A Scoping Review. ARCHIVES OF SEXUAL BEHAVIOR 2025; 54:1627-1648. [PMID: 40064738 PMCID: PMC12011893 DOI: 10.1007/s10508-025-03103-8] [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: 05/17/2024] [Revised: 01/20/2025] [Accepted: 01/21/2025] [Indexed: 04/23/2025]
Abstract
It is known that incorporating pleasure into sex education can promote condom use (e.g., Zaneva et al., 2022), but it remains unclear whether this approach also contributes to sexual agency and sexual well-being more broadly. Pleasure-inclusive sex education is designed to enhance sexual agency, which, in turn, may facilitate sexual well-being. In this study, we review the literature on two key topics: (1) the associations between pleasure-inclusive sex education and sexual agency, and (2) the links between sexual agency and sexual well-being. We conducted a search across five scientific databases using a broad range of variables related to pleasure-inclusive sex education, sexual agency, and various aspects of sexual well-being, focusing on research from the last two decades. A total of 33 articles were selected for inclusion. In Part 1 of the review, we found that all studies reported positive associations between pleasure-based sex education and sexual agency or sexual well-being. However, the literature was marked by limitations, preventing definitive conclusions about the added benefits of the pleasure component. In Part 2, we found positive associations between sexual agency (and related variables) and sexual well-being. While sexual agency appears to be linked to increased sexual well-being, it remains unclear whether pleasure-inclusive sex education plays a significant role in this relationship. Given these findings, there is a strong need for high-quality research using innovative evaluation designs that consider other important sources of sex education and contextual factors.
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Affiliation(s)
- Jenneke van Ditzhuijzen
- Interdisciplinary Social Science, Social Policy and Public Health, Utrecht University, Padualaan 14, 3584 CH, Utrecht, The Netherlands.
- Gynecology and Obstetrics and Amsterdam Reproduction and Development, Amsterdam University Medical Center, Amsterdam, The Netherlands.
| | - Amely Overeem
- Interdisciplinary Social Science, Social Policy and Public Health, Utrecht University, Padualaan 14, 3584 CH, Utrecht, The Netherlands
- Seksueel Welzijn Nederland, Utrecht, The Netherlands
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Nóbrega CA, Quinta-Gomes AL. Assessing the Role of Sexual Self-Consciousness and Sexual Self-Esteem in Male Orgasm: An Exploratory Study. JOURNAL OF SEX & MARITAL THERAPY 2025; 51:298-308. [PMID: 39950691 DOI: 10.1080/0092623x.2025.2465660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/01/2025]
Abstract
Previous studies demonstrated the importance of attentional mechanisms in overall sexual response. However, there is a lack of studies on the impact of individual propensities to experience sexual self-consciousness (i.e. proneness for self-focus) in sexual situations, in the experience of male orgasm. This study aimed to understand the relationship between sexual self-consciousness (sexual self-focus and sexual embarrassment), sexual self-esteem, and male orgasm. A convenience sample of 150 undergraduate male students was recruited and participants were invited to complete a battery of self-reported questionnaires assessing orgasm, sexual self-consciousness, and sexual self-esteem. Findings showed a significant negative correlation between sexual embarrassment (i.e., propensity to feel embarrassed in sexual contexts) and male orgasm. Regression analysis further indicated that sexual embarrassment was the sole negative and significant predictor of orgasm. Regarding sexual self-esteem, a positive and significant correlation was found with orgasmic response. Sexual self-esteem also mediated the relationship between sexual embarrassment and orgasm. Overall, findings contribute to a deeper knowledge of the dimensions involved in the male orgasm Results may also contribute to the development of future programs aimed at the promotion of sexual literacy and the inclusion of psycho-emotional strategies to promote sexual health in men with orgasm difficulties.
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Affiliation(s)
- Catarina A Nóbrega
- Center for Psychology at University of Porto (CPUP), Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal
| | - Ana Luísa Quinta-Gomes
- Center for Psychology at University of Porto (CPUP), Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal
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Nickull S, Jern P, Niu C, Källström M, Gunst A. Predictors of Perceived Positive and Negative Consequences of Sexual Compliance. JOURNAL OF SEX & MARITAL THERAPY 2025; 51:142-162. [PMID: 39853205 DOI: 10.1080/0092623x.2025.2452844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/26/2025]
Abstract
Sexual compliance (i.e., consenting to sex without initial sexual desire) can have both positive and negative consequences for well-being. This study explored predictors of perceived consequences of sexual compliance in cisgendered men and women from a population-based, Finnish sample (men n = 449, women n = 499, age M = 34.1, relationship duration M = 8.9). We drew upon existing literature and theoretical frameworks to select the following predictors; sexual approach and avoidance motives, sexual self-efficacy, avoidant and anxious attachment, sexual self-esteem, sexual assertiveness, symptoms of depression and/or anxiety, sexual distress, dyadic sexual communication, dyadic trust, and partner's sexual coercion. The predictors explained 31-38% of the variance in perceived positive consequences and 33-43% of the variance in perceived negative consequences of sexual compliance. Approach motives for sex had the strongest association with perceived positive consequences and having been sexually coerced by one's partner and sexual distress had the strongest associations with perceived negative consequences of sexual compliance. There were some variations in the predictors between genders, but the differing predictors had weak effects on the perceived consequences. Our findings can help clinicians identify focus areas when working with clients who experience a desire discrepancy in their intimate relationships.
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Affiliation(s)
- Sabina Nickull
- Department of Psychology, Åbo Akademi University, Turku, Finland
| | - Patrick Jern
- Department of Psychology, Åbo Akademi University, Turku, Finland
| | - Caoyuan Niu
- School of Psychology and Cognitive Science, East China Normal University, Shanghai, People's Republic of China
- Faculty of Arts and Sciences, NYU Shanghai, Shanghai, People's Republic of China
| | | | - Annika Gunst
- Department of Psychology, Åbo Akademi University, Turku, Finland
- Department of Clinical Psychology, Maastricht University, Maastricht, Netherlands
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Aspis M, Gewirtz-Meydan A. I'm Sexy and I Know it: Exploring the Moderating Role of Sexual Motivations in the Relationship Between Sexual Self-Esteem and Sexual Functioning in Israeli Adults. JOURNAL OF SEX RESEARCH 2025; 62:139-149. [PMID: 38315823 DOI: 10.1080/00224499.2024.2306478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/07/2024]
Abstract
This study investigated the relationship between sexual self-esteem and sexual functioning while exploring the moderating role of sexual motives, thereby contributing to a deeper comprehension of factors that affect sexual well-being. The study used a convenience sample of 781 Israeli adults with a mean age of 31.2. Participants completed the sexual self-esteem subscale of the Multidimensional Sexuality Questionnaire, Female Sexual Function Index (for women), International Index of Erectile Function (for men), and Sexual Motives Scale, which assesses motives of self-enhancement, intimacy, self-affirmation, coping, partner approval, and peer pressure. A moderation model examined the role of these sexual motives in the association between sexual self-esteem and sexual functioning. The analysis indicated that higher sexual self-esteem and motivation for intimacy and enhancement were associated with better sexual functioning. The study also revealed that participants' motivation for partner approval and peer pressure moderated the association between sexual self-esteem and sexual functioning. Participants with low motivation for partner approval showed an association between higher sexual self-esteem and greater sexual function, while participants with high motivation for partner approval did not show this association. For peer pressure, the association between higher sexual self-esteem and greater sexual function was strongest for participants who experienced high peer pressure as a sexual motive. Higher sexual self-esteem was associated with better sexual functioning, regardless of peer pressure level, but the association was stronger for participants experiencing high peer pressure. The study results shed light on the connection between sexual self-esteem, sexual motivations, and sexual functioning. Clinically, interventions for addressing sexual functioning should consider both self-esteem and sexual motivations.
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Affiliation(s)
- Michali Aspis
- School of Social Work, Faculty of Social Welfare and Health Sciences, University of Haifa
| | - Ateret Gewirtz-Meydan
- School of Social Work, Faculty of Social Welfare and Health Sciences, University of Haifa
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Godbout N, Martel NW, Gewirtz-Meydan A, Girard M, Hébert M. When sexual distress shares the bed: the role of sexual self-esteem in the relationship between dispositional mindfulness and sexual distress in sex therapy patients. J Sex Med 2024; 21:951-960. [PMID: 39167770 DOI: 10.1093/jsxmed/qdae095] [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] [Received: 11/02/2023] [Revised: 07/03/2024] [Accepted: 07/23/2024] [Indexed: 08/23/2024]
Abstract
BACKGROUND Sexual distress (eg, feeling distressed, unhappy, frustrated, stressed, dissatisfied, or bothered about their sexuality) is a central concern reported by patients seeking sex therapy, and might be related to sexual self-esteem and mindfulness disposition, yet research is needed to examine the links among those variables within the specific population of patients seeking therapy. AIM This study aimed to examine the indirect role of sexual self-esteem in the relationship between dispositional mindfulness and sexual distress. METHODS The study was conducted among 696 patients undergoing sexual therapy (mean age 34.19 ± 11.21 years, age range 18-78 years). Participants identified as women (57.3%), men (38.5%), or nonbinary (4.2%). They completed self-report questionnaires assessing dispositional mindfulness (Five Facet Mindfulness Questionnaire), sexual self-esteem (Multidimensional Sexuality Questionnaire), and sexual distress (Sexual Distress Scale-Revised), during their first few sessions (ie, first to third sessions [the assessment phase]). OUTCOMES Sexual distress was the main outcome, as measured with the Sexual Distress Scale-Revised. RESULTS Results indicated that 54% (n = 376) of patients reported elevated sexual distress based on the questionnaire threshold score. Path analyses indicated an indirect effect in which higher dispositional mindfulness was associated with higher levels of sexual self-esteem, which in turn was associated with lower sexual distress. Results also highlighted that specific facets of mindfulness were related to higher sexual self-esteem (ie, describing, and nonreacting) and lower sexual distress (ie, nonjudgment and acting with awareness). The integrative model explained 23% of the variance of sexual distress scores. CLINICAL IMPLICATION Findings suggest that addressing specifically sexual self-esteem and mindfulness may represent relevant clinical avenues to reduce sexual distress among sex therapy patients. STRENGTHS AND LIMITATIONS Strengths of this study include the novel examination of the role of sexual self-esteem in the link between mindfulness disposition and sexual distress in a large clinical sample of patients seeking sex therapy. Limitations includes reliance on patient self-report and a cross-sectional design that limit conclusion regarding causality. CONCLUSION This study makes a valuable contribution to the existing body of research highlighting the pivotal roles of sexual self-esteem in the link between dispositional mindfulness and reduced sexual distress among adults undergoing sex therapy, allowing us to identify potential targets of intervention.
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Affiliation(s)
- Natacha Godbout
- Department of Sexology, Faculty of Social Sciences, Université du Québec à Montréal, Montréal, H2L 2C4, Québec, Canada
| | - Nadia Willard Martel
- Department of Sexology, Faculty of Social Sciences, Université du Québec à Montréal, Montréal, H2L 2C4, Québec, Canada
| | - Ateret Gewirtz-Meydan
- School of Social Work, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, 3498838, Israel
| | - Marianne Girard
- Department of Sexology, Faculty of Social Sciences, Université du Québec à Montréal, Montréal, H2L 2C4, Québec, Canada
| | - Martine Hébert
- Department of Sexology, Faculty of Social Sciences, Université du Québec à Montréal, Montréal, H2L 2C4, Québec, Canada
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Janicka IL, Jarecka KA. Sexual satisfaction and oversexualization among adults. The moderating role of self-esteem. CURRENT ISSUES IN PERSONALITY PSYCHOLOGY 2024; 13:26-34. [PMID: 40235561 PMCID: PMC11995022 DOI: 10.5114/cipp/185627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2023] [Revised: 02/25/2024] [Accepted: 03/04/2024] [Indexed: 04/17/2025] Open
Abstract
BACKGROUND In the contemporary world, there is excessive creation and exposure of one's own sexuality among adults. Taking this into account, the determinants of sexualization are being sought. The aim of this research was to assess the significance of selected demographic variables and the number of sexual partners, as well as psychological variables (self-esteem and sexual satisfaction) for revealing behaviours related to over-sexualization. We also investigated whether self-esteem can moderate the relationship between sexual satisfaction and over-sexualization. PARTICIPANTS AND PROCEDURE Seven hundred persons, including 403 women (298 heterosexual and 105 gay) and 297 men (199 heterosexual and 98 gay) were surveyed. The respondents were aged from 18 to 45 years (M = 22.90, SD = 4.62). In the study the following tools were used: the Oversexualization Questionnaire, the Sexual Satisfaction Questionnaire and the Self-Esteem Scale. RESULTS It was found that sexualized appearance was more important for homosexual persons than heterosexual ones and seduction differentiated women and men and was correlated with the age and the number of sexual partners. Oversexualization demonstrated in appearance and message contents was correlated with low self-esteem and low sexual satisfaction. Low self-esteem was found to be a significant moderator in the relationship between sexual satisfaction and sexualized appearance. CONCLUSIONS The present study indicates the importance of self-esteem and sexual satisfaction for sexualized appearance. Low self-esteem moderates the relationship between sexual satisfaction and sexualized appearance.
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Gómez-Lugo M, Villalba-Ríos N, Valbuena-Vargas C, Saavedra-Roa A. Spanish adaptation and validation of sexual distress scale in Colombian population. Int J Clin Health Psychol 2024; 24:100469. [PMID: 38957682 PMCID: PMC11217606 DOI: 10.1016/j.ijchp.2024.100469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2024] [Accepted: 05/06/2024] [Indexed: 07/04/2024] Open
Abstract
Background/Objective The adaptation and validation of measures to assess Sexual Distress (SD) are crucial for the diagnosis and treatment of sexual dysfunction. This study aimed to adapt and validate the Spanish Sexual Distress Scale (SDS) in a Colombian sample and provide a percentile ranking score for a comprehensive understanding of sexual distress among the population. Method Five hundred ninety-six people from Colombia (50.08 % women; 49.92 % men) aged 18-60 participated in the study. Exploratory and confirmatory factorial analyses and a convergent validity analysis were performed. Results The SDS showed a high internal consistency (Ω = .95, α = .94) and a unidimensional model. Significative correlations were found between the SDS and related measures with sexual functioning, further supporting its convergent validity. Conclusions The SDS is a valid and reliable measure to evaluate SD in Colombians, with implications for clinical practice and sexual health research. More investigations are needed to address the limitations, strengthen the validity and reliability of the scale, and develop specific interventions based on its results.
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Affiliation(s)
- Mayra Gómez-Lugo
- SexLab KL - Human Sexual Laboratory, Department of Psychology, Fundación Universitaria Konrad Lorenz, Bogotá D.C., Colombia
| | - Nathalie Villalba-Ríos
- SexLab KL - Human Sexual Laboratory, Department of Psychology, Fundación Universitaria Konrad Lorenz, Bogotá D.C., Colombia
| | - Carlos Valbuena-Vargas
- SexLab KL - Human Sexual Laboratory, Department of Psychology, Fundación Universitaria Konrad Lorenz, Bogotá D.C., Colombia
| | - Alejandro Saavedra-Roa
- SexLab KL - Human Sexual Laboratory, Department of Psychology, Fundación Universitaria Konrad Lorenz, Bogotá D.C., Colombia
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Safshekan S, Khalesi ZB. Factors affecting sexual-self-esteem among Iranian women. Eur J Obstet Gynecol Reprod Biol X 2024; 21:100284. [PMID: 38323102 PMCID: PMC10845242 DOI: 10.1016/j.eurox.2024.100284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/25/2023] [Revised: 01/16/2024] [Accepted: 01/23/2024] [Indexed: 02/08/2024] Open
Abstract
Introduction The quality of marital relationships is positively impacted by women's sexual self-esteem. This study aims to determine the factors that affect sexual self-esteem among Iranian women. Methods A total of 1176 eligible women who have been referred to comprehensive healthcare centers of Rasht, participated in this analytical cross-sectional study. A stratified two-stage cluster sampling methodology was applied to achieve samples. Data were collected using a validated Persian version of the Sexual Self-Esteem Inventory in Women-Short Form and related factors checklist. Results The mean sexual self-esteem score of the respondents was 103.97(SD =5.29) in this study. Education level of the woman (B = 2.622, P < 0.032), employment status of the woman (B= 9.24, P < 0.01), duration of the marriage (B = 11.47, P < 0.01), body image (B = 3.446, P < 0.01), childhood sexual abuse experiences (B = -0.363, P < 0.01), was related with sexual self-esteem. The sexual self-esteem score increased with an increase in higher levels of education, employment of women, an increase in the duration of the marriage, and a positive body image. However, there was an inverse relationship between the experience of childhood sexual abuse and sexual self-esteem. Conclusions The findings revealed that sexual self-esteem in women is influenced by background, intrapersonal, and interpersonal factors that should be approached in education, counseling, and therapy.
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Affiliation(s)
- Sahar Safshekan
- School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
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Schuster I, Tomaszewska P, Krahé B. A Theory-Based Intervention to Reduce Risk and Vulnerability Factors of Sexual Aggression Perpetration and Victimization in German University Students. JOURNAL OF SEX RESEARCH 2023; 60:1206-1221. [PMID: 36043887 DOI: 10.1080/00224499.2022.2105290] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
The current study evaluated an intervention program, designed by the authors and based on the theory of sexual scripts and social learning theory, to reduce empirically established risk and vulnerability factors of sexual aggression. A sample of 1,181 university students in Germany (762 female) were randomly assigned to an intervention and a no-intervention control group. The intervention group completed six modules addressing established antecedents of sexual aggression perpetration and victimization: risky sexual scripts, risky sexual behavior, low sexual self-esteem, low sexual assertiveness, acceptance of sexual coercion, and perceived realism of pornography. After baseline (T1), intervention effects were measured one week after the last module (T2), nine months later (T3), and another 12 months later (T4). The intervention group showed significantly less risky sexual scripts and higher sexual self-esteem at T2, T3, and T4. The intervention indirectly reduced risky sexual behavior at T3 and T4 via less risky sexual scripts at T2 and increased sexual assertiveness at T3 and T4 via higher sexual self-esteem at T2. No intervention effects were found on the acceptance of sexual coercion and pornography realism. The implications of the findings for reducing the prevalence of sexual aggression perpetration and victimization are discussed.
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Affiliation(s)
| | | | - Barbara Krahé
- Department of Psychology, University of Potsdam, Germany
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Yığman M, Yığman F. What Distinguishes Males With Sexual Dysfunction Who Present to Either Psychiatrists or Urologists? Cureus 2023; 15:e43161. [PMID: 37692581 PMCID: PMC10484501 DOI: 10.7759/cureus.43161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/08/2023] [Indexed: 09/12/2023] Open
Abstract
Background Organic and psychological causes are intertwined in the etiology of sexual dysfunction (SD). Another important point, as well as the importance of etiology in the treatment of sexual dysfunctions, is understanding people's approaches to the problem. This study was planned to investigate whether there is a relationship between self-esteem and body perception levels of patients with sexual dysfunction and preferential applications to urology or psychiatry outpatient clinics. Methodology The study included 125 patients who sought treatment at urology and psychiatry outpatient clinics and were diagnosed with erectile dysfunction (ED) or premature ejaculation (PE) as a result of clinical evaluation. Sociodemographic data forms, the International Erectile Function Index (IIEF-6), the Premature Ejaculation Diagnostic Tool (PEDT), the Body Image Questionnaire (BIQ), and the Self-Esteem Rating Scale (SERS), were administered to the patients. Results When the patients were evaluated according to their complaints, there was no difference between the groups in body image or self-esteem. However, when the preferential admissions were evaluated through outpatient clinics, the self-esteem and body perception levels were high in the patients who applied primarily to the psychiatry outpatient clinic (p = 0.032, p = 0.046). Conclusion Psychological factors may affect male sexual dysfunctions in treatment admissions. It is important that andrology and psychiatry doctors work in cooperation in the treatment of sexual dysfunctions.
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Affiliation(s)
- Metin Yığman
- Urology, Ankara Etlik Integrated Health Campus, Ankara, TUR
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Guyon R, Fernet M, Girard M, Cousineau MM, Tardif M, Godbout N. Who am I as a Sexual Being? The Role of Sexual Self-Concept Between Dispositional Mindfulness and Sexual Satisfaction among Child Sexual Abuse Survivors. JOURNAL OF INTERPERSONAL VIOLENCE 2023; 38:5591-5612. [PMID: 36113079 PMCID: PMC9969487 DOI: 10.1177/08862605221123290] [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] [Indexed: 05/15/2023]
Abstract
Childhood sexual abuse (CSA) is associated with long-lasting and pervasive impacts on survivors' sexual health, particularly on their sexual satisfaction. Dispositional mindfulness has been found to be associated with greater sexual satisfaction among adult CSA survivors. However, the mechanisms involved in this association remain understudied. The present study examined the role of sexual self-concept (i.e., sexual esteem, sexual preoccupation, and sexual depression) in the relationship between dispositional mindfulness and sexual satisfaction among CSA survivors. A total of 176 adult CSA survivors (60.6% women, 39.4% men) completed an online survey assessing dispositional mindfulness, sexual self-concept, and sexual satisfaction. Path analyses revealed that dispositional mindfulness was positively related to sexual satisfaction through a significant indirect effect of higher sexual esteem and lower sexual depression. The integrative model explained 66.5% of the variance in sexual satisfaction. These findings highlight the key roles that dispositional mindfulness and sexual self-concept play in CSA survivors' sexual satisfaction. Implications for interventions based on trauma-sensitive mindfulness targeting the sexual self-concept are discussed, as they may promote sexual satisfaction in adult CSA survivors.
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Torres-Cruz D, Aznar-Martínez B, Pérez-Testor C. Attachment and Sexuality: Impact of Confinement by COVID-19. SEXUALITY & CULTURE 2022; 27:805-822. [PMID: 36415482 PMCID: PMC9670064 DOI: 10.1007/s12119-022-10039-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 10/28/2022] [Indexed: 05/11/2023]
Abstract
This study examined attachment style and its relationship with sexual self-esteem during COVID-19 confinement. COVID-19 has caused changes in the way couples interact intimately and sexually around the world; some have found improvements and others an increase in difficulties. This article uses a retrospective pre post approach to evaluate 120 men and 89 women who were part of a couple at the time of confinement in Spain and completed an online survey. The sample was obtained during the de-escalation months, from May 9th until July 1st, 2020. Through an online survey we collected the data using the Spanish version of the Experiences in Close Relationships (ECR-S) to measure attachment and the Brief Sexuality Scale (SS) to measure aspects related to the participants sexuality (sexual self-esteem, sexual depression, and sexual preoccupation), as well as a scale designed post hoc on other aspects related to sexuality. Overall, the t-test results suggest that confinement had a negative effect on sexuality because sexual depression (SD) had a small increased in our sample. Multiple regression analysis showed that FSI, and ANXS attachment style were able to predict sexual depression during confinement. The results also showed a decrease in the strength of the relationship between sexual self-esteem (SSE) and attachment styles during confinement. However, sexual preoccupation (SP) and sexual self-esteem (SSE) remained relatively stable. Based on the results obtained, we conclude that there is an association between an increase in participants' sexual depression and being confined due to COVID-19.
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Affiliation(s)
- Dagmarie Torres-Cruz
- Facultat de Psicologia, Ciències de l’educació i de l’Esport Blanquerna, Universitat Ramon Llull, C/Císter 34, 08022 Barcelona, Spain
| | - Berta Aznar-Martínez
- Facultat de Psicologia, Ciències de l’educació i de l’Esport Blanquerna, Universitat Ramon Llull, C/Císter 34, 08022 Barcelona, Spain
| | - Carles Pérez-Testor
- Facultat de Psicologia, Ciències de l’educació i de l’Esport Blanquerna, Universitat Ramon Llull, C/Císter 34, 08022 Barcelona, Spain
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Dargahi S, Damirchi ES, Kivi HG, Sharif AR, Nazari A. Identifying themes relevant to sexual dissatisfaction of dual career couples: Design and effectiveness of a psycho-educational package - A mixed method study. Work 2022; 73:1045-1058. [DOI: 10.3233/wor-211075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: Today, dual-career couples are becoming increasingly prevalent around the world. Due to the nature of the life of this group of people, their sexual and marital life can be damaged. OBJECTIVE: The aim of this study was to develop a psycho-educational model based on the lived experiences of dual career couples who are dissatisfied with sexual relations and its effectiveness on sexual satisfaction. METHODS: This research was done based on a mixed (qualitative and quantitative) method. The qualitative part was performed using the phenomenological method and 13 couples were selected for semi-structured interviews using the purposive sampling method. In a small part of this study, a single case plan (AB plan) was used, and three couples were selected from those who referred to counseling centers in Ardabil and underwent counseling interventions. In a small part, the Sexual Satisfaction Questionnaire was used to measure the changes of couples during the implementation of the intervention program. The information obtained in the qualitative part was analyzed through content analysis and the quantitative part was analyzed using visual analysis, clinical significance and recovery percentage. RESULTS: Based on the results obtained in the qualitative analysis section, the experiences of sexual dissatisfaction of dual-career couples can be classified into 10 main themes, 20 sub-themes and 30 categories that affect the sexual satisfaction of dual-career couples. The results of the quantitative section indicate that the designed psycho-educational model has led to an increase in sexual satisfaction of dual-career couples. CONCLUSION: Achieving sexual and marital satisfaction and finally mental health and reducing divorce is a process that begins with pathology in the cultural context and is achieved by emphasizing indigenous culture through developing a counseling package for appropriate intervention by therapists and counselors.
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Mateizer A, Roșca AC, Avram E. Sexual Self-Concept Differentiation: An Exploratory Analysis of Online and Offline Self-Perspectives. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19126979. [PMID: 35742229 PMCID: PMC9223279 DOI: 10.3390/ijerph19126979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/03/2022] [Revised: 05/25/2022] [Accepted: 06/06/2022] [Indexed: 02/04/2023]
Abstract
Self-concept differentiation (SCD) has been of interest to researchers, mainly as a structural concept indicative of social specialization or self-concept fragmentation. Nevertheless, this aspect of self-representation has not been studied in regard to sexuality and the extent to which the sexual self may vary across different roles or situations. With the emergence of the Internet, people found new opportunities to explore and express aspects of their sexuality in multiple online scenes, thus increasing the complexity of human sexual experience and expanding the reach of sexual identity. The aim of this study is to investigate SCD in relation to the sexual self-concept, as experienced in the online and offline environments, and its effects on sexual identity, sexual satisfaction and online sexual behaviors. Data analysis pointed towards a fragmented self-view with high degrees of differentiation between the online and offline sexual self-instances being linked to a weaker sense of sexual identity, less sexual satisfaction in real life and less partnered online interactions. However, there were some indications that these relationships were influenced by how people perceive themselves sexually in one instance compared to the other. The results obtained in this study encourage further research on SCD as an important factor in understanding the real-world consequences of online sexual expression.
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Affiliation(s)
- Alexandru Mateizer
- Department of Psychology, Faculty of Psychology and Educational Sciences, University of Bucharest, 050663 Bucharest, Romania;
- Correspondence:
| | - Andra Cătălina Roșca
- Department of Sociology, Faculty of Political Sciences, National University of Political Studies and Public Administration, 012104 Bucharest, Romania;
| | - Eugen Avram
- Department of Psychology, Faculty of Psychology and Educational Sciences, University of Bucharest, 050663 Bucharest, Romania;
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15
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Kong LV, Goh PH, Ting RSK. Bidimensional self-esteem and sexual functioning among Malaysian young adults: the moderating role of relationship status. PSYCHOLOGY & SEXUALITY 2022. [DOI: 10.1080/19419899.2022.2053564] [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]
Affiliation(s)
- Li Voon Kong
- Department of Psychology, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Subang Jaya, Malaysia
| | - Pei Hwa Goh
- Department of Psychology, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Subang Jaya, Malaysia
| | - Rachel Sing-Kiat Ting
- Department of Psychology, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Subang Jaya, Malaysia
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16
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Sukhanova A, Pascoal PM, Rosa PJ. A behavioral approach to sexual function: testing a moderation mediation model with expression of feelings, sexual self-disclosure and gender. JOURNAL OF SEX & MARITAL THERAPY 2022; 48:607-627. [PMID: 35166643 DOI: 10.1080/0092623x.2022.2035867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Little is known about specific intimacy dimensions' role in sexual function. In the current study, we aimed to gain more insight into how expression of feelings and sexual self-disclosure (a mediator) might potentially affect sexual functioning testing a theoretically based moderated mediation model, that uses gender as a moderator. A total of 661 participants, of which 211 were men (31,90%) and 450 were women (68,10%) aged 18-74 years involved in a monogamous committed relationship participated in the study. We used macro PROCESS 3.2 for IBM - SPSS to test simple mediation and moderated mediation models. The data revealed a significant overall effect of expression of feelings on sexual function, supporting that sexual self-disclosure mediates this relationship. We found that gender does not moderate either the relationship between expression of feelings and sexual self-disclosure nor the trajectory between sexual self-disclosure and sexual function. Our results highlight the importance of taking an interpersonal behavioral approach to sexual function, namely one that focuses on communication behaviors. However, these results need to be explored with clinical samples to understand their full potential for clinical interventions within a behavioral paradigm to partnered people's sexual problems.
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Affiliation(s)
- Anna Sukhanova
- School of Psychology and Life Sciences, Lusófona University, Lisbon, Portugal
| | - Patrícia M Pascoal
- Research Center for Psychological Science, Faculty of Psychology, University of Lisbon, Lisbon, Portugal
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17
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Delgado Amaro H, Alvarez MJ, Ferreira JA. Sexual gender roles and stereotypes and the sexual double standard in sexual satisfaction among Portuguese college students: an exploratory study. PSYCHOLOGY & SEXUALITY 2022. [DOI: 10.1080/19419899.2022.2039271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Helena Delgado Amaro
- Faculdade de Psicologia e de Ciências da Educação, Universidade de Coimbra, Coimbra, Portugal
- Faculdade de Psicologia, Universidade de Lisboa, Portugal
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18
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Ego-Centred and Partner/Activity-Focused Sexual Satisfaction: The Role of Self-Esteem and Sexual Assertiveness in Cisgender Heterosexual Women. SEX ROLES 2022. [DOI: 10.1007/s11199-021-01258-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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19
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Clapp AR, Syed M. Self-objectification and sexual satisfaction: A preregistered test of the replicability and robustness of Calogero & Thompson (2009) in a sample of U.S. women. Body Image 2021; 39:16-29. [PMID: 34144448 DOI: 10.1016/j.bodyim.2021.05.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Revised: 05/27/2021] [Accepted: 05/27/2021] [Indexed: 11/30/2022]
Abstract
Objectification theory has provided a useful framework for the study of women's sexual outcomes. However, little research has been conducted on the role of self-objectification in predicting sexual satisfaction. We conducted a replication of Calogero and Thompson (2009a), which reported a direct relationship between self-surveillance and sexual satisfaction, and expanded upon their work. We tested four path analysis models: Calogero and Thompson's reported and hypothesized models, and two previously untested models, all containing our variables of interest (media internalization, self-surveillance, body shame, sexual self-esteem, and sexual satisfaction). Each model was tested with the full sample (N = 349) and a restricted sample (N = 127) that met Calogero and Thompson's relationship status and sexual frequency inclusion criteria, and with and without BMI covaried. Both samples consisted of U.S. college women recruited in Fall 2019, with a mean age of M = 19.68 in the restricted sample. Results showed good fit for all tested models but failed to replicate the direct pathway between self-surveillance and sexual satisfaction. Instead, our models supported an indirect effect of self-surveillance on sexual satisfaction through body shame and sexual self-esteem. Findings support the role of sociocultural channels in influencing college women's body image and sexual experiences.
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Affiliation(s)
- Abbie R Clapp
- Department of Psychology, University of Minnesota, United States.
| | - Moin Syed
- Department of Psychology, University of Minnesota, United States
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20
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Torres-Cruz D, Aznar-Martínez B, Pérez-Testor C. Impact of the COVID-19 Confinement on Couple Satisfaction and Sexuality. JOURNAL OF SEX & MARITAL THERAPY 2021; 48:1-13. [PMID: 34749594 DOI: 10.1080/0092623x.2021.1998271] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
This study examined dyadic adjustment, which is an essential aspect for a couple's functioning, and its relationship with sexual self-esteem during COVID-19 confinement. This article presents data from before and during the confinement due to COVID-19 in Spain. 120 men and 89 women who were part of a couple at the time of confinement and completed an online survey participated in the study. The sample was obtained during the de-escalation months, from May 9th until July 1st, 2020. Three questionnaires were administered. The results that were obtained from the T-student, Pearson correlations and regression analyses show a decline in couples' adjustment during the months of confinement. Regarding the Sexuality Scale, the results showed that the sexual-depression subscale and the sexual self-esteem subscale had a statistically significant role in predicting the dyadic adjustment during confinement. Overall, our findings suggest that confinement had a negative effect on sexuality because the sexual-depression of the sample increased and couple adjustment decreased during the confinement due to COVID-19.
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Affiliation(s)
- Dagmarie Torres-Cruz
- Facultat de Psicologia, Ciències de l'educació I, de l'Esport Blanquerna, Universitat Ramon Llull, Barcelona, Spain
| | - Berta Aznar-Martínez
- Facultat de Psicologia, Ciències de l'educació I, de l'Esport Blanquerna, Universitat Ramon Llull, Barcelona, Spain
| | - Carles Pérez-Testor
- Facultat de Psicologia, Ciències de l'educació I, de l'Esport Blanquerna, Universitat Ramon Llull, Barcelona, Spain
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21
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Caycho-Rodríguez T, Vilca LW, Neto F, Peña-Calero BN, Schnettler B, Garcia Cadena CH, Barboza-Palomino M, Neto J, White M. Satisfaction with Sex Life Scale: New Psychometric Evidence in a Portuguese Population. ELECTRONIC JOURNAL OF GENERAL MEDICINE 2021. [DOI: 10.29333/ejgm/11318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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22
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Evans-Paulson R, Widman L, Brasileiro J, Maheux AJ, Choukas-Bradley S. Examining the Link Between Sexual Self-Concept and Sexual Communication among Adolescents. COMMUNICATION QUARTERLY 2021; 69:525-543. [PMID: 34707323 PMCID: PMC8545267 DOI: 10.1080/01463373.2021.1969585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
The purpose of this study was to move beyond a sexual risk framework to investigate the possible associations among three sex-positive constructs for adolescents: their sexual self-concept (i.e., their positive/negative feelings about themselves as sexual beings), their sexual communication with romantic/sexual partners, and their sexual communication self-efficacy. We also examined differences in these constructs by sexual intercourse experience and gender. Participants were 171 adolescents who had been in a dating or sexual relationship in the past year (M age=16.32 years; 64.3% girls). Compared to girls, boys had more positive sexual self-concepts but less self-efficacy to communicate with their partners about sex. Adolescents who reported having had sexual intercourse had more positive sexual self-concepts as well as more frequent partner sexual communication compared to adolescents without sexual intercourse experience. Adolescents with a more positive sexual self-concept had higher sexual communication self-efficacy and reported more frequent sexual communication. In addition, sexual communication self-efficacy partially mediated the relationship between sexual self-concept and sexual communication. Results highlight the connection between sexual self-concept and sexual communication and contribute to a growing body of work on the positive aspects of adolescent sexuality.
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Affiliation(s)
- Reina Evans-Paulson
- Innovation Research & Training, 5316 Highgate Drive, Suite 125, Durham, NC 27713
| | - Laura Widman
- North Carolina State University, Department of Psychology, Campus Box 7650, Raleigh, NC, USA 27695-7650
| | - Julia Brasileiro
- North Carolina State University, Department of Psychology, Campus Box 7650, Raleigh, NC, USA 27695-7650
| | - Anne J. Maheux
- University of Delaware, Department of Psychological and Brain Sciences, 105 The Green, Newark, DE, USA 197716
| | - Sophia Choukas-Bradley
- University of Delaware, Department of Psychological and Brain Sciences, 105 The Green, Newark, DE, USA 197716
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23
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Perceived Changes in Sexuality during the COVID-19 Pandemic among Adults in the United States. SEXES 2021. [DOI: 10.3390/sexes2030026] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Abstract
In the United States, the COVID-19 pandemic has decreased partnered sexual behavior and increased the use of enhancement (e.g., toys). This has been partly attributed to reduced social interactions and stress. However, individuals’ perceptions of changes are missing in research. This study aims to examine how adults perceive changes in their sexuality during the pandemic. We conducted a nationwide survey of US adults from April–June 2020 (N = 326). This qualitative study examines the open-ended responses using thematic analyses. The following themes emerged from the data: (1) changes in the purpose of sex; (2) changes in sexual identity; (3) decreases in sex drive and desire; (4) increases in sex drive and desire; (5) fluctuations in sex drive and desire; (6) increased sexual experimentation and reflection. The stress, changes in home responsibilities and living situations, and time spent with partners (more or less) has affected individuals by increasing or decreasing their sex drive and desire. Participants responded to changes with self-reflection and awareness, and incorporating new practices (e.g., technology, kink). The purpose of sex has shifted in order to gain intimacy or connect, or to pass time. These changes were perceived as both positive and negative, and more research is needed to determine the durability of these changes.
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24
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Rodríguez-Domínguez C, Lafuente-Bacedoni C, Durán M. Effect of the Lockdown Due to COVID-19 on Sexuality: The Mediating Role of Sexual Practices and Arousal in the Relationship Between Gender and Sexual Self-Esteem. Psychol Rep 2021; 125:2879-2901. [PMID: 34218738 DOI: 10.1177/00332941211028999] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
The scientific evidence suggests that COVID-19 is affecting much more than the physical health of individuals, particularly in places where a lockdown has been established to slow down the spread of the virus. An area that may be particularly affected is human sexuality. This study explored the impact of the situation generated by COVID-19 on the sexuality of 201 adults living in Spain. We collected data cross-sectionally through an online survey during the month of April 2020. Results showed a reduction of sexual self-esteem and a decrease in the number of interpersonal sexual relations, although the frequency of masturbation and the consumption of pornography did not vary compared to previous levels. A regression analysis showed that masturbation, the ability to maintain sexual arousal and interpersonal sex were mediating variables in the relationship between gender - specifically being male - and having higher sexual self-esteem during the lockdown. This study provides new insight on the relevance of certain sexual behaviors in a pandemic situation with considerable social restrictions and on the effect of this situation on sexual self-esteem and arousal. It brings some clarity on the relationship between sexual self-esteem and gender, about which there is currently no consensus in the scientific literature.
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Affiliation(s)
| | - Cristina Lafuente-Bacedoni
- Department of Psychology, Universidad Loyola Andalucía, Sevilla, Spain.,Department of Social Psychology, 16778Universidad de Sevilla, Sevilla, Spain
| | - Mercedes Durán
- Department of Social Psychology, 16778Universidad de Sevilla, Sevilla, Spain
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25
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Padilla-Walker LM, McLean R, Ogles B, Pollard B. How Do Parents Teach "No Means No"? An Exploration of How Sexual Consent Beliefs Are Socialized During Adolescence. JOURNAL OF SEX RESEARCH 2020; 57:1122-1133. [PMID: 32723188 DOI: 10.1080/00224499.2020.1792397] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Research on sexual consent has increased in recent years, but we know almost nothing about how beliefs about consent are socialized during adolescence, which likely has important implications for behaviors related to obtaining sexual consent. The current study explored the frequency of parent-adolescent consent communication, as well as demographic, adolescent, and parent predictors of adolescents' beliefs about the importance of consent and the frequency of parent-adolescent consent communication. Two national samples were used, one consisting of 2,044 adolescents, ages 13 to 18 (M age = 16.19, SD = 1.71; 50% female), and a second sample of 2,081 nonrelated individuals, ages 28 to 81, who were parents of teens ages 13-18 (M age = 15.25, SD = 1.56). Findings suggested that parents did not talk about sexual consent any more than they did about other sexual topics (e.g., reproduction). We also found that maternal warmth was positively associated with adolescents' importance of consent beliefs and that adolescents' uninhibited temperament and parents' self-efficacy and sexual beliefs were associated with parent-adolescent consent communication. The discussion focuses on the need to educate parents so they feel more confident talking to adolescents about the importance of giving and receiving sexual consent.
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Affiliation(s)
| | - Ryan McLean
- School of Family Life, Brigham Young University
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26
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Weitkamp K, Hänisch I, Heesch SC. A controlled pilot study to test the online intervention Self:Cervix focusing on cervical pain, numbness, sexual pleasure and well-being. PSYCHOLOGY & SEXUALITY 2020. [DOI: 10.1080/19419899.2020.1713874] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Affiliation(s)
- Katharina Weitkamp
- University of Zurich, Clinical Psychology for Children/Adolescents and Families/Couples, Switzerland
| | - Ineka Hänisch
- Faculty of Life Sciences, MSH Medical School Hamburg, Germany
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27
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Plopa M. Partners' Sexual Satisfaction in Partnership and Marriage: A Study Method. JOURNAL OF SEX & MARITAL THERAPY 2019; 46:78-98. [PMID: 31452459 DOI: 10.1080/0092623x.2019.1654578] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
The article presents a new Polish tool serving to measure the degree of sexual satisfaction achieved with a particular partner. It is a three-factor tool (measuring intimacy, petting, and sex) comprising 10 items that meet standardization requirements completely. The results of the performed factor validity analysis indicate that the three-factor model is the most valid for the purpose of description of sexual satisfaction measured with the SSQ (Sexual Satisfaction Questionnaire)-the aspects of satisfaction singled out in the model are strongly correlated. The three dimensions of satisfaction that were distinguished describe intimacy in a romantic relationship, satisfaction with one's sex life, and satisfaction with mutual physical contacts other than sex. The cross-validation tests revealed that such a factor structure of the SSQ is stable and characteristic for the representatives of both of the sexes as well as married people. The three-factor structure significantly merges into a single global indicator only in the case of people maintaining partnerships, which advocates verification of a hypothesis regarding differences in the way married and cohabiting partners experience sexual satisfaction.
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Affiliation(s)
- Mieczysław Plopa
- Sexual Satisfaction Questionnaire, University of Economics and Human Sciences in Warsaw, Warsaw, Poland
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