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Emotional intimacy is the best predictor of sexual satisfaction of men and women with sexual arousal problems

International Journal of Impotence Research volume 25, pages 51–55 (2013)Cite this article

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Abstract

This study investigates the association between variables related to individual body appearance and relationship variables with sexual satisfaction (SS) in a sample of men and women with sexual arousal problems (SAP). An anonymous cross-sectional survey was conducted in a clinical setting with a non-representative sample of people diagnosed (DSP) with SAP and with a sample of people who identified themselves (SISP) as having a SAP. A total of 193 participants was recruited. SS and variables related to body appearance and relationship were measured. Hierarchical regression was used to study the contribution of different sets of variables on SS of men and women. No differences were found in terms of demographic variables, except for gender. Women in the SISP group presented significantly higher levels of SS than women in the DSP group. The predictive models proved to be statistically significant and explained many of the variance of SS in both men (R2=0.44) and women (R2=0.40). In both genders, emotional intimacy was revealed to be the main predictor of SS. Our results support the need to address relationship variables in patients diagnosed with SAP, specifically intimacy. This latter component must be considered for assessment, intervention and referral.

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References

  1. Elsamra S, Nazmy M, Shin D, Fisch H, Sawczuk I, Fromer D . Female sexual dysfunction in urological patients: findings from a major metropolitan area in the USA. BJU Int 2010; 106: 524–526.

    Article  Google Scholar 

  2. Vendeira PS, Pereira NM, Serrano F, Carvalheira AA . Estudo Episex-PT/Feminino: prevalência das disfunções sexuais femininas em Portugal. ISEX Cadernos Sexol 2011; 4: 7–14.

    Google Scholar 

  3. Vendeira PS, Pereira NM, Tomada N, LaFuente JM . Estudo Episex-PT/Masculino: prevalência das disfunções sexuais masculinas em Portugal. ISEX Cadernos Sexol 2011; 4: 15–22.

    Google Scholar 

  4. Lau JTF, Kim JH, Tsui HY . Prevalence of male and female sexual problems, perceptions related to sex and association with quality of life in a Chinese population: a population-based study. Int J Impot Res 2005; 17: 494–505.

    Article  CAS  Google Scholar 

  5. World Health Organization. Measuring sexual health: conceptual and practical considerations and related indicators In: WHO (ed): Geneva, 2010.

  6. Evangelia N, Kirana P-S, Chiu G, Link C, Rosen R, Hatzichristou D . Level of bother and treatment-seeking predictors among male and female in-patients with sexual problems: a hospital-based study. J Sex Med 2010; 7: 700–711.

    Article  Google Scholar 

  7. Gutierrez P, Hernandez P, Sanz E, Cardeosa O, Mas M . Further psychometric validation of the Sexual Life Quality Questionnaire for men with erectile dysfunction and their partners on a modified Spanish language version. J Sex Med 2009; 6: 2698–2706.

    Article  Google Scholar 

  8. McCabe MP, Matic H . Erectile dysfunction and relationships: Views of men with erectile dysfunction and their partners. Sex Relation Therapy 2008; 23: 51–60.

    Article  Google Scholar 

  9. Nobre P, Pinto-Gouveia J . Cognitions, emotions, and sexual response: analysis of the relationship among automatic thoughts, emotional responses, and sexual arousal. Arch Sex Behav 2008; 37: 652–661.

    Article  Google Scholar 

  10. American Psychiatric Association. DSM-5 Development: sexual dysfunctions 2012 Retrieved from http://www.dsm5.org/proposedrevision/Pages/sexualDysfunction.aspx.

  11. Lue TF, Fo Giuliano, Montorsi F, Rosen RC, Andersson K-E, Althof S et al. Summary of the recommendations on sexual dysfunctions in men. J Sex Med 2004; 1: 6–23.

    Article  Google Scholar 

  12. Brotto LA, Bitzer J, Laan E, Leiblum S, Luria M . Women’s sexual desire and arousal disorders. J Sex Med 2010; 7: 586–614.

    Article  Google Scholar 

  13. Lawrance K-A, Byers ES . Sexual satisfaction in long-term heterosexual relationships: The interpersonal exchange model of sexual satisfaction. Pers Relatsh 1995; 2: 267–285.

    Article  Google Scholar 

  14. Pascoal P, Narciso I, Pereira NM, Ferreira AS . Psychometric properties of the global measure of sexual satisfaction in three portuguese samples. Psicologia: Reflexao e Critica 2014; 1, (e-pub ahead of print).

  15. Nobre P, Pinto-Gouveia J . Differences in automatic thoughts presented during sexual activity between sexually functional and dysfunctional men and women. Cognit Ther Res 2008b; 32: 37–49.

    Article  Google Scholar 

  16. Meana M, Nunnink SE . Gender differences in the content of cognitive distraction during sex. J Sex Res 2006; 43: 59–67.

    Article  Google Scholar 

  17. Lau JTF, Yang X, Wang Q, Cheng Y, Tsui HY, Mui LWH et al. Gender power and marital relationship as predictors of sexual dysfunction and sexual satisfaction among young married couples in rural China: A population-based study. Urology 2006; 67: 579–585.

    Article  Google Scholar 

  18. Haning RV, O'Keefe SL, Randall EJ, Kommor MJ, Baker E, Wilson R . Intimacy, orgasm likelihood, and conflict predict sexual satisfaction in heterosexual male and female respondents. J Sex Marital Ther 2007; 33: 93–113.

    Article  Google Scholar 

  19. Adegunloye OA, Ezeoke GG . Sexual dysfunction-a silent hurt: issues on treatment awareness. J Sex Med 2011; 8: 1322–1329.

    Article  Google Scholar 

  20. Catania JA, Pollack L, McDermott LJ, Qualls SH, Cole L . Help-seeking behaviors of people with sexual problems. Arch Sex Behav 1990; 19: 235–250.

    Article  CAS  Google Scholar 

  21. Shifren JL, Johannes CB, Monz BU, Russo PA, Bennett L, Rosen R . Help-Seeking Behavior of Women with Self-Reported Distressing Sexual Problems. J Womens Health 2009; 18: 461–468.

    Article  Google Scholar 

  22. Laumann EO, Glasser DB, Neves RCS, Moreira ED . A population-based survey of sexual activity, sexual problems and associated help-seeking behavior patterns in mature adults in the United States of America. Int J Impot Res 2009; 21: 171–178.

    Article  CAS  Google Scholar 

  23. Hinchliff S, Gott M . Seeking medical help for sexual concerns in mid- and later life: a review of the literature. J Sex Res 2011; 48: 106–117.

    Article  Google Scholar 

  24. Mitchell KR, Mercer CH, Wellings K, Johnson AM . Prevalence of low sexual desire among women in britain: associated factors. J Sex Med 2009; 6: 2434–2444.

    Article  Google Scholar 

  25. McCabe MP, Goldhammer DL . Demographic and psychological factors related to sexual desire among heterosexual women in a relationship. J Sex Res 2011; 49: 78–87.

    Article  Google Scholar 

  26. APA. Diagnostic and Statistical Manual of Mental Disorders: DSM-IV. American Psychological Association: Washington, DC, USA, 1994.

  27. Graham C . The DSM diagnostic criteria for female sexual arousal disorder. Arch Sex Behav 2010; 39: 240–255.

    Article  Google Scholar 

  28. Lau JTF, Kim JH, Tsui HY . Mental health and lifestyle correlates of sexual problems and sexual satisfaction in heterosexual Hong Kong Chinese population. Urology 2005; 66: 1271–1281.

    Article  Google Scholar 

  29. Byers ES, Macneil S . Further validation of the interpersonal exchange model of sexual satisfaction. J Sex Marital Ther 2006; 32: 53–69.

    Article  Google Scholar 

  30. Probst M, Vandereycken W, Van Coppenolle H, Vanderlinden J . The Body Attitude Test for patients with an eating disorder: Psychometric characteristics of a new questionnaire. Eat DisordJ Treat Prev 1995; 3: 133–144.

    Article  Google Scholar 

  31. Dove NL, Wiederman MW . Cognitive distraction and women's sexual functioning. J Sex Marital Ther 2000; 26: 67–78.

    Article  CAS  Google Scholar 

  32. Pascoal PM, Narciso I, Pereira NM . Body dissatisfaction and relationship factors as predictors of body appearance cognitive distraction in men and women. J Sex Med advance online publication, 20 August 2012; doi:10.1111/j.1743-6109.2012.02893.x.

    Article  Google Scholar 

  33. Narciso I, Santos SV, Ribeiro MT Satisfação Conjugal e Percepções Retrospectivas do Clima Relacional na Família de Origem. VII Simpósio Nacional de Investigação em Psicologia; Braga, 2010.

  34. Carpenter L, Nathanson C, Kim Y . Physical women, emotional men: gender and sexual satisfaction in midlife. Arch Sex Behav 2009; 38: 87–107.

    Article  Google Scholar 

  35. Heiman JR, Long JS, Smith SN, Fisher WA, Sand MS, Rosen RC . Sexual satisfaction and relationship happiness in midlife and older couples in five countries. Arch Sex Behav 2011; 40: 741–753.

    Article  Google Scholar 

  36. Yucel D, Gassanov MA . Exploring actor and partner correlates of sexual satisfaction among married couples. Soc Sci Res 2010; 39: 725–738.

    Article  Google Scholar 

  37. Hatzimouratidis K, Amar E, Eardley I, Giuliano F, Hatzichristou D, Montorsi F et al. Guidelines on male sexual dysfunction: erectile dysfunction and premature ejaculation. Eur Urol 2010; 57: 804–814.

    Article  Google Scholar 

  38. PORDATA. Nados-vivos fora do casamento, com coabitação e sem coabitação dos pais (%) em Portugal In: Santos FFMd (ed) 2012.

  39. Basson R, Brotto LA, Laan E, Redmond G, Utian WH . Assessment and management of women's sexual dysfunctions: problematic desire and arousal. J Sex Med 2005; 2: 291–300.

    Article  Google Scholar 

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Acknowledgements

We thank Marta Crawford, MSc for her precious support throughout this study. This study was supported by a grant with the reference SFRH/BD/39934/2007 from the National Foundation of Science and Technology.

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Authors and Affiliations

  1. Faculty of Psychology, University of Lisbon, Lisbon, Portugal

    P M Pascoal & I Narciso

  2. iSEX—Association for the Advanced Study of Human Sexuality, Lusófona University, Lisbon, Portugal

    N M Pereira

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  1. P M Pascoal
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  2. I Narciso
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  3. N M Pereira
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Correspondence to P M Pascoal.

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Pascoal, P., Narciso, I. & Pereira, N. Emotional intimacy is the best predictor of sexual satisfaction of men and women with sexual arousal problems. Int J Impot Res 25, 51–55 (2013). https://doi.org/10.1038/ijir.2012.38

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