Abstract
The relation of masturbation to orgasmic facility and orgasm satisfaction in the sexual relationships context was examined in elderly population. This cross-sectional study included 546 Spanish heterosexual adults aged 50–83 years. They completed a Socio-Demographic Questionnaire, and scales to assess negative attitude towards masturbation, solitary sexual desire, subjective orgasm experience in the solitary masturbation context and orgasmic facility and orgasm satisfaction in sexual relationships. Significant differences were observed on all the masturbation-related indicators between men and women. For men, a regression model was obtained in which age (β = 0.15), current masturbation frequency (β = 0.18) and negative attitude towards masturbation (β = 0.17) explained 8% of the difficulty in orgasmic facility, and another in which age (β = 0.14) and negative attitude towards masturbation (β = 0.13) explained 8% of orgasm satisfaction. For women, two regression models were obtained, in which the Affective dimension of the subjective orgasm experience in masturbation explained 11% of orgasmic facility (β = −0.22) and 15% of orgasm satisfaction (β = −0.33) in sexual relationships. Significant differences in the intensity of the subjective orgasmic masturbation experience were observed between elderly people with and without difficulties in orgasmic facility and orgasm satisfaction in sexual relationships.
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The data presented in this study are available on request from the corresponding author. The data are not publicly available due to privacy.
References
Connor JJ, Girard A, Iantaffi A, Wiljamaa S, Mize S. No expiration date: a qualitative inquiry of sexuality after 50. Sex Relatsh Ther. 2020. https://doi.org/10.1080/14681994.2020.1828575
Lucas Matheu M. Sexualidad Madura. Madrid: Editorial Síntesis; 2013.
Sierra JC, Vallejo-Medina P, Santos-Iglesias P, Moyano N, Granados R, Sánchez-Fuentes MM. Funcionamiento sexual en personas mayores: Influencia de la edad y de factores psicosexuales. Rev Int Androl. 2014;12:64–70.
Štulhofer A, Jurin T, Graham C, Enzlin P, Træen B. Sexual Well-Being in Older Men and Women: Construction and Validation of a Multi-Dimensional Measure in Four European Countries. J Happiness Stud. 2019;20:2329–50.
Fisher LL. Sex, romance, and relationship. AARP Survey of Midlife and older adults. Washington: AARP; 2010.
Malo de Molina C, Valls Blanco JM, Pérez Gómez A. La conducta sexual de los españoles. Barcelona: Ediciones B; 1988.
Mercer CH, Tanton C, Prah P, Erens B, Sonnenberg P, Clifton S, et al. Changes in sexual attitudes and lifestyles in Britain through the life course and over time: findings from the National Surveys of Sexual Attitudes and Lifestyles (NATSAL). Lancet. 2013;382:1781–94.
Træen B, Štulhofer A, Janssen E, Carvalheira AA, Hald GM, Lange T, et al. Sexual Activity and Sexual Satisfaction Among Older Adults in Four European Countries. Arch Sex Behav. 2019;48:815–29.
Waite LJ, Laumann EO, Das A, Schumm LP. Sexuality: Measures of partnerships, practices, attitudes, and problems in the national social life, health, and aging study. J Gerontol Ser A-Biol Sci Med Sci. 2009;64:56–66.
Cervilla O, Vallejo-Medina P, Gómez-Berrocal C, Sierra JC. Development of the Spanish short version of Negative Attitudes Toward Masturbation Inventory. Int J Clin Health Psychol. 2021;21:100222. https://doi.org/10.1016/j.ijchp.2021.100222
Zimmer F, Imhoff R. Abstinence from Masturbation and Hypersexuality. Arch Sex Behav. 2020;202049:1333–43.
Moyano N, Vallejo-Medina P, Sierra JC. Sexual Desire Inventory: Two or Three Dimensions? J Sex Res. 2017;54:105–16.
Cervilla O, Vallejo-Medina P, Gómez-Berrocal C, de la Torre D, Sierra JC. Validación de la Orgasm Rating Scale en el contexto de la masturbación. Psicothema. 2022;34:151-9. https://doi.org/10.7334/psicothema2021.223
Arcos-Romero AI, Sierra JC. Revisión sistemática sobre la experiencia subjetiva del orgasmo. Rev Int Androl. 2018;16:75–81.
Sierra JC, Ortiz A, Calvillo C, Arcos-Romero AI. Experiencia subjetiva del orgasmo en el contexto de la masturbación en solitario. Rev Int Androl. 2021;19:93–101.
Clayton AH, Hamilton DV. Female orgasmic disorder. In: Balon R, Taylor Segraves R, editors. Clinical Manual of Sexual Disorders. Arlington: American Psychiatric Publishing Inc; 2009. pp. 251–71.
Sierra JC, Buela-Casal G. Evaluación y tratamiento de las disfunciones sexuales. In: Buela-Casal G, Sierra JC, editors. Manual de evaluación y tratamientos psicológicos. 2nd ed. Madrid: Biblioteca Nueva; 2004. pp. 439–85.
Waldinger MD. Delayed and premature ejaculation. In: Balon R, Taylor Segraves R, editors. Clinical Manual of Sexual Disorders. Arlington: American Psychiatric Publishing Inc; 2009. pp. 273–304.
Mosher DL. Negative Attitudes Toward Masturbation. En T. D. Fisher, C. M. Davis, W. L. Yarber, y S. L. Davis, editors., Handbook of sexuality-related measures (3rd ed.). New York: Routledge; 2011. p. 487-8.
Spector IP, Carey MP, Steinberg L. The sexual desire inventory: development, factor structure, and evidence of reliability. J Sex Marital Ther. 1996;22:175–90.
Mah K, Binik YM. Orgasm Rating Scale. In: Milhausen RR, Sakaluk JK, Fisher TD, Davis DM, Yarber WL, (Eds.). Handbook of Sexuality–Related Measures. 4th ed. Routledge; 2020. p. 503–7.
Sánchez-Fuentes MM, Moyano N, Granados R, Sierra JC. Validation of the Spanish version of the Arizona Sexual Experience Scale (ASEX) using self-reported and psychophysiological measures. Rev Iberoam Psicol Salud. 2019;10:1–14.
McGahuey CA, Gelenberg AJ, Laukes CA, Moreno FA, Delgado PL, McKnight KM, et al. The Arizona Sexual Experience Scale (Asex): Reliability and validity. J Sex Marital Ther. 2000;26:25–40.
Arcos-Romero AI, Sierra JC. Factorial invariance, differential item functioning, and norms of the Orgasm Rating Scale. Int J Clin Health Psychol. 2019;19:57–66.
Calvillo C, Sánchez-Fuentes MM, Parrón-Carreño T, Sierra JC. Validation of the Interpersonal Exchange Model of Sexual Satisfaction Questionnaire in adults with a same-sex partner. Int J Clin Health Psychol. 2020;20:140–50. https://doi.org/10.1016/j.ijchp.2019.07.005
Tavares IM, Schlagintweit HE, Nobre PJ, Rosen NO. Sexual well-being and perceived stress in couples transitioning to parenthood: A dyadic analysis. Int J Clin Health Psychol. 2019;19:198–208.
Burri A, Carvalheira A. Masturbatory Behavior in a Population Sample of German Women. J Sex Med. 2019;16:963–74.
Carvalheira A, Leal I. Masturbation among women: Associated factors and sexual response in a Portuguese community sample. J Sex Marital Ther. 2013;39:347–67.
R Core Team. R: A language and environment for statistical computing. Vienna: R Foundation for Statistical Computing. 2020. https://www.R-project.org/
RStudio Team. RStudio: Integrated Development for R. Boston: RStudio PBC; 2020. https://www.rstudio.com/
Stekhoven DJ, Bühlmann P. MissForest—non-parametric missing value imputation for mixed-type data. Bioinformatics. 2011;28:112–8.
Patil I ggstatsplot: «ggplot2» Based Plots with Statistical Details. CRAN, 2018; https://doi.org/10.5281/zenodo.2074621
Revelle W. Psych: Procedures for Personality and Psychological Research. Evanston, Illinois, USA: Northwestern University; 2019. https://cran.r-project.org/package=psych
Sierra JC, Perla F, Gutiérrez-Quintanilla R. Actitud hacia la masturbación en adolescentes: propiedades psicométricas de la versión española del Attitudes Toward Masturbation Inventory. Univ Psychol. 2010;9:531–42.
Shibley Hyde J, DeLamater JD. Sexualidad humana. 9th ed. Mexico: McGraw Hill; 2006.
Villar F, Serrat R, Celdrán M, Fabà J. Attitudes Toward Masturbation Among Residents of Spanish Residential Aged Care Facilities. Sex Res Soc Policy. 2016;13:182–91.
Álvarez-Muelas A, Gómez-Berrocal C, Sierra JC. Study of Sexual Satisfaction in Different Typologies of Adherence to the Sexual Double Standard. Front. Psychol. 2021;11:article 609571; https://doi.org/10.3389/fpsyg.2020.609571
Haus KR, Thompson AE. An Examination of the Sexual Double Standard Pertaining to Masturbation and the Impact of Assumed Motives. Sex Cult. 2020;24:809–34.
Regnerus M, Price J, Gordon D. Masturbation and Partnered Sex: Substitutes or Complements? Arch Sex Behav. 2017;46:2111–21.
Muñoz-García LE, Gómez-Berrocal C, Mangas P, Sierra JC. Experiencia subjetiva del orgasmo en la masturbación en función de la orientación sexual y sexo. Proceeding of the XX Congreso Latinoamericano de Sexología y Educación Sexual; 2021:20-23.
Arcos-Romero AI, Expósito-Guerra D, Sierra JC. Sexual desire and its relationship with subjective orgasm experience. Int J Impot Res. 2020. https://doi.org/10.1038/s41443-020-00375-7
Sierra JC, Vallejo-Medina P, Santos-Iglesias P, Lameiras Fernández M. Validación del Massachusetts General Hospital-Sexual Functioning Questionnaire (MGH-SFQ) en población española. Aten Primaria. 2012;44:516–26.
Gerressu M, Mercer CH, Graham CA, Wellings K, Johnson AM. Prevalence of masturbation and associated factors in a British national probability survey. Arch Sex Behav. 2008;37:266–78.
Sierra JC, Díaz G, Álvarez-Muelas A, Calvillo C, Granados R, Arcos-Romero AI. Relación del deseo sexual con la excitación sexual objetiva y subjetiva. Revista de Psicopatologia y Psicologia. Clinica. 2019;24:173–80.
Sierra JC, Vallejo-Medina P, Granados R, Moyano N, Sánchez-Fuentes MM. Relación de la satisfacción sexual con la respuesta sexual en función del sexo y edad. Proceedings of the XXXV Congreso Interamericano de Psicología; 2015:12-16.
Ma GC, Zou ZJ, Lai YF, Zhang X, Zhang Y. Regular penis-root masturbation, a novel behavioral therapy in the treatment of primary premature ejaculation. Asian J Androl. 2019;21:631–4.
Funding
Research funded by the Ministry of Science, Innovation and Universities of Spain through the Research Project RTI2018-093317-B-I00 and the Bursary FPU16/04429 and FPU18/03102 for University Professor Training.
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Conceptualization, JCS; methodology, JCS, JS, OC, and AÁ-M; formal analysis, JCS, OC, AÁ-M.; investigation, JCS, JS, OC, and AÁ-M; writing—original draft preparation, JCS, JS, OC, and AÁ-M; writing—review and editing, JCS, JS, OC, and AÁ-M; and funding acquisition, JCS.
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This study was approved by the Ethics Committee of Human Research of the University of Granada.
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Sierra, J.C., Santamaría, J., Cervilla, O. et al. Masturbation in middle and late adulthood: its relationship to orgasm. Int J Impot Res 35, 114–120 (2023). https://doi.org/10.1038/s41443-021-00520-w
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DOI: https://doi.org/10.1038/s41443-021-00520-w
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