More Likely to Have Risky Sex but less Sexually Satisfied: a Profile of High Social Interaction Anxiety, Urgency, and Emotion Dysregulation

Abstract

Social anxiety disorder is prevalent and negatively impacts adolescents and young adults. People with social interaction anxiety, a presentation category of social anxiety disorder pertaining to social relationships, tend to be more withdrawn, avoidant, and sexually dissatisfied. Some individuals with social interaction anxiety are more likely to engage in health-risk sexual behavior (HRSB), likely associated with individual differences. The present study used finite mixture modeling to discern profiles comprised of social interaction anxiety and individual differences previously associated with HRSB, replicating and extending previous findings (Rahm-Knigge et al. 2018). We also examined differences in sexual satisfaction among profiles. We replicated identifying two profiles high in social interaction anxiety that substantively differed in response to positive and negative emotions, emotion-regulation strategies, risk seeking, and non-acceptance of emotions. The profile high in social interaction anxiety and these individual differences was likelier to engage in HRSB than the other high social anxiety profile. Both high social interaction anxiety profiles were similarly low in sexual satisfaction. Despite differences in individual differences and engagement in HRSB, profiles high in social interaction anxiety reported similarly lower sexual satisfaction than the profiles low in social interaction anxiety.