Abstract

IntroductionExploring the ways in which sexual fantasies may affect sexual experience and satisfaction is of relavence in the clinical setting involving sexual dysfuntion.ObjectivesTo observe how the sexual fantasy scores differ in their relationship with sexual satisfaction, experience and quality between sexual dysfunction cases and normal controls.MethodsScales included: Wilson’s sex fantasy questionnaire (WSFQ), Arizona Sexual Experience Scale (ASEX), Sexual Quality of life Questionnaire (SQoL), and a subjective sexual satisfaction meter. Differences in resposes of both groups on WSFQ (item-wise and domain-wise) were analysed using T-tests. Two-way ANOVA was applied to see how other scales affected sexual fantasy.ResultsCases scored significantly higher on ASEX scale, and low on satisfaction, SQoL and WSFQCases N=1OOControls N=100t-testSatisfaction Mean(sd)4.27(1.85)7.82(1.31)t=3.052;df=198,p=0.0026Asex17.52(4.73)8.28(1.34)t=15.24;df=198,p<0.0001SQoL29.41(12.12)49.5(6.67)t=14.52;df=198,p<0.0001WSFQ26.80(17.61)30.59(15.32)t=1.62,df=98,p=0.106Majority of WSFQ responses, both in cases and controls, fell in the intimate and impersonal domains. Sexual fantasy scores and sexual satisfaction had a strong positive and significant correlation in controls but no linear correlation in the case-subjects. sexual fantasy scores contributed to 5.7% of difference in the scores of SQoL between groups. Major variance in scores of satisfaction in our subjects depended on presence or absence of sexual dysfunction(46.5%)but sexual fantasies also contributed to 8.8% of the variance.ConclusionsThe study showed that fantasies contribute to positive sexual outcomes only in absence of sexual dysfunction. ANOVAanalysis revealed that in case-subjects sexual satisfaction briefly increases initially with increase in fantasy scores but starts to decline as fantasies increase.DisclosureNo significant relationships.

Highlights

  • The prevalence rates of mental health issues, anxiety and depression, is high among transgender people

  • The incidence of anxiety and depression in transgender people living in Russia is unclear until now

  • To examine the frequency of anxiety and depression in transgender people living in Russia

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Summary

Sexual medicine and mental health

Limankin1,5,6 1Day Inpatient Department, St-Petersburg Psychiatric Hospital No 1 named after P.P. Kaschenko, Saint-Petersburg, Russian Federation; 2Department Of Psychiatry And Addiction, Saint-Petersburg University, Saint-Petersburg, Russian Federation; 3Department Of Addictology, Russian Medical Academy Of Continuous Professional Education, Moscow, Russian Federation; 4Laboratory Of Genetics And Basic Research, Moscow Research & Practical Centre on Addictions of the Moscow Department of Healthcare, Moscow, Russian Federation; 5Department Of Psychotherapy, Medical Psychology And Sexology, North-Western State Medical University named after I.I. Mechnikov, Saint-Petersburg, Russian Federation and 6Department Of Social Psychiatry And Psychology, St-Petersburg Institute of Postgraduate Improvement of Physicians-experts of the Ministry of Labour and Social Protection, Saint-Petersburg, Russian Federation

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