The role of third-wave cognitive-behavioural factors on the sexual functioning of people with and without physical disabilities

Abstract

ABSTRACTThe sexuality of people with disabilities is still poorly understood. Research has shown the role of mindfulness and self-compassion in promoting resilience, but little is known on the influence of these variables on sexual functioning in people who may experience physical disability. This study explored how mindfulness, self-compassion, and acceptance may predict sexual functioning of people with and without physical disability. A sample of 377 participants answered a survey (189 with a physical disability). Results showed that, regardless of the physical condition, self-compassion and acceptance were significant predictors of sexual functioning, but only for the male subsample (ΔR2 = .093 and .031, ps < .05). Particularly, lower levels of isolation were significantly associated with better sexual functioning in men, above and beyond the effects of the impairment (β = .413, p < .001). Findings also showed moderating effects of physical condition for the association between male sexual functioning and self-kindness (ΔR2 = .021, p = .038). This study sheds light into psychological mechanisms that may be equally or differently involved in the sexual functioning of people with and without physical disability, particularly for men. Findings suggest the importance of Third-Wave cognitive-behavioural strategies for sexual functioning and overall sexual health.