Levels Of Sexual Satisfaction Research Articles

Examining Sexual Well-being across the Lifespan: Assessing the Relationship between Sexual Satisfaction and Adjustment to Aging

IntroductionSexual satisfaction is relevant to aging well, throughout the lifespan.ObjectivesThis study aims to compare the perspectives of sexual satisfaction and adjustment to aging in three age cohorts, across the life span; and to analyze whether sexual satisfaction influences the perceptions of AtA.MethodsThis cross-sectional study comprised participants from three different age cohorts (18-44; 45-64; and 65+ years). Four measures were used to meet the defined objectives: (a) Adjustment to Aging Scale (ATAS); (b) New Sexual Satisfaction Scale (NISS-S); and (c) sociodemographic, health and lifestyle questionnaire. Data were subject to One-way ANOVAs and hierarchical regression analyses.ResultsSocial support emerged as the most relevant dimension in the multifactorial nature of AtA. Generational differences were found in sense of purpose and ambitions [F (2, 616) = 14.203, p = .000], social support [F (2, 616) = 10.65, p = .000] and body and health [F (2, 616) = 8.73, p = .000]. Participants aged 65 and older showed significantly lower levels of sense of purpose and ambition, body and health, and social support. Younger participants showed the highest score for body and health. Age-related decreases in sexual satisfaction were also found, as younger participants showed statistically higher levels of sexual satisfaction, followed by middle-aged and older participants. Sexual satisfaction predicts all the dimensions of AtA, exception made for aging in place and stability, where age is the main predictor. Ego-centered sexual satisfaction positively predicted sense of purpose and ambitions (β = .212, p < .05) and social support (β = .311, p < .001); while partner/sexual activity centered sexual satisfaction was a positive predictor of zest and spirituality (β = .255, p < .01), body and health (β = .239, p < .001), and social support (β = .168, p < .05).ConclusionsSexual satisfaction decreases with age and is positively related to all dimensions of AtA, hence gerontological interventions and program policies with older people would strongly benefit of including sexual satisfaction as a relevant variable for aging well.Keywords: sexual well-being; sexual satisfaction; adjustment to aging; generational groups; lifespan.Disclosure of InterestNone Declared

Which Spousal Behaviors Predict Marital Satisfaction When Couples Have Children? A Multi-Level Modeling Analysis in Five Cultures

This study utilized Multilevel Modeling Analyses to explore predictors of marital satisfaction and to explore how those predictors might moderate any negative impact of children. The Marriage and Relationship Questionnaire (MARQ), which demonstrates cultural and gender invariance, has been used to explore predictors of marital satisfaction in different cultures. In earlier research using MARQ datasets from the U.S.A., U.K., Turkey, Russia and China (3,000 couples), regression analyses identified 13 predictors explaining from 62% to 74% of the variance in marital satisfaction. The current research took the six most powerful predictors (sexual fulfillment, kind spouse, humorous spouse, dependable spouse, having the same outlook, and having a physically attractive spouse) and number of children, and subjected those variables to a Multilevel Modeling Analysis. Results are discussed on the level of the individual and the dyad by culture. Cultural similarities and differences emerged; unique cultural patterns are discussed. Across cultures, all predictors were associated with marital satisfaction. The negative impact of children did not appear in every culture with alpha set at .01. Moderation analysis results suggest that, depending on culture, the negative impact of children is moderated by maintaining sufficient levels of sexual satisfaction, kindness, humor and dependability after children arrive.

(O-37) PORNOGRAPHY CONSUMPTION AND SEXUAL SATISFACTION IN BRAZILIAN ADULTS

Abstract Introduction/Objective It is estimated that, worldwide, 40 million adults watch pornography regularly. Understanding sexuality as a social construction and sexual satisfaction as a construct with emotional, relational, physical and cultural characteristics. The aim of this research is to understand the relationship between pornography consumption and the sexual behaviors of its consumers; and compare pornography consumption, considering the gender of consumers. Material and Methods Quantitative, correlational and cross-sectional study. The following instruments were used: sociodemographic questionnaire, questionnaire on pornography consumption (frequency, type, form of use, source of content, age of first access and motivation for use), questions on condom use and a rating scale. emotional sexual satisfaction. In total, 993 adults responded to the online survey. Results Pornography consumption patterns differed according to the gender of consumers, in relation to the age of first exposute to pornography, frequency and motivation for consumption. Men started consumption earlier and have a higher frequency of consumption compared to women. Men report use for excitement, avoidance of uncomfortable feelings, and boredom. Among women, use involves sexual activity with a partner, curiosity and learning different practices. In the network analysis, gender played a mediating role between pornography consumption and emotional sexual satisfaction. Condom use was not related to sexual satisfaction or pornography consumption. The violent pornography consumption score was a predictor of lower levels of emotional sexual satisfaction. Conclusions Pornography consumption, both violent and non-violent, and being male are associated with lower levels of emotional sexual satisfaction. Such results can support interventions to promote sexual health. Financing Bolsa PRO-Stricto Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS).

(119) Anathema: Pilot Study to Assess the Acceptability, Feasibility, and Preliminary Efficacy of a Digital Intervention to Promote Sexual Health in Colorectal Cancer Survivors

Abstract Introduction Introduction: Sexual health is a central dimension of overall health and quality of life, yet it remains a largely neglected component in vulnerable populations such as cancer patients. Colorectal cancer (CRC) is currently one of the most prevalent types of cancer worldwide, and its treatments negatively affect people's sexual and relational health and well-being throughout the course of the disease. Notwithstanding the negative impact of treatments on different dimensions of sexual functioning (e.g., changes in sexual desire, sexual arousal, and orgasm experience), on the experience of pleasure and sexual satisfaction of people with CRC, access to specialized support is often hampered due to organizational, geographical, and attitudinal barriers (e.g., stigma). Given their intimate nature, accessibility, and convenience/flexibility, smartphone-based digital interventions can help bridge this gap and be an important supportive tool to effectively address unmet sexual health care needs in people with CRC. However, there is still a lack of studies evaluating the acceptability, feasibility, and effectiveness of smartphone-based sexual health promotion programs for people with CRC. Objective Objectives: The objective of this study is to evaluate the acceptability, feasibility, and preliminary efficacy of Anathema, a program developed for the promotion of the sexual health of CRC survivors. Methods Methods: A randomized controlled pilot study is underway and involves 30 CRC survivors randomly assigned to an experimental group (with access to the program) and a waiting list control group (treatment as usual). The program was structured into five modules to be completed in 8 weeks and developed based on the principles of Cognitive-Behavioral Therapy. An institutional Ethical Board approved the study. Acceptability, usability, and feasibility of Anathema were the primary outcomes defined in this study. Sexual and relational satisfaction, sexual functioning and distress, sexual pleasure, and quality of life were defined as secondary outcomes. Results Results: The participatory design used throughout the different phases of this project anticipates a good acceptability of the program among its primary users. It is also expected that the program and the design adopted will be suitable for the future implementation of an RCT. Improvement in levels of sexual and relationship satisfaction, sexual pleasure, quality of life, and a decrease in levels of sexual distress in people who use the program compared to people in the waiting list group, are also expected. Conclusions Conclusions: Anathema is a promising program for promoting sexual health and quality of life in CRC survivors. Funding source: This project is jointly funded by the European Commission through the AAL Program (ref. AAL-2020-7-133-CP) and its Member States: Fundação para a Ciência e a Tecnologia, in Portugal (AAL/0005/2020), Austrian Research Promotion Agency (FFG), in Austria, and ZonMw, the Netherlands Organization for Health Research and Development, in the Netherlands. Disclosure No.

(120) E-Mergir: Preliminary Efficacy of a Digital Psychological Intervention Program for Improving Mental Health, Sexual Health, and Quality of Life of Prostate Cancer Survivors

Abstract Introduction Introduction: Prostate cancer is one of the most common cancers affecting men worldwide. The diagnosis of prostate cancer and associated treatments have a negative impact on people's physical, emotional, and sexual health, compromising their overall well-being and quality of life throughout the course of the disease. Despite the decreased levels of sexual functioning and sexual satisfaction associated with this type of cancer (Quinta-Gomes et al., 2019), patients' access to specialized healthcare and support is still limited. Given their flexibility and convenience, smartphone-based digital interventions can contribute to bridging this gap and constitute an important way to access specialized and personalized supportive care on emotional and sexual health for people with prostate cancer. Objective Objective: The present study aims to evaluate the preliminary efficacy of a digital psychological intervention program using smartphones aimed at improving the mental health, sexual health, and quality of life of prostate cancer survivors. Methods Methods: A randomized controlled pilot study is underway involving 30 prostate cancer survivors randomly assigned to an experimental group (with access to the program) and a waiting list control group (treatment as usual). The program was structured in five modules to be completed by the participants in a maximum period of 6 weeks while receiving support from a psychologist. The study was approved by an institutional Ethical Board. Acceptability, usability, feasibility, and preliminary efficacy (overall improvement in sexual and relational satisfaction, sexual pleasure, sexual distress, psychopathology, and quality of life) were defined as the main outcomes of this study. Participants' assessments will take place in two moments, before and after the implementation of the program. Results Expected results: It is expected that the program and the experimental design adopted will prove to be adequate and have good acceptability by the participants. Improvements in sexual and relational satisfaction, sexual pleasure, sexual distress, psychopathology, and quality of life are also expected for participants using the program compared to those in the waiting-list group. Conclusions Conclusions: As a future empirical-based digital psychological intervention program focused on patients' unmet sexual needs, E-mergir will significantly contribute to addressing the emotional and sexual health and quality of life of people with prostate cancer. Funding: Horizon Europe, NORTE-01-0145-FEDER-000057, CCDRN Disclosure No.

Mode of delivery and subsequent self-perceived sexual life satisfaction: a population-based cohort study

BackgroundThe potential association between mode of obstetric delivery and subsequent gestational parent sexual outcomes remain uncertain and has not been well investigated from a positive sexual life satisfaction perspective. ObjectivesThis study aimed to investigate if there was any association between mode of delivery and subsequent gestational parent sexual life satisfaction. A secondary aim was to assess the extent to which this association changed when stratified by time elapsed since delivery. Study designThe study matched participants in the Stockholm Public Health Cohort with deliveries recorded in the Swedish Medical Birth Registry. Any delivery recorded in the registry, before the participation in the Stockholm Public Health Cohort, were included (n=46 078). The length of time from delivery to outcome assessment varied from 1 month to 41 years (mean 18 years, ±10.8). Mode of delivery was retrieved from the same registry, whereas self-perceived sexual life satisfaction was retrieved from the Stockholm Public Health Cohort Questionnaires where participants had assessed their sexual life satisfaction as one out of five mutually exclusive options. Multinomial logistic regression was used to test for any association between mode of delivery (caesarean delivery, instrumental, and spontaneous vaginal delivery) and sexual life satisfaction, both overall and stratified by time elapsed since delivery. ResultsAfter adjusting for covariates, no statistically significant difference between modes of delivery and subsequent gestational parent sexual life satisfaction was identified. Adjusted odds ratios for assessing sexual life satisfaction as the lowest level (“very unsatisfactory”) were 1.11 (95% confidence interval 0.98-1.25) for caesarean deliveries and 1.16 (95% confidence interval 0.99-1.35) for instrumental deliveries, compared to spontaneous vaginal deliveries. The difference in covariate-adjusted prevalence of the lowest level of sexual life satisfaction in the different time since delivery groups was small, for example 4.0% (95% confidence interval 2.4-5.6%) for caesarean deliveries as compared to 2.8% (95% confidence interval 2.1-3.6%) for spontaneous vaginal deliveries 2 years since delivery. ConclusionsThese findings do not support any impact of mode of delivery on the subsequent self-perceived sexual life satisfaction among birthing people, either overall or across time since delivery.

Sexual Well-Being Across the Lifespan: Is Sexual Satisfaction Related to Adjustment to Aging?

Abstract Introduction Sexual satisfaction is relevant to aging well, throughout the lifespan. This study aims to compare the perspectives of sexual satisfaction and adjustment to aging (AtA) in three age cohorts across the lifespan and to analyze whether sexual satisfaction influences the perceptions of AtA. Methods This cross-sectional study comprised 619 participants from three different age cohorts (18–44, 45–64, and 65 + years). Three measures were used to meet the defined objectives: (a) Adjustment to Aging Scale (ATAS), (b) New Sexual Satisfaction Scale (NSSS-S), and (c) sociodemographic, health, and lifestyle questionnaire. Data were subject to MANOVAs and hierarchical regression analyses. Results Social support emerged as the most relevant dimension in the multifactorial nature of AtA. Generational differences were found in sense of purpose and ambitions [F(2, 616) = 14.203, p < .001], zest and spirituality [F(2, 616) = 3.175, p = .042], body and health [F(2, 616) = 8.732, p < .001], and social support [F(2, 616) = 10.646, p < .001], with participants aged 65 and older showing significantly lower levels in all dimensions. Younger participants showed the highest score for body and health. Age-related decreases in sexual satisfaction were also found, as younger participants showed statistically higher levels of sexual satisfaction, followed by middle-aged and older participants. Sexual satisfaction predicts all the dimensions of AtA, exception made for aging in place and stability. Ego-centered sexual satisfaction positively predicted sense of purpose and ambitions (β = .225, p = .015) and social support (β = .297, p < .001), while partner/sexual activity–centered sexual satisfaction was a positive predictor of zest and spirituality (β = .243, p = .010) and body and health (β = .243, p = .008). Conclusions Sexual satisfaction decreases with age and is positively related to dimensions of AtA. Sexual satisfaction is a relevant variable for effective approaches to promoting healthy aging and overall well-being among (older) adults. Policy Implications Gerontological program policies and interventions with older people would strongly benefit of including sexual satisfaction as a relevant variable for aging well along the lifespan.

Evaluation of Long-Term Sexual Satisfaction in Women Submitted to Laparoscopic Sacrocolpopexy: Retrospective Tertiary Center Study

Introduction: Traditional treatments for apical compartment prolapse and multicompartment prolapse, such as open sacrocolpopexy, have been associated with concerns regarding sexual function. In recent years, laparoscopic or robotically assisted sacrocolpopexy has emerged as an alternative with potential benefits, including enhanced visualization, symptom relief, and comparable anatomical results. However, the impact of laparoscopic sacrocolpopexy (LSP) on long-term sexual satisfaction in women remains an important area of investigation. This retrospective tertiary center study aimed to evaluate the long-term sexual satisfaction in women who underwent LSP for the treatment of POP. The objective was to assess postoperative sexual satisfaction among patients with a history of active sexual life before the surgery. Methods: A total of 30 patients who underwent laparoscopic sacrocolpopexy between August 2014 and December 2016 were included in the analysis. The patients’ sexual satisfaction was assessed using The New Sexual Satisfaction Scale, a validated questionnaire in the Portuguese language with a mean follow-up of 7 years. Baseline characteristics, surgical and function outcomes were also evaluated. Results: Among the participants, 70% remained sexually active after the surgery. The mean score on The New Sexual Satisfaction Scale was 75.1, indicating a moderate to very satisfied level of sexual satisfaction. Out of the patients who reported a change in their sexual satisfaction after surgery, 69.2% would still recommend the procedure to others. The mean rate of global satisfaction with the surgery was 6.97 out of 10, with 83.3% of the patients recommending the surgery to someone else. Conclusion: The study provides valuable insights into the impact of laparoscopic sacrocolpopexy on sexual well-being in women with POP. Despite potential changes in sexual function, the majority of patients remained sexually active and perceived the procedure as beneficial, expressing overall satisfaction and recommending it to others. The findings highlight the importance of considering sexual function in the management of POP and suggest that LSP can be an effective treatment option that preserves sexual activity. However, further studies with larger sample sizes and comprehensive assessments are warranted to better understand the complex relationship between pelvic organ prolapse surgery, sexual function, and patient outcomes.

Investigating effective psychological interventions in pregnant women's sexual satisfaction: A systematic review.

Sexual satisfaction is an important factor in people's lives, which is effective in all aspects of a couple's life. During pregnancy, due to existing changes, sexual performance is affected, which will also change sexual satisfaction. By performing effective interventions, changes can be made in the level of sexual satisfaction. The aim of this study is to investigate effective psychological interventions in the sexual satisfaction of pregnant women, which has been conducted in the form of a systematic review. This study is performed in 2022 with the steps of design of study question, search in SID, PubMed, Magiran, Iran doc, Science Direct, Scopus, and Google Scholar search engine with keywords such as "interventions", "sexual satisfaction", "Sexual function", "couples", "pregnant women" and their English equivalents, and after that, related studies were identified from the period of 2012 to 2022 (the last 10 years), the selection of studies, which after screening the title, abstract, and full text. Among 821 studies, finally 13 studies were left to announce the results. Researches that had unclear sample size and method of implementation and whose full text was not available were initially excluded from the study process. Screening of the quality of the studies was done by the risk assessment checklist and the Jadad Scale of the intervention studies. Then the findings were classified. The results of the present study were taken from 13 articles, which included mindfulness, cognitive-behavioral therapy, therapy based on acceptance and commitment and group counseling, PLISSIT model intervention, and education and support package. As per the results of interventions, all interventions during pregnancy can increase sexual satisfaction in pregnant women. Therefore, such interventions are recommended but it is necessary to do more interventions with minimal bias and long-term follow-up and comprehensive examination of variables to reach stronger evidence.

Effects of stress management and relationship-enrichment counseling on sexual and marital satisfaction of working women with high occupational stress.

Industrialization of societies has placed considerable stress on employees influencing marital and sexual satisfaction. This study investigated the effects of stress management (SM) and relationship enrichment (RE) counseling on marital and sexual satisfaction in stressed women working at Tabriz University of Medical Sciences hospitals, Iran. In this quasi-experimental study, 75 nurses and midwives experiencing moderate-to-severe occupational stress after obtaining written informed consent were assigned to SM and RE counseling and control groups randomly. The SM and RE attended six-related counseling sessions, and control group received no intervention. The participants completed Osipow's Revised Occupational Stress Inventory (OSI-R), ENRICH Marital Satisfaction Scale, and Larson's Sexual Satisfaction Questionnaire before and 2 weeks after the intervention. The data were analyzed using one-way ANOVA and ANCOVA. SM counseling led to relatively good increase in sexual satisfaction. In addition, there was no significant difference between the three groups in the mean occupational stress scores and marital satisfaction scores. SM counseling increased the level of sexual satisfaction. The approaches had no significant effect on occupational stress and marital satisfaction. Further studies are required to identify the best counseling approaches.

Exploring the association between sexual motivation and quality of life in China and the United Kingdom.

Previous research suggests that different sexual motivations may be associated with different sexual behaviours and levels of sexual satisfaction, and these may vary with cultural differences. As such, sexual motivations and cultural factors might also be associated with quality of life (QoL); however, this has not yet been explored. Using a biopsychosocial approach, this study aimed to explore associations between sexual motivation and quality of life between participants in the United Kingdom and China. 276 participants (143 British, 133 Chinese, mean age = 21.5 years) completed an anonymous online survey including validated measures for sexual motivation (YSEX?-SF) and QoL (WHOQOL-BREF). In multivariable linear regressions, pleasure motivations for sex were associated with increased physical health QoL (aOR = 0.20, 95%CI:.15-.65), while love and commitment motivations were associated with increased psychological health QoL (aOR = 0.13, 95%CI:.01-.43). Both love and commitment motivations (aOR = 0.21, 95%CI:.09-.35) and pleasure motivations (aOR = 0.20, 95%CI:.08-.36) were associated with increased social support QoL. A significant interaction was found between emotional motivations and culture (p = 0.037) such that among individuals from China, emotional motivations (i.e., love and commitment and expression) were positively associated with psychological QoL. This suggests culture may differentially affect how sexual motivations are associated with QoL and warrants further consideration in future research.

Quality of Life and Sexual Satisfaction in the Early Period of Motherhood-A Cross-Sectional Preliminary Study.

The aim of the study was to assess the impact of breastfeeding-related fatigue and family support on the sexuality and quality of life of mothers during early motherhood. A cross-sectional preliminary study was conducted between 1 October 2021 and 15 May 2022 in 65 women being in early postpartum period. We used the authors' questionnaire developed for the purposes of the study; the Sexual Satisfaction Scale for Women-SSS-W; the Mell-Krat scale for women; and the General Health Questionnaire-GHQ28. A significant negative correlation was found between the age of the patients and the reduction in somatic symptoms (GHQ28 questionnaire) (r = -0.315, p = 0.011). Women working professionally achieved significantly higher results in the SSS-W contentment category (r = 0.313, p = 0.014). Frequent sexual activity reduced disorders in social functioning (the GHQ28 questionnaire) (r = -0.107, p = 0.283). Women who breastfed up to 5 times a day (p = 0.033) reached significantly higher SSS-W scores in terms of communication. The partner's help significantly contributed to higher sexual satisfaction in the aspect of compatibility (p = 0.004) and the overall level of satisfaction determined with the SSS-W questionnaire (p = 0.016). The presented study suggests that older mothers who are employed and supported by a partner have a higher level of contentment, sexual satisfaction and quality of life.

A dyadic assessment of the association between sexual communication and daily sexual satisfaction

Although sexual communication’s association with sexual and relational functioning and satisfaction have been well established, to date only a small number of studies have used dyadic data, and all have used single time-point self-report measures of sexual outcomes. This study examined the unique association between sexual communication quality and daily levels of sexual satisfaction in couples. Participants included 81 couples comprised of mostly mixed-sex dyads of a diverse range of ages and relationship lengths. Using dyadic cross-sectional data on sexual communication quality in couples as well as 21-day daily diary data assessments of sexual satisfaction on days individuals reported having sex, our analyses revealed significant within-partner and cross-partner associations between individual’s perceived sexual communication quality in their relationship and average daily sexual satisfaction. Greater perceived sexual communication quality was also associated with less variability in individuals’ daily reports of sexual satisfaction on days they had sex. Additional models were run adding relationship satisfaction as a covariate and controlling for relationship length. Lastly, similarity in reports of sexual communication between partners did not moderate the association between sexual communication quality and average daily sexual satisfaction. Our findings suggest that greater quality sexual communication may be uniquely associated with better and more consistent daily sexual satisfaction in relationships. This research expands our current understanding of sexual communication’s impact in relationships day to day.

Is the association of sexual quality with relationship satisfaction really stronger when the sexual relationship is functioning poorly?

The purpose of this article is to bring empirical evidence to the oft-quoted assumption that sexual quality has a stronger association with the overall relationship when sexuality is dysfunctional as compared to when it is optimal. Using three national samples to analyze a structural equation model, the results verified this assumption with some adaptations. There was an interaction between the association of sexual quality and the overall relationship depending on how sexually satisfied couples were in the sexuality area. However, it was when sexuality was only moderately satisfying rather than at high or low levels that it had the strongest associations with relationship satisfaction. Also, female sexual quality had a significant association with both partner's relationship satisfaction whereas male's sexual quality only had actor effects. Additionally, the sexual relationship had a stronger association with relationship satisfaction and dissatisfaction for couples who reported both low levels of sexual satisfaction and dissatisfaction.

Adaptation and validation of the Chinese version of the New Sexual Satisfaction Scale-Short Form in a sample of Chinese women.

Existing research on sexual satisfaction has been carried out primarily in Western samples, lacking insights from less sexually permissive cultures such as China, particularly in the case of heterosexual and sexual minority women. This study aimed to culturally adapt and validate the New Sexual Satisfaction Scale-Short Form (NSSS-S) in a sample of Chinese women with diverse sexual identities. The standard forward-backward translation procedure and cognitive debriefing were conducted to translate the NSSS-S into Mandarin Chinese (NSSS-SC). The psychometric properties of the NSSS-SC were assessed in this cross-sectional survey. The primary outcome measure was the NSSS-S. The World Health Organization Quality of Life-Abbreviated Form, the Positive Sexuality Scale, the Female Sexual Function Index, and a single-item measure of sexual satisfaction were used to test the measure's validity. A total of 336 Chinese women were recruited, with an average age of 26.82years (SD,6.03; range, 18-56). The 1-dimensional model had a good fit to the data and was invariant across 2 sexual identity groups (cisgender heterosexual and sexual minority women) and age. The NSSS-SC had good reliability; no significant floor and ceiling effects were observed. We found moderate to strong correlations between the NSSS-SC scores and the sexual satisfaction, sexual function, positive sexuality, and quality-of-life indicators. On average, cisgender heterosexual women were characterized by higher sexual satisfaction scores when compared with sexual minority women. The NSSS-SC can be used as a reliable and culturally appropriate measure of sexual satisfaction in women of different ages and sexual identities, which could be used in future sex-related surveys. This study is the first to translate the NSSS-S into Chinese and validate the NSSS-SC in a sample of Chinese women with varied sexual identities. However, this study recruited only female participants; future studies should also validate the NSSS-SC in Chinese men. The NSSS-SC is linguistically equivalent to the original scale and has solid psychometric properties, which can be used to assess sexual satisfaction levels in diverse samples of Chinese women.

Proactive personality and adults’ sexual satisfaction levels: exploring the role of body image and Sensation-Seeking

Whether proactive personality affects sexual satisfaction has been included in this research as a subject that has not been considered. It is also an important point of view to what extent body image and sensation seeking will have an impact. This research was conducted to determine the relationships between proactive personality and sexual satisfaction and body image and sensation seeking and the mediating effect of body image and sensation seeking on the relationship between proactive personality and sexual satisfaction. Data were collected from a convenience sample of 320 participants. Data analysis was done with regression and Pearson correlation coefficient. A proactive personality was positively related to sexual satisfaction, and sensation-seeking was negatively related to body image. As a result of the mediation analysis based on regression to determine the mediating effects concluded that body image and sensation-seeking had a mediating effect on the relationship between proactive personality and sexual satisfaction. These results improve our understanding of the underlying mechanism between proactive personality and sexual satisfaction, considering the roles of adults’ body perceptions and exciting activities.

Supportive couple relationships buffer against the harms of HIV stigma on HIV treatment adherence

IntroductionHIV stigma can impact couple relationships through stress or bring partners closer through shared experiences. Conversely, couple relationships may protect against the harms of stigma, including anticipated stigma on negative health outcomes. Yet few studies have assessed the potential link between HIV stigma, relationship dynamics, and antiretroviral therapy (ART) adherence. Using dyadic data from a cross-sectional study of Malawian couples living with HIV, we tested associations between anticipated stigma and: 1) relationship dynamics (e.g., trust, sexual satisfaction, communication) and partner support; and 2) self-reported ART adherence.MethodsHeterosexual couples (211 couples, 422 individuals) with at least one partner on ART were recruited from clinics in Zomba, Malawi. Partners completed separate surveys on anticipated stigma, relationship dynamics, and ART adherence. Linear mixed models evaluated associations between anticipated stigma and relationship dynamics, and whether associations varied by gender. Generalized estimating equation models tested for associations between anticipated stigma and high ART adherence (90–100% vs. < 90%) at the individual level, and whether they were moderated by relationship dynamics at the couple level.ResultsCouples' relationship length averaged 12.5 years, 66.8% were HIV sero-concordant, and 95.6% reported high ART adherence. In multivariable models, sexual satisfaction (β = -0.22, 95%CI = -0.41;-0.03, p = 0.020) and partner social support (β = -0.02, 95%CI = -0.04;-0.01, p < 0.01) were negatively associated with anticipated stigma. Significant interaction effects showed that adherence is moderated in couples with higher partner support and sexual satisfaction such that adherence is lowest when anticipated stigma is high and social support is low, and that adherence is lowest when anticipated stigma is high and sexual satisfaction is low.ConclusionsIncreased anticipated stigma is most associated with lower ART non-adherence at lower levels of social support and sexual satisfaction. Conversely, supportive and fulfilling relationships may buffer the negative association between stigma and ART adherence. Couples’ interventions that focus on improving communication and support systems within couples could reduce the negative impacts of anticipated stigma on couples living with HIV.

Is Sexual Aversion a Distinct Disorder or a Trans-Diagnostic Symptom across Sexual Dysfunctions? A Latent Class Analysis

Sexual aversion disorder (SAD) is a chronic condition that impacts sexual and psychological well-being. However, the relevance of SAD as a discrete disorder remains highly debated. This study aimed to clarify the status of SAD as either a distinct disorder or a trans-diagnostic symptom shared among sexual dysfunctions. This cross-sectional study used a latent class analysis approach among a Canadian community sample (n = 1,363) to identify how patterns of SAD symptoms (i.e., sexual fear, disgust, and avoidance) emerge across different spheres of sexual functioning (i.e., desire and arousal, erection or lubrication, genito-pelvic pain, and orgasm) and examine sociodemographic and psychosexual correlates of the identified classes. Examination of fit indices suggested four classes: Sexually functional, Impaired desire and responsiveness, Sexual aversion, and Comorbid sexual dysfunctions. Sexual aversion class members were more likely to be single, had experienced sexual assault in adulthood, and report lower levels of sexual satisfaction and psychological well-being, compared to Sexually functional class members. Results suggest that SAD is a distinct clinical syndrome, while its symptoms may co-occur with other sexual dysfunctions. To ensure that the needs of people with SAD are met with tailored treatment options, future nosography might consider reclassifying SAD as a specific disorder.

The moderating function of religious belief on the association between sexual dysfunctions and sexual satisfaction among religious Jewish women and men

ABSTRACT The moderating effect of religiousness on the associations between health-associated stressors and well-being is well established in the research literature but has not been examined on the association between sexual dysfunctions and sexual well-being. A sample of adult Jewish women (N = 207) and men (N = 196) responded to an online questionnaire including measures of religious belief and sexual satisfaction. Respondents’ partners assessed sexual desire dysfunction and psychological sexual arousal dysfunction of the respondent. For men and women, desire dysfunction was associated with lower levels of sexual satisfaction. Arousal dysfunction was also associated with sexual satisfaction for women but not for men. In addition, for women, a significant buffering effect of religiousness was found for the associations of both types of sexual dysfunction and sexual satisfaction. In contrast, for men, no buffering effect was found.

Associations between daily positive communication and sexual desire and satisfaction: an approach utilizing traditional analyses and machine learning

Communication is an important component of many healthy sexual and romantic relationships. Positive communication strategies including expressing fondness and affection, exchanging compliments, and disclosing information about oneself with a partner are associated with relationship and sexual satisfaction, but less is known about its association to sexual desire. Most of the current literature has used traditional statistical analyses that assume errors are normally distributed and that associations between variables are linear. Our study aimed to examine the ways daily levels of four positive communication strategies are associated with relationship satisfaction, sexual satisfaction, and sexual desire among 246 mixed sex couples (N = 492). We performed both traditional hierarchical linear modeling and machine learning to provide a complimentary view of results from the different data analytic techniques. Findings indicated that daily positive communication received from a partner was associated with all outcome variables of interest that day as well as for subsequent days for both partners in the couple. All positive communication strategies predicted daily levels of desire, sexual satisfaction, and relationship satisfaction for the individual and each had unique associations with partner outcomes. Unique nonlinear interactions were found using machine learning. Findings have implications for researchers and practitioners.