Sexual excitation, sexual inhibition and a prevalence of sexual disorders among msm and heterosexual men

2017 ◽  
Vol 41 (S1) ◽  
pp. s850-s850 ◽  
Author(s):  
R. Kowalczyk ◽  
M. Kaluga ◽  
K. Jacek ◽  
K. Nowosielski
Keyword(s):  
Premature Ejaculation ◽  
Sexual Response ◽  
Sexual Disorders ◽  
Heterosexual Men ◽  
Sexual Inhibition ◽  
Negative Consequences ◽  
Sexual Excitation ◽  
Competing Interest ◽  
Sex With Men ◽  
Dual Control Model

IntroductionDual control model of the sexual response (DCM) indicates, that there are two separate, but cooperating systems of sexual excitation and inhibition. Previous studies using DCM concept have shown, that MSM (men having sex with men) had higher excitation (SES) and one of the types of inhibition (SIS1) levels, in comparison to the exclusively heterosexual men. MSM also reported more frequent occurrence of sexual disorders (erectile disorders, premature ejaculation and decreased sexual desire).ObjectivesComparison of the MSM and heterosexual men groups in order to verify erenow observed differences in sexual excitation/inhibition propensity and prevalence of sexual problems.MethodsThe sample consisted of two groups: 47 heterosexual men and 60 MSM. The participants have anonymously filled up questionnaires (Polish version of the Sexual Inhibition/Sexual Excitation Scales SIS/SES and the author's survey) via internet. Then statistical analysis was executed.ResultsOur findings have shown, that both groups were similar in their propensities for sexual excitation (SES) and inhibition due to the risks of failure in sexual performance (SIS1), while MSM scored higher on the inhibition scale, related to the threat of negative consequences of sexual response (SIS2). Heterosexual men more frequently suffered from premature ejaculation and less commonly reported decreased desire. There were no differences in the erectile disorders report between MSM and heterosexual men.ConclusionsOur findings are mostly in conflict with previous DCM studies results. Several issues, just like method of sexual orientation assessment or cultural differences may had its impact on such results. More detailed studies on these issues are required.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Preliminary Evidence on How the Dual Control Model Predicts Female Sexual Response to a Bogus Negative Feedback

2020 ◽  
pp. 003329412090731
Author(s):  
Reina Granados ◽  
Joana Carvalho ◽  
Juan Carlos Sierra
Keyword(s):  
Sexual Arousal ◽  
Negative Feedback ◽  
Control Model ◽  
Sexual Response ◽  
Dual Control ◽  
Sexual Performance ◽  
Sexual Excitation ◽  
Subjective Sexual Arousal ◽  
Sexual Responses ◽  
Dual Control Model

The Dual Control Model of sexual response has been mostly tested with men. As such, there is a lack of evidence on how such model applies to women’s experience of sexual arousal, particularly when they face a threatening situation such as the threat of sexual performance failure. The aim of the current study was to test whether the Dual Control Model dimensions predict women’s sexual responses to a bogus negative feedback about their sexual performance. In addition, 22 women were exposed to a sexually explicit film clip, while their genital arousal was being measured. During this presentation, a bogus negative feedback, aimed at increasing women’s anxiety about their sexual performance, was provided. Vaginal photopletismography and self-report questions were used as means to evaluate women’s genital and subjective sexual arousal, respectively. The Sexual Excitation/Sexual Inhibition Inventory for Women was further used to capture women’s sexual dynamics. Regression analysis on the high-order factors revealed that sexual excitation proneness was the only predictor of the subjective sexual responses, while none of the factors has predicted genital arousal. “Arousability” and “Concerns about sexual function” dimensions predicted subjective sexual arousal. Sexual arousability may prevent women of lowering their subjective sexual responses in a sexually demanding situation, while “Concerns about sexual function” may have the opposite role, thus being a target of clinical interest. This work provides new data on the Dual Control Model of sexual response, and particularly on its role in women’s sexual functioning.

scholarly journals Validación de las Escalas de Inhibición y Excitación Sexual (SIS/SES-SF) en colombianos

2020 ◽  
Vol 19 ◽  
pp. 1-14
Author(s):  
Alejandro Saavedra-Roa ◽  
Pablo Vallejo-Medina
Keyword(s):  
General Hospital ◽  
Sexual Desire ◽  
Diagnostic Tool ◽  
Sexual Functioning ◽  
Erectile Function ◽  
Premature Ejaculation ◽  
Massachusetts General Hospital ◽  
Short Form ◽  
Sexual Inhibition ◽  
Sexual Excitation

Las escalas SIS/SES-SF han sido desarrolladas para medir la inhibición y la excitación sexual. El objetivo del presente estudio fue adaptar y validar estas escalas en población colombiana. Para esto, se realizó la adaptación cultural y validación de contenido de las escalas por medio del juicio de siete expertos, y se validaron psicométricamente sobre una muestra de 2125 participantes (1000 hombres y 1125 mujeres). Los hombres contestaron al International Index of Erectile Function y la Premature Ejaculation Diagnostic Tool; mientras que el total de la muestra contestó al Sexual Desire Inventory, al Massachusetts General Hospital-Sexual Functioning Questionnaire y a la Sexual Inhibition/Sexual Excitation Scales-Short Form, todo ello junto a una batería sociodemográfica. El muestreo se realizó de forma virtual a través de Facebook. Los índices de las escalas mostraron una apropiada validez y fiabilidad. Además, para ambos sexos, las escalas mostraron un nivel de invarianza estricto. Las relaciones significativas con las otras medidas dan cuenta de su validez de criterio. Se sugiere el uso del instrumento para continuar con la investigación del Modelo de Control Dual dentro de la sexualidad en Latinoamérica.

scholarly journals Validation of the Sexual Inhibition/Sexual Excitation Scales (SIS/SES) in Italy: Assessing Gender and Age Differences of Sexual Functioning

2021 ◽  
Author(s):  
Marta Panzeri ◽  
Harold Dadomo ◽  
Lucia Ronconi ◽  
Lilybeth Fontanesi
Keyword(s):  
Self Report ◽  
Sexual Inhibition ◽  
Factor Analyses ◽  
Sexual Excitation ◽  
Confirmatory Factor Analyses ◽  
Younger Women ◽  
Gender And Age ◽  
Confirmatory Factor ◽  
Gender And Age Differences ◽  
Dual Control Model

AbstractThe Sexual Inhibition Scales and Sexual Excitation Scales (Janssen et al., 2002a), based on the dual control model by Bancroft and Janssen (2000), are part of a 45-item self-report questionnaire evaluating individual tendencies to sexual inhibition or excitation according to three factors: two inhibition factors, SIS1, threat of performance failure, and SIS2, threat of performance consequences, and one excitation factor, SES. In this paper, we aimed to validate and explore psychometric properties of the SIS/SES in a sample of 2260 Italian men and women aged 18 to 75 years. Confirmatory factor analyses showed that the three-factor structure proposed in the original version of the scales fit with our sample. Moreover, our data confirmed the results of the original validation sample: Women scored higher on the SIS and lower on the SES than men did, but no significant differences appeared in the factor scores by age group, except for a gender × age interaction, where younger women had higher SIS2 scores. The SIS/SES appeared to be an effective, appropriate cross-cultural measurement of human sexuality in Italian samples, also shedding light on sexual arousal differences in women and men in our country. We also discuss clinical and therapeutic aspects.

scholarly journals Premature Ejaculation Symptoms Are Associated with Sexual Excitability: Empirical Support for the Hyperarousability Model

Sexes ◽  
2021 ◽  
Vol 2 (3) ◽  
pp. 345-352
Author(s):  
Daniel Ventus ◽  
Patrick Jern
Keyword(s):  
Structural Equation ◽  
Premature Ejaculation ◽  
Structural Equation Models ◽  
Short Form ◽  
Large Population ◽  
Empirical Support ◽  
Population Based ◽  
Sexual Excitation ◽  
Sexual Stimuli ◽  
Dual Control Model

Premature ejaculation (PE) is a common sexual complaint among men, but its etiology is poorly understood. Previous studies on the dual control model of sexuality has revealed that propensities for sexual excitation and inhibition can contribute to sexual dysfunctions, but few studies have included a measure of premature ejaculation. We sought to explore whether PE is associated with sexual excitation or inhibition. We applied structural equation models to data from a large population-based sample of Finnish adult men. The analyses supported a four-factor solution for the sexual inhibition/sexual excitation short-form scale. The clearest result was that increased symptoms of PE were associated with a greater propensity for sexual excitation (β = 151, p < 001, n = 2953). Importantly, this excitation was intrapersonal, as opposed to stemming from social activities. The results imply that men with PE may have stronger and more rapid reactions to sexual stimuli, which in turn may lead to ejaculating earlier than desired.

Sexual response in obsessive–compulsive disorder: the role of obsessive beliefs

CNS Spectrums ◽  
2020 ◽  
pp. 1-10
Author(s):  
Andrea Pozza ◽  
Donatella Marazziti ◽  
Federico Mucci ◽  
Nicole L. Angelo ◽  
Davide Prestia ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Matched Control ◽  
Control Model ◽  
Sexual Response ◽  
Dual Control ◽  
Obsessive Beliefs ◽  
Obsessive Compulsive ◽  
Sexual Excitation ◽  
Compulsive Disorder ◽  
Dual Control Model

Abstract Background. Sexual response in obsessive–compulsive disorder (OCD) research and practice is overlooked. According to the Dual Control Model, satisfactory sexual response is based upon a balance of sexual excitation and inhibition. The assessment of sexual response in OCD may have clinical implications, such as the integration of sex therapy in psychotherapeutic intervention. The present study was aimed at comparing sexual excitation and inhibition levels between OCD patients and matched control subjects, and investigating whether obsessive beliefs might predict sexual excitation/inhibition. Methods. Seventy-two OCD patients (mean age ± standard deviation [SD]: 34.50 ± 10.39 years) and 72 matched control subjects (mean age ± SD: 34.25 ± 10.18) were included (62.50% men and 37.50% women in both groups). The Obsessive Compulsive Inventory-Revised (OCI-R), the Obsessive Beliefs Questionnaire-46 (OBQ-46), and the Sexual Inhibition/Sexual Excitation Scales (SIS/SES) were administered. Results. Patients with OCD showed significantly higher levels of sexual excitation, inhibition due to threat of performance failure, and inhibition due to threat of performance consequences than the controls. In addition, the patients with more severe symptoms showed lower excitation than those with less severe symptoms, and those with higher perfectionism had stronger inhibition due to threat of performance failure than those with lower perfectionism. Conclusions. This is the first study exploring sexual response in OCD according to the Dual Control Model. Sexual response is an impaired quality of life outcome in OCD that should be assessed in routine clinical practice. These findings support the importance of addressing specific obsessive beliefs to improve sexuality in OCD patients.

scholarly journals The role of disgust propensity and sensitivity on sexual excitation and inhibition in obsessive-compulsive disorder

2019 ◽  
Vol 22 (3) ◽  
Author(s):  
Andrea Pozza ◽  
Nicole L. Angelo ◽  
Davide Prestia ◽  
Davide Dèttore
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Sexual Inhibition ◽  
Disgust Sensitivity ◽  
Obsessive Beliefs ◽  
Obsessive Compulsive ◽  
Sexual Excitation ◽  
Compulsive Disorder ◽  
Performance Consequences ◽  
Dual Control Model ◽  
Disgust Propensity

Sexuality is understudied in Obsessive-Compulsive Disorder (OCD). According to the Dual Control Model, low sexual excitation (SE) and high sexual inhibition (SI) are indicative of a higher probability of experiencing a sexual dysfunction. The present study investigated SE and SI in OCD patients compared with controls. It was hypothesized that OCD patients report lower SE and higher SI than controls. Given their potential role as inhibitors of sexual response, it was hypothesized that in the OCD group higher disgust propensity/sensitivity, contamination/washing symptoms, unacceptable thoughts, and obsessive beliefs predicted lower SE, higher SI due to Threat of Performance Failure, and higher SI due to Threat of Performance Consequences. Seventy-two OCD patients and 72 controls matched on gender/age completed the Disgust Propensity and Sensitivity Scale-Revised, Obsessive Beliefs Questionnaire-46, Obsessive Compulsive Inventory-Revised, and Sexual Inhibition/Sexual Excitation Scales. OCD patients had higher SE, SI due to Threat of Performance Failure, and SI due to Threat of Performance Consequences than controls. In the OCD group, higher disgust sensitivity, SI due to Threat of Performance Consequences, and perfectionism predicted higher SI due to Threat of Performance Failure. Higher SI due to Threat of Performance Failure and contamination/washing symptoms predicted higher SI due to Threat of Performance Consequences. These findings highlight the presence of sexual difficulties in OCD patients, particularly a higher SE and SI. The latter is especially relevant in those patients with higher disgust sensitivity, contamination/washing symptoms and perfectionism. Psychotherapists should assess and target sexuality during clinicalpractice with OCD patients.

Female sexuality in the context of dual control model

2017 ◽  
Vol 41 (S1) ◽  
pp. s850-s850
Author(s):  
R. Kowalczyk ◽  
K. Nowosielski ◽  
J. Kurpisz ◽  
M. Lew-Starowicz
Keyword(s):  
Sexual Behaviors ◽  
Risky Sexual Behavior ◽  
Drug Users ◽  
Structure Interview ◽  
Control Model ◽  
Sexual Relationships ◽  
Dual Control ◽  
Sexual Inhibition ◽  
Sexual Excitation ◽  
Dual Control Model

IntroductionDual Control Model (DCM) is one of the contemporary concepts of mechanisms rooted in the central nervous system that control human sexual behaviors. The DCM holds promise for application both in scientific settings and, although at the moment limited, clinical practice. A number of psychometric tools, i.e. the SIS/SES, SES II-W and SES II-W/M questionnaires based on the DCM theoretical assumptions have been developed.MethodsA total of 309 women aged 18–45 were eligible for the study. Inclusion criteria were met by 214 individuals who were included in the further analysis. Sexual excitation/sexual inhibition inventory for women (SESII-W) was used to evaluate sexual inhibition and sexual excitation. Semi-structure interview was used to evaluate sexual function in investigated individuals. Correlation between risky sexual behaviors, FSD and SE/SE was measured.ResultsAmong the women, 28.5% were diagnosed with FSD, with orgasmic dysfunction being the most common, 11.2%. Engaging in risky sexual behavior (having multiple sexual partners and one-night-stand sexual relationships, sexual intercourse with persons known to be HIV-positive, drug users or prostitutes, unprotected vaginal, oral and anal sex, sex for money or drugs and sexual activity while using alcohol and/or psychoactive substances) was associated with higher sexual excitation scores and lower sexual excitation scores of SESII-W. In contrast, the presence of FSD were negatively correlated with SE and positively with SI.ConclusionsDual control model might be a good model describing different sexual behaviors in the population of women.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Sexual Dysfunctions and Their Association with the Dual Control Model of Sexual Response in Men and Women with High-Functioning Autism

2019 ◽  
Vol 8 (4) ◽  
pp. 425 ◽  
Author(s):  
Daniel Turner ◽  
Peer Briken ◽  
Daniel Schöttle
Keyword(s):  
Sexual Functioning ◽  
Autism Spectrum ◽  
Control Model ◽  
Sexual Response ◽  
Treatment Programs ◽  
Sexual Dysfunctions ◽  
Dual Control ◽  
Sexual Excitation ◽  
Men And Women ◽  
Dual Control Model

Adults with an Autism Spectrum Disorder (ASD) are characterized by impairments in social interaction and communication, repetitive and stereotyped interests and behaviours as well as hyper- and/or hyposensitivities. These disorder specific symptoms could be associated with the development of sexual disorders. The Dual Control Model of Sexual Response presents one approach that is frequently used to explain the emergence of sexual dysfunctions. The aim of the present study was to assess the extent of symptoms of sexual dysfunctions in men and women with ASD and to evaluate their association with the individual propensity of sexual excitation and inhibition as defined by the Dual Control Model. Both men and women with ASD were more likely to report about sexual dysfunctions than individuals from the control group. In men with ASD, sexual inhibition was significantly correlated with the emergence of sexual dysfunctions, while there was no association between sexual functioning and sexual excitation. In women, the opposite pattern was found. Especially the peculiarities in sensitive perception could be responsible for the observed problems with sexual functioning in individuals with ASD. The present findings highlight the great need for specialized treatment programs addressing the frequently observed sexuality-related problems in individuals with ASD. However, up to now such treatment programs are lacking.

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