The young and the restless? Age as a moderator of the association between sexual desire and sexual distress in women

2012 ◽  
Author(s):  
Kyle R. Stephenson ◽  
Cindy M. Meston
2011 ◽  
Vol 48 (6) ◽  
pp. 565-572 ◽  
Author(s):  
Leonard R. DeRogatis ◽  
Anita H. Clayton ◽  
Andrew Goldstein ◽  
Diane Lewis-D'Agostino ◽  
Glen Wunderlich ◽  
...  

2020 ◽  
Author(s):  
Lisa Zahler ◽  
Milena Meyers ◽  
Marcella Woud ◽  
Simon Edward Blackwell ◽  
Jürgen Margraf ◽  
...  

Theoretical models of sexual desire emphasize the role of cognitive processes. Empirical results, however, are mostly based on self-report measures. This study used three indirect measures to assess sexuality-related associations (via a Single Target Implicit Association Test; STIAT), and sexuality-related interpretations (via a Scrambled Sentences Task, SST; and a scenario task) in 263 women (Mage = 27.90, SD = 8.27) with varying levels of sexual desire. Correlational analyses revealed that the STIAT did not correlate with sexual desire, whereas the SST and the scenario task were significantly associated with sexual desire. Further, the SST and the scenario task, but not the STIAT, explained additional variance in sexual desire above other relevant variables (i.e., age, depressive symptoms, and sexual distress measured via self-report). To conclude, indirect measures can provide additional and unique information on sexuality-related associations and interpretations above self-report measures. Specifically, we found evidence for the predictive validity of the newly established SST, and can further validate the scenario task. Future studies should assess the causal mechanism underlying sexuality-related interpretations, e.g., by evaluating whether these can be changed via cognitive bias modification techniques or psychological treatments.


Author(s):  
Mina Malary ◽  
Mahmood Moosazadeh ◽  
Afsaneh Keramat ◽  
Shadi Sabetghadam

Background: Sexual desire and sexual distress are determined by emotional, psychosocial, hormonal, and anatomical factors during pregnancy. Objective: To identify the factors contributing to female low sexual desire and sexual distress during pregnancy separately and concurrently. Materials and Methods: Overall, 295 pregnant women were enrolled in this cross-sectional study. Sexual desire and distress were assessed by the sexual interest and desire inventory-female (score ≤ 33.0 indicates low sexual desire) and the female sexual distress scale-revised (score ≥ 11 indicates sexual distress). Results: 56.3% and 17.3% of pregnant women met the clinical cut-off for low sexual desire and sexual distress, respectively. After adjusting for the effect of the confounding variables by logistic regression multivariate analysis, satisfaction with body image before and during pregnancy, frequency of sexual intercourse, and satisfaction with foreplay were found to be significantly associated with low sexual desire. Factors related to sexual distress were similar to those noted for common sexual desire, except for satisfaction with foreplay. Other factors related to sexual distress included increased age, fear of abortion, and pregnancy trimester. Factors linked to concurrent low sexual desire and sexual distress were similar to those found for sexual distress, except for pregnancy trimester. Conclusion: Low sexual desire and sexual distress are relatively common sexual experiences during pregnancy. Several factors could predict low sexual desire but were not associated with sexual distress, and conversely. Comprehensive attention to all of these factors is essential while screening for sexual health during pregnancy. Key words: Pregnancy, Sexual desire, Sexual distress, Sexual dysfunctions, Influencing factors.


2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
R. Balon

The first challenge in diagnosing female sexual dysfunction(s) originates in our diagnostic system. The traditional model of classifying sexual dysfunction is anchored in the sexual response cycle: desire - arousal - orgasm - resolution. However, as some experts have pointed out, this classification may be problematic in the area of female sexuality. Both the diagnoses of female hypoactive sexual desire disorder (FHSDD) and female arousal disorder (FSAD) probably need to be redefined and refined. Examples include adding the lack of responsive desire to the FHSDD criteria and creating categories of subjective FSAD and genital FSAD.The second challenge in diagnosis female dysfunction is the lack of solid diagnostic instruments, diagnosis-specific laboratory assays and other specific testing. Specific measures of female sexual functioning, such as Female Sexual Functioning Index, Profile of Female Sexual Functioning, Sexual Function Questionnaire, Sexual Desire and Interest Inventory, and Female Sexual Distress Scale were mostly developed as outcome measures. No solid diagnostic instrument for sexual dysfunction exists, not even a version of the Structured Clinical Interview for DSM sexual dysfunctions. The contribution of imaging techniques, such as ultrasonography, magnetic resonance imaging or thermography, to the diagnosis is unclear, and these techniques are far (if ever) from clinical use.Thus, a detailed comprehensive clinical interview combined with physical examination, possibly a gynecological examination, and in some cases laboratory hormonal testing remains the cornerstone of diagnosing and assessing female sexual dysfunctions.


2020 ◽  
Author(s):  
Milena Meyers ◽  
Jürgen Margraf ◽  
Julia Velten

BACKGROUND Psychological therapies are effective treatments for hypoactive sexual desire dysfunction (HSDD; formerly hypoactive sexual desire disorder), a common sexual dysfunction among women. Access to evidence-based treatments, however, remains difficult. Internet-based interventions are effective for a variety of psychological disorders and may be a promising means to close the treatment gap for HSDD. OBJECTIVE This article describes the treatment protocol and study design of a randomized controlled trial, aiming to study the efficacy of cognitive behavioral and mindfulness-based interventions delivered via the internet for women with HSDD to a waitlist control group. Outcomes are sexual desire (primary) and sexual distress (secondary). Additional variables (eg, depression, mindfulness, rumination) will be assessed as potential moderators or mediators of treatment success. METHODS A cognitive behavioral and a mindfulness-based self-help intervention for HSDD will be provided online. Overall, 266 women with HSDD will be recruited and assigned either to one of the intervention groups, or to a waitlist control group (2:2:1). Outcome data will be assessed at baseline, at 12 weeks, and at 6 and 12 months after randomization. Intention-to-treat and completer analyses will be conducted. RESULTS We expect improvements in sexual desire and sexuality-related distress in both intervention groups compared to the waitlist control. Recruitment has begun in January 2019 and is expected to be completed in August 2021. Results will be published in 2022. CONCLUSIONS This study aims to contribute to the improvement and dissemination of psychological treatments for women with HSDD and to clarify whether cognitive behavioral and/or mindfulness-based treatments for HSDD are feasible and effective when delivered via the internet. CLINICALTRIAL ClinicalTrials.gov NCT03780751; https://clinicaltrials.gov/ct2/show/NCT03780751 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/20326


10.2196/20326 ◽  
2020 ◽  
Vol 9 (9) ◽  
pp. e20326
Author(s):  
Milena Meyers ◽  
Jürgen Margraf ◽  
Julia Velten

Background Psychological therapies are effective treatments for hypoactive sexual desire dysfunction (HSDD; formerly hypoactive sexual desire disorder), a common sexual dysfunction among women. Access to evidence-based treatments, however, remains difficult. Internet-based interventions are effective for a variety of psychological disorders and may be a promising means to close the treatment gap for HSDD. Objective This article describes the treatment protocol and study design of a randomized controlled trial, aiming to study the efficacy of cognitive behavioral and mindfulness-based interventions delivered via the internet for women with HSDD to a waitlist control group. Outcomes are sexual desire (primary) and sexual distress (secondary). Additional variables (eg, depression, mindfulness, rumination) will be assessed as potential moderators or mediators of treatment success. Methods A cognitive behavioral and a mindfulness-based self-help intervention for HSDD will be provided online. Overall, 266 women with HSDD will be recruited and assigned either to one of the intervention groups, or to a waitlist control group (2:2:1). Outcome data will be assessed at baseline, at 12 weeks, and at 6 and 12 months after randomization. Intention-to-treat and completer analyses will be conducted. Results We expect improvements in sexual desire and sexuality-related distress in both intervention groups compared to the waitlist control. Recruitment has begun in January 2019 and is expected to be completed in August 2021. Results will be published in 2022. Conclusions This study aims to contribute to the improvement and dissemination of psychological treatments for women with HSDD and to clarify whether cognitive behavioral and/or mindfulness-based treatments for HSDD are feasible and effective when delivered via the internet. Trial Registration ClinicalTrials.gov NCT03780751; https://clinicaltrials.gov/ct2/show/NCT03780751 International Registered Report Identifier (IRRID) DERR1-10.2196/20326


2019 ◽  
Vol 37 (2) ◽  
pp. 602-623
Author(s):  
Stephanie Raposo ◽  
Natalie O. Rosen ◽  
Amy Muise

Regular positive sexual interactions are one reason why relationships have health and well-being benefits, yet low sexual desire is among the most common sexual problems reported by women. One interpersonal factor that has been associated with greater sexual desire and satisfaction in community couples is self-expansion (i.e., expanding one’s sense of self through novel, exciting, and broadening activities with a partner). In the current study, we recruited 97 couples in which the woman was diagnosed with clinically low sexual desire to test how self-expansion was associated with both partners’ sexual and relationship well-being. When women with low desire reported higher self-expansion, they reported greater relationship and sexual satisfaction, higher desire, and couples were more affectionate. When their partners reported higher self-expansion, they felt more satisfied with their sex life and relationship (and so did the women), lower sexual distress and less relationship conflict, and couples were more affectionate. Our findings suggest that self-expansion is associated with greater relationship and sexual well-being for couples with low desire, as well as less sexual distress and relationship conflict. Theoretical and clinical implications are discussed.


Author(s):  
Zeinab Hamzehgardeshi ◽  
Mina Malary ◽  
Mahmood Moosazadeh ◽  
Soghra Khani ◽  
Mehdi Pourasghar

Objective: Hypoactive Sexual Desire Disorder (HSDD) among women is a complicated one which is created by various factors playing roles. One of the potential concerns related to Body Image (BI) is lack of sexual appeal in women. Body Image is often described as what a person perceives of their body encompassing the biological, psychological and social factors. The present research pursues the goal to investigate the association between BI and HSDD among the reproductive age women in Iran. Materials and methods: The current study is a cross-sectional (descriptive –analytical) research done on 1000 reproductive age included woman (15-49 years), performed by systematic random sampling method. The data collection tool includes the socio-demographics and the sexual desire scale in addition to the revised sexual distress scale to measure HSDD completed as self-report by the samples. Univariate and multivariate regression tests have been used in order to analyze the data. Results: The mean ± SD age of the women participating in the study was 32.09 ± 7.33. Having adjusted the confounder variables' effect by logistic regression multivariate analysis; the odd ratio for HSDD has been analyzed. The findings suggested that the odd ratio for HSDD in those not satisfied or slightly feeling fulfilled with their BI has been OR: 4.2 (95% CI: 1.98-9.05) and OR: 3.9 (95% CI: 2.29-6.65), respectively, times more than the ones highly satisfied with their body image. Conclusion: The present study results indicate that being dissatisfied with BI is a determinant factor of HSDD that is more probable in the people with negative image of their body structure and feeling lack of bodily appeal. Thus it is imperative to pay attention to this factor when analyzing HSDD.


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