scholarly journals Quality of Marital Relationship and Sexual Interaction in Couples With Sexual Dysfunction: An Exploratory Study From India

2021 ◽  
pp. 263183182110475
Author(s):  
Manjula V ◽  
Manjula Munivenkatappa ◽  
Janardhana Navaneetham ◽  
Mariamma Philip
Keyword(s):  
Sexual Dysfunction ◽  
Marital Quality ◽  
Cultural Context ◽  
Sexual Communication ◽  
Reciprocal Relationship ◽  
Marital Distress ◽  
Sexual Dysfunctions ◽  
Cross Sectional ◽  
Sexual Interaction ◽  
Marital Intimacy

Background: Sexual dysfunction and marital intimacy and quality are found to have a reciprocal relationship. Examining this relationship in couples seeking help for sexual dysfunctions in the cultural context of India is worthwhile. Aim: This study aims to explore the nature of sexual functioning, sexual interaction, sexual communication, and marital intimacy and quality in couples with sexual dysfunction. Further, relationship between the above variables is also examined. Methods: A cross-sectional, single-group exploratory design was adopted. A sample of 155 married heterosexual individuals, with a clinical diagnosis of sexual dysfunction in either of the spouses, was included in the study. The tools used included MINI neuropsychiatric interview, Marital Quality Scale, Marital Intimacy Questionnaire, Dyadic Sexual Communication Scale, and Sexual Interaction Inventory. Results: Erectile dysfunction and premature ejaculation in men and hypoactive sexual desire disorder in women were the most common sexual dysfunctions. Majority of the sample were young adults. About 82% of the sample had moderate-to-severe levels of marital distress. Mood disorder was the most common psychiatric disorder reported in the sample. High levels of intimacy problems were seen with no significant gender differences in the overall marital quality or intimacy. Difficulty in the overall sexual interactions was found; however, higher levels of dissatisfaction with the frequency of sex and lower self-acceptance was reported by men compared to women. Significant interrelationships were found between marital quality and intimacy, sexual interaction, and sexual communication. Conclusions: Sexual dysfunctions and marital distress are closely related. Sexual interaction and sexual communication play a significant role in marital quality and intimacy.

The Role Of Attachment Style And Marital Quality In Attachment Injury Couples

2014 ◽  
Vol 1 (1) ◽  
pp. 97-101
Author(s):  
Rizwana Begum ◽  
Dr. K.B. Kumar
Keyword(s):  
Attachment Style ◽  
Mental Health Professionals ◽  
Marital Quality ◽  
Attachment Styles ◽  
Marital Distress ◽  
Insecure Attachment ◽  
Heterosexual Couples ◽  
Enrichment Programs ◽  
Cross Sectional ◽  
Specific Incident

The attachment system is thought to facilitate relationship goals by motivation seeking and bonding activities with significant others, particularly under times of stress (Bowlby, 1982). Attachment theory has also contributed to further understanding the marital relationship in terms of profound psychological and physiological interdependence. It is perhaps this interdependence that causes damage to the quality of the attachment relationship. Hence, attachment injury is defined as “a specific incident or event in which one partner is unresponsive and inaccessible when one partner cries out for help in extreme need” (Johnson & Makinen, 2001). Therefore, marital distress or breakup in couple’s relationships does not happen suddenly, so understanding of attachment injury in relation to individual’s marital quality and attachment style would help practitioners to be equipped for appropriate and effective inventions. Further, it would also help counselors and mental health professionals to be familiar with the complexities of the topic by dealing with consequences of an attachment injury ethically and competently, Therefore our study aimed at examining the prevalence and nature of attachment injury and its effect on marital quality, in a group of married heterosexual couples. It also attempted to associate attachment styles with and without attachment injury in couples. The study employed a cross-sectional exploratory design with a set of self-administered measures. The sample comprised of 400 married individuals from urban Bangalore. Statistical results showed those individuals who were experiencing attachment injury are associated with poor marital quality. It was also seen that attachment injury was found to be associated with gender and insecure attachment style. Therefore our findings suggest that poor marital quality with an insecure attachment style plays an important role in attachment injury over time. Based on the attachment style, further intervention strategies and effective programs should be designed for marital counseling. And marital enrichment programs may be useful to enhance marital quality to prevent marital distress or breakups.

P–473 Should couples be educated on how to try to conceive (TTC) before an infertility diagnosis? A comparative study of fertile, subfertile and infertile couples

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
M Martins ◽  
J Fernandes ◽  
J Pedro ◽  
A Barros ◽  
P Xavier
Keyword(s):  
Sexual Dysfunction ◽  
Relationship Quality ◽  
Marital Quality ◽  
Controlled Trial ◽  
Chi Square ◽  
Cross Sectional ◽  
Sexual Strategies ◽  
Highly Educated ◽  
Fertility Status ◽  
Fertility Treatments

Abstract Study question What sexual strategies do individuals TTC with different fertility status use?; What are the predictors of sexual dysfunction(SD) and frequency of intercourse(IF) when TTC? Summary answer: TTC strategies with no evidence of effectiveness are the most used. Poor marital quality predicted SD, and female SD was a significant predictor of IF. What is known already It is well known that couples TTC have low fecundity knowledge. Previous evidence showed that after 12 months the frequency of intercourse decreases. After seeing a fertility specialist couples report a feeling of waiting time by attempting natural conception, which can be associated to evidence of an overestimation and excessive confidence in the success of fertility treatments. Existing guidelines recommend intercourse every other day, but no comparative studies exist up to date on what sexual strategies are used in different fertility status and what are the predictors of sexual frequency and sexual dysfunction when trying to conceive. Study design, size, duration This study is part of a randomized controlled trial on the effects of timed intercourse in psychosocial outcomes. Data was collected between July 2016 and November 2019 via an advertising strategy and obstetrics/gynecology centers. Inclusion criteria were: i) adult in a marital/cohabitation heterosexual relationship >1 year; ii) not knowing of any condition that can prevent pregnancy; iii) being actively TTC; iv) female age >22<42 years old; v) no previous children. Measurements were carried out online. Participants/materials, setting, methods Our final sample had 399 subjects (252 women). Participants rated the use of the following strategies: intercourse every other day (EOD), fertile week (FW), basal temperature, cervical mucus monitoring (CMM), ovulation predictor kits (OPK), and keeping legs elevated afterwards (EL). We also accessed psychological adjustment, relationship quality, SD and IF. Comparisons between groups were made by analysis of variance (ANOVA) and Chi-square tests, and logistic regression was used to determine predictors of SD and IF. Main results and the role of chance Participants were highly educated (72,8%), in the relationship for 9 years (±5.2), cohabitating for 5 (±3.6), and TTC for 2,5 years (range 0–16). Women were 33 years old (±4.4) and men 36 (±5.5). Regarding fertility status, 22.6% of participants were TTC <12 months, 22.8% >12 months but not diagnosed, 23.6% had a diagnosis but no treatment, and 31.1% had ART. The most reported female strategy in all groups was EL, and the most never used was OPK. Differences were found in EOD, with significantly more women TTC <12 months that never used it, and more women with previous ART using it. Women who had ART are the ones who more frequently use FW and CMM comparing to other women (P>.05). In all groups, the majority reported IF once or twice/week. SD was found in 17.5% of women and 10,9% of men. Age (OR 0.91, 95%CI 0.85–0.97) and SD (OR 2.47, 95%CI 1.02–6.02) were the only predictors of low IF for women, with no significant findings for men. Poor relationship quality increased the risk of SD for both men (OR 0.11, 95%CI 0.03–0.40) and women (OR 0.46, 95%CI 0.03–0.40), and depression increased the risk of female SD (OR 1.24, 95%CI 1.06–0.46). Limitations, reasons for caution The cross-sectional nature of this study does not allow causal relationships to be determined. Further cohort studies allowing to assess differences as couples cross different fertility status are warranted. There are important predictors of SD that were not considered, specifically the comorbidity of diseases and pain. Wider implications of the findings: Findings indicate that individuals TTC are misinformed, and that those using evidence-based sexual strategies are fertility patients. SD should be screened in patients TTC given that it might be an important predictor of IF. Couples might benefit from counselling to improve marital quality and consequently sexual functioning. Trial registration number NCT028140069

P-473 Should couples be educated on how to try to conceive (TTC) before an infertility diagnosis? A comparative study of fertile, subfertile and infertile couples

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
M Martins ◽  
J Fernandes ◽  
J Pedro ◽  
A Barros ◽  
P Xavier
Keyword(s):  
Sexual Dysfunction ◽  
Relationship Quality ◽  
Marital Quality ◽  
Controlled Trial ◽  
Chi Square ◽  
Cross Sectional ◽  
Sexual Strategies ◽  
Highly Educated ◽  
Fertility Status ◽  
Fertility Treatments

Abstract Study question What sexual strategies do individuals TTC with different fertility status use?; What are the predictors of sexual dysfunction(SD) and frequency of intercourse(IF) when TTC?  Summary answer TTC strategies with no evidence of effectiveness are the most used. Poor marital quality predicted SD, and female SD was a significant predictor of IF. What is known already It is well known that couples TTC have low fecundity knowledge. Previous evidence showed that after 12 months the frequency of intercourse decreases. After seeing a fertility specialist couples report a feeling of waiting time by attempting natural conception, which can be associated to evidence of an overestimation and excessive confidence in the success of fertility treatments. Existing guidelines recommend intercourse every other day, but no comparative studies exist up to date on what sexual strategies are used in different fertility status and what are the predictors of sexual frequency and sexual dysfunction when trying to conceive. Study design, size, duration This study is part of a randomized controlled trial on the effects of timed intercourse in psychosocial outcomes. Data was collected between July 2016 and November 2019 via an advertising strategy and obstetrics/gynecology centers. Inclusion criteria were: i) adult in a marital/cohabitation heterosexual relationship >1 year; ii) not knowing of any condition that can prevent pregnancy; iii) being actively TTC; iv) female age >22<42 years old; v) no previous children. Measurements were carried out online. Participants/materials, setting, methods Our final sample had 399 subjects (252 women). Participants rated the use of the following strategies: intercourse every other day (EOD), fertile week (FW), basal temperature, cervical mucus monitoring (CMM), ovulation predictor kits (OPK), and keeping legs elevated afterwards (EL). We also accessed psychological adjustment, relationship quality, SD and IF. Comparisons between groups were made by analysis of variance (ANOVA) and Chi-square tests, and logistic regression was used to determine predictors of SD and IF. Main results and the role of chance Participants were highly educated (72,8%), in the relationship for 9 years (±5.2), cohabitating for 5 (±3.6), and TTC for 2,5 years (range 0-16). Women were 33 years old (±4.4) and men 36 (±5.5). Regarding fertility status, 22.6% of participants were TTC <12 months, 22.8% >12 months but not diagnosed, 23.6% had a diagnosis but no treatment, and 31.1% had ART.  The most reported female strategy in all groups was EL, and the most never used was OPK. Differences were found in EOD, with significantly more women TTC <12 months that never used it, and more women with previous ART using it. Women who had ART are the ones who more frequently use FW and CMM comparing to other women (P>.05). In all groups, the majority reported IF once or twice/week. SD was found in 17.5% of women and 10,9% of men. Age (OR 0.91, 95%CI 0.85-0.97) and SD (OR 2.47, 95%CI 1.02-6.02) were the only predictors of low IF for women, with no significant findings for men. Poor relationship quality increased the risk of SD for both men (OR 0.11, 95%CI 0.03-0.40) and women (OR 0.46, 95%CI 0.03-0.40), and depression increased the risk of female SD (OR 1.24, 95%CI 1.06-0.46). Limitations, reasons for caution The cross-sectional nature of this study does not allow causal relationships to be determined. Further cohort studies allowing to assess differences as couples cross different fertility status are warranted. There are important predictors of SD that were not considered, specifically the comorbidity of diseases and pain. Wider implications of the findings Findings indicate that individuals TTC are misinformed, and that those using evidence-based sexual strategies are fertility patients. SD should be screened in patients TTC given that it might be an important predictor of IF. Couples might benefit from counselling to improve marital quality and consequently sexual functioning. Trial registration number NCT028140069

scholarly journals Sexual dysfunctions among patients in a psychiatric hospital

2020 ◽  
Vol 31 (2) ◽  
pp. 43-47
Author(s):  
AFM Riaz Rony ◽  
Md Faruq Alam ◽  
Muhammad Zillur Rahaman Khan
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Interest ◽  
Psychiatric Patients ◽  
Sexual Experience ◽  
Cross Sectional Study ◽  
Sexual Dysfunctions ◽  
Cross Sectional ◽  
Urban Group ◽  
Arousal Disorder ◽  
Demographic Questionnaire

Information regarding sexual dysfunctions in psychiatric patients is insufficient though it affects a patient’s quality of life in various ways. The objective of this study was to assess the proportion and pattern of sexual dysfunctions among patient’s attending at the National Institute of Mental Health (NIMH), Dhaka. It was a cross-sectional study conducted from 01 February 2015 to 30 June 2015. A total of 161 patients (of 18-50 years of age) selected purposively and were interviewed after getting informed written consent. A semi-structured socio-demographic questionnaire and a pre-tested (Bengali version of) Arizona Sexual Experience Scale (ASEX) were used for collecting data. Sexual dysfunctions were diagnosed by using the Diagnostic and Statistical Manual for Mental Disorders, 5th edition (DSM-5). Results showed that the mean age of the respondents was 35.12(± 8.22) years. Most of them (75%) were aged between 20-40 years. The proportion of sexual dysfunctions was 67% and it was found more among males (70.3%) than females (62.9%). Among males, Erectile Disorder (35.1%) in indoor and Premature Ejaculation (27.3%) in outdoor were more common. Among females, most common sexual dysfunction was Sexual Interest/Arousal Disorder, of which 34.9% was in indoor and 44.4% in outdoor respondents respectively. The proportion of sexual dysfunction was higher in the semi- urban group (75%), those who were educated up to primary level (79%) and belonging to age group 40-50 years (79%). As sexual dysfunction and it’s impact on psychiatric patients are tremendous, sexual functioning of every patient needs special attention, care and early interventions for reducing sufferings. Bang J Psychiatry December 2017; 31(2): 43-47

Marital Problems and Sexual Dysfunction: How are they Related?

1988 ◽  
Vol 152 (5) ◽  
pp. 629-631 ◽  
Author(s):  
John Rust ◽  
Susan Golombok ◽  
John Collier
Keyword(s):  
Sexual Dysfunction ◽  
Premature Ejaculation ◽  
Marital Distress ◽  
Marital Discord ◽  
Sexual Dysfunctions ◽  
Marital Problems ◽  
The Relationship

In a study of 28 attenders of a sexual and marital clinic, the relationship between marital distress and both general and specific sexual dysfunctions was investigated. It was found that for men there was a much closer relationship between sexual and marital problems than for women. In particular, it was noted that the specific male sexual dysfunctions of impotence and premature ejaculation played a much larger part in marital discord than did the female dysfunctions of anorgasmia and vaginismus.

Impact of obesity on female sexual dysfunction: A remiss

2020 ◽  
Vol 16 ◽  
Author(s):  
Asma Farooq Shah ◽  
Isha Chawla ◽  
Kirti Goel ◽  
Rakesh Gollen ◽  
Randhir Singh
Keyword(s):  
Sexual Dysfunction ◽  
Female Sexual Dysfunction ◽  
Kidney Diseases ◽  
Public Health Problem ◽  
Point Of View ◽  
Sexual Disorders ◽  
Sexual Dysfunctions ◽  
Obese Women ◽  
Prevalence Of Obesity ◽  
The Impact

: The prevalence of obesity around the globe is increasing at such an alarming rate that WHO consultation on obesity designated obesity as a major unattended public health problem worldwide. Obesity is associated with a greater risk of excessive fat related metabolic and endocrinal diseases associated with different set of illness and disabilities, including type 2 diabetes, cardiovascular diseases, kidney diseases, sleep apnea, arthritis, lung diseases and sexual disorders. Obesity is found to be associated with male and female sexual dysfunctions and several studies have indicated a positive correlation between obesity and sexual dysfunction among both males and females. The relationship between male obesity and sexual dysfunction has been widely discussed, whereas a very little emphasis is laid on relationship between obesity and female sexual dysfunctions. Sexual dysfunctions are common and affects 20-50% of obese women. Particularly, female sexual dysfunction is a multi-factorial problem, including organic and psychological aspects involved into it. These disorders not only affect physical health of women but to a greater extent mental health is also affected. Considering this point of view, present review is emphasized on the impact of obesity on female sexual dysfunctions.

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