Disorder of sexual desire or arousal in women and the history of sexual abuse as a predictor of it

Author(s):  
Alexandra TUDOR

The disorder of sexual desire or arousal is defined by the total or significant lack of sexual desire or arousal, and one of the associated factors or factos that are supporting this diagnosis is that of vulnerability of the individual, such as a history of sexual abuse. Numerous studies have shown that women who have a history of sexual abuse are more likely to develop sexual dysfunction.

2016 ◽  
Vol 134 (3) ◽  
pp. 260-263 ◽  
Author(s):  
Andrea V. Carreiro ◽  
Ligia P. Micelli ◽  
Maria H. Sousa ◽  
Luis Bahamondes ◽  
Arlete Fernandes

1994 ◽  
Vol 22 (4) ◽  
pp. 299-314 ◽  
Author(s):  
Glenn Waller ◽  
Rachel Smith

A history of sexual abuse is reported by a large proportion of women with psychological disorders. Cognitive approaches to therapy for this group aim to change the dysfunctional cognitions that are associated with abusive experiences, but often lack a clear model of the psychological processes that might be involved. This study examines the relationship between the overt cognitive correlates of sexual abuse (self-denigratory beliefs) and the covert correlates (information-processing bias). Women with psychological disorders who reported a history of sexual abuse had greater levels of self-denigratory beliefs and of information-processing bias than women who had a history of abuse but had no psychological disorder. The difference in overt self-denigratory cognitions was partly explained by the clinical women's higher level of covert information-processing bias. The information-processing bias appears to reflect a specific schema, which involves beliefs about the individual having been “contaminated” by the abusive experience. Therapeutic implications are discussed, including targets for treatment and evaluation. Further research is needed, to allow these cognitive correlates to be understood in relation to different psychological syndromes and symptoms.


Author(s):  
Linda Åkeflo ◽  
Eva Elmerstig ◽  
Gail Dunberger ◽  
Viktor Skokic ◽  
Amanda Arnell ◽  
...  

Abstract Aims Sexual abuse is a women’s health concern globally. Although experience of sexual abuse and cancer may constitute risk factors for sexual dysfunction and low wellbeing, the effects of sexual abuse have received little attention in oncology care. This study aims to explore sexual health and wellbeing in women after pelvic radiotherapy and to determine the relationship between sexual abuse and sexual dysfunction, and decreased wellbeing. Methods Using a study-specific questionnaire, data were collected during 2011–2017 from women with gynaecological, anal, or rectal cancer treated with curative pelvic radiotherapy in a population-based cohort and a referred patient group. Subgroup analyses of data from women with a reported history of sexual abuse were conducted, comparing socio-demographics, diagnosis, aspects of sexual health and wellbeing. Results In the total sample of 570 women, 11% reported a history of sexual abuse and among these women the most common diagnosis was cervical cancer. More women with than without a history of sexual abuse reported feeling depressed (19.4% vs. 9%, p = 0.007) or anxious (22.6% vs. 11.8%, p = 0.007) and suffering genital pain during sexual activity (52% vs. 25.1%, p = 0.011, RR 2.07, CI 1.24–3.16). In the total study cohort, genital pain during sexual activity was associated with vaginal shortness (68.5% vs. 31.4% p ≤ 0.001) and inelasticity (66.6% vs. 33.3%, p ≤ 0.001). Conclusions Our findings suggest that a history of both sexual abuse and pelvic radiotherapy in women are associated with increased psychological distress and sexual impairment, challenging healthcare professionals to take action to prevent retraumatisation and provide appropriate interventions and support.


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