Journal of Sex & Marital Therapy最新文献

The Compulsive Sexual Behavior Inventory (CSBI-13) assesses concerns related to compulsive sexual behavior (CSB) and has previously demonstrated strong psychometric properties. To enhance research and clinical screening utility, a short-form of the CSBI-13 was developed by modifying the CSBI-13 to items that screen for CSB and potential CSBD diagnosis. Using a confirmatory factor analytic approach, the resulting five-item CSBI-SF demonstrated strong model fit and internal consistency comparable to the original CSBI-13, as well as associations with other CSB measures and known correlates (religiosity, attachment style, and emotion dysregulation). The CSBI-SF provides a valid and reliable brief assessment of CSB.

Female-perpetrated child sexual abuse (CSA) is a major social taboo that often results in individuals facing challenges in disclosing their experiences and accessing appropriate support services. The present study aims to identify the differences between CSA by female solo perpetrators and CSA by female co-perpetrators. We analyzed data from an anonymous online survey involving individuals who reported their experiences of female-perpetrated CSA. A total of 186 participants were divided into those who had been abused by solo perpetrators (n = 88) and those who had experienced CSA by female co-perpetrators (n = 98). We compared their experiences across various characteristics. Our findings suggest that those affected by CSA by female co-perpetrators report abuse that had an earlier onset, was more severe, and lasted longer than the experiences reported by those affected by CSA by female solo perpetrators. The reports further indicate that CSA by female co-perpetrators is more likely to be committed by unknown perpetrators and occurs more frequently in religious institutions than CSA by female solo perpetrators. These findings highlight a need to raise awareness about different forms of female-perpetrated CSA.

Loneliness has a detrimental effect on relational and sexual well-being. Recent research indicates that gratitude and forgiveness are two qualities that may buffer negative factors in relationships. We examine whether these two qualities may moderate the negative association between loneliness and relational and sexual well-being. Using data from a nationally representative study of newlywed couples (N = 1,614) in the U.S. (CREATE), we evaluated whether actor and partner gratitude and forgiveness moderated the negative association between loneliness and sexual and relational well-being. Results indicated that both the husband's and wife's gratitude and forgiveness moderated the negative association between loneliness and relational well-being, but we found no moderation effect for sexual well-being. These findings may indicate that while gratitude and forgiveness protect the marriage relationship from feelings of loneliness, the sexual relationship is not protected from loneliness through forgiveness and gratitude alone. This study provides initial evidence that when spouses experience loneliness, forgiveness and gratitude may create pro-relational motivation attitudes and behaviors within the marriage relationship. Therapeutic implications are discussed.

Sex toys are widely used in both solitary and partnered sexual activities, yet the sociodemographic characteristics and sexual wellbeing of users remain under-researched. This study examined solo and partnered sex toy users' sociodemographic characteristics and levels of erotophobia and sexual satisfaction in a Canadian community sample (n = 1,959). Participants completed an online survey, including a sociodemographic questionnaire, an inventory of sex toy usage, and validated measures of erotophobia and sexual satisfaction. Comparative analyses (i.e., t-tests, chi-squared) examined the differences in characteristics between individuals who use sex toys and those who do not, while binomial logistic regressions tested the main factors associated with solitary and partnered sex toy usage. Women, younger adults, self-identified virgins, homosexual or bi/pansexual individuals, and those with a history of childhood sexual victimization were more likely to report sex toy use. Sex toy users reported higher sexual satisfaction and lower erotophobia in both solo and partnered contexts than those who had not used sex toys. These findings offer important insights into the characteristics of sex toy users and suggest that further research is needed to understand how individual and sociocultural factors contribute to the relationship between sex toy usage and sexual wellbeing.

This research aims to better understand the experiences of Jewish National Religious women who suffer from vestibulodynia, a medical condition characterized by pain during sexual intercourse. The study explores the distinctive challenges of these women, as they navigate the tension between expressions of sexuality in modern secular Western culture and that of religious Jewish Halacha. The study delves into perceptions of sexuality, religion, culture, and identity as effected by vestibulodynia. This qualitative research involved interviews with 15 married National Religious women aged 21-38 diagnosed with vestibulodynia. The study yielded four central themes: Isolation vs. Community; Recognition Within the Medical System; The Multifaceted Aspects of Female Identity; From Crisis to Growth. The research highlights the implications vestibulodynia can have on women coping with it, reflecting in reduced self- esteem, and challenges in female identity and the identity as a whole, in intimate relationships, and in family and cultural life. the study stresses the important role the partners have in coping with vestibulodynia. The research emphasizes the importance of culturally sensitive care needed in women's health care services. It further stresses the positive impact of belonging to peers and the importance of open communication regarding sexuality, even in orthodox communities.

Previous studies demonstrated the importance of attentional mechanisms in overall sexual response. However, there is a lack of studies on the impact of individual propensities to experience sexual self-consciousness (i.e. proneness for self-focus) in sexual situations, in the experience of male orgasm. This study aimed to understand the relationship between sexual self-consciousness (sexual self-focus and sexual embarrassment), sexual self-esteem, and male orgasm. A convenience sample of 150 undergraduate male students was recruited and participants were invited to complete a battery of self-reported questionnaires assessing orgasm, sexual self-consciousness, and sexual self-esteem. Findings showed a significant negative correlation between sexual embarrassment (i.e., propensity to feel embarrassed in sexual contexts) and male orgasm. Regression analysis further indicated that sexual embarrassment was the sole negative and significant predictor of orgasm. Regarding sexual self-esteem, a positive and significant correlation was found with orgasmic response. Sexual self-esteem also mediated the relationship between sexual embarrassment and orgasm. Overall, findings contribute to a deeper knowledge of the dimensions involved in the male orgasm Results may also contribute to the development of future programs aimed at the promotion of sexual literacy and the inclusion of psycho-emotional strategies to promote sexual health in men with orgasm difficulties.

The aim of this study was to show the effect of positive airway pressure (PAP) treatment on sexuality that has been negatively affected in female patients with obstructive sleep apnea syndrome (OSAS). The study included 26 females diagnosed with OSAS. Analyses were made of the sociodemographic data and polysomnography (PSG) and PAP titration data. Before and after 2 months of PAP treatment, the patients were evaluated using the Female Sexual Function Index (FSFI), the Beck Depression Inventory (BDI), and the Epworth Sleepiness Scale (ESS). There was determined to be a 2.67 ± 5.19 unit increase in the total FSFI measurements (p = 0.015, p < 0.05) post-PAP compared to before PAP treatment, and of the FSFI subscale measurements, a 0.65 ± 0.97 unit increase in desire (p = 0.002, p < 0.01) and a 0.75 ± 1.80 unit increase in satisfaction (p = 0.042, p < 0.05). These increases were determined to be statistically significant. The ESS measurements showed a statistically significant decrease of 2.04 ± 4.69 units from pre to post-PAP (p = 0.036, p < 0.05) and there was a 3.04 ± 6.27 unit decrease in the BDI measurements (p = 0.021, p < 0.05). Correction of oxygen saturation with PAP treatment and a decrease in depressive complaints in female patients with sleep apnea may significantly improve sexual functions.

This study presents the development and validation of the Sexual Boredom Inventory (SBI), a 6-item measure assessing sexual boredom as a temporary, context-dependent state. Initial items were drafted from data obtained through qualitative analysis, and the SBI was tested using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) with a sample of adults reporting on their sexual experiences in the past month. A single-factor model was found to be the best fit, with four items dropped during refinement. The SBI demonstrated good internal consistency (Cronbach's α = .88) and evidence of discriminant validity, with significant negative correlations to sexual pleasure and well-being. Additionally, the SBI was positively correlated with attention difficulties and impulsivity, highlighting a link between sexual boredom and ADHD. Findings suggest that sexual boredom, as a transient experience, is associated with negative sexual outcomes. Further research should confirm these relationships and potential interventions. The SBI can serve as a valuable tool for assessing recent sexual boredom and differentiating it from other sexual concerns.

Rough sex has become prevalent among young adults, yet little is known about the prevalence of consensual non-consent (CNC)-which is often enacted as role-playing sexual assault-or the correlates of either sexual choking or CNC. In a U.S. college campus probability survey, we assessed the prevalence and correlates of choking and CNC. More women (45%) and gender diverse participants (61%) had ever been choked than men (25%). Also, 10.0% of students had ever engaged in CNC, with no significant gender differences. Both choking and CNC were related to alcohol use and to a history of partner violence.

Sexual compliance (i.e., consenting to sex without initial sexual desire) can have both positive and negative consequences for well-being. This study explored predictors of perceived consequences of sexual compliance in cisgendered men and women from a population-based, Finnish sample (men n = 449, women n = 499, age M = 34.1, relationship duration M = 8.9). We drew upon existing literature and theoretical frameworks to select the following predictors; sexual approach and avoidance motives, sexual self-efficacy, avoidant and anxious attachment, sexual self-esteem, sexual assertiveness, symptoms of depression and/or anxiety, sexual distress, dyadic sexual communication, dyadic trust, and partner's sexual coercion. The predictors explained 31-38% of the variance in perceived positive consequences and 33-43% of the variance in perceived negative consequences of sexual compliance. Approach motives for sex had the strongest association with perceived positive consequences and having been sexually coerced by one's partner and sexual distress had the strongest associations with perceived negative consequences of sexual compliance. There were some variations in the predictors between genders, but the differing predictors had weak effects on the perceived consequences. Our findings can help clinicians identify focus areas when working with clients who experience a desire discrepancy in their intimate relationships.