Journal of Sex & Marital Therapy最新文献

Many detransitioners struggle with significant regret and trauma. They deserve to be offered compassionate and trauma-informed care that is difficult for them to access, despite predictable harms that can occur without adequate preparation for the possibility of regret associated with irreversible side effects of gender medicine, including loss of sexual function. Medical care for detransitioners remains undefined and is not covered by insurance. Psychosexual recovery is a long-term process that will not restore what has been lost but should be facilitated via access to trauma informed psychotherapy as well as existentially focused sex therapy to promote post-traumatic growth and healing.

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.

The objective of the present study was to investigate changes in sexual desire, lubrication, and sexual activity across the menstrual cycle. It was expected that, in addition to a small mid-cycle increase, women would show a high degree of variability in whether and in what phase of the menstrual cycle they report changes in these variables. A total of n = 585 women aged 18-40 provided complete data on an online survey in which they were asked whether they notice changes across the menstrual cycle in sexual desire, desire to masturbate, lubrication, and frequency of having sex, and if they do, during which phase of the cycle they experience an increase. Results suggest that an increase in sexual desire, and especially lubrication, were somewhat more common during the ovulatory phase. However, as hypothesized, across all four variables, there was a high degree of variability in the specific cycle phase in which participants reported experiencing increases. In some cases, age, having a partner, and hormonal contraception moderated menstrual cycle phase increases in these variables. These results confirm that women differ significantly in whether and when, during the menstrual cycle, they experience increases in sexual desire, lubrication, and sexual activity.

Sexual power dynamics (SPD) regroup sexual interests of dominance, submission, and tender sex. Interest toward sexual domination and/or submission has historically been pathologized and linked with higher levels of sexo-relational distress. Guided by sexual script theory, the consideration of one's attitudes toward gender roles (GR), as either gender transcendent or gender-linked, might help identify different profiles of clients in sex therapy. To our knowledge, studies have yet to explore the different profiles while considering both SPD and GR. The scarcity of research on these variables limits our understanding of their implications for individuals' sexo-relational well-being. The current study aimed to explore the presence of latent profiles based on SPD and GR reported by clients in sex therapy, and to compare the resulting profiles on possible correlates (i.e., sociodemographic characteristics, romantic attachment, relationship and sexual satisfaction). A sample of 325 adults in sex therapy, completed self-reported questionnaires at intake. Results revealed three profiles: (1) Dominant stereotypical thinkers (3.7%), (2) Tender conflicted traditionalists (15.4%), and (3) Flexible and coherent lovers (80.9%). Inter-profile comparisons revealed significant differences regarding gender, age, avoidant attachment and relationship satisfaction. Overall, results suggest the presence of an intricacy between SPD and GR, which would benefit from further exploration.

Many clinicians use partner gender as a proxy for a patient's sexual orientation. Yet partnership and orientation are distinct constructs, and their interaction may be particularly relevant for bisexual/pansexual (i.e., plurisexual) people who may be in same- or mixed-gender relationships. We explored the effects of plurisexual identity, partner gender(s), and their interaction in predicting sexual desire and fantasy, two fundamental components of sexual functioning. Undergraduate participants in relationships (n = 493; 80% cisgender women, 16% cisgender men, 4% gender minority) completed an online survey including items on plurisexual identity, partner gender(s), sexual desire and fantasy. There were significant interactions between plurisexual identity and partner gender in predicting desire and fantasy, such that among participants in mixed-gender relationships, plurisexual participants reported significantly higher sexual desire and more diverse and frequent sexual fantasies than monosexual participants. As the interaction between sexual orientation and partner gender can reveal more information about sexual desire and fantasy than either variable alone, these findings suggest that clinicians should collect both pieces of information when working with plurisexual patients.

The present cross-sectional study examined the chain mediating roles of spousal support and dyadic adjustment in the relationship between social media addiction and sexual functioning among 211 married women of reproductive age in Qazvin, Iran. Grounded in the Interpersonal Process Model of Intimacy, the study posited that excessive social media use displaces face-to-face interactions, thereby eroding emotional support and relational harmony, which are critical for sexual well-being. Participants completed validated measures assessing social media addiction, spousal support, dyadic adjustment, and sexual functioning through an online survey. Results showed that dyadic adjustment was positively associated with sexual functioning, while social media addiction negatively impacted sexual functioning through sequential reductions in spousal support and dyadic adjustment. More specifically, higher levels of social media addiction correlated with lower levels of spousal support, which in turn predicted poorer dyadic adjustment and subsequently diminished sexual functioning. The findings highlight the importance of dyadic adjustment as a mediator and underscore how spousal support buffers the detrimental effects of social media addiction on marital sexual health. These results suggest that interventions targeting couples' communication and support systems may mitigate the negative consequences of excessive social media use on intimate relationships.

The association between frequent pornography exposure and sexual socialization processes and effects has been of longstanding interest to pornography scholars. In recent years, pornography scholars have become increasingly interested in problematic pornography use, of which frequent consumption is a central correlate. The Dependency-Resentment Hypothesis (DRH) unites these research areas by predicting the nature of the relationships among heterosexual men's frequent pornography use, problematic pornography use, and hostile attitudes toward women. Following affirmative DRH research conducted in North America and Europe, this Letter reports DRH consistent results from an Asian cultural context. While providing promising support for the tenets and generalizability of the hypothesis, further research using data gathered in other countries and using additional methods is urgently needed.

Menopause is a significant phase in a woman's life, during which sexuality often becomes a critical concern. Although sexual issues are frequently seen in postmenopausal women, unfortunately, many of their needs are overlooked during this period. Therefore, the purpose of this study was to investigate the sexual needs of postmenopausal women. Electronic databases such as PubMed, ScienceDirect, Scopus, Web of Science (WOS), Magiran, Scientific Information Database (SID), and Google Scholar were systematically searched. Nineteen articles were included. The quality of the included studies was evaluated using the Critical Appraisal Skills Programme (CASP) and the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE). The results of qualitative studies are classified into six groups of sexual needs: informing and educating menopausal women, awareness and support of husbands, the role of physicians and healthcare providers, the existence of sexual health clinics, social and financial support, and strengthening skills. The findings of this review suggest that addressing the sexual needs of postmenopausal women requires practical action at individual, professional, and policy levels. In this regard, educating women and their partners, improving counseling during health care, establishing specialized clinics, and providing insurance support can help reduce the gaps.

Sexual motivation is a multidimensional psychological construct linked to various emotional and relational processes. This research consisted of two studies conducted among Hungarian adults to examine associations between sexual motivation, emotion dysregulation, and dyadic coping across age and sex. Study 1 included 572 cisgender participants (381 women, 191 men; M age = 29.7, SD = 10.9) and investigated how self-centered, relationship-oriented, and coping-related sexual motivations correlated with emotion regulation difficulties. Study 2 involved 466 participants (312 women, 154 men; M age = 30.9, SD = 11.2) and explored the relationship between sexual motivation and dyadic coping. In Study 1, self-centered sexual motivation was positively associated with emotion dysregulation in men but not in women. Relationship-oriented sexual motivation was negatively associated with age and certain emotion regulation challenges, while coping-related motivation showed distinct associations by sex. In Study 2, self-centered sexual motivation correlated negatively with dyadic coping, particularly among men. Relationship-oriented sexual motivation was positively associated with supportive dyadic coping, especially in men. Coping-related sexual motivation showed no significant associations with dyadic coping across age or sex. Overall, these studies highlighted the interplay between sexual motivation, emotional regulation, and relational dynamics, emphasizing the importance of considering both age and sex differences.