Journal of Sex & Marital Therapy最新文献

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.

Psoriasis is a chronic inflammatory skin disease associated with significant sexual health burdens. Sexual dysfunction in patients with psoriasis is closely linked to psychological factors. This study aimed to examine the mediating roles of anxiety, depression, self-esteem, and body image in the relationship between psoriasis severity and sexual dysfunction. A cross-sectional study was conducted with 160 patients with psoriasis and 183 healthy controls. Psoriasis severity was assessed using the Psoriasis Area Severity Index (PASI), and participants completed self-report measures, including the Golombok-Rust Inventory of Sexual Satisfaction (GRISS), Hospital Anxiety and Depression Scale (HADS), Rosenberg Self-Esteem Scale (RSES), and Body Image Scale (BIS). The results revealed that body image significantly mediated the relationship between psoriasis severity and sexual dysfunction (B = -0.177, p = .002), while anxiety, depression, and self-esteem did not. Compared to controls, patients with psoriasis reported significantly lower body image satisfaction (p < .001) and self-esteem (p < .001), as well as greater sexual dysfunction (p < .001). Sexual dysfunction was more pronounced in patients with moderate to severe psoriasis. These findings highlight the importance of incorporating body image-focused psychological interventions into the comprehensive management of psoriasis to improve sexual health.

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.

The Supreme Court will soon hear oral arguments challenging a state law requiring pornographic websites to formally verify the age of site visitors. Prior studies have examined public opinion toward pornography regulation in the United States, but we are aware of no study that has assessed attitudes toward-age verification akin to the kind to be considered by The Supreme Court. This Letter reports data on age-verification attitudes and correlates among U.S. adults, parents, and adolescents. Results suggested that all three groups are more likely to support age-verification than to oppose it. Nonetheless, there was also substantial attitudinal variability in all three groups. Possible explanations for these differences are proposed and the need for extensive follow up studies is emphasized.

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.

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.

This meta-analysis aims to systematically evaluate the effects of male circumcision on sexual function, providing insights that may inform clinical practice and future research. A comprehensive literature search was conducted in eight databases until January 30, 2025, with no language restrictions. Data analysis was performed using Review Manager 5.4.1, and the certainty of the evidence was assessed using the GRADE approach. This meta-analysis included 15 studies with a total of 14,737 participants. Although circumcision was associated with higher sexual satisfaction levels compared to noncircumcised men (OR: 2.48, 95% CI: 1.62-3.79, p < 0.00001), the findings should be interpreted with caution due to significant heterogeneity among the studies. Additionally, circumcised men reported a small but statistically significant improvement in erectile function (MD: 0.28, 95% CI: 0.11-0.46, p = 0.002) and a reduced likelihood of dyspareunia (OR: 0.38, 95% CI: 0.16-0.88, p = 0.03), suggesting possible improvements in comfort during intercourse. Furthermore, circumcision was linked to a lower risk of orgasm difficulties (OR: 0.26, 95% CI: 0.10-0.73, p = 0.01). However, the impact on premature ejaculation remains inconclusive, indicating a need for further research. Overall, this meta-analysis suggests that male circumcision may have potential positive effects on certain aspects of sexual function, particularly sexual satisfaction and erectile function. Nonetheless, the clinical significance of these findings is uncertain, and further investigation is warranted given the heterogeneity observed.

It is thought that anxiety sensitivity and temperament characteristics in women diagnosed with vaginismus may be determinant on the development, persistence and treatment processes of the condition. This study aims to examine anxiety sensitivity and temperament characteristics in women diagnosed with vaginismus. The study included 40 female participant diagnosed with vaginismus and 40 women without sexual dysfunction as control group. All participants were administered the Structured Clinical Interview for DSM-IV Axis-I Disorders, followed by the Golombok-Rust Sexual Satisfaction Scale, Anxiety Sensitivity Index-3, and Temperament Evaluation of Memphis, Pisa, Paris, and San Diego Autoquestionnaire. Anxiety sensitivity levels were significantly higher in the vaginismus group compared to the control group. It was determined that depressive, irritable and anxious temperament subscale scores were significantly higher in the vaginismus group compared to the control group. While anxiety sensitivity, depressive temperament and anxious temperament traits, which showed significant differences between the groups, maintained their significant differences after controlling for covariates the significant difference in irritable temperament disappeared. Vaginismus is not only an obstacle to sexual intercourse, but also a multidimensional clinical picture that affects couples in different areas and in its etiology individual factors such as anxiety sensitivity and temperamental characteristics may play a role.

This study investigates the characteristics of male victims of campus sexual harassment, revealing that there is little difference in the proportion of male and female victims. Both genders are subjected to sexual harassment by students, faculty members, and off-campus personnel, with the largest difference in frequency being 13.79% and the smallest 0.06%. Most forms of harassment show less than a 5.00% difference between male and female students. T-test results indicate that, except for harassment by faculty members, there is no significant difference in the frequency of harassment between genders (p > .05). Furthermore, male victims are more likely to be familiar with the perpetrators than female victims. Campus sexual harassment negatively impacts both genders, with male victims reporting higher negative effects in academic, social, and self-evaluation aspects. Male victims are less likely to take proactive measures or seek assistance when facing harassment. Regression model and Shapley value decomposition analyses reveal that gender significantly influences the frequency of harassment, particularly when the perpetrator is the faculty member. Overall, this study highlights the need for increased attention to male victims of campus sexual harassment and the importance of addressing gender differences in coping strategies.

This study aimed to examine the association between cyber pornography use, sexual health literacy, and sexual function in women of reproductive age. This cross-sectional study was conducted via an online platform using Google Forms between January 25 and February 23, 2025, with 1,202 female participants aged 18-35. Data were collected using a Data Collection Form, the Cyber Pornography Use Scale-9 (CPUS-9), the Arizona Sexual Experiences Scale (ASEX), and the Sexual Health Literacy Scale (SHLS). The average age of the participants was 23.19 ± 3.34 years. The mean total score for CPUS-9 was 2.26 ± 1.34, for ASEX was 14.98 ± 6.80, and for SHLS was 57.65 ± 13.18. A weak positive correlation was found between CPUS-9 and SHLS, while a weak negative correlation was observed between ASEX and SHLS. According to regression analysis, as sexual dysfunction increased in women, cyber pornography use also increased (β = 0.550), resulting in a 0.57-unit increase. Furthermore, as sexual health literacy increased, cyber pornography use also increased (β = 0.190), leading to a 0.19-unit increase. The findings suggest that cyber pornography use in women is associated with sexual function and sexual health, and these associations may relate to individuals' levels of sexual health literacy.