Journal of Sex & Marital Therapy最新文献

Infertility in women causes profound psychological distress and may affect the coupled relationship. Few studies have considered the strengthening of the relationship, or marital benefit, of women with infertility. This study sought to investigate factors associated with marital benefit, such as infertility-related stress, partner communication, sexual satisfaction, coping strategies, and quality of life satisfaction. We used a descriptive cross-sectional study design to recruit 197 U.S. women with infertility who were undergoing fertility treatments from infertility-related Facebook support groups to complete an online survey. We used SPSS 28 to conduct descriptive statistics, Pearson correlations, and multiple linear regression. Partner communication, sexual satisfaction, primary infertility, meaning-based coping, marital stress, quality of life satisfaction, and attending a support group were significantly associated with marital benefit. The multiple linear regression model accounted for 43% of the variance in marital benefit, and six variables had a significant relationship with marital benefit: meaning-based coping (p <.001), marital stress (p = .003), partner communication (p <.003), primary infertility (p = .014), active-avoidance coping (p = .020), and attending a support group (p = .006). Interventions to decrease marital stress and improve coping and partner communication could be beneficial to facilitating marital benefit in women with infertility.

In this study, data from 7,440 patients from six Ibero-American countries were analyzed, focusing on men who consulted for erectile dysfunction (ED). Participants were queried about infidelity in their relationships. Results showed a negative correlation between infidelity and the severity of ED, suggesting that the likelihood of infidelity decreases as the severity of ED increases. Additionally, alcohol consumption and age were identified as significant predictors of infidelity, with notable country-specific variations. No significant associations were found between infidelity and other variables such as comorbidities affecting erectile function, sexual activity frequency, or suspected hypogonadism, measured using the AMS questionnaire.

Male alcohol dependence often leads to sexual dysfunction and disrupted marital relationships. This study aims to assess prevalence and pattern of sexual dysfunction amongst married male patients with alcohol dependence and influence of alcohol on their lives by exploring wives' perceptions. 100 married male patients with alcohol dependence and their wives (n = 70) were included. Male patients were interviewed to assess alcohol dependence severity, mental health, sexual functioning, and marital satisfaction with the help of standardized questionnaires. Wives' in-person interviews using a structured interview guide were conducted to explore their opinion about their husband's alcohol use and challenges they faced. According to the male patient's interview, the prevalence of sexual dysfunction was 88%, with premature ejaculation (60%) and erectile dysfunction (57%) being most common. Among all male patients, 19% had other mental health conditions and 50% experienced significant marital distress in their life, and severity of alcohol dependence was significantly associated with lower marital satisfaction. On exploring wives lived experiences, they reported significant interpersonal challenges like domestic violence and sexual life dissatisfaction due to their husbands' alcohol use and impact on children also. Alcohol dependence leads to high rates of sexual dysfunction and significant marital distress among spouses.

In the past decade, there has been increased academic and social attention paid to people who are living in the community and experience sexual and/or romantic attractions to children. Most of this attention has focused on determining risk or identifying treatment needs in abuse prevention contexts. However, research into the ideologies (broadly defined as action-oriented belief systems) of people within this community is still scarce. This paper challenges the common assumption that people who are attracted to children are divisible into pro-contact and anti-contact groups on the issue of sexual interactions with children. Using one of the largest currently available online studies of individuals who are attracted to children (N = 389), a model and associated measurement tool is developed to show how ideological positioning is associated with views about the permissibility of sexual contact with children and the extent to which people experience self-acceptance. The data demonstrate how these ideological positions are linked to different self-labeling, treatment needs, and risk. This paper provides a novel framework for understanding the effects of different ideological positions for clinical practice and provide a professional assessment tool for use by therapists working with this population in treatment settings.

This cross-sectional study investigates the associations between childhood trauma, metacognitions, and sexual quality of life in women with major depressive disorder (MDD). The sample included 91 sexually active women with MDD and 99 healthy controls. Participants completed the Depression-Anxiety-Stress Scale (DASS-21), Childhood Trauma Scale (CTQ-33), Metacognition Scale (MCQ-30), and Sexual Quality of Life Scale-Female (SQOLF). Structural equation modeling revealed that childhood trauma was directly associated with reduced sexual quality of life and also had an indirect effect through increased levels of depression, anxiety, and stress. However, no significant indirect effect was observed through metacognitions. Childhood trauma significantly predicted DASS-21 (β = .44, p < .001), MCQ-30 (β = .36, p < .001), and SQOL-F (β = -.35, p < .001). Depression, anxiety, and stress were negatively associated with sexual quality of life (β = -.28, p = .014), while MCQ-30 showed no significant impact (β = .09, p = .388).

This study explored profiles of traumatic sexuality (including six sex-related dimensions-dissociation, intrusiveness, shame and guilt, pleasing the other, interpersonal distress, and hypervigilance) and compared differences in sexual well-being and interpersonal trauma among the profiles. A latent profile analysis was performed on a clinical sample of 484 sex therapy patients consulting for sex and relationship related issues. Results identified three distinct profiles: Low Traumatic Sexuality (characterized by low to moderate scores, 87.8% of the sample), High Traumatic Sexuality (marked by elevated scores across all dimensions, 2.5%), and Dissociative-Pleasing Traumatic Sexuality (exhibiting a mixed score pattern, 9.7%). Comparative analyses indicated that these profiles were further distinguished by key variables, such as sexual well-being and interpersonal trauma. These findings underscore the complex ways in which interpersonal trauma shapes sexual experiences, highlighting the importance of individualized therapeutic approaches tailored to address specific trauma histories and support the restoration of healthy sexual functioning and overall well-being.

People with sexual attractions to children are often subject to heavy stigmatization, and several studies have started to look at how this affects their mental health. This is likely due to a conflation with offending and sexual risk within society, which translates into academic work on the topic. In this context, little is known about how the experiences of non-offending individuals with attractions to children inform their treatment needs in non-forensic contexts. We conducted anonymous semi-structured interviews with large sample of 31 non-offending adult men who are attracted to children, recruited through online forums. The results focus on two superordinate themes central to interpersonal and intrapersonal experiences, and the effects of these on both everyday functioning ("Living with a sexual interest in children"), and perceived treatment needs ("Establishing treatment targets"). These findings hold significance for the effective design and delivery of both preventative and healthcare-related support services, particularly in relation to early intervention and assisting this population in living full lives with their sexual attractions.

Therapists working with gender-questioning teens often encounter disparate narratives. Teens typically report memories consistent with their transgender identity, often recounting specific childhood events. Many parents, however, have different recollections of their teen's childhood. As sound, ethical care is predicated on reality, therapists face the difficult task of navigating these often-contradictory narratives. We present relevant scientific literature on memory and well documented cognitive mechanisms and reflect on past therapeutic controversies to help clinicians understand the complexity of memory and why it may be prudent for therapists to consider not only their patients' accounts of their pasts, but also that of their patient's parents.

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.

Dissatisfaction with physical appearance can cause problems in experiencing sexual satisfaction. In this randomized controlled clinical trial, we analyzed the effects of an educational-behavioral online intervention on transgender women's body image satisfaction and sexual satisfaction from December 2020 to March 2021, when the data collection of the study was completed in Tehran, Iran. 70 transgender women who met the inclusion criteria were randomly assigned to the control group and the experimental groups (i.e., 35 in each group). Both groups first received routine training and then the experimental group received four 90-minute training sessions. In both groups, body image satisfaction (as a primary outcome) and sexual satisfaction of transgender women (as a secondary outcome) were evaluated by questionnaire prior to the intervention and three months after the intervention. Independent and paired t-test were used for data analysis, and the significance level was considered P < 0.05. According to the research findings, the educational-behavioral intervention improved transgender women's body images but had no effects on their sexual satisfaction. More research is recommended because having a larger and more diverse sample (samples with different cultures and socioeconomic status) may provide a better understanding of the underlying socio-cultural influence on body image and sexual satisfaction.

Trial registration: Iranian Registry of Clinical Trials (IRCTID: IRCT20201114049379N1) (date of registration 13/01/2021).