A Psychometric Comparison of Three Scales and a Single-Item Measure to Assess Sexual Satisfaction

This study was designed to systematically compare and contrast the psychometric properties of three scales developed to measure sexual satisfaction and a single-item measure of sexual satisfaction. The Index of Sexual Satisfaction (ISS), Global Measure of Sexual Satisfaction (GMSEX), and the New Sexual Satisfaction Scale–Short (NSSS-S) were compared to one another and to a single-item measure of sexual satisfaction. Conceptualization of the constructs, distribution of scores, internal consistency, convergent validity, test-retest reliability, and factor structure were compared between the measures. A total of 211 men and 214 women completed the scales and a measure of relationship satisfaction, with 33% (n = 139) of the sample reassessed two months later. All scales demonstrated appropriate distribution of scores and adequate internal consistency. The GMSEX, NSSS-S, and the single-item measure demonstrated convergent validity. Test-retest reliability was demonstrated by the ISS, GMSEX, and NSSS-S, but not the single-item measure. Taken together, the GMSEX received the strongest psychometric support in this sample for a unidimensional measure of sexual satisfaction and the NSSS-S received the strongest psychometric support in this sample for a bidimensional measure of sexual satisfaction.     

Validation of the Interpersonal Exchange Model of Sexual Satisfaction Questionnaire in a Spanish Sample

The Interpersonal Exchange Model of Sexual Satisfaction Questionnaire (IEMSSQ) contains a number of separate measures that, together, have been useful in enhancing understanding of sexual satisfaction because it is based on a validated theoretical framework and has good psychometric properties. The present study aimed to determine the psychometric properties of the IEMSSQ in a Spanish sample of 520 men and 701 women in a mixed-sex relationship. Participants completed Spanish translations of the IEMSSQ, the Index of Sexual Satisfaction, the Dyadic Adjustment Scale, and the Massachusetts General Hospital–Sexual Functioning Questionnaire. The results showed that the Spanish IEMSSQ has good psychometric properties. Internal consistency values were excellent. For the most part, test-retest reliabilities were good, except for the equality components, for which they were moderate. Consistent with predictions, the various subscales were correlated with scores on sexual satisfaction, dyadic adjustment, and sexual functioning, demonstrating good concurrent and convergent validity. The applicability of the IEMSSQ for use with Spanish speakers in clinical and research settings is discussed.     

Limited Role of Body Satisfaction and Body Image Self-Consciousness in Sexual Frequency and Satisfaction in Pregnant Women

This cross-sectional study examined the role of maternal body image and body image self-consciousness in sexual satisfaction and intercourse frequency during pregnancy when controlling for satisfaction with partnership. Pregnant women in their third trimester of pregnancy (N = 150) participated in the study. Body image was measured by the Body Areas Satisfaction Scale (BASS) and Body Image Self-Consciousness Scale (BISC), while relationship satisfaction was measured by different subscales of the Perceived Quality of Marital Relationship (PQMR) Scale. Sexual satisfaction was also measured by one of the subscales of the PQMR (Intimate Relationship). The sexual behavior questionnaire comprised questions about frequency of sexual intercourse, desire, and other aspects of sexual functioning as well as the reasons that might prevent women from having intercourse during pregnancy. Findings suggested that satisfaction with body image and body image self-consciousness were related to sexual satisfaction. Nevertheless, other aspects of partnership, such as communication, appeared to be much more important predictors of sexual satisfaction than body image variables. The best predictor of sexual frequency was fear that intercourse might harm the fetus. Implications for education about sexuality issues in pregnancy are discussed.     

Sexual satisfaction and sexual self‐disclosure within dating relationships

This study examined dating individuals' self‐disclosure about their sexual likes and dislikes to their partner. Forty‐seven college men and 52 college women in a dating relationship of 3 to 36 months completed a questionnaire measuring sexual exchange variables, sexual satisfaction, relationship satisfaction, sexual communication satisfaction, and sexual and non‐sexual self‐disclosure with their partner. Both sexual and nonsexual self‐disclosure were at the level of revealing some detail but not fully disclosing personal attitudes and feelings. Participants reported self‐disclosing significantly more about non‐sexual than about sexual topics. Sexual and nonsexual self‐disclosure were related to sexual satisfaction, relationship satisfaction, and sexual communication satisfaction. Sexual self‐disclosure was uniquely related to sexual communication satisfaction when nonsexual self‐disclosure was controlled, but was not uniquely associated with relationship satisfaction or sexual satisfaction. The study provided evidence that both sexual exchanges and relationship satisfaction mediate the relationship between sexual self‐disclosure and sexual satisfaction as proposed by Cupach and Metts (1991). The results of a series of analyses suggest that self‐disclosure affects sexual satisfaction through two routes. First, sexual self‐disclosure may increase sexual rewards in the relationship. Second, it may increase overall relationship satisfaction. Both increased sexual rewards and increased relationship satisfaction, in turn, enhance sexual satisfaction.     

“Sex,Gender, and Love on a Global Scale. A Review of: Love and Globalization: Transformations of Intimacy in the Contemporary World. edited by Mark B. Padilla,Jennifer S. Hirsch,Miguel Muñoz-Laboy,Robert E. Sember, & Richard G. Parker.”

We investigated the sexual relationships of married Chinese men and women living in Beijing and Shanghai. Within the framework of the Interpersonal Exchange Model of Sexual Satisfaction (IEMSS), we also examined factors related to sexual satisfaction. Completed questionnaires were returned by 193 men and 231 women. In general, respondents reported moderate levels of sexual and relationship satisfaction. Overall, respondents were neither erotophobic nor erotophilic and reported a frequency of affectionate and sexual behavior between “2 or 3 times a month” and “once or twice a week” and at least one sexual concern and for problem. Contrary to predictions based on the cultural message that sexual pleasure is restricted to men, the women reported significantly greater sexual satisfaction than did the men, and men and women did not differ in their reports of sexual rewards or relationship satisfaction. Further, men described their sexual relationship as more costly than did women. However, women reported more sexual concerns than did men and were also more erotophobic. Men reported more sexual concerns for their partner than women did for their partner. Strong support was found for the IEMSS, such that the more that rewards exceeded costs, relative rewards exceeded relative costs, one's levels of rewards and costs were perceived to be equal to one's partner's, and the greater the relationship satisfaction, the greater the level of sexual satisfaction. Greater sexual satisfaction was also associated with a greater frequency of affectionate and sexual behavior, fewer sexual concerns and problems, and greater relationship satisfaction. These results are discussed in the context of the impact of official repression of many forms of sexual expression in China in the past and the need for enhancement of the sexual relationships of Chinese men and women.     

Sexual Satisfaction and Relationship Satisfaction in Dating Couples

Abstract

This study assessed the merits of an amended Interpersonal Exchange Model of Sexual Satisfaction (IEMSS; Lawrance & Byers, 1992, 1995) that includes a measure of relationship communality, a construct not adequately captured by existing exchange models of sexual/relationship satisfaction. A total of 189 undergraduates (102 female) in sexually active dating relationships completed measures of sexual satisfaction, relationship satisfaction, favorability of sexual exchanges, and the extent to which their romantic relationships were characterized by mutually communal behaviors (i.e., relationship communality). Analyses revealed that relationship communality made a small but unique contribution to sexual satisfaction and a large contribution to relationship satisfaction, even after controlling for sexual satisfaction and favorability of sexual exchanges. Implications for understanding the dynamics of sexually active dating relationships are discussed.     

What Keeps Passion Alive? Sexual Satisfaction Is Associated With Sexual Communication,Mood Setting,Sexual Variety,Oral Sex,Orgasm, and Sex Frequency in a National U.S. Study

Passion and sexual satisfaction typically diminish in longer-term relationships, but this decline is not inevitable. We identified the attitudes and behaviors that most strongly differentiated sexually satisfied from dissatisfied men and women who had been together for at least three years (N = 38,747). Data were collected in 2006 from cohabiting and married men (M) and women (W) via an online survey on a major national U.S. news Web site. The vast majority of these participants reported being satisfied with their sex lives during their first six months together (83% W; 83% M). Satisfaction with their current sex lives was more variable, with approximately half of participants reporting overall satisfaction (55% W; 43% M) and the rest feeling neutral (18% W; 16% M) or dissatisfied (27% W; 41% M). More than one in three respondents (38% W; 32% M) claimed their sex lives were as passionate now as in the beginning. Sexual satisfaction and maintenance of passion were higher among people who had sex most frequently, received more oral sex, had more consistent orgasms, and incorporated more variety of sexual acts, mood setting, and sexual communication. We discuss implications of these findings for research and for helping people revitalize their sex lives.     

Relationship functioning and sexuality among people with multiple sclerosis

This study was concerned with how the sexuality and relationships of people with Multiple Sclerosis (MS) are different from those of people from the general population. Three‐hundred eighty‐one respondents (144 males, 237 females) with MS and 291 respondents (101 males, 190 females) from the general population participated in the study. Sexual satisfaction, sexual dysfunction, relationship satisfaction, and coping style were assessed among all respondents. Information was also obtained from people with MS regarding age of onset and diagnosis of symptoms, as well as severity of symptoms. Overall, males with MS experienced a higher frequency of sexual dysfunction than males from the general population, while females with MS only differed from females from the general population in their levels of masturbation and numbness of the genital area. Coping strategies and levels of cognitive functioning were important predictors of sexual satisfaction, sexual dysfunction, and relationship satisfaction for women with MS, but there were fewer coping or health‐related factors that predicted these variables among men with MS. The results of this study are discussed in terms of factors related to sexual satisfaction and positive interpersonal relationships. There is a need to conduct further research in this area so that professionals working with people with MS are informed on strategies to improve the sexuality and relationships of their clients' lives.     

Sexual Body Image and Its Correlates: A Population-Based Study of Finnish Women and Men

ABSTRACT

Sexual body image was examined in a population-based sample of 9,532 Finnish men and women, age 18 to 49 years. More than one half of women and men were satisfied with their genitals, one half of the women were satisfied with their breasts. Higher levels of genital satisfaction were related to higher frequencies of sexual behavior and better sexual function for both genders. For men, penis size satisfaction was associated with lower levels of premature ejaculation and better erectile function. Sexual body image was related to overall perceived attractiveness, for women a higher body mass index was related to satisfaction with breast size. Having children was negatively related to women's sexual body image, abortions and miscarriages likewise. Limitations of the study and clinical implications of the findings are discussed.     

Margaret Sanger and the modern contraceptive techniques∗∗

The purposes of this study were (1) to show that a previously established relationship between female sexual enjoyment and self‐actualization also holds for males and (2) to demonstrate that sexual enjoyment of males and females is related to the actualization of their sexual partners. Forty‐two couples attending a large northeastern state university participated on a voluntary basis. Actualization was measured by the Personal Orientation Inventory. Sexual enjoyment was assessed by a questionnaire about orgasm consistency and by the Sexual Interaction Inventory (SII), which measures a variety of aspects of sexual satisfaction. Self‐actualization was related to orgasm consistency among males but not females. Several SII scales were correlated with self‐actualization for both males and females. Partners' self‐actualization was positively correlated with several aspects of male sexual enjoyment. However, female sexual enjoyment was negatively correlated with partners' self‐actualization. The results indicate that personality factors account for variance in male as well as female sexual responsiveness and that personality characteristics of one's partner may be related to one's sexual pleasure.     

Development and Bicultural Validation of the New Sexual Satisfaction Scale

The development and bicultural validation of the New Sexual Satisfaction Scale (NSSS)—a 20 item, multidimensional, composite measure of sexual satisfaction—is presented. The development of the scale was based on a five-dimension, conceptual model that emphasized the importance of multiple domains of sexual behavior including sexual sensations, sexual awareness and focus, sexual exchange, emotional closeness, and sexual activity. Scale construction and validation were carried out using seven independent samples with over 2,000 participants aged 18 to 55 in Croatia and the United States. Primary data collection was completed using online survey tools. Analyses did not confirm the proposed conceptual framework but suggested a two-dimensional structure focusing on self (“ego-centered”) and the other (a “partner- and sexual activity-centered” factor) domains, each containing items representing all five conceptual dimensions. Scale reliability (k = 20) was satisfactory for all samples, and construct validity was confirmed in both cultures. The NSSS was also found to have acceptable one-month stability. It is suggested that the NSSS may be a useful tool for assessing sexual satisfaction regardless of a person's gender, sexual orientation, and relationship status.     

Sexual function and the menopausal woman: The importance of age and partner's sexual functioning

The aim of this study was to investigate age, menopausal status, and the male partner's sexual function on the sexual function of the menopausal woman. Sexual functioning of 304 women (120 premenopausal, 76 perimenopausal, 108 post‐menopausal) aged between 35 and 65 years from a community sample was investigated. Multiple regression analyses found that sexual satisfaction within the relationship was better predicted by age group than by menopausal status. Younger women were more likely to be satisfied with their sexual relationship than older women. Age group was also a better predictor than menopausal status of current frequency of intercourse, with younger women being likely to have more frequent intercourse than older women. Whether a female respondent had experienced a sexual dysfunction was better predicted by menopausal status than by age. Women who were menopausal were more likely to report a sexual problem such as lack of sexual interest, poor lubrication, and failure to have an orgasm. However, age group appeared to be a better predictor of whether the male partner had experienced a sexual dysfunction. Older men were more likely to have experienced failure to have an erection, for example. The findings of this study indicate that age and the sexual function of the partner are important factors to take into consideration when investigating the sexual function of the menopausal woman.     

Analysis of Sexual Behavior Acceptance In Poland

Abstract

Current investigations into post-communist Polish sexual behavior acceptance levels indicate that men show a decidedly higher concern for their partner's sexual satisfaction than women do, and that women are more sensitive than previously thought to smells and pre-or-gasmic activities. Research was conducted with a 200-person married population (25–40 years old) in Wroclaw, Poland. The Sexual Stimuli Scale developed by Z. Lew-Starowicz (1988) was the basic testing method. The results of this investigation also indicate that men are more active and women relatively passive, in compliance with social mores. Men are more open than women to various kinds of stimulation and forms of sexual contact, activity directed not only to achieving personal pleasure but also including various kinds of caresses, manual and oral, leading to the woman's sexual satisfaction.     

Attachment Insecurities and Women's Sexual Function and Satisfaction: The Mediating Roles of Sexual Self-Esteem,Sexual Anxiety,and Sexual Assertiveness

We examined the potential role of three mediators—sexual self-esteem, sexual anxiety, and sexual assertiveness—of the association between romantic attachment insecurities (anxiety and avoidance) and two aspects of women's sexual functioning: sexual function and sexual satisfaction. A sample of 556 women aged 18 to 30 agreed to complete an online series of validated questionnaires assessing attachment insecurities and several aspects of sexual functioning. Lower sexual self-esteem and higher sexual anxiety mediated the associations between attachment anxiety and lower sexual function and satisfaction. Lower sexual self-esteem and higher sexual anxiety also partially mediated the links between attachment-related avoidance and the two sexual functioning variables. Sexual assertiveness, however, did not mediate these associations. A significant interaction between attachment anxiety and avoidance was also found to predict sexual satisfaction, with women high in avoidance and low in anxiety being the least satisfied. Results are discussed in terms of theoretical and clinical implications.     

Dysfunctional sexual beliefs as vulnerability factors to sexual dysfunction

The differences on sexual beliefs presented by men and women with sexual dysfunction and their sexually functional counterparts were investigated. A total of 488 participants (160 females and 232 males without sexual problems and 47 females and 49 males with a DSM-IV diagnosis of sexual dysfunction) answered the Sexual Dysfunctional Beliefs Questionnaire. Findings showed that, although effects have only reached statistical significance for the female group, both dysfunctional men and women endorsed more sexual dysfunctional beliefs than functional. Women presented significantly more age related beliefs (after menopause women loose their sexual desire, as women age, the pleasure they get from sex decreases) and body image beliefs (women who are not physically attractive cannot be sexually satisfied). Additionally, sexually dysfunctional males presented higher scores (not statistically significant) on 'macho' belief (a real man has sexual intercourse very often) and the beliefs about women satisfaction (the quality of the erection is what most satisfies women). Overall, findings support the idea that sexual beliefs may play a role as vulnerability factors for sexual dysfunction.     

A Survey of Sexual States of Married,Healthy, Reproductive Age Women

The sexual states of 1,800 married, healthy, reproductive- age women were surveyed. Sexual dissatisfaction occurred in 10.1% of women but in 5.3% of their husbands (P < 0.01). Statistically, stepwise logistic regression analysis was used Factors that substantially influenced the wives' sexual feelings were associated with precoital caressing, the occurrence and time of orgasm, husband's sexual satisfaction, who initiated coitus, and the wife's agreement to sexual activity if the husband was the initiator. Factors that substantially influenced the husbands' sexual feelings were frequency of coitus, successful ejaculation, wife's sexual satisfaction, and the husband's attitude toward the contraceptive method the wife had adopted     

Sexual Distress Mediates the Associations Between Sexual Contingent Self-Worth and Well-Being in Women With Genitopelvic Pain: A Dyadic Daily Experience Study

Provoked vestibulodynia (PVD), a common cause of women’s genitopelvic pain, is associated with poorer psychological and sexual well-being in affected couples. Greater sexual contingent self-worth (CSW)—defined as self-esteem that is dependent on the perceived success or failure of a sexual relationship—has been linked to poorer well-being in a cross-sectional study of couples coping with PVD. This study aimed to examine whether daily sexual distress mediated the associations between greater sexual CSW and lower sexual satisfaction and greater anxiety, depressed mood, and women’s pain in affected couples. Women (N = 125) diagnosed with PVD and their partners completed the Sexual CSW Scale and then online daily surveys for eight weeks measuring sexual distress, sexual satisfaction, anxiety, depressed mood, and women’s pain during intercourse. Multilevel analyses were based on the actor–partner interdependence model (APIM). For women who had higher sexual CSW (compared to lower sexual CSW), on sexual activity days when their sexual distress was higher, they reported lower sexual satisfaction and greater anxiety, depressed mood, and pain (compared to their average level across all sexual activity days). Findings suggest that daily sexual distress may be one pathway between greater sexual CSW and poorer day-to-day well-being in women with PVD.     

What is Sexual Satisfaction? Thematic Analysis of Lay People's Definitions

Sexual satisfaction is an important indicator of sexual health and is strongly associated with relationship satisfaction. However, research exploring lay definitions of sexual satisfaction has been scarce. We present thematic analysis of written responses of 449 women and 311 men to the question “How would you define sexual satisfaction?” The participants were heterosexual individuals with a mean age of 36.05 years (SD = 8.34) involved in a committed exclusive relationship. In this exploratory study, two main themes were identified: personal sexual well-being and dyadic processes. The first theme focuses on the positive aspects of individual sexual experience, such as pleasure, positive feelings, arousal, sexual openness, and orgasm. The second theme emphasizes relational dimensions, such as mutuality, romance, expression of feelings, creativity, acting out desires, and frequency of sexual activity. Our results highlight that mutual pleasure is a crucial component of sexual satisfaction and that sexual satisfaction derives from positive sexual experiences and not from the absence of conflict or dysfunction. The findings support definitions and models of sexual satisfaction that focus on positive sexual outcomes and the use of measures that incorporate items linked to personal and dyadic sexual rewards for both men and women.     

Some correlates of women's childhood sexual experiences: A retrospective study

Relatively few empirical studies have addressed long‐range effects of childhood sexual experiences. This study examined the relationships of various childhood sexual experiences to adult functioning in five areas: (a) family relations, (b) depression, (c) marital satisfaction, (d) sexual satisfaction, and (e) self‐esteem. A retrospective survey was conducted with a sample of 501 predominantly middle‐class women. No clinical or offender populations were used. Five standardized scales were used as dependent variables. On none of the five variables were the scores of women with childhood sexual experiences significantly different from those of women with no childhood sexual experiences. However, the interactions of negative experiences, such as the use of force and abusive behavior, with the type of partner, such as a parent or other relative, were significantly associated with adult functioning. Some of the findings challenge commonly held beliefs and have far‐reaching implications for the helping professions and others who study human sexuality.