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.     

Coping and Adjustment in Male and Female Survivors of Childhood Sexual Abuse

ABSTRACT

This study investigates the effects of childhood sexual abuse for male and female survivors, characteristics of the abuse experience, current coping strategies, and current psychological adjustment. Nineteen male and 59 female adult survivors of childhood sexual abuse, recruited from both local and national support groups, completed a background questionnaire, dispositional coping inventories measuring current and retrospective abuse-specific coping styles, and measures of current psychological adjustment. In response to sexual abuse experienced during childhood, avoidance coping emerged as the most frequently used strategy by both sexes. Although there were no gender differences in current use of problem-focused and avoidance strategies, males related more use of acceptance whereas females utilized more emotion-focused coping. In general* females reported significantly greater trauma-related distress than males, including higher levels of anxiety, depression, and post-trauma symptoms.     

Sexuality in Marriage,Dating, and Other Relationships: A Decade Review

In this article, we review the major research advances made during the 1990s in the study of sexuality in marriage and other close relationships. More specifically, we provide a critical review of the empirical findings from the last decade on such sexual phenomena as sexual behavior, sexual satisfaction, and sexual attitudes within the context of marriage, dating, and other committed relationships. After highlighting the major theoretical and methodological advances of the 1990s, we focus on the research literatures of: (1) frequency and correlates of sexual activity in marriage; (2) sexual satisfaction, including its association with general relationship satisfaction; (3) sexuality in gay and lesbian committed relationships; (4) trends in sexual behavior and attitudes in dating relationships; and (5) the role of sexuality in dating relationships. We also incorporate brief reviews of the past decade's research on sexual assault and coercion in marriage and dating and on extramarital sex. We end our decade review with recommendations for the study of sexuality into the next decade.     

Characteristics of men and women who complete or exit from an on‐line internet sexuality questionnaire: A study of instrument dropout biases

This study compared respondents who completed an Internet sexuality questionnaire and those who dropped out before completion. The study was in Swedish and comprised 3,614 respondents over a 2‐week period (53% males, 47% females). There were significant differences between males, of whom 51% dropped out before completion of the 175‐item questionnaire, and females, of whom 43% dropped out. Dropout in both genders followed a curve of negative acceleration. The data suggest that dropout is likely to be significant and gender and demographically biased, and to occur significantly earlier for men than for women. Geography, education, sexual orientation, age, relationship status, living arrangements, and Internet connection speed were related to dropout for men, while only relationship status and living arrangements, which were in the opposite direction from men, were related to dropout in women.     

Characteristics of men and women who complete or exit from an on-line internet sexuality questionnaire: a study of instrument dropout biases

This study compared respondents who completed an Internet sexuality questionnaire and those who dropped out before completion. The study was in Swedish and comprised 3,614 respondents over a 2-week period (53% males, 47% females). There were significant differences between males, of whom 51% dropped out before completion of the 175-item questionnaire, and females, of whom 43% dropped out. Dropout in both genders followed a curve of negative acceleration. The data suggest that dropout is likely to be significant and gender and demographically biased, and to occur significantly earlier for men than for women. Geography, education, sexual orientation, age, relationship status, living arrangements, and Internet connection speed were related to dropout for men, while only relationship status and living arrangements, which were in the opposite direction from men, were related to dropout in women.     

The sexual partnerships of people with serious mental illness

We compared the sexualities of people with serious mental illness and the general population using the National Health and Social Life Survey (Laumann et al., 1994) and the Indiana Mental Health Services and HIV Risk Study (Wright, 2003). We investigated whether and how the sexual behaviors and relationships of people with serious mental illness differ from the general populations and identified factors differently influencing the organization of sexuality in these two groups. We found evidence that the relationships of people with serious mental illness are characterized by less intimacy and commitment than those of the general population. Additionally, although people with serious mental illness use condoms more consistently, they are also more likely to have concurrent relationships and tend to have sex sooner with new partners, which may contribute to a higher risk of contracting HIV. Our findings point to a need for a paradigm shift in the way that clinicians and researchers conceptualize and manage client sexuality. A less individualistic approach that takes into consideration the relationship context and social and institutional constraints is needed.     

The sexual partnerships of people with serious mental illness

We compared the sexualities of people with serious mental illness and the general population using the National Health and Social Life Survey (Laumann et al, 1994) and the Indiana Mental Health Services and HTV Risk Study (Wright, 1999). We investigated whether and how the sexual behaviors and relationships of people with serious mental illness differ from the general populations’ and identified factors differently influencing the organization of sexuality in these two groups. We found evidence that the relationships of people with serious mental illness are characterized by less intimacy and commitment than those of the general population. Additionally, although people with serious mental illness use condoms more consistently, they are also more likely to have concurrent relationships and tend to have sex sooner with new partners, which may contribute to a higher risk of contracting HFV. Our findings point to a need for a paradigm shift in the way that clinicians and researchers conceptualize and manage client sexuality. A less individualistic approach that takes into consideration the relationship context and social and institutional constraints is needed.     

The gender asymmetric effect of intimate partner violence on relationship satisfaction

Our research examined the association between intimate partner violence and relationship satisfaction among victims. The negative association between victimization and relationship satisfaction was substantially stronger for females than for males. Comparisons between respondents reporting about same-sex relationships with those reporting about opposite-sex relationships provided evidence that the amplified victimization/satisfaction association among female victims is a victim-gender effect rather than an actor-gender effect. In other words, our findings suggest that aggression harms the quality of the intimate partnerships of females much more so than the partnerships of males regardless of whether a male or a female is the perpetrator. We supplemented dialogue about the direct implications of our findings with discussions about how these results may raise conceptual questions about the adequacy of the instruments scholars use to study partner aggression.     

Psychological factors and the sexuality of pregnant and postpartum women

This study examined the influence of role quality, relationship satisfaction, fatigue, and depression on women's sexuality during pregnancy and after childbirth. Questionnaire data were obtained from 138 women pregnant with their first child, of whom 104 responded at 12 weeks postpartum, and 70 responded at 6 months postpartum. Women reported significant reductions in sexuality during pregnancy and postpartum. Relationship satisfaction explained levels of sexual satisfaction during pregnancy, and was a predictor of sexual desire in the postpartum. Depression was an important predictor of reduced sexual desire and sexual satisfaction during pregnancy, and of reduced frequency of intercourse at 12 weeks postpartum. At 6 months postpartum, the quality of the mother role strongly related to measures of sexuality. Throughout the perinatal period, fatigue impacted on measures of sexuality, either directly or/and indirectly. The implications of these results in terms of the impact of pregnancy and childbirth on relationships and sexuality are discussed.     

Virginity Lost,Satisfaction Gained? Physiological and Psychological Sexual Satisfaction at Heterosexual Debut

Despite the literature's focus on (hetero)sexual initiation, little is known about the degree to which young people are satisfied by their first vaginal intercourse experience, let alone the factors that predict satisfaction. This study analyzed data from a cross-sectional survey of 1,986 non-Hispanic White and Black 18- to 25-year-old respondents from four university campuses. Respondents were asked to rate the degree to which their first vaginal intercourse was physiologically and psychologically satisfying. Both Black and White women were significantly less likely than Black and White men to experience considerable or extreme satisfaction at first vaginal intercourse, particularly physiological satisfaction. Among all four gender–race groups, being in a committed relationship with one's sexual partner greatly increased psychological satisfaction, particularly among women. Experiencing less guilt at first sexual intercourse was also strongly associated with psychological satisfaction for women. Developing sexual relationships with partners they care for and trust will foster satisfaction among young people at first vaginal intercourse. These findings highlight strong gender asymmetry in affective sexual experience.     

The relation between early abuse and adult sexuality

One thousand and thirty‐two (566 non‐Asian; 466 Asian) undergraduates were assessed in a confidential laboratory setting regarding levels of physical abuse, emotional abuse, sexual abuse, neglect, and a wide range of sexuality variables. The purpose was to examine relationships between specific forms of early abuse and later adult sexuality, and to assess potential gender and ethnic differences in these associations. Independent of other forms of abuse, sexual abuse in females was significantly positively related to sexual drive and experience, range of sexual fantasies, liberal sexual attitudes, frequency of intercourse and masturbation, and likelihood of engaging in unrestricted sexual behaviors and fantasies, and was negatively related to virginity status. Among males, emotional abuse was significantly associated with poor body image and sexual dissatisfaction, independent of the other forms of abuse. There were no significant differences in associations between early abuse and sexuality between persons of Southeast Asian and European ancestry.     

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.     

Coping with obsessive relational intrusion and stalking: the role of social support and coping strategies

This study investigated the extent to which social support mediates negative effects of stalking and obsessive relational intrusion (ORI) victimization. A survey of 1,068 respondents indicated that (a) ORI/stalking victimization is positively related to negative symptoms and trauma; (b) five different types of coping responses are positively related to negative symptoms; (c) four domains of social support reveal small but significant negative relationships with negative symptoms; and (d) females are more threatened by unwanted pursuit than male victims, and male pursuers are more threatening than female pursuers. Structural equation modeling indicates that the influence of ORI/stalking on negative symptoms is mediated by the use of coping strategies and the adequacy of social support. Discussion speculates on the functional theoretical value of coping and support processes in managing unwanted pursuit and stalking.     

“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.     

What Theories and Methods From Relationship Research Can Contribute to Sex Research

Sexual and relationship satisfaction tend to be closely linked in the context of romantic relationships. Understanding how sexual processes influence relationships and how aspects of the relationship influence a couple’s sex life can provide insight into the maintenance of sexual desire and satisfaction over time. In this article, we review how theories and methods that form the foundation for relationship research have made—and will continue to make—sexuality research a stronger, more theoretical, and methodologically sophisticated science. We discuss the key theories that have been used to advance our understanding of who is more likely to be sexually satisfied in relationships, when sex is most satisfying, and how couples can have more satisfying sex lives and relationships. We then provide an overview of dyadic and repeated-measures designs and demonstrate how the use of these types of research methods allows relationship and sexuality researchers to answer novel and nuanced questions about how romantic partners influence each other, as well as how sexual processes unfold in couples’ daily lives and over time. Throughout the review, we highlight what we see as fruitful directions for future research at the intersection of sexuality and relationships.     

A Review of: “Adolescent Sexuality: A Historical Handbook and Guide” edited by Carolyn Cocca

Two well‐cited studies (Fisher, 1980; Schwartz, 1973) have suggested that people with negative emotional orientations toward sexuality (i.e., “erotophobia” or “sex guilt”) have difficulty learning contraceptive information. However, a recent laboratory study (Goldfarb, Gerrard, Gibbons, &; Plante, 1988) has raised doubts about this conclusion by demonstrating that erotophobic women can learn contraceptive information if they are exposed to it. The current study was designed to further clarify the relationship between emotional orientation toward sex and ability to learn sexually relevant material. Specifically, it compared pretest and post‐test knowledge of contraception and AIDS in erotophobic and erotophilic students in a university class on human reproduction. While the results indicated that male erotophobics initially knew less, there were no knowledge differences between males and females or erotophobics and erotophilics at the end of the course. Thus, these results support the conclusion that erotophobics are capable of learning sexual material if they are exposed to it. The implications of these results for educational strategies for decreasing unplanned pregnancy and sexually transmitted diseases are discussed.     

Sexual Orientation,Relationships with Parents,Stress, and Depressive Symptoms among Adults

Disparities in depressive symptoms as a function of sexual orientation have been well documented, but less is known about their origins. This study examines whether, even in adulthood, less favorable parental relationships are associated with disparities in depressive symptoms as a function of sexual orientation. Cross-sectional data were drawn from Wave IV of the National Longitudinal Study of Adolescent to Adult Health. Gay, lesbian, and bisexual (GLB) participants reported lower quality parental relationships, greater stress, and more depressive symptoms than did heterosexual participants. Lower quality parental relationships were associated with higher stress. Higher stress and lower quality parental relationships were associated with more depressive symptoms. GLB individuals reported lower father relationship quality and higher stress, which partially mediated the association of sexuality and depressive symptoms. Lesbian and bisexual women reported lower mother relationship quality and higher stress, which fully mediated the association of sexuality and depressive symptoms. While no differences in mother relationship quality existed for men, mother relationship quality was more strongly associated with depressive symptoms for gay and bisexual men than for heterosexual men. Even in adulthood, greater stress and depressive symptoms among GLB individuals were at least partially accounted for by less favorable parental relationships.     

Actor and Partner Effects of Attachment on Relationship Satisfaction and Sexual Satisfaction Across the Genders: An APIM Approach

Previous studies found gender differences in relationship satisfaction and sexuality. We tested gender differences in associations between attachment, a lasting relationship determinant, and two outcomes, relationship and sexual satisfaction. This study improves on earlier research by examining these associations in one Actor‐Partner‐Interdependence‐Model, making direct statistical testing between outcomes possible. Furthermore, a community and a distressed sample (N = 113 heterosexual couples each) were included to attempt replication across samples and to examine clinical implications. In both genders, actor attachment avoidance negatively affected relationship satisfaction and (with one exception) sexual satisfaction. Also in both genders, partner attachment avoidance negatively affected sexual satisfaction. However, whereas partner attachment avoidance influenced female relationship satisfaction, it did not affect male relationship satisfaction. The findings replicated across samples. Clinical implications are discussed.     

Personality disorders, coping strategies, and posttraumatic stress disorder in women with histories of childhood sexual abuse

Using a treatment-seeking sample of adult female survivors of childhood sexual abuse, the relationships between coping strategies, personality disorders (PD) and Posttraumatic Stress Disorder (PTSD) were explored. A variety of PDs were found to exist in this population, with avoidant, antisocial, dependent PDs having higher frequencies than borderline PD. Avoidant coping and PTSD severity significantly correlated with many of these PDs. PTSD severity and avoidant coping were also significantly correlated. Additionally, women with PTSD displayed higher rates of avoidant and dependent PDs, as well as more avoidant coping, than did women without PTSD. Results support a more complex conceptualization of the trauma-related symptoms that occur in adult survivors of childhood sexual abuse that incorporate the relationships between avoidant coping, personality disorders, and PTSD.