The Mediating Role of Psychological Resilience Between Adult Attachment Styles and Sexual Functioning in Couples Undergoing Assisted Reproductive Technology: A Cross-Sectional Study.

IF 2.2 3区心理学 Q2 FAMILY STUDIES

Journal of Sex & Marital Therapy Pub Date : 2026-01-01 Epub Date: 2025-12-22 DOI:10.1080/0092623X.2025.2605077

Antonio Gattamelata, Sara Bocci Benucci, Maria Elisabetta Coccia, Giulia Fioravanti, Vanessa Prisca Zurkirch, Nieves Moyano

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引用次数: 0

Abstract

Assisted reproductive technology (ART) represents a significant life challenge that can impact psychological well-being and intimate relationships. This cross-sectional study examined whether psychological resilience mediates the association between adult attachment insecurity (anxiety and avoidance) and sexual dysfunction in 198 Italian individuals (99 heterosexual couples) undergoing ART. Path analyses were conducted separately by gender. Results showed that attachment anxiety (βmen = -.35, p < .001; βwomen= -.34, p < .001) and avoidance (βmen = -.48, p < .001; βwomen = -.57, p < .001) were significantly and negatively associated with resilience, which in turn was strongly linked to sexual dysfunction (βmen = -.66, p < .001; βwomen = -.74, p < .001). The indirect effects of anxious attachment (women: estimate = 0.127, p < .001, 95% CI [0.063, 0.192], men: estimate = 0.233, p < .001, 95% CI [0.189, 0.562]), and avoidant attachment (women: estimate = 0.273, p < .001, 95% CI [0.171, 0.376], men: estimate = 0.375, p = .015, 95% CI [0.046, 0.420]) on sexual functioning via resilience were significant. The models explained 53% of the variance in female sexual dysfunction and 44% in male sexual dysfunction. These findings highlight the role of psychological resilience as a key mechanism linking insecure attachment to sexual difficulties during ART and support its potential as a target for couple-based interventions.

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心理弹性在辅助生殖技术夫妻依恋类型与性功能之间的中介作用：一项横断面研究。

辅助生殖技术（ART）是一项重大的生活挑战，可以影响心理健康和亲密关系。本横断面研究调查了198名接受抗逆转录病毒治疗的意大利个体（99对异性伴侣）的心理弹性是否介导了成人依恋不安全感（焦虑和回避）与性功能障碍之间的关联。按性别分别进行通径分析。结果表明，依恋焦虑（β男性= - 0.35,p < 0.001； β女性= - 0.34,p < 0.001）和回避（β男性= - 0.48,p < 0.001； β女性= - 0.57,p < 0.001）与心理弹性呈显著负相关，而心理弹性与性功能障碍密切相关（β男性= - 0.66,p < 0.001； β女性= - 0.74,p < 0.001）。焦虑型依恋（女性：估计= 0.127,p < 0.001, 95% CI[0.063, 0.192]，男性：估计= 0.233,p < 0.001, 95% CI[0.189, 0.562]）和回避型依恋（女性：估计= 0.273,p < 0.001, 95% CI[0.171, 0.376]，男性：估计= 0.375,p = 0.015, 95% CI[0.046, 0.420]）通过弹性对性功能的间接影响是显著的。这些模型解释了53%的女性性功能障碍差异和44%的男性性功能障碍差异。这些发现突出了心理弹性作为抗逆转录病毒治疗期间将不安全依恋与性困难联系起来的关键机制的作用，并支持其作为基于夫妻的干预目标的潜力。

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来源期刊

Journal of Sex & Marital Therapy Multiple-

CiteScore

4.70

自引率

12.00%

发文量

107

期刊介绍： The Journal of Sex and Marital Therapy is one of the top independent journals in the field. Under the prestigious leadership of R. Taylor Seagraves, M.D. - one of the world" foremost experts in sex and marital therapy -- JSMT is an active and contemporary forum reflecting the most viable developments emanating from the U.S. and abroad. JSMT continues to break new ground with innovative research and clinical writing, and the editor is committed to showcasing the most far-reaching traditional and contemporary thinking from all sources. You will read about therapeutic techniques, outcome, special clinical and medical problems, and the theoretical parameters of sexual functioning, and marital relationships.