Narcissistic Personality Traits and Sexual Dysfunction in Women: The Role of Body Image Self-Consciousness

IF 3.3 3区医学 Q1 UROLOGY & NEPHROLOGY

Journal of Sexual Medicine Pub Date : 2021-11-01 DOI:10.1016/j.jsxm.2021.08.007

Sofia Pavanello Decaro MD, Marco Di Sarno PhD, Annalisa Anzani PhD, Rossella Di Pierro PhD, Antonio Prunas PhD

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引用次数: 4

Abstract

Background

Individuals with narcissistic traits, specifically vulnerable ones, are more prone to experiencing concerns related to self-worth and physical appearance and to showing heightened sensitivity to appearance evaluation. Negative body image and body image self-consciousness may, in turn, undermine sexual functioning, especially when apprehension is related to body appearance in sexual contexts.

Methods

We aimed to evaluate the associations between self-reported pathological narcissistic traits, both grandiose and vulnerable, and sexual functioning in a large sample of nonclinical women (N = 656). Furthermore, we tested the mediating role of body image self-consciousness in these associations.

Outcomes

Sexual functioning was measured through the Female Sexual Function Index.

Results

The results highlight that vulnerable narcissistic traits are associated with lower sexual functioning, this association being mediated by higher levels of body image self-consciousness. Conversely, grandiose narcissistic traits are linked to lower body image self-consciousness and, consequently, higher levels of sexual functioning.

Clinical Implications

Considering the link between body image self-consciousness and sexuality is of utmost importance in clinical practice with women, as well as in promoting positive body appreciation. Clinicians working with individuals presenting with pathological personality traits should consider including an assessment of their sexual functioning. S Pavanello Decaro, M Di Sarno, A Anzani, et al. Narcissistic Personality Traits and Sexual Dysfunction in Women: The Role of Body Image Self-Consciousness. J Sex Med 2021;18:1891–1898.

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自恋型人格特征与女性性功能障碍：身体意象自我意识的作用。

具有自恋特征的个体，特别是脆弱的个体，更容易经历与自我价值和外表相关的担忧，并且对外表评价表现出更高的敏感性。消极的身体形象和身体形象自我意识可能反过来破坏性功能，特别是当在性环境中对身体外观的担忧时。方法我们的目的是评估自我报告的病理性自恋特征(浮夸和脆弱)与性功能之间的关系，在一个大样本的非临床女性中(N = 656)。此外，我们还测试了身体形象自我意识在这些关联中的中介作用。结果性功能通过女性性功能指数进行测量。结果表明，脆弱的自恋特征与较低的性功能有关，这种联系是由较高水平的身体形象自我意识介导的。相反，浮夸的自恋特征与较低的身体形象自我意识有关，因此，性功能水平较高。临床意义考虑身体形象自我意识与性之间的联系在女性的临床实践中以及促进积极的身体欣赏中是至关重要的。临床医生在治疗有病态人格特征的患者时，应该考虑对他们的性功能进行评估。S Pavanello Decaro, M Di Sarno, A Anzani，等。自恋型人格特征与女性性功能障碍:身体形象自我意识的作用。[J]性医学杂志2021;18:1891-1898。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Sexual Medicine 医学-泌尿学与肾脏学

CiteScore

6.20

自引率

5.70%

发文量

826

审稿时长

2-4 weeks

期刊介绍： The Journal of Sexual Medicine publishes multidisciplinary basic science and clinical research to define and understand the scientific basis of male, female, and couples sexual function and dysfunction. As an official journal of the International Society for Sexual Medicine and the International Society for the Study of Women''s Sexual Health, it provides healthcare professionals in sexual medicine with essential educational content and promotes the exchange of scientific information generated from experimental and clinical research. The Journal of Sexual Medicine includes basic science and clinical research studies in the psychologic and biologic aspects of male, female, and couples sexual function and dysfunction, and highlights new observations and research, results with innovative treatments and all other topics relevant to clinical sexual medicine. The objective of The Journal of Sexual Medicine is to serve as an interdisciplinary forum to integrate the exchange among disciplines concerned with the whole field of human sexuality. The journal accomplishes this objective by publishing original articles, as well as other scientific and educational documents that support the mission of the International Society for Sexual Medicine.