Journal of Sex & Marital Therapy最新文献

Sexual Quality of Life After Feminizing Genital Gender-Affirming Surgery in Transgender Women: Associations with Psychological Resilience and Body Image. 变性女性生殖器性别确认手术后的性生活质量：与心理弹性和身体形象的关系。

IF 2.2 3区心理学

Journal of Sex & Marital Therapy Pub Date : 2026-10-16 DOI: 10.1080/0092623X.2026.2748295

Ezgi Şişman, Engin Telli, Erdem Kettaş, Naci Burak Çınar, Mustafa Melih Çulha, Aslıhan Polat

{"title":"Sexual Quality of Life After Feminizing Genital Gender-Affirming Surgery in Transgender Women: Associations with Psychological Resilience and Body Image.","authors":"Ezgi Şişman, Engin Telli, Erdem Kettaş, Naci Burak Çınar, Mustafa Melih Çulha, Aslıhan Polat","doi":"10.1080/0092623X.2026.2748295","DOIUrl":"https://doi.org/10.1080/0092623X.2026.2748295","url":null,"abstract":"Sexual quality of life after feminizing genital gender-affirming surgery remains insufficiently characterized, particularly regarding psychosocial factors. This single-center retrospective cross-sectional survey examined associations of body image and psychological resilience with sexual quality of life in 39 transgender women after feminizing genital gender-affirming surgery, all sexually active in the preceding month. Sexual quality of life, psychological resilience, and body image were assessed using validated Turkish self-report instruments. Bivariate associations were examined using Spearman correlations, and exploratory ordinary least-squares regression examined the associations of psychological resilience and body image with sexual quality of life; age and postoperative duration were also explored. Psychological resilience was strongly correlated with sexual quality of life (rₛ = 0.900) and body image (rₛ = 0.864), and body image with sexual quality of life (rₛ = 0.764; all p < 0.001). Neither age nor postoperative duration was significantly associated with any measure. Psychological resilience and body image were each strongly associated with postoperative sexual quality of life and were themselves closely interrelated. These findings support considering psychosocial factors within a broader multidimensional assessment of postoperative sexual well-being.","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"1-14"},"PeriodicalIF":2.2,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149194535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dyadic Associations between Body Appreciation and Sexual Function among Cisgender Heterosexual and Gender and Sexually Diverse Couples. 顺性异性恋和性别及性多元伴侣身体欣赏与性功能的二元关联。

IF 2.2 3区心理学

Journal of Sex & Marital Therapy Pub Date : 2026-10-14 DOI: 10.1080/0092623X.2026.2744710

Eugénie Adlhoch-Mathé, Silke Jacmin-Park, Robert-Paul Juster, Sophie Bergeron

{"title":"Dyadic Associations between Body Appreciation and Sexual Function among Cisgender Heterosexual and Gender and Sexually Diverse Couples.","authors":"Eugénie Adlhoch-Mathé, Silke Jacmin-Park, Robert-Paul Juster, Sophie Bergeron","doi":"10.1080/0092623X.2026.2744710","DOIUrl":"https://doi.org/10.1080/0092623X.2026.2744710","url":null,"abstract":"Given the body's exposure during partnered sexual activity, having a positive perception of one's body may impact sexual function, i.e., the capacity to respond sexually. Yet research on the associations between body appreciation and sexual function within couples is limited, particularly among couples who identify as gender and sexually diverse, who face greater risks of experiencing sexual difficulties due to minority stress. Examining body appreciation among couples may lead to clearer insights into their sexual function. The present study assessed dyadic associations between body appreciation and sexual function, examining the moderating effects of gender identity and sexual orientation, in a diverse sample of 151 couples. Results based on the actor-partner interdependence moderation model showed that a person's body appreciation was negatively related to their own sexual function difficulties, and to their partner's difficulties when the latter was heterosexual. Gender identity did not significantly moderate these associations. This study demonstrates the associations between a person's body appreciation and their own sexual function, as well as the role of the partner's sexual orientation in the association between a person's body appreciation and their partner's sexual function, highlighting the importance of considering sexual orientation to understand dyadic associations with sexual health.","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"1-18"},"PeriodicalIF":2.2,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149182486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Moving Beyond a Binary Cis-Heteronormative Perspective: A Scoping Review of Instruments for Inclusive Research into Sexual Functioning. 超越二元顺式-异性规范视角：性功能包容性研究工具的范围综述。

IF 2.2 3区心理学

Journal of Sex & Marital Therapy Pub Date : 2026-10-08 DOI: 10.1080/0092623X.2026.2741355

Alma Brand, Piet van Tuijl, Roeslan Leontjevas, Els Elaut, Mark Hommes, Jacques van Lankveld

{"title":"Moving Beyond a Binary Cis-Heteronormative Perspective: A Scoping Review of Instruments for Inclusive Research into Sexual Functioning.","authors":"Alma Brand, Piet van Tuijl, Roeslan Leontjevas, Els Elaut, Mark Hommes, Jacques van Lankveld","doi":"10.1080/0092623X.2026.2741355","DOIUrl":"https://doi.org/10.1080/0092623X.2026.2741355","url":null,"abstract":"Cis- and heteronormativity hinder the valid measurement of sexual function in Sexual Orientation and Gender Diversity (SOGD) populations. This study aimed to identify instruments designed for inclusive use and to evaluate their cross-cultural and psychometric characteristics. A scoping review was conducted by searching PubMed, EBSCOhost, and Web of Science in April 2026. The search terms included sexual function, gender, sexual orientation, assessment instruments, and psychometric information. Screening, data extraction, and quality grading were performed independently by two reviewers. Fifteen articles described the development or validation of instruments for use among SOGD populations. Notably, non-binary individuals were included in only one study. For most instruments, adequate content and structural validity, and internal consistency were reported, but evidence for cross-gender, cross-sexual orientation, cross-cultural, criterion, and construct validity was lacking or unclear. Limited or no information was provided on test-retest reliability, measurement error, and responsiveness to changes in sexual function for the instruments used. Most identified instruments were validated in narrowly defined subgroups or assessed only a single domain of sexual functioning, limiting their suitability as general, SOGD-inclusive measures. This review supports the need to develop and validate new inclusive instruments to measure sexual function, including SOGD populations.","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"1-20"},"PeriodicalIF":2.2,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"It's Like You're Trying to Defuse a Bomb": Fear, Responsibility, and Shame in Young Men's Sexual Lives. 《这就像你在试图拆除炸弹》：年轻人性生活中的恐惧、责任和羞耻。

IF 2.2 3区心理学

Journal of Sex & Marital Therapy Pub Date : 2026-10-07 DOI: 10.1080/0092623X.2026.2740624

Jossy Forrest, Jessie V Ford, Jonathan Herring

{"title":"\"It's Like You're Trying to Defuse a Bomb\": Fear, Responsibility, and Shame in Young Men's Sexual Lives.","authors":"Jossy Forrest, Jessie V Ford, Jonathan Herring","doi":"10.1080/0092623X.2026.2740624","DOIUrl":"https://doi.org/10.1080/0092623X.2026.2740624","url":null,"abstract":"This study examines how this generation of young heterosexual men-who have come of age in the \"age of consent\"-emotionally experience sex. We thematically analyzed 31 in-depth interviews with men aged 18 to 32 years. The most striking finding is how rarely these men described enjoying sex. Three themes emerged. First, anxiety and vigilance accompanied sexual encounters. Second, there was a moral concern about causing harm to a sexual partner. Third, shame arose not only from accusations by others, but also from self-criticism. The themes overlap substantially, suggesting aspects of a complex, sometimes contradictory experience. The defining feature is an inward turn: a cultural suspicion of men appears to have been internalized by some young men. For these men, the question when navigating consent is often not only \"does she want this?\" but \"am I the kind of man who could get this wrong?\" Sex, as one participant put it, is \"like you're trying to defuse a bomb.\" These young men have come to approach sex as a hazard to manage rather than a relational experience to share. They attributed this wariness to the cultural climate that surrounds consent. We consider implications for consent education, clinical practice, and future research.","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"1-17"},"PeriodicalIF":2.2,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Facilitators and Inhibitors of Healthy Sexuality Across the Life Course: A Qualitative Study of Sexual Trajectories, Reflection, and Agency. 一生中健康性行为的促进因素和抑制因素：性轨迹、反思和代理的定性研究。

IF 2.2 3区心理学

Journal of Sex & Marital Therapy Pub Date : 2026-10-06 DOI: 10.1080/0092623X.2026.2738715

Gabriel Bianchi, Andrea Čierna

{"title":"Facilitators and Inhibitors of Healthy Sexuality Across the Life Course: A Qualitative Study of Sexual Trajectories, Reflection, and Agency.","authors":"Gabriel Bianchi, Andrea Čierna","doi":"10.1080/0092623X.2026.2738715","DOIUrl":"https://doi.org/10.1080/0092623X.2026.2738715","url":null,"abstract":"Healthy sexuality has recently been proposed as a broader developmental framework that complements conventional concepts of sexual health. However, little empirical research has examined how healthy sexuality develops across the life course through lived experience. This study explores healthy sexuality by identifying facilitators and inhibitors of healthy sexuality and sexual satisfaction and by examining how they accumulate within individuals' sexual trajectories. Twenty semi-structured life-history interviews were conducted with participants aged 28-32 years in Slovakia. Data were analyzed using a combination of thematic analysis and narrative-phenomenological analysis. Facilitators and inhibitors were organized into four interrelated domains: intrapsychic, interaction with social norms, interpersonal, and physical. Paradoxical facilitators and inhibitors demonstrated that healthy sexuality and sexual satisfaction are not identical and may diverge under specific circumstances. Analysis of participants' sexual trajectories revealed three developmental pathways: (1) reflective development trajectories characterized by reflection, agency, and positive change; (2) reflective stagnation trajectories characterized by reflection without substantial behavioral change; (3) unreflective satisfaction trajectories characterized by apparent sexual satisfaction despite limited developmental potential for healthy sexuality. Findings support the conceptualization of healthy sexuality as a developmental process rather than a fixed state. The proposed framework may be inspirational for sexuality education, counseling, psychotherapy, and future research.","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"1-28"},"PeriodicalIF":2.2,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Marital Adjustment, Parenting Stress, and Gender Role Attitudes Among Married Individuals: An Actor-Partner Interdependence Analysis. 婚姻调整、养育压力与已婚个体性别角色态度：行动者-伴侣相互依赖分析。

IF 2.2 3区心理学

Journal of Sex & Marital Therapy Pub Date : 2026-10-05 DOI: 10.1080/0092623X.2026.2741348

Pınar Uzunkaya Öztoprak, Pelin Calpbinici

{"title":"Marital Adjustment, Parenting Stress, and Gender Role Attitudes Among Married Individuals: An Actor-Partner Interdependence Analysis.","authors":"Pınar Uzunkaya Öztoprak, Pelin Calpbinici","doi":"10.1080/0092623X.2026.2741348","DOIUrl":"https://doi.org/10.1080/0092623X.2026.2741348","url":null,"abstract":"Marriage and parenting are relational experiences shaped by mutual interactions between partners; however, most studies have examined these processes at the individual level. This cross-sectional correlational study investigated actor and partner associations among gender role attitudes, parenting stress, and marital adjustment in 153 married heterosexual couples in Türkiye using the Actor-Partner Interdependence Model. Data were collected using the Gender Roles Attitude Scale, Parenting Stress Scale, and Marital Adjustment Scale. More egalitarian gender role attitudes were associated with lower parenting stress and higher marital adjustment at the actor level in both women and men. Parenting stress was not significantly associated with individuals' own marital adjustment. Partner effects showed gendered patterns: men's egalitarian gender role attitudes were positively associated with women's marital adjustment, whereas women's gender role attitudes were not significantly associated with men's marital adjustment. In addition, parenting stress showed significant crossover associations, with men's parenting stress showing a numerically larger standardized association with women's marital adjustment than the reverse pathway. These findings highlight the interdependent nature of couple relationships and suggest that gender role attitudes and parenting stress may operate not only within individuals but also across partners in relation to marital adjustment.","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"1-14"},"PeriodicalIF":2.2,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sexual Distress, Concerns About Sex Life, and Successful Sexual Aging: An Exploration in Older Partnered German Adults. 性困扰，对性生活的关注，和成功的性衰老：对德国老年伴侣的探索。

IF 2.2 3区心理学

Journal of Sex & Marital Therapy Pub Date : 2026-09-29 DOI: 10.1080/0092623X.2026.2736685

Laura Pietras, Cynthia A Graham, Peer Briken, Aleksandar Štulhofer

引用次数: 0

Gender Minority Stress Experiences After Gender-Affirming Medical Care. 性别少数群体在性别肯定医疗护理后的压力经历。

IF 2.2 3区心理学

Journal of Sex & Marital Therapy Pub Date : 2026-09-26 DOI: 10.1080/0092623X.2026.2735007

Tim C van de Grift

{"title":"Gender Minority Stress Experiences After Gender-Affirming Medical Care.","authors":"Tim C van de Grift","doi":"10.1080/0092623X.2026.2735007","DOIUrl":"https://doi.org/10.1080/0092623X.2026.2735007","url":null,"abstract":"Understanding experiences of gender minority stress after gender-affirming medical care can improve post-treatment outcomes and provide transdiagnostic interventions targets for trans and gender diverse (TGD) individuals. This study aimed to describe proximal gender minority stress after gender-affirming care, and correlate high versus low stress to patient characteristics. In a cross-sectional study, participants were recruited through healthcare providers and community outlets to complete an online questionnaire. The quartiles with highest and lowest minority stress on the Transgender Identity Survey were included for analyses and compared on demographic and validated outcome questionnaires. Participants (n = 86) frequently reported limited openness (42.4%) or support (19.7%) related to their TGD identity after medical treatments. Low proximal minority stress was associated with younger age, non-binary gender, moderate to full openness on TGD, and higher treatment satisfaction. Low minority stress was also associated with less anxiety/depression, higher self-esteem, social connectedness and life satisfaction (moderate to large effect sizes). Open-text answers suggested that minority stress experiences were heterogeneous and related to persistent gender-based distress, stressful social interactions, and/or negative treatment outcomes. Minority stress theory can provide a transdiagnostic concept to improve the wellbeing of TGD individuals after medical transition, while substantial conceptual overlap with mental health outcomes exists.","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149061996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Professional Training in Sexology: Insights and Recommendations from the Polish Experience. 性学专业培训：波兰经验的见解和建议。

IF 2.2 3区心理学

Journal of Sex & Marital Therapy Pub Date : 2026-09-22 DOI: 10.1080/0092623X.2026.2735010

Katarzyna Grunt-Mejer, Weronika Chańska

引用次数: 0

Sexual Dysfunction in Parkinson's Disease: A Case-Control Study Using the Arizona Sexual Experience Scale and QUIP-RS in a Brazilian Cohort. 帕金森病的性功能障碍：在巴西队列中使用亚利桑那性经验量表和QUIP-RS的病例对照研究

IF 2.2 3区心理学

Journal of Sex & Marital Therapy Pub Date : 2026-09-20 DOI: 10.1080/0092623X.2026.2733595

Michelle da Silveira Benigno, Marco Antonio Araujo Leite

{"title":"Sexual Dysfunction in Parkinson's Disease: A Case-Control Study Using the Arizona Sexual Experience Scale and QUIP-RS in a Brazilian Cohort.","authors":"Michelle da Silveira Benigno, Marco Antonio Araujo Leite","doi":"10.1080/0092623X.2026.2733595","DOIUrl":"https://doi.org/10.1080/0092623X.2026.2733595","url":null,"abstract":"Sexual dysfunction (SD) is a common non-motor symptom in Parkinson's disease (PD) that can negatively affect quality of life, yet data from Latin American populations remain scarce. To compare the prevalence of SD between individuals with PD and controls and explore factors associated with SD. This case-control study included 60 patients with PD and 60 controls recruited in Brazil. SD was assessed using the Arizona Sexual Experience Scale (ASEX). Depressive symptoms were evaluated with the Hamilton Depression Rating Scale, hypersexuality with the Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease-Rating Scale (QUIP-RS), and autonomic symptoms with the SCOPA-AUT. Motor severity was assessed using the MDS-UPDRS Part III and Hoehn and Yahr staging. SD was identified in 56.7% of participants with PD and 41.7% of controls, with no significant difference between groups (p = 0.273). Within the PD group, SD was associated with female sex, depressive symptoms, greater motor severity, and absence of dopamine agonist use. Hypersexuality was observed in 3.4% of participants. SD was highly prevalent in both groups and appeared to be influenced by psychological, clinical, and treatment-related factors rather than PD alone. These findings support routine multidimensional assessment of sexual health in clinical practice.","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"1-12"},"PeriodicalIF":2.2,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149012509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0