{"title":"The Moderating Role of War-Time Stress on the Associations Between Sexual Distress and Sexual and Psychological Well-Being.","authors":"Aryeh Lazar, Ateret Gewirtz-Meydan","doi":"10.1080/0092623X.2025.2534593","DOIUrl":"https://doi.org/10.1080/0092623X.2025.2534593","url":null,"abstract":"<p><p>This study investigates the moderating role of war-time stress on the associations between sexual distress with sexual and psychological well-being. The study focuses on individuals affected by the Israel-Hamas conflict during 2023-2024, using a retrospective design to assess pre-war levels of sexual distress together with current levels of well-being. Participants' exposure to direct stressors, media-related stressors, and acute stress symptoms were evaluated alongside their sexual and psychological well-being. The results indicate significant associations between sexual distress and measures of well-being, with war-time stress moderating these relationships. Higher levels of stress exposure attenuated the negative associations between sexual distress and well-being, suggesting a buffering effect. This counterintuitive finding may be explained by the prioritization of immediate survival concerns and the activation of resilience mechanisms under extreme stress. The findings have important implications for clinicians and policymakers in conflict-affected regions, emphasizing the necessity for comprehensive, trauma-informed healthcare frameworks. By advancing the understanding of these dynamics, the study aims to contribute to the development of effective strategies to promote the well-being of individuals and communities impacted by armed conflicts. Future research should explore the proposed mechanisms through longitudinal studies and diverse data sources to further elucidate these relationships.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"1-13"},"PeriodicalIF":2.1,"publicationDate":"2025-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667906","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}
{"title":"Challenges of Sexual Life after Detransition: Trauma, Disenfranchized Grief, and Unmet Needs.","authors":"Lisa Anllo","doi":"10.1080/0092623X.2025.2531167","DOIUrl":"https://doi.org/10.1080/0092623X.2025.2531167","url":null,"abstract":"<p><p>Many detransitioners struggle with significant regret and trauma. They deserve to be offered compassionate and trauma-informed care that is difficult for them to access, despite predictable harms that can occur without adequate preparation for the possibility of regret associated with irreversible side effects of gender medicine, including loss of sexual function. Medical care for detransitioners remains undefined and is not covered by insurance. Psychosexual recovery is a long-term process that will not restore what has been lost but should be facilitated via access to trauma informed psychotherapy as well as existentially focused sex therapy to promote post-traumatic growth and healing.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"1-13"},"PeriodicalIF":2.1,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144618648","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}
Nicholas S Perry, Roberto L Roman Laporte, Galena K Rhoades, Lorenzo Pla Serrano, Audrey Harkness
{"title":"Tailoring an Evidence-Based Relationship Education Program for Latino Sexual Minority Men Through Community Engagement and Input.","authors":"Nicholas S Perry, Roberto L Roman Laporte, Galena K Rhoades, Lorenzo Pla Serrano, Audrey Harkness","doi":"10.1080/0092623X.2025.2529852","DOIUrl":"https://doi.org/10.1080/0092623X.2025.2529852","url":null,"abstract":"<p><p>Latino sexual minority men (LSMM) experience sexual and mental health disparities relative to heterosexual men and, in some cases, White sexual minority men. These may be partially addressable through enhancing LSMM's romantic and sexual relationship skills. However, there have been no adapted relationship education programs for LSMM. The aim of the current study was to use community input to identify needed adaptations to an evidence-based relationship education program (Within My Reach) to make it culturally-grounded for LSMM. We first conducted a \"theater test\" to provide training in the original curriculum to eight LSMM in South Florida. We also conducted two focus groups with topical experts. We elicited feedback about curriculum content to add, re-frame, or remove and used rapid qualitative analysis to distill themes and responsive adaptations. The data converged into four themes: (1) navigating Latino culture as a sexual minority man, (2) traversing sexual minority developmental experiences within Latino culture, (3) centering sex and sexual health, and (4) infusing strengths and optimism. Participants voiced a need for this type of tailored relationship skills program for LSMM. Findings point to key intersectional themes to incorporate when adapting relationship-focused programs for LSMM, which may also be translatable to other types of sexual and behavioral health interventions for LSMM.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"1-17"},"PeriodicalIF":2.1,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144600785","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}
Jennifer Jo Connor, Katherine Arenella, Leonor de Oliveira, LynAnne Evenson, Kristen P Mark, Nicholas P Newstrom, Beatrice Bean E Robinson, Jennifer A Vencill, Abby Girard
{"title":"Therapeutic Treatment Planning for Sex Therapy Using the Sexual Health and Integrative Pleasure (SHIP) Model.","authors":"Jennifer Jo Connor, Katherine Arenella, Leonor de Oliveira, LynAnne Evenson, Kristen P Mark, Nicholas P Newstrom, Beatrice Bean E Robinson, Jennifer A Vencill, Abby Girard","doi":"10.1080/0092623X.2025.2531161","DOIUrl":"https://doi.org/10.1080/0092623X.2025.2531161","url":null,"abstract":"<p><p>Treatment plans are an important, ethical, and often required aspect of clinical care for mental health providers, though in many cases can be inconsistent with the aims of sex therapy. Utilizing the <i>Sexual Health and Integrative Pleasure (SHIP) Model</i> as a conceptual framework, we address often overlooked treatment planning considerations in sex therapy. Two detailed case studies are used to demonstrate how the SHIP model can be applied in clinical practice via its 5 main components: sexual adaptation and resilience, sexual literacy, relational intimacy, multidisciplinary care, and pleasure-oriented positive sexuality. We also address the role of systemic, intersectional, empirical, lifespan, and biopsychosociocultural approaches in effective sex therapy treatment. With tangible examples for clinicians to directly apply to their sex therapy practice, this paper provides guidance on an important component of clinical care for which many providers have received limited training.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584217","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}
Rebecca Lievesley, Craig A Harper, Alisha Awan, Allen Bishop
{"title":"Beyond Pro- and Anti-Contact: Understanding the Ideologies of People Attracted to Children.","authors":"Rebecca Lievesley, Craig A Harper, Alisha Awan, Allen Bishop","doi":"10.1080/0092623X.2025.2522664","DOIUrl":"https://doi.org/10.1080/0092623X.2025.2522664","url":null,"abstract":"<p><p>In the past decade, there has been increased academic and social attention paid to people who are living in the community and experience sexual and/or romantic attractions to children. Most of this attention has focused on determining risk or identifying treatment needs in abuse prevention contexts. However, research into the ideologies (broadly defined as action-oriented belief systems) of people within this community is still scarce. This paper challenges the common assumption that people who are attracted to children are divisible into pro-contact and anti-contact groups on the issue of sexual interactions with children. Using one of the largest currently available online studies of individuals who are attracted to children (<i>N</i> = 389), a model and associated measurement tool is developed to show how ideological positioning is associated with views about the permissibility of sexual contact with children and the extent to which people experience self-acceptance. The data demonstrate how these ideological positions are linked to different self-labeling, treatment needs, and risk. This paper provides a novel framework for understanding the effects of different ideological positions for clinical practice and provide a professional assessment tool for use by therapists working with this population in treatment settings.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"1-24"},"PeriodicalIF":2.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506083","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}
Ruslan Leontjevas, Ingrid Odekerken, Jacques van Lankveld
{"title":"The Brief Sexual Attitude Scale: Psychometric Properties of the Dutch Version.","authors":"Ruslan Leontjevas, Ingrid Odekerken, Jacques van Lankveld","doi":"10.1080/0092623X.2025.2512117","DOIUrl":"https://doi.org/10.1080/0092623X.2025.2512117","url":null,"abstract":"<p><p>This cross-sectional study examined the psychometric properties of the Brief Sexual Attitudes Scale (BSAS) in Dutch heterosexual (<i>N</i> = 1129) and non-heterosexual (<i>N</i> = 200) samples. The study confirmed the previously reported factor structure and assessed the scale's reliability and construct validity. To evaluate construct validity, participants also completed the Sexual Opinion Survey, Sexual Disgust Questionnaire, International Index of Erectile Functioning or Female Sexual Function Index, Sexual Distress Scale, and Hospital Anxiety and Depression Scale. Confirmatory Factor Analyses supported a 17-item model with satisfactory fit indices. The four subscales-birth control, communion, and instrumentality (3 items each), and permissiveness (8 items)-were confirmed. Factorial invariance across gender (male vs. female) and sexual orientation (heterosexual vs. non-heterosexual) was established. The BSAS demonstrated adequate internal consistency and test-retest reliability over a four-week interval. Construct validity was supported by strong evidence for convergent validity with related measures of sexual opinions and sexual disgust, as well as for discriminant validity with respect to conceptually distinct constructs, including sexual functioning, sexual distress, and symptoms of anxiety and depression. While replication is needed, the BSAS appears suitable for use in research. Further investigation is recommended to determine its appropriateness in clinical contexts.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"1-14"},"PeriodicalIF":2.1,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144285083","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}
{"title":"The Influence of Circumcision on Male Sexual Function: A Meta-Analysis of Satisfaction, Erectile Function, and Dyspareunia.","authors":"Aysu Yıldız Karaahmet, Shahla Shafaati Laleh","doi":"10.1080/0092623X.2025.2499141","DOIUrl":"10.1080/0092623X.2025.2499141","url":null,"abstract":"<p><p>This meta-analysis aims to systematically evaluate the effects of male circumcision on sexual function, providing insights that may inform clinical practice and future research. A comprehensive literature search was conducted in eight databases until January 30, 2025, with no language restrictions. Data analysis was performed using Review Manager 5.4.1, and the certainty of the evidence was assessed using the GRADE approach. This meta-analysis included 15 studies with a total of 14,737 participants. Although circumcision was associated with higher sexual satisfaction levels compared to noncircumcised men (OR: 2.48, 95% CI: 1.62-3.79, <i>p</i> < 0.00001), the findings should be interpreted with caution due to significant heterogeneity among the studies. Additionally, circumcised men reported a small but statistically significant improvement in erectile function (MD: 0.28, 95% CI: 0.11-0.46, <i>p</i> = 0.002) and a reduced likelihood of dyspareunia (OR: 0.38, 95% CI: 0.16-0.88, <i>p</i> = 0.03), suggesting possible improvements in comfort during intercourse. Furthermore, circumcision was linked to a lower risk of orgasm difficulties (OR: 0.26, 95% CI: 0.10-0.73, <i>p</i> = 0.01). However, the impact on premature ejaculation remains inconclusive, indicating a need for further research. Overall, this meta-analysis suggests that male circumcision may have potential positive effects on certain aspects of sexual function, particularly sexual satisfaction and erectile function. Nonetheless, the clinical significance of these findings is uncertain, and further investigation is warranted given the heterogeneity observed.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"1-23"},"PeriodicalIF":2.1,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078732","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}
Veli Mert Yazar, Osman Gercek, Ersin Bestas, Berkay Eren, Ulku Demir
{"title":"Assessment of Sexual Dysfunction in Female Fibromyalgia Patients According to Golombok-Rust Sexual Satisfaction Scale.","authors":"Veli Mert Yazar, Osman Gercek, Ersin Bestas, Berkay Eren, Ulku Demir","doi":"10.1080/0092623X.2025.2481226","DOIUrl":"10.1080/0092623X.2025.2481226","url":null,"abstract":"<p><strong>Introduction: </strong>Fibromyalgia is a prevalent rheumatologic condition affecting adults. It is observed in ∼2.7% of the whole population. Sexual health is a complex and multifaceted condition that, like general health, cannot be explained solely by the absence of negative aspects. Considering the complex nature of sexual health, fibromyalgia patients are at higher risk of sexual dysfunction.</p><p><strong>Materials and methods: </strong>The study included female patients aged 25-60 who had been married for at least two years. Participants were divided into two groups: the case group, which consisted of patients diagnosed with fibromyalgia and receiving treatment at the physical therapy outpatient clinic, and the control group, which included women attending the urology outpatient clinic for reasons unrelated to fibromyalgia or any other comorbid conditions.</p><p><strong>Findings: </strong>A total of 140 female patients participated in the study, with 75 diagnosed with fibromyalgia and 65 without fibromyalgia. When comparing the GRISS total and subscale scores between the two groups, the fibromyalgia group had significantly higher scores across all subscales, including anorgasmia, vaginismus, non-communication, infrequency, avoidance, non-sensuality and dissatisfaction (<i>p</i> < 0.001 for all).</p><p><strong>Conclusion: </strong>Sexual dysfunction is significantly more prevalent in patients with fibromyalgia compared to those in the control group.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"383-391"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700747","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}
Leonor de Oliveira, Ryan Rham-Knigge, Jessie Ford, Eli Coleman, Kristen Mark
{"title":"Sexual Boredom Inventory (SBI): Development and Initial Validation.","authors":"Leonor de Oliveira, Ryan Rham-Knigge, Jessie Ford, Eli Coleman, Kristen Mark","doi":"10.1080/0092623X.2024.2442944","DOIUrl":"10.1080/0092623X.2024.2442944","url":null,"abstract":"<p><p>This study presents the development and validation of the Sexual Boredom Inventory (SBI), a 6-item measure assessing sexual boredom as a temporary, context-dependent state. Initial items were drafted from data obtained through qualitative analysis, and the SBI was tested using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) with a sample of adults reporting on their sexual experiences in the past month. A single-factor model was found to be the best fit, with four items dropped during refinement. The SBI demonstrated good internal consistency (Cronbach's α = .88) and evidence of discriminant validity, with significant negative correlations to sexual pleasure and well-being. Additionally, the SBI was positively correlated with attention difficulties and impulsivity, highlighting a link between sexual boredom and ADHD. Findings suggest that sexual boredom, as a transient experience, is associated with negative sexual outcomes. Further research should confirm these relationships and potential interventions. The SBI can serve as a valuable tool for assessing recent sexual boredom and differentiating it from other sexual concerns.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"74-84"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11779542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"<i>That's the Way</i> (<i>I like It</i>): Latent Profiles of Sexual Power Dynamics and Gender Roles.","authors":"Roxanne Bolduc, Cloé Canivet, Martine Hébert, Natacha Godbout","doi":"10.1080/0092623X.2025.2492859","DOIUrl":"10.1080/0092623X.2025.2492859","url":null,"abstract":"<p><p>Sexual power dynamics (SPD) regroup sexual interests of dominance, submission, and tender sex. Interest toward sexual domination and/or submission has historically been pathologized and linked with higher levels of sexo-relational distress. Guided by sexual script theory, the consideration of one's attitudes toward gender roles (GR), as either gender transcendent or gender-linked, might help identify different profiles of clients in sex therapy. To our knowledge, studies have yet to explore the different profiles while considering both SPD and GR. The scarcity of research on these variables limits our understanding of their implications for individuals' sexo-relational well-being. The current study aimed to explore the presence of latent profiles based on SPD and GR reported by clients in sex therapy, and to compare the resulting profiles on possible correlates (i.e., sociodemographic characteristics, romantic attachment, relationship and sexual satisfaction). A sample of 325 adults in sex therapy, completed self-reported questionnaires at intake. Results revealed three profiles: (1) <i>Dominant stereotypical thinkers</i> (3.7%), (2) <i>Tender conflicted traditionalists</i> (15.4%), and (3) <i>Flexible and coherent lovers</i> (80.9%). Inter-profile comparisons revealed significant differences regarding gender, age, avoidant attachment and relationship satisfaction. Overall, results suggest the presence of an intricacy between SPD and GR, which would benefit from further exploration.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":"51 4","pages":"426-443"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143975054","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}