José Alberto Ribeiro-Gonçalves, Pedro Alexandre Costa, Isabel Leal
{"title":"Double Stigma in Portuguese Lesbian, Gay, and Bisexual Older Adults: A Study of Health Status.","authors":"José Alberto Ribeiro-Gonçalves, Pedro Alexandre Costa, Isabel Leal","doi":"10.1080/0092623X.2023.2215258","DOIUrl":"10.1080/0092623X.2023.2215258","url":null,"abstract":"<p><p>The double stigma-sexual stigma and ageism-can affect the health status of lesbian, gay, and bisexual (LGB) older adults, but little is known about this topic in Portugal and internationally. The aim of this study was to assess the health status and the prevalence of chronic diseases of Portuguese LGB older adults, as well as to assess the relationship between double stigma and health status. A sample of 280 Portuguese LGB older adults completed a chronic disease questionnaire, the Homosexuality-Related Stigma Scale, the Ambivalent Ageism Scale, and the SF-12 Short Form Health Survey. A structural equation model was performed using the double stigma variables as independent variables and health status as outcome. The mental health status of Portuguese LGB older adults was lower when compared to people from studies from more than 10 countries. Higher sexual self-stigma, sexual enacted stigma related to health care, and benevolent ageism significantly explained the worse general health status. The double stigma significantly affects the health status of these older adults in a profile of internalization of sexual stigma and benevolent age discrimination, and not necessarily by a hostile/aggressive profile. More research is needed on the double stigma.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9511076","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":"Iatrogenic Harm in Gender Medicine.","authors":"Sarah C J Jorgensen","doi":"10.1080/0092623X.2023.2224320","DOIUrl":"10.1080/0092623X.2023.2224320","url":null,"abstract":"<p><p>Although transition regret and detransition are often dismissed as rare, the increasing number of young detransitioners who have come forward in recent years to publicly share their experiences suggests that there are cracks in the gender-affirmation model of care that can no longer be ignored. In this commentary, I argue that the medical community must find ways to have more open discussions and commit to research and clinical collaboration so that regret and detransition really are vanishingly rare outcomes. Moving forward, we must recognize detransitioners as survivors of iatrogenic harm and provide them with the personalized medicine and supports they require.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9662976","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}
Marie-Feline Dienberg, Tanja Oschatz, Eden Kosman, Verena Klein
{"title":"Does Clitoral Knowledge Translate into Orgasm? The Interplay Between Clitoral Knowledge, Gendered Sexual Scripts, and Orgasm Experience.","authors":"Marie-Feline Dienberg, Tanja Oschatz, Eden Kosman, Verena Klein","doi":"10.1080/0092623X.2022.2147112","DOIUrl":"https://doi.org/10.1080/0092623X.2022.2147112","url":null,"abstract":"<p><p>Despite some efforts to enhance clitoral knowledge to increase women's sexual pleasure, a gendered orgasm gap persists. We aimed to provide contemporary data on people's knowledge about the clitoris and investigate its association with the experience of sexual pleasure. Heterosexual participants (<i>n</i> = 573; 64.2% women) took a quiz on clitoral knowledge and answered sexuality-related questions. Participants answered only 50% of the nine quiz items correctly. Clitoral knowledge predicted sexual pleasure and orgasm in women, mediated via reduced endorsement of gendered sexual scripts. Our results highlight the importance of clitoral knowledge and its interplay with societal barriers for the experience of pleasure.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9688621","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":"Reviewer List 2022.","authors":"","doi":"10.1080/0092623X.2023.2195072","DOIUrl":"https://doi.org/10.1080/0092623X.2023.2195072","url":null,"abstract":"","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9233401","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":"Comparison of Indirect and Direct Approaches to Identifying an Unfaithful Partner.","authors":"Yabin Tang, Jason D Hans, Laura M Vowels","doi":"10.1080/0092623X.2022.2102098","DOIUrl":"https://doi.org/10.1080/0092623X.2022.2102098","url":null,"abstract":"<p><p>Infidelity has been operationalized inconsistently across studies, and measurement approaches have been employed that are not ideally suited for addressing the stigmatized and subjective nature of infidelity, thereby limiting the conclusions that can be drawn from this body of literature. In 2016, Thompson and O'Sullivan took a step toward addressing these shortcomings by implementing an indirect measurement approach. We extend their findings using a sample of 465 married and divorced individuals via MTurk. Substantially more participants reported having engaged in infidelity via the indirect approach than the direct approach, and results suggest that-in contrast to findings from direct questioning-similar percentages of men and women engage in self-defined infidelity. Implications for research and clinical practice are provided.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9237159","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":"Childhood Sexual Abuse and Relationship Satisfaction: The Moderating Role of PTSD and Sexual-Related Posttraumatic Stress Symptoms.","authors":"Narges Evon Abu-Raya, Ateret Gewirtz-Meydan","doi":"10.1080/0092623X.2023.2237510","DOIUrl":"10.1080/0092623X.2023.2237510","url":null,"abstract":"<p><p>Research on childhood sexual abuse (CSA) has consistently demonstrated the long-term effects of such abuse, not only on survivors' development, but also on the nature and quality of their adult relationships, particularly romantic ones. In this study we examined the moderating role of posttraumatic stress disorder (PTSD) and sexual-related posttraumatic stress symptoms (sexual-related PTSS) between CSA and relationship satisfaction. Survey data from 529 individuals who reported being currently in a romantic relationship were analyzed. In the first set of analyses, results demonstrated that participants with CSA reported significantly lower relationship satisfaction and significantly greater severity of PTSD and sexual-related PTSS than participants without CSA. Sexual-related PTSS but not PTSD moderated the association between CSA and participants' relationship satisfaction, with the model of sexual-related PTSS explaining 20.8% of the variance in relationship satisfaction and the model of PTSD explaining 11.3% of this variance. In the second set of analyses conducted among survivors of CSA only, higher sexual-related PTSS severity was linked with ongoing abuse and with abuse by a non-family member. This study points to the potential contribution made by sexual-related PTSS to relationship satisfaction among survivors of CSA.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9877123","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}
Justyna Flotyńska, Natalia Filip-Bocian, Aleksandra Araszkiewicz, Dorota Zozulińska-Ziółkiewicz, Aleksandra Uruska
{"title":"Physical Activity Protects Women with Type 1 Diabetes from Sexual Dysfunctions.","authors":"Justyna Flotyńska, Natalia Filip-Bocian, Aleksandra Araszkiewicz, Dorota Zozulińska-Ziółkiewicz, Aleksandra Uruska","doi":"10.1080/0092623X.2023.2224319","DOIUrl":"10.1080/0092623X.2023.2224319","url":null,"abstract":"<p><p>The aim of the study was to evaluate the relationship between physical activity and sexual function in women with type 1 diabetes mellitus (T1DM). The study group consisted of 171 women with T1DM. All the participants voluntarily filled out anonymous questionnaires. Women who were sexually inactive or had some psychological, psychiatric, or endocrine diseases were excluded from the analysis. The scores about sexual function were obtained using a Female Sexual Function Index (FSFI) questionnaire. Results equal to or below 26 points indicate clinically significant sexual dysfunction. Physical activity was measured by the International Physical Activity Questionnaire (IPAQ). Participants were divided into two groups depending on the Metabolic Equivalent of Task (MET-min/week) score with a cutoff point 3000 MET-min/week. Results above 3000 points indicate higher physical activity in woman. There were statistically significant differences in lubrication, orgasm, pain, satisfaction, and total score of FSFI. A positive correlation was revealed between results in total FSFI score and MET-min/week score (Rs = 0.18, <i>p</i> = 0.016). Univariate logistic regression does not show significant associations, but the multivariate logistic regression model shows an association between the MET-min/week and the total FSFI score. The higher the MET-min/week score, the higher the FSI score, and thus better sexual function.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9989217","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}
Megan K Maas, Janine Slaker, Karen Holt, Rabindra A Ratan, Kyla M Cary, Kirsten M Greer
{"title":"Sexual Experiences and Beliefs Vary by Patterns of Pornography Genre Preferences Among Women.","authors":"Megan K Maas, Janine Slaker, Karen Holt, Rabindra A Ratan, Kyla M Cary, Kirsten M Greer","doi":"10.1080/0092623X.2023.2174225","DOIUrl":"10.1080/0092623X.2023.2174225","url":null,"abstract":"<p><p>Pornography use is multidimensional, yet most studies of the topic use variable-oriented methods (e.g., frequency of use) that reduce the experience to a single dimension. In this study, we sought to identify different multidimensional patterns of pornography genre preferences among a sample of women (<i>n</i> = 206) and examine how those patterns are differentially associated with sexual experiences and beliefs examined in previous literature. Latent Class Analysis uncovered four patterns (or classes): <i>Heterogeneous</i> (39%)<i>, Traditionally Feminine</i> (27%), <i>Female Pleasure</i> (23%) <i>and Rough/violent</i> (11%). Class membership was differentially predicted by prior sexual victimization, sexual esteem, and diverse sexual experiences while controlling for frequency of use. These findings suggest that genre preference could account for much of the mixed findings of prior work that measured pornography use with unidimensional approaches.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10404303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10033448","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}
Pedro J Rosa, Maria Manuela Peixoto, Joana Carvalho
{"title":"Measuring Sexual Motivation as a Trait Dimension: A multisample study of the Portuguese (European) Version of the Trait Sexual Motivation Questionnaire.","authors":"Pedro J Rosa, Maria Manuela Peixoto, Joana Carvalho","doi":"10.1080/0092623X.2023.2226130","DOIUrl":"10.1080/0092623X.2023.2226130","url":null,"abstract":"<p><p>The current study aimed at translating and validating the TSMQ into Portuguese-European (TSMQ-PT) and to investigate its psychometric properties. Three online studies were conducted with independent samples collected between September 2020 and March 2022. Study 1 tested the exploratory factorial structure (<i>N</i> = 325; 206 women); Study 2 explored the confirmatory factorial structure and construct validity (<i>N</i> = 450; 230 women); and Study 3 examined the temporal stability of the TSMQ-PT (<i>N</i> = 30; 15 women). Participants completed the TSMQ-PT for all three studies. In study 2, further completed the Sexual Compulsivity Scale, the Sexual Sensation Seeking Scale, and the Sexual Desire Inventory. Data revealed that the TSMQ-PT yielded a four-structure model, (i.e., Sexually Oriented, Comparison with Others, Seeking for Sexual Encounters, and Importance of Sex) comprising 13 items, with seven additional items for assessing existence and number of sexual partners, and frequency of sexual behaviors. The TSMQ-PT achieved good internal consistency levels (McDonald's omega ranged from .71 to .89) and construct validity, and temporal stability over 10-11 months (values ranged from .80 to .87) supporting the trait-dimension of sexual motivation. Current findings support a brief, valid, and reliable self-report instrument for assessing sexual motivation in the Portuguese context.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107591581","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":"Incidence and Predictors of Low Sexual Desire and Hypoactive Sexual Desire Disorder in Women: A Systematic Review and Meta-Analysis.","authors":"Sinan Tetik, Özden Yalçınkaya Alkar","doi":"10.1080/0092623X.2023.2208564","DOIUrl":"10.1080/0092623X.2023.2208564","url":null,"abstract":"<p><p>Determining the true incidence and identifying the risk factors of low sexual desire (LSD) and hypoactive sexual desire disorder (HSDD) are essential to prevent sexual dysfunctions and provide adequate treatment resources. This systematic review and meta-analysis were performed on research articles reporting women with LSD and HSDD in PsycArticles, Scopus, MEDLINE, Web of Science databases, and reference lists till October 2021. All cross-sectional studies published in English that assessed both sexual desire and sexual distress were included. Of 891 full-text articles identified, 24 were eligible, all of which had a low risk of overall bias. We did separate random-effects meta-analyses for LSD and HSDD outcomes. The incidence of LSD and HSDD were 29% and 12%, respectively. Studies that used the convenience sampling method reported a higher incidence of HSDD than studies that used the probability sampling method. No differences were found between the assessment method and across cultures in LSD and HSDD. A majority of studies reviewed addressed demographic (e.g. age, education), physiological (e. g. menopausal status, body mass index), psychological (e.g. depression, daily internal stress), relational (e.g. relationship length, relationship satisfaction), and sexual predictors (e.g. sexual activity, sexual pleasure) between LSD and HSDD. This systematic review may inform researchers, guideline developers, and policy-makers about LSD associated with distress and help health professionals to identify women most at risk.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9434497","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}