Journal of Sex & Marital Therapy最新文献_第3页

Love-Centered Therapy and the First Story Cycle: A Dyadic Process Model of Implicit Relational Activation, Autonomic Co-Regulation, and Sexual Field Disruption. 以爱为中心的治疗与第一个故事周期：内隐关系激活、自主协同调节和性场破坏的二元过程模型。

IF 2.2 3区心理学

Journal of Sex & Marital Therapy Pub Date : 2026-08-21 DOI: 10.1080/0092623X.2026.2720622

Skylar Colle

引用次数: 0

Sexual Activity, Sexual Well-Being, and Associated Factors Among Older Adults: A Systematic Review and Meta-Analysis. 老年人的性活动、性幸福感和相关因素：系统回顾和荟萃分析。

IF 2.2 3区心理学

Journal of Sex & Marital Therapy Pub Date : 2026-08-18 DOI: 10.1080/0092623X.2026.2716863

Aysu Yildiz Karaahmet, Shahla Shafaati Laleh

{"title":"Sexual Activity, Sexual Well-Being, and Associated Factors Among Older Adults: A Systematic Review and Meta-Analysis.","authors":"Aysu Yildiz Karaahmet, Shahla Shafaati Laleh","doi":"10.1080/0092623X.2026.2716863","DOIUrl":"https://doi.org/10.1080/0092623X.2026.2716863","url":null,"abstract":"The aim of this systematic review and meta-analysis was to synthesize quantitative evidence on sexuality-related outcomes, including sexual activity, behavior, function, and well-being, among older adults and to examine differences according to gender and social context. Conducted in accordance with the PRISMA 2020 guidelines, the review included quantitative observational studies. Random-effects meta-analyses were performed, heterogeneity was assessed using the I2 statistic, and leave-one-out sensitivity analyses evaluated the robustness of the pooled estimates. Twelve studies met the inclusion criteria. Older men had significantly higher sexual behavior-related scores than older women (SMD = -0.39, 95% CI -0.65 to -0.14; p = 0.002), while older adults living with someone had higher sexual behavior-related scores than those living alone (SMD = 0.93, 95% CI 0.50-1.36; p < 0.001). No significant difference was found in sexual function-related scores between sexually active and sexually passive older adults (SMD = -0.07, 95% CI -3.05 to 2.90; p = 0.96), although substantial heterogeneity warrants cautious interpretation. Overall, sexuality-related outcomes in older adults appear to differ according to gender and social context, but the observed associations should be interpreted cautiously because of considerable between-study heterogeneity.","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"1-17"},"PeriodicalIF":2.2,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148794764","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

Consent Is More Than "Multi-Factor Authentication": From Intuited Cues to Communicative Accountability. 同意不仅仅是“多因素认证”：从直觉提示到沟通问责。

IF 2.2 3区心理学

Journal of Sex & Marital Therapy Pub Date : 2026-08-10 DOI: 10.1080/0092623X.2026.2714831

Pramana

引用次数: 0

Health Care Practitioners' Treatment Objectives and Criteria for Ending Treatment in Men with Premature Ejaculation. 男性早泄的保健医生治疗目标和终止治疗标准。

IF 2.2 3区心理学

Journal of Sex & Marital Therapy Pub Date : 2026-08-05 DOI: 10.1080/0092623X.2026.2710311

Zsuzsanna Mirnics, Paraskevi-Sofia Kirana, David L Rowland

{"title":"Health Care Practitioners' Treatment Objectives and Criteria for Ending Treatment in Men with Premature Ejaculation.","authors":"Zsuzsanna Mirnics, Paraskevi-Sofia Kirana, David L Rowland","doi":"10.1080/0092623X.2026.2710311","DOIUrl":"https://doi.org/10.1080/0092623X.2026.2710311","url":null,"abstract":"Criteria used by healthcare practitioners (HCPs) to set goals and assess when treatment was successful, met its goals, and/or should be ended has not been studied for men seeking treatment of premature ejaculation (PE). This study describes HCPs' priorities regarding treatment goals, assessment of success, and decisions to end treatment for men with PE, and examined whether HCP characteristics influenced these decisions. Overall, 240 medical and mental health professionals completed an online or in-person survey on treatment objectives and termination criteria in PE care. Results indicated that, according to HCP reports, patients' primary treatment goal was increased ejaculation latency, whereas HCPs themselves most strongly prioritized reducing distress and improving coping. For ejaculation latency, 44.7% of HCPs defined success according to the client's preferred level. Beyond latency, reduced stress and improved coping received the highest success rating, and 76.9% of HCPs reported moderate-to-high success in treating men with PE. Treatment termination was most often linked to increased sexual satisfaction and reduced distress. Professional training, identity, and PE treatment experience influenced goals, success assessment, and termination decisions. PE treatment requires explicit shared decision-making to align clinicians' biopsychosocial priorities with patients' symptom-specific expectations.","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"1-12"},"PeriodicalIF":2.2,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148679045","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

Digital Interventions for Female Sexual Pain Disorders: A Systematic Review with Evidence Mapping and Limited Quantitative Synthesis. 女性性疼痛障碍的数字干预：基于证据映射和有限定量合成的系统综述。

IF 2.2 3区心理学

Journal of Sex & Marital Therapy Pub Date : 2026-08-05 DOI: 10.1080/0092623X.2026.2704603

Ebru Zulfikaroglu

引用次数: 0

Navigating Sexual Challenges as a Couple in the Context of Vulvar Lichen Sclerosus: A Reflexive Thematic Analysis Informed by Sexual Script Theory. 在外阴地衣硬化的背景下，作为一对夫妇在性挑战中导航：基于性剧本理论的反身性主题分析。

IF 2.2 3区心理学

Journal of Sex & Marital Therapy Pub Date : 2026-08-03 DOI: 10.1080/0092623X.2026.2710313

Katherine E Hunker, Yassaman Malekzadeh, A Fuchsia Howard, Ulrike Dehaeck, Melanie Altas, Katrina N Bouchard

{"title":"Navigating Sexual Challenges as a Couple in the Context of Vulvar Lichen Sclerosus: A Reflexive Thematic Analysis Informed by Sexual Script Theory.","authors":"Katherine E Hunker, Yassaman Malekzadeh, A Fuchsia Howard, Ulrike Dehaeck, Melanie Altas, Katrina N Bouchard","doi":"10.1080/0092623X.2026.2710313","DOIUrl":"https://doi.org/10.1080/0092623X.2026.2710313","url":null,"abstract":"Vulvar lichen sclerosus (VLS) is a chronic, inflammatory skin condition that can lead to vulvar itch and pain as well as challenges in sexual relationships. Yet, little research explores how couples coping with VLS navigate sexual challenges. Informed by sexual script theory and the concept of sexual script flexibility (i.e., adapting a typical sexual routine in response to a sexual problem), we aimed to examine the sexual challenges faced by couples coping with VLS and the strategies they used to cope and maintain satisfying sexual lives. A sample of 98 couples (196 individuals) independently completed two open-ended survey questions about VLS-related sexual challenges and coping strategies, which were analyzed using a reflexive thematic and abductive approach. Couples were found to cope with sexual challenges in three main ways, by 1) using sexual aids, but with varied experiences (3 subthemes), 2) focusing on the partner, for better or worse (2 subthemes), and 3) redefining the sexual relationship as a couple (4 subthemes). Within each of the three themes and nine subthemes, we discuss how couple members' coping strategies align with sexual script flexibility or not, and couples' nuanced reactions to implementing flexible strategies in their sexual lives.","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"1-19"},"PeriodicalIF":2.2,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664059","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

Interventions for Sexual Function and Sexual Health in Women with Cancer: An Umbrella Review of Systematic Reviews and Meta-Analyses. 癌症女性性功能和性健康干预措施：系统综述和荟萃分析综述

IF 2.2 3区心理学

Journal of Sex & Marital Therapy Pub Date : 2026-08-03 DOI: 10.1080/0092623X.2026.2710319

Özden Tandoğan, Eda Yakıt Ak, Zeynep Ogul

{"title":"Interventions for Sexual Function and Sexual Health in Women with Cancer: An Umbrella Review of Systematic Reviews and Meta-Analyses.","authors":"Özden Tandoğan, Eda Yakıt Ak, Zeynep Ogul","doi":"10.1080/0092623X.2026.2710319","DOIUrl":"https://doi.org/10.1080/0092623X.2026.2710319","url":null,"abstract":"Numerous systematic reviews and meta-analyses have evaluated interventions for sexual function and sexual health in women with cancer, yet they report inconsistent effect sizes for the same intervention families, and the extent to which they draw on overlapping primary studies has not been quantified. We aimed to synthesize and appraise this review-level evidence under a single framework, evaluating methodological quality (AMSTAR 2), certainty of evidence (GRADE), and between-review overlap (corrected covered area, CCA). Following the PRIOR and PRISMA 2020 guidelines, three databases (1,700 records) plus hand-searching were screened. Eighteen systematic reviews/meta-analyses met eligibility. Each was appraised with AMSTAR 2; certainty was derived for pooling reviews using a GRADE-informed approach; overlap was quantified with CCA and pairwise Jaccard coefficients. Pooled sexual function effects were consistently positive (SMD 0.63-0.98), though partly obscured by scale heterogeneity (raw FSFI mean differences vs. standardized effects) and very high statistical heterogeneity (I2 = 79-95%). Methodological quality was low or critically low in 89% (16/18) of reviews. Overall CCA was slight (3.57%) but concentrated within clusters (11.6-37.5%); a single RCT recurred across six reviews, indicating an illusion of independent evidence. Although these interventions show a beneficial direction, certainty is low; effect-magnitude claims should be cautious, and future syntheses should report overlap and apply GRADE.","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"1-14"},"PeriodicalIF":2.2,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664062","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

Methodological Caution in Interpreting Psychological Pathways to Gender Transition and Detransition. 解释性别转换和去转换的心理途径的方法论上的谨慎。

IF 2.2 3区心理学

Journal of Sex & Marital Therapy Pub Date : 2026-07-24 DOI: 10.1080/0092623X.2026.2709395

Mukhamad Zulianto

引用次数: 0

Two Sides of the Same Coin or Two Different Coins? How Attachment and Alcohol Use Differentially Predict Number of Reported Casual and Committed Sexual Partners. 同一枚硬币的两面还是两个不同的硬币？依恋和酒精使用如何不同地预测报告的偶然性伴侣和忠诚性伴侣的数量。

IF 2.2 3区心理学

Journal of Sex & Marital Therapy Pub Date : 2026-07-21 DOI: 10.1080/0092623X.2026.2704598

Carson R Dover, Brian J Willoughby, Nathan D Leonhardt, Dean M Busby

{"title":"Two Sides of the Same Coin or Two Different Coins? How Attachment and Alcohol Use Differentially Predict Number of Reported Casual and Committed Sexual Partners.","authors":"Carson R Dover, Brian J Willoughby, Nathan D Leonhardt, Dean M Busby","doi":"10.1080/0092623X.2026.2704598","DOIUrl":"https://doi.org/10.1080/0092623X.2026.2704598","url":null,"abstract":"The purpose of this article was to analyze potential predictors of accumulating casual vs. committed sexual partners in emerging adulthood. We used a large, six-wave longitudinal sample from the United States (n = 1,714) to examine how alcohol use and attachment orientation differentially predicted accumulating casual and committed sexual partners. Using structural equation modeling, we found that higher anxious attachment positively predicted the number of reported committed sexual partners (β = 0.09, p < 0.01), while higher avoidant attachment negatively predicted the number of reported casual sexual partners (β = -0.08, p < 0.05). We also found that alcohol use positively predicted both the number of reported casual (β = 0.29, p < 0.001) and committed sexual partners (β = 0.15, p < 0.001) emerging adults accumulated. Further, we tested the strength of the various associations and found that anxious attachment more strongly predicted committed sexual partners, while avoidant attachment and alcohol use more strongly predicted casual sexual partners. This work highlights the need for scholars to distinguish between the type of sexual partners emerging adults accumulate during this time of life.","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"1-21"},"PeriodicalIF":2.2,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148549503","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

Perfectionism, Worry, and Cognitive Distraction's Role in Sexual Distress and Pleasure: Insights from a Transdiagnostic Framework Using Cross-Sectional Data. 完美主义、担忧和认知干扰在性痛苦和性愉悦中的作用：使用横断面数据的跨诊断框架的见解。

IF 2.2 3区心理学

Journal of Sex & Marital Therapy Pub Date : 2026-07-21 DOI: 10.1080/0092623X.2026.2694401

Patrícia M Pascoal, Rui Ferreira Carvalho, Andreia A Manão, Leonor Pereira da Costa, Catarina F Raposo

{"title":"Perfectionism, Worry, and Cognitive Distraction's Role in Sexual Distress and Pleasure: Insights from a Transdiagnostic Framework Using Cross-Sectional Data.","authors":"Patrícia M Pascoal, Rui Ferreira Carvalho, Andreia A Manão, Leonor Pereira da Costa, Catarina F Raposo","doi":"10.1080/0092623X.2026.2694401","DOIUrl":"10.1080/0092623X.2026.2694401","url":null,"abstract":"We aimed to explore the associations between perfectionism, sexual distress, and sexual pleasure, using worry and cognitive distraction as serial mediators. Grounded in dimensional and transdiagnostic frameworks of emotional problems, as well as cognitive models of perfectionism and sexual function, we tested a theoretically driven mediation model in a large online community sample (N = 902; Mage = 32.89, SD = 11.21). Controlling for gender identity and sexual orientation, results showed that perfectionistic evaluative concerns were indirectly associated with greater sexual distress through sequential pathways involving worry and cognitive distraction related to body appearance and performance. Smaller indirect effects were also observed for sexual pleasure. Overall, findings highlight the role of maladaptive cognitive processes in linking perfectionism to sexual outcomes, supporting transdiagnostic accounts of sexual distress and pleasure, and underscoring the relevance of targeting transdiagnostic cognitive mechanisms in future clinical interventions.","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"1-17"},"PeriodicalIF":2.2,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148549392","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