Journal of Sex & Marital Therapy最新文献

{"title":"Impact of Interventions on Sexual Function in Women with Infertility: A Systematic Review and Meta-Analysis.","authors":"Fatma Şule Bilgiç, Aysu Yıldız Karaahmet, Shahla Shafaati Laleh","doi":"10.1080/0092623X.2026.2702757","DOIUrl":"10.1080/0092623X.2026.2702757","url":null,"abstract":"<p><p>This systematic review and meta-analysis synthesize the evidence on the effectiveness of pharmacological, non-pharmacological, and complementary interventions for improving sexual function in women with infertility. Databases searched included PubMed, EMBASE, Web of Science, and ULAKBIM up to January 2026. Data were pooled using Review Manager 5.4 with random-effects models in the presence of heterogeneity. Sexual function outcomes were measured with validated instruments and reported as standardized mean differences (SMDs). Risk of bias was assessed with RoB 2 for RCTs and ROBINS-I for non-randomized studies. A meta-analysis of 11 studies (<i>n</i> = 722) showed no baseline differences in sexual function between intervention and control groups (SMD = -0.07; <i>p</i> = 0.64). Post-intervention, interventions significantly improved sexual function (SMD = 1.53; <i>p</i> < 0.00001), with the largest effects observed for sex therapy-based and pharmacological/herbal interventions. Psychotherapeutic and counseling/education-based interventions also showed significant benefits, while behavioral/lifestyle interventions were not effective. Both short- and long-term interventions were effective, and results were consistent across study designs, although non-randomized trials had higher risk of bias. Interventions are associated with improvements in sexual function among infertile women. More pronounced effects were observed for sex therapy-based and pharmacological/herbal approaches, while psychotherapeutic and counseling interventions also demonstrated beneficial effects.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"800-817"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148549404","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":"Integrating Internal Family Systems and Sex Therapy: What Therapists Need to Know.","authors":"Ashley A Floyd","doi":"10.1080/0092623X.2025.2611011","DOIUrl":"10.1080/0092623X.2025.2611011","url":null,"abstract":"","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"125-136"},"PeriodicalIF":2.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145905857","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":"Sexual Inhibition Moderates Associations Between Coerced Unwanted Sexual Contact and College Women's BDSM Fantasies.","authors":"Lucia M Fetkenhour, Katherine W Bogen, Tierney K Lorenz","doi":"10.1080/0092623X.2026.2685301","DOIUrl":"10.1080/0092623X.2026.2685301","url":null,"abstract":"<p><p>Unwanted sexual contact (USC) via coercion is an impactful experience among college women. Emerging evidence suggests that BDSM fantasies are one domain of sexual expression that may be associated with sexual coercion. However, it remains unclear whether USC survivors are more likely to engage in such fantasies or how they relate to individual traits like sexual excitation/inhibition. We examined whether sexual excitation and inhibition moderated associations between history of USC and current BDSM fantasy engagement in a cross-sectional sample of 192 college women. Participants completed self-report measures assessing USC history, sexual excitation/inhibition, and BDSM fantasies across eight subdomains. Coercive USC history was significantly associated with endorsement of several BDSM fantasy domains: bondage, discipline, submission, masochism, and voyeurism. Among participants endorsing any BDSM fantasy, coercive USC history was associated with more frequent bondage and masochism fantasies. Sexual inhibition, but not excitation, moderated these associations: lower inhibition strengthened the link between coercive USC history and the probability of endorsing any bondage, submission, and masochism fantasies. Findings suggest that low inhibition interacts with survivors' coercive experiences to increase the likelihood of BDSM fantasy engagement. Implications for providers are discussed, particularly regarding affirming fantasy as a normative space to process sexual coercion.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"623-643"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148258552","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":"Couple-Based Interventions on Intimacy Among Cancer Survivors and Their Partners: A Scoping Review.","authors":"Shenda Maulina Wulandari, Su-Ying Fang, Chia-Chieh Huang","doi":"10.1080/0092623X.2026.2682333","DOIUrl":"10.1080/0092623X.2026.2682333","url":null,"abstract":"<p><p>Intimacy challenges affect cancer survivors and their partners but remain overlooked in care. Couple-Based Interventions (CBIs) aim to enhance intimacy. This scoping review mapped the literature on CBIs, identifying intervention components, delivery formats, measurements, and research gaps following the Joanna Briggs Institute (JBI) and Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines. Thirty-two studies published from inception to January 2026 were included. Most were conducted in Western countries and focused on breast and prostate cancers. Emotional intimacy was the most frequently assessed, while physical intimacy was rarely addressed. Psychosexual education and virtual delivery formats were common strategies. CBIs show promise, but standardized measures, cultural adaptation, and expanded provider roles are needed.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"573-590"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148226214","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":"Female Sexual Dysfunction Across Diabetes Types Compared to Non-Diabetic Controls: A Systematic Review and Meta-Analysis.","authors":"Özden Tandoğan","doi":"10.1080/0092623X.2026.2684778","DOIUrl":"10.1080/0092623X.2026.2684778","url":null,"abstract":"<p><p>To compare Female Sexual Function Index (FSFI) scores between women with Type 1 or Type 2 diabetes mellitus (DM) and non-diabetic controls, PubMed, Scopus, Web of Science, and Cochrane were searched through March 2026. Observational studies using the FSFI with non-diabetic controls were eligible. A random-effects meta-analysis (REML) was conducted using the standardized mean difference (SMD), with subgroup analyses by diabetes type and menopausal status. Sixteen studies (<i>N</i> = 3,261) from 9 countries were included. Diabetic women had lower FSFI scores than controls (SMD = -0.764, 95% CI [-1.042, -0.486], <i>p</i> < .001)-a medium-to-large effect. Heterogeneity was very high (I² = 91.65%) and the 95% prediction interval (-1.853 to 0.325) crossed zero. The effect was numerically larger in Type 1 (SMD = -0.994) than Type 2 DM (SMD = -0.627), though the subgroup difference was nonsignificant (<i>p</i> = .498). Menopausal status moderated the effect (<i>p</i> = .043): premenopausal samples (SMD = -0.911) versus mixed-status samples (SMD = -0.434). No clear funnel plot asymmetry was observed, though tests were underpowered. Diabetes is associated with reduced female sexual function, but very high heterogeneity and a prediction interval crossing zero warrant cautious interpretation.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"608-622"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148258516","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 Mediating Role of Psychological Resilience Between Adult Attachment Styles and Sexual Functioning in Couples Undergoing Assisted Reproductive Technology: A Cross-Sectional Study.","authors":"Antonio Gattamelata, Sara Bocci Benucci, Maria Elisabetta Coccia, Giulia Fioravanti, Vanessa Prisca Zurkirch, Nieves Moyano","doi":"10.1080/0092623X.2025.2605077","DOIUrl":"10.1080/0092623X.2025.2605077","url":null,"abstract":"<p><p>Assisted reproductive technology (ART) represents a significant life challenge that can impact psychological well-being and intimate relationships. This cross-sectional study examined whether psychological resilience mediates the association between adult attachment insecurity (anxiety and avoidance) and sexual dysfunction in 198 Italian individuals (99 heterosexual couples) undergoing ART. Path analyses were conducted separately by gender. Results showed that attachment anxiety (βmen = -.35, <i>p</i> < .001; βwomen= -.34, <i>p</i> < .001) and avoidance (βmen = -.48, <i>p</i> < .001; βwomen = -.57, <i>p</i> < .001) were significantly and negatively associated with resilience, which in turn was strongly linked to sexual dysfunction (βmen = -.66, <i>p</i> < .001; βwomen = -.74, <i>p</i> < .001). The indirect effects of anxious attachment (women: estimate = 0.127, <i>p</i> < .001, 95% CI [0.063, 0.192], men: estimate = 0.233, <i>p</i> < .001, 95% CI [0.189, 0.562]), and avoidant attachment (women: estimate = 0.273, <i>p</i> < .001, 95% CI [0.171, 0.376], men: estimate = 0.375, <i>p</i> = .015, 95% CI [0.046, 0.420]) on sexual functioning via resilience were significant. The models explained 53% of the variance in female sexual dysfunction and 44% in male sexual dysfunction. These findings highlight the role of psychological resilience as a key mechanism linking insecure attachment to sexual difficulties during ART and support its potential as a target for couple-based interventions.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"99-111"},"PeriodicalIF":2.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145810489","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":"Worrying About Low Libido: A Mixed-Method Evaluation of Sexual Desire Across Gender, Sexual Orientation, and Relationship Status.","authors":"Julianna T Park, Samantha L Levang, Melody Garas, Blythe Terrell, Wendy Zukerman, Caroline F Pukall","doi":"10.1080/0092623X.2026.2666147","DOIUrl":"10.1080/0092623X.2026.2666147","url":null,"abstract":"<p><p>Concerns about sexual desire are a frequent reason couples seek therapy. Consequently, researchers, clinicians, and educators have increasingly focused on understanding issues related to sexual desire. However, most existing research has primarily examined low desire and partner discrepancies, leaving individuals' personal perceptions and concerns about level of libido largely unexplored. To address this gap, the current study explored individuals' experiences and concerns about perceived levels of desire. Additionally, the study examined differences in perceived sexual desire and related concerns across gender, sexual orientation, relationship status, and age. Participants were recruited through the Science Vs podcast team's social media platforms to complete a mixed-method online survey. Of 1,317 participants, more than half (57.1%, <i>N</i> = 752) reported concerns about their libido, with the most common concerns being libido that seemed too low (47.5%, <i>N</i> = 357) or did not match their partner's (42.4%, <i>N</i> = 319). Fewer participants reported concerns about high libido (7.6%, <i>N</i> = 57). Thematic analysis of open-ended questions revealed the following common themes: low libido, fluctuations in desire, and uncertainty about what constitutes \"normal\" libido. Findings underscore the importance of education on sexual desire variability, as well as strategies for effectively communicating about sexual desire in different contexts.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"513-529"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147988043","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":"Attitudes, Counselling and Decisional Regret Towards Fertility Preservation in Transgender and Gender-Nonconforming Individuals in Italy: The FERTILITRANS Study.","authors":"Martino Azzi, Matilde Morelli, Elena Sanna, Chiara Ferracuti, Renato Seracchioli, Maria Cristina Meriggiola","doi":"10.1080/0092623X.2026.2679132","DOIUrl":"10.1080/0092623X.2026.2679132","url":null,"abstract":"<p><strong>Background: </strong>Gender-affirming hormone therapy may affect reproductive capacity, but the extent and reversibility remain uncertain. Guidelines recommend that transgender and gender-nonconforming individuals receive counseling on fertility preservation options before initiating hormones and periodically thereafter: however, the evidence on quality and implementation of counseling, as well as decisional regret, is scarce.</p><p><strong>Materials and methods: </strong>We present a cross-sectional study using an anonymous online survey disseminated across Italy (March - August 2025). The survey included: (1) an ad hoc questionnaire on demographics, attitudes toward fertility preservation, counseling and the whole processes; and (2) the Decision Regret Scale (DRS). Eligible participants were transgender adults residing in Italy.</p><p><strong>Results: </strong>The survey reached 679 individuals; 548 (80.7%) responses were suitable for analysis. Fertility preservation uptake was low: 21 respondents (4.6%) underwent fertility preservation prior to or during their gender-affirming pathway, and only one ultimately used his gametes. Counseling on fertility preservation was not systematically offered and was frequently perceived as suboptimal. Among those completing the DRS, 251 (67.3%) reported decisional regret, which was associated with the <i>current</i> importance placed on building a family (p < 10^-4), and with poorer satisfaction with working conditions at the time of the FP decision (p = 0.018).</p><p><strong>Conclusions: </strong>In Italy, fertility preservation is seldom pursued among transgender individuals and counseling appears inconsistently implemented and often of suboptimal quality. Decisional regret regarding fertility preservation was common and appeared linked to evolving life priorities and contextual factors. Systematic, high-quality fertility preservation counseling and longitudinal support are needed to enable informed reproductive choices and reduce later decisional regret among transgender individuals.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"556-570"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148055056","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":"Sexual self-schemas across midlife: examining differences using computerized text analysis.","authors":"Kate B Metcalfe, Chelsea D Kilimnik, Cindy M Meston","doi":"10.1080/0092623X.2026.2689651","DOIUrl":"10.1080/0092623X.2026.2689651","url":null,"abstract":"<p><p>Given the biopsychosocial shifts that often accompany aging, it is reasonable to expect changes in one's view of themself as a sexual being (i.e., sexual schemas), which then has important implications for sexual and overall well-being. Participants (<i>N</i> = 206) wrote essays describing their sexual schemas, and responses were analyzed using computerized text analysis to identify seven central themes. Next, we conducted analyses to examine group differences in theme prominence by age group (ages 30-45, referred to as the early-midlife group, and the late-midlife group, 51-78), as well as the impact of sexual function on theme prominence. Late-midlife, compared to early-midlife women, had a <i>higher</i> prominence of relationship progressions and past abuse themes. Late-midlife women had a <i>lower</i> prominence of sexual pleasure and changes to their sense of self in their writings, though accounting for sexual function reduced these differences. The impact of one's sexual debut and the importance of emotional connection to one's schema did not differ between groups. Sexual function was associated with some (i.e., emotional connection, relationship progressions, sexual pleasure) but not all themes in both groups. In summary, sexual schemas appear to evolve across time, and these shifts may shape or be shaped by sexual function.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"644-666"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148277881","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":"Clinical Evaluation of Pelvic Floor Muscles Versus Instrumental Assessment with Myotonometry: A Diagnostic Validity Study.","authors":"Isabel Mínguez-Esteban, Carlos Romero-Morales, Vanesa Abuín-Porras, Juan Antonio Valera-Calero, Jorge Hugo Villafañe, Mónica De-la- Cueva-Reguera","doi":"10.1080/0092623X.2025.2599397","DOIUrl":"10.1080/0092623X.2025.2599397","url":null,"abstract":"<p><p>Pelvic floor evaluation is essential for assessing its mechanical and elastic properties to guide treatment decisions. The lack of objective instrumental tools creates challenges in both clinical practice and research. This study aimed to evaluate the diagnostic validity of subjective palpation for classifying pelvic floor muscle tone in comparison to biomechanical parameters obtained with myotonometry in healthy young women. A secondary aim was to explore the consistency of measurements between a novice and an experienced examiner. An observational study was conducted in the laboratories of the Universidad Europea de Madrid. Forty-nine healthy women (mean age 24.4 ± 7.23 years) were recruited. Each participant underwent pelvic floor assessment by palpation and myotonometry, performed independently by one novice and one experienced examiner. ROC analysis showed that tone and dynamic stiffness were reliable markers for identifying hypertonicity in subjective palpation. Significant differences were found across hypotonic, normotonic, and hypertonic classifications for both the novice (F = 24.581, p < 0.001, η²p = 0.517) and experienced (F = 28.219, p < 0.001, η²p = 0.551) examiners. Myotonometry measurements demonstrated significant alignment with palpation-based classifications of perineal body tone. Minimal differences between novice and experienced examiners suggest that myotonometry can provide consistent results regardless of experience.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"46-56"},"PeriodicalIF":2.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145724185","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}