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doi: 10.1080/0092623X.2012.710182pmid: 23577795
Internet pornography use can be compulsive, but evaluation of pathology underlying this is difficult to assess. The present study aimed to distinguish individual differences in personality and psychopathology that predict pornography consumption in an individual, and whether this reflected more general compulsive processes, assessing 226 male participants. Neuroticism, agreeableness, conscientiousness, and obsessional checking all significantly correlated with a latent measure of compulsive behavior upon which use of Internet pornography use also loaded. The authors suggest the greater use of pornography on the Internet may reflect a general vulnerability to compulsive problems related to basic disposition, and that problems associated with this behavior can be managed with generic clinical approaches to obsessional and compulsive disorders.
Mark, Kristen P.; Jozkowski, Kristen N.
doi: 10.1080/0092623X.2011.644652pmid: 23530670
This study aimed to examine in a sample of college-age heterosexual couples the relations between (a) relationship and sexual satisfaction and (b) sexual and nonsexual communication. The authors tested a mediation model whereby couples’ relationship satisfaction was hypothesized to predict couples’ sexual satisfaction by way of sexual and nonsexual communication levels. Participants were 266 individuals (133 couples) who completed measures of satisfaction and communication independently of their partner. A mediation model, tested with structural equation modeling, showed the degree to which couples were relationally satisfied was positively related to their level of sexual and nonsexual communication, which, in turn, was positively associated with their degree of sexual satisfaction. Results indicate that levels of sexual and nonsexual communication among couples affect the link between relationship and sexual satisfaction. Such findings may have important implications for college-age couples in committed relationships who are looking to improve satisfaction as well as for therapists, counselors, and educators who work with these couples to improve relationship and/or sexual satisfaction.
Rosenbaum, Talli Yehuda; De Paauw, Esther; Aloni, Ronit; Heruti, Rafael J.
doi: 10.1080/0092623X.2011.644653pmid: 23530653
Treatment for couples presenting with sexual difficulties should consider the context of the couple's lives and their cultural milieu. Practitioners treating couples from traditional and faith-based societies should acknowledge, respect, and be willing to modify treatment to conform to the clients’ beliefs. The purpose of this article is to describe the case of a young ultra-Orthodox couple presenting with unconsummated marriage and to illustrate and elucidate the multidisciplinary and culturally sensitive treatment provided.
Oliveira, Cátia; Nobre, Pedro J.
doi: 10.1080/0092623X.2012.665813pmid: 23560661
Despite the increasing number of studies, it is not yet clear how emotions affect sexual response in women with and without sexual problems. The aim of this study was to explore the relation among trait-affect, depression, anxiety, and sexual functioning. Participants were 237 women: 167 without sexual problems, 37 with low levels of sexual functioning, and 17 with sexual dysfunction. Participants completed the Positive and Negative Affect Schedule, the Brief Symptom Inventory, the Beck Depression Inventory, and the Female Sexual Function Index. Results showed that women with sexual problems presented lower levels of positive trait-affect in comparison with women without sexual problems. Mediation analysis indicated that depression mediated 44% of the total effect of positive trait-affect and 83% of the total effect of negative trait-affect on sexual functioning. Moreover, anxiety (Brief Symptom Inventory subscale) mediated 18% of the total effect of positive trait-affect on sexual functioning and 61% of the total effect of negative trait-affect on sexual functioning. These results may help explain the high comorbidity among sexual dysfunction, depression, and anxiety, and raise the hypothesis that trait-affect may act as a common vulnerability factor for these clinical conditions.
Fawcett, David; Crane, D. Russell
doi: 10.1080/0092623X.2012.665814pmid: 23560701
Sexual dysfunctions are serious mental health issues that affect an estimated 1 in 3 Americans, yet many people with sexual dysfunctions do not seek treatment. Health services research on variables related to access, barriers, costs, and outcomes of treatment may help improve the quality of care. The current research is a retrospective analysis of administrative data from CIGNA that explores whether the type of profession (i.e., psychologist, social worker, marriage and family therapist, or professional counselor) or therapy modality (i.e., individual, conjoint, or mixed-mode, a combination of individual and conjoint therapy) influence the outcomes of mental health treatment. Participants included 230 men and 189 women between the ages of 18 to 101 years from all regions of the United States who received treatment for sexual disorders from 2001 to 2006. Results indicate that outcomes are similar across the different license types. Results also suggest that mixed-mode therapy has lower dropout rates and longer retention than individual or conjoint therapy. These results suggest that using a combination of relational and individual sessions may be beneficial for the treatment of sexual dysfunctions.
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