Self-Focused Reasons for Having Sex: Associations Between Sexual Goals and Women's Pain and Sexual and Psychological Well-being for Couples Coping With Provoked Vestibulodynia |
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| Affiliation: | 1. School of Psychology, University of Ottawa, Ottawa, ON, Canada;2. Department of Psychology, University of Montreal, Montreal, QC, Canada;3. Department of Psychology & Neuroscience, Dalhousie University, Halifax, NS, Canada;4. Departments of Psychology & Neuroscience and Obstetrics & Gynaecology, Dalhousie University, Halifax, NS, Canada;1. Urology Department, Hospital Universitario 12 de Octubre, Instituto de Investigación Sanitaria, Madrid, Spain;2. Department of Obstetrics and Gynecology, Rambam Health Care Campus, Haifa, Israel;3. Department of Experimental and Clinical Medicine, University of Catanzaro Magna Graecia, Catanzaro, Italy;4. Department of Urology, Biruni University School of Medicine, Istambul, Turkey;5. The Christie NHS Foundation Trust, Manchester, UK;6. Andrology Department, University College, London, UK;7. Southern California Center for Sexual Health and Survivorship Medicine, Newport Beach, CA, USA;8. Flare-Health, Amstelveen, The Netherlands;9. Endocrinology Unit, Medical Department, Azienda USL, Maggiore-Bellaria Hospital, Bologna, Italy;10. Urology Department, Hospital Universitario HM Montepríncipe, Madrid, Spain;1. The James Buchanan Brady Urological Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA;2. Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA;3. IHA Urology/St. Joseph Mercy Hospital, Ypsilanti, MI, USA;1. Sisli Hamidiye Etfal Research and Training Hospital, Department of Psychiatry, Istanbul, Turkey;2. Psychiatrist, 3rd Psychiatry Clinic, Bakirkoy Research & Training Hospital for Psychiatry, Neurology and Neurosurgery, Istanbul, Turkey;3. Associate Professor of Psychiatry, Altinbas University, Medical Faculty, Istanbul, Turkey;1. Institute for Sex Counselling and Sexual Sciences, Zurich, Switzerland;2. Department of Twin Research and Genetic Epidemiology, School of Life Course Sciences, King’s College London, London, United Kingdom;3. School of Psychology, University of Surrey, Guildford, United Kingdom |
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| Abstract: | BackgroundFor couples coping with provoked vestibulodynia (PVD), interpersonal sexual goals are associated with sexual and psychological functioning as well as women’s pain during intercourse, however, self-focused sexual goals (eg, having sex for personal pleasure, having sex to avoid feeling bad about oneself) have not been studied in this clinical population.AimThe purpose of this study was to examine the associations between self-focused approach and avoidance sexual goals and women's pain during intercourse and sexual satisfaction and depressive symptoms for both women and their partners.MethodsWomen diagnosed with PVD (N = 69) and their partners completed measures of self-focused sexual goals, sexual satisfaction, and depressive symptoms. Women also reported on pain experienced during sexual intercourse.OutcomesOutcomes included the Global Measure of Sexual Satisfaction, the Beck Depression Inventory-II, and a Numerical Rating Scale of pain during sexual intercourse.ResultsWhen women reported higher self-focused approach sexual goals, they also reported lower pain intensity. Women's higher self-focused avoidance sexual goals were associated with their own higher depressive symptoms, whereas men's higher self-focused approach goals were associated with their own higher depressive symptoms. When controlling for frequency of sexual intercourse, there were no significant associations between women or partners' sexual goals and sexual satisfaction.Clinical ImplicationsWithin a clinical context where many interpersonal pressures for sex exist, interventions should target self-focused sexual goals alongside interpersonal sexual goals to improve pain and psychological adjustment.Strengths & LimitationsThis is the first study to examine self-focused sexual goals among women with PVD and their partners. This study is cross-sectional, and the direction of associations cannot be inferred. Couples were in mixed-sex relationships, and results may not generalize to same-sex couples.ConclusionFindings suggest that self-focused goals are relevant to the psychological adjustment of women with PVD and their male partners and for women's pain.Corsini-Munt S, Bergeron S, Rosen NO. Self-Focused Reasons for Having Sex: Associations Between Sexual Goals and Women's Pain and Sexual and Psychological Well-being for Couples Coping With Provoked Vestibulodynia. J Sex Med 2020;17:975–984. |
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| Keywords: | Provoked Vestibulodynia Vulvodynia Sexual Satisfaction Depression Sexual Goals Sexual Motivation |
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