Marta Meana

Marta Meana
University of Nevada, Las Vegas | UNLV · Department of Psychology

PhD

About

84
Publications
22,123
Reads
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3,789
Citations
Citations since 2016
8 Research Items
1166 Citations
2016201720182019202020212022050100150
2016201720182019202020212022050100150
2016201720182019202020212022050100150
2016201720182019202020212022050100150

Publications

Publications (84)
Article
Genital pain associated with sex is a prevalent and distressing problem with a complex research and clinical profile. This article reviews the historical context of the “sexual pain disorders” and the circuitous trajectory that has led from the first mention of painful sex in ancient documents to the latest diagnostic category of genito-pelvic pain...
Chapter
Despite wide variation in prevalence rates for all sexual dysfunctions depending on the population and methodology in question, the numbers are staggering. With general prevalence figures for sexual problems reported to be as high as 40% in women and 28% in men, sexual difficulties seem close to normative. Once relegated strictly to sex therapists...
Chapter
This chapter reviews the research on prevalence, etiology, and treatment outcomes for genito-pelvic pain/penetration disorder (GPPPD) by utilizing samples of women who meet diagnostic criteria for dyspareunia or vaginismus or who complain of some genital pain without necessarily meeting diagnostic criteria. For the treatment of genital pain, the se...
Article
Much research indicates men show a greater concordance between subjective and genital sexual arousal than do women. We investigated the relationship between subjective sexual arousal and brain activation in men and women. Subjective sexual arousal and auditory N1 and P3b ERP amplitudes were measured while 38 participants viewed erotic and non-eroti...
Chapter
The rise of sexual medicine and interdisciplinary approaches to the study of etiology and treatment have transformed our understanding of sexual dysfunctions from psychodynamic disturbances to mind-body-relationship disorders whose treatment requires attention to physiology in addition to cognitive, affective, and relational factors. The organizati...
Chapter
In an attempt to guide clinicians in the assessment of sexual dysfunction in Hispanic clients, this chapter first provides a brief description of the sexual dysfunctions currently classified in the DSM-IV, along with forthcoming revisions to the DSM-5. The scarce prevalence literature is then reviewed with an emphasis on the lack of validation of a...
Article
Recent developments and trends in sex therapy are reviewed and assessed. Major trends identified are: (1) multidisciplinarity in the treatment of sexual problems, whereby psychological interventions are combined with medical and other types of treatment (e.g. physical therapy); (2) systemic and theoretical integration, as evidenced by an emphasis o...
Conference Paper
Full-text available
Background / Purpose: Recent advances in cognitive science have provided the impetus to introduce novel methodologies to the study of sexuality. A series of studies utilizing eye-tracking methodology have provided a more precise understanding of how visual attention contributes to factors such as sexual desire, sexual dysfunction and sexual infor...
Article
The causes and treatment of dyspareunia are approached from the empirically validated biopsychosocial perspective. Physical conditions most commonly associated with deep and superficial dyspareunia (including provoked vestibulodynia) are reviewed, in addition to psychophysical, sexual, and psychosocial correlates and consequences of persistent pain...
Article
Full-text available
The coupling of sex and pain creates an interesting theoretical conundrum of clinical significance: Are women with dyspareunia distracted from sexual stimuli, or are they hypervigilant to sexual stimuli because these stimuli elicit thoughts and expectations of pain? This study measured attention to sexual stimuli in women reporting persistent pain...
Article
Recurrent painful intercourse or dyspareunia is a highly prevalent health problem associated with impairments in sexual function and psychosocial well-being. Despite its particularly high prevalence in young women, little is known about how young women experience the onset of dyspareunia and how they attempt to manage or address the problem. To exp...
Article
Women with endometriosis have a substantial increase in risk of deep dyspareunia with respect to the general female population of corresponding age. This symptom has personal and intimate implications, including unfavorable emotional impact in partners. Deep dyspareunia caused by endometriosis can be viewed as an originally visceral type of pain se...
Article
The high prevalence of sexual desire complaints in women have led a number of researchers and theorists to argue for a reconceptualization of female sexual desire that deemphasizes the drive model and places more focus on relational factors. Lacking in this effort has been a critical mass of qualitative research that asks women to report on their c...
Article
Full-text available
The following study investigated the effect of poker competition on testosterone (T) responses. Thirty-two participants played one-on-one poker in a lab on campus. Saliva samples were obtained before and after the poker games. On average, participants produced a significant increase in T during the competition, with no difference between winners an...
Article
Full-text available
The literature on women's sexual desire is reviewed with an emphasis on definitional challenges, an assessment of the empirical basis for the distinction between spontaneous and responsive desire, a reconsideration of the extent to which women's sexual desire is relational in nature, and an exploration of the incentive value of sex for women as a f...
Chapter
Full-text available
According to the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR; American Psychiatric Association [APA], 2000), sexual dysfunctions are characterized by disturbances in the psychophysiological processes that characterize the sexual response cycle or by pain associated with sexual intercourse. The sexual...
Article
Full-text available
Sex therapy's claims to specialization may be exaggerated and ultimately damaging to the integrated treatment of sexual dysfunction. In fact, sex therapy does not have a unified underlying theory, a unique set of practices, or an empirically demonstrated efficacious treatment outcome. Paradoxically, the practice of sex therapy has gained widespread...
Article
Dyspareunia and vaginismus are complex disorders involving a myriad of predisposing, precipitating and perpetuating factors that make painful intercourse a difficult symptom to relieve. A multidisciplinary, intersystems approach to etiology, assessment, and treatment is proposed as the optimal standard of care, with the collaboration of sex therapy...
Article
The debate over the classification of dyspareunia as a sexual dysfunction or as a pain disorder raises the question of the comparative cognitive salience of sex and/or pain in the experience of women who report pain with intercourse. Refinements in our understanding of cognitive factors in the experience of pain with intercourse may be important in...
Article
Full-text available
After a long history of privileging psychosexual etiological factors over pain and physiological processes, dyspareunia has enjoyed 1 decade of pointed research focused on the presenting problem of pain. Although it is generally acknowledged that certain affective and cognitive styles may play a role in an individual's experience of pain in general...
Article
The contention that women are more erotically plastic than men is supported by a significant body of data, from which it has been inferred (Baumeister, 20005. Baumeister , R. F. ( 2000 ). Gender differences in erotic plasticity: The female sex drive as socially flexible and responsive . Psychological Bulletin , 126 , 347 – 374 . [CrossRef], [PubMe...
Article
It has been suggested that sex differences in the processing of erotic material (e.g., memory, genital arousal, brain activation patterns) may also be reflected by differential attention to visual cues in erotic material. To test this hypothesis, we presented 20 heterosexual men and 20 heterosexual women with erotic and non-erotic images of heteros...
Article
Endometriosis diagnosis and treatment planning are guided primarily by retrospective pain recall, despite the facts that (1) there is only a tenuous relationship between pain reports and physical pathology, and (2) the accuracy of pain recall has never been assessed in this population. The current study investigated the accuracy of endometriotic pa...
Article
Introduction: Provoked vestibulodynia is a prevalent yet misunderstood women's sexual health issue. In particular, data concerning relationship characteristics and psychosexual functioning of partners of these women are scarce. Moreover, no research to date has examined the role of the partner in vestibulodynia. Aims: This study aimed to charact...
Article
Full-text available
As a first step in the investigation of the role of visual attention in the processing of erotic stimuli, eye-tracking methodology was employed to measure eye movements during erotic scene presentation. Because eye-tracking is a novel methodology in sexuality research, we attempted to determine whether the eye-tracker could detect differences (shou...
Article
Full-text available
One-hundred women involved in a primary lesbian relationship completed a measure investigating sexual difficulties with various aspects of sex with their current partner. Results were compared to previous research on both heterosexual and gay couples. Reported frequency of sexual activity and levels of sexual satisfaction were equivalent to those o...
Article
This study compared 220 college men and 237 college women on two types of self-reported cognitive distraction during sex, performance- and appearance-based. Affect, psychological distress, sexual knowledge, attitudes, fantasies, experiences, body image, satisfaction, and sexual function were assessed with the Derogatis Sexual Functioning Inventory...
Article
Research on employee referrals demonstrates positive outcomes for the recruited individual and the organization. However, little research addressed employees who make employment referrals, also known as employee recommenders. To address this gap in knowledge, we developed a conceptual model and present the theoretical basis for addressing the motiv...
Article
Full-text available
Health Issue Chronic pain is a major health problem associated with significant costs to both afflicted individuals and society as a whole. These costs seem to be disproportionately borne by women, who generally have higher prevalence rates for chronic pain than do men. Key findings Data obtained from 125,574 respondents to the Canadian Community...
Article
Attempts to understand postoperative psychosocial changes in the lives of individuals who have undergone gastric bypass surgery for morbid obesity have 1) been guided by constructs emanating from the assumptions of researchers, and 2) have resulted in fragmented conclusions that catalogue changes without theoretically integrating them. Using unstru...
Article
There is consistent evidence to support the notion that morbid obesity poses serious risks to physical health and has a substantial impact on psychosocial well-being. Researchers agree that bariatric surgery is currently the most viable option for successful weight loss and maintenance in the morbidly obese individual. The drastic, major weight los...
Article
Minority women in Canada are less likely to be screened for cervical cancer than their counterparts in the general population, despite the fact that the proportion of these women who consult a general practitioner about their health each year is similar to minority women. This study examined the physician and practice characteristics associated wit...
Article
Full-text available
Despite the fact that the proportion of immigrant and minority women who consult a general practitioner about their health is similar to that of their Canadian-born counterparts, studies suggest that they are less likely to be screened for breast cancer. This study examines physician characteristics associated with mammography referral and perceive...
Article
To investigate, using the Health Belief Model as a theoretical framework, the incentives and barriers to breast cancer screening in a recent immigrant group, older Tamil women from Sri Lanka. Tamil women who had had a mammogram and Tamil women who had never had a mammogram were compared on the following variables: socio-demographics, personal risk...
Article
This study compared group cognitive-behavioral therapy (12-week trial), surface electromyographic biofeedback (12-week trial), and vestibulectomy in the treatment of dyspareunia resulting from vulvar vestibulitis. Subjects were 78 women randomly assigned to one of three treatment conditions and assessed at pretreatment, posttreatment and 6-month fo...
Article
Cultural beliefs have been hypothesized to be powerful barriers to breast cancer screening in minority women and physician recommendation is consistently reported to be the strongest incentive. This study investigated (1) beliefs regarding breast cancer and (2) the perception of barriers to mammography and clinical breast examination in a sample of...
Article
Studies indicate that men with prostate cancer (MPC) adopt passive roles in cancer management; however, increasing public awareness of prostate cancer and advocacy by MPC and their allies suggest otherwise. This study looks at the information that is important to MPC; their preferred participation in decision making; and the influence of sociodemog...
Article
Studies show that women with cancer want more information about and participation in all aspects of their healthcare including decision-making. However, most studies have been done on women with breast cancer, which often runs a lengthy course and has strong patient-advocacy groups. Little is known about the preferences of women with ovarian cancer...
Article
Full-text available
Objectives: Studies indicate that men with prostate cancer (MPC) adopt passive roles in cancer management; however, increasing public awareness of prostate cancer and advocacy by MPC and their allies suggest otherwise. This study looks at the information that is important to MPC; their preferred participation in decision making; and the influence o...
Article
Full-text available
Studies have shown that women are less likely to receive several specific medical interventions, including organ transplantation, cardiac diagnostic studies, and coronary artery bypass surgery. This study investigates the hypothesis that this inequity may be explained by gender differences in treatment decisions made by older adults. A self-report...
Article
The relationship between patients' causal attributions for pain and biopsychosocial measures was investigated in a sample of 100 women with dyspareunia. Independently of findings from the gynecological examinations, causal attributions were related to adjustment. More specifically, the women who made psychosocial attributions reported higher pain s...
Article
Our objective was to investigate patient knowledge, desire for participation in medical decision making, and preference for the management of mildly abnormal Papanicolaou (Pap) smears (low-grade squamous intraepithelial lesions [LGSIL]) in the context of the continuing controversy between active (immediate colposcopy and biopsy) and surveillance (r...
Article
Dyspareunie wordt in het algemeen, zowel in de psychiatrische ziektenleer als in gynaecologische verhandelingen, beschreven als een recidiverende acute pijn die hoofdzakelijk optreedt tijdens de coïtus. Terwijl bij mannen zelden dyspareunie voorkomt, worden naar schatting 10-15% van de seksueel actieve vrouwen erdoor getroffen (Laumann et al., 1994...
Article
The authors theorized that adversity elicits relationship maintenance responses when level of adversity is calibrated with level of commitment. To test this, the authors examined the commitment-devaluation effect: Those committed to a close relationship are thought to devalue attractive alternatives. Two levels of adversity were operationalized. Pa...
Article
The higher prevalence of depression in women is coupled with a higher prevalence of pain complaints. Growing evidence suggests that the comorbidity of these conditions is also proportionately higher in women than men. This paper critically reviews the empirical findings relating to gender differences in comorbid pain and depression as well as findi...
Article
This study investigates gender differences in the barriers and incentives that are most influential in the coronary patient's decision to participate in cardiac rehabilitation programs (CRPs) and suggests strategies to counter these barriers. Patient surveys were administered to consecutive English-speaking attenders and referred nonattenders to a...
Article
To investigate the extent to which depressive symptomatology, anxiety, and marital adjustment mediate pain ratings in women suffering from dyspareunia. Seventy-six women with dyspareunia were administered the depression and anxiety scales of Derogatis's Brief Symptom Inventory and the McGill Pain Questionnaire. They also underwent a manual-visual g...
Article
We aimed to determine the major health concerns or problems of women and their personal attributions for the causes of their primary health concerns. We used a survey of women from the Toronto area attending a women's health symposium. Completed questionnaires were returned by 153 (85%) of 180 women attendees. Persistent fatigue was the primary and...
Article
To compare biopsychologic profiles of women with dyspareunia with a matched no-pain control sample, and to determine whether dyspareunia subtypes based on physical findings have different psychosocial profiles from matched controls. One hundred and five women with dyspareunia and 105 matched no-pain control women underwent standard gynecologic exam...
Article
Vulvar vestibulitis syndrome (VVS) is currently thought to be the main cause of dyspareunia in pre-menopausal women (Friedrich, 1988; Meana et al., in press a), with reported prevalence rates of up to 15% in general gynecological practice (Goetsch, 1991). This syndrome is characterized by severe pain on vestibular touch or attempted vaginal entry,...
Article
This study investigated the clinical attributes of dyspareunia and the variables used to classify it. A systematic clinical description of the pain symptomatology was obtained through the administration of a structured interview and standardized pain measures to 112 women suffering from dyspareunia, ranging in age from 19 to 65. Subjects also under...
Chapter
There are probably few associations less likely in our minds than computers and sexuality. In fact, the link between computers and sexuality in our culture has not only been deemed improbable, but, explicitly negative. The mechanization that arose with the industrial revolution has been a critical focus of two centuries of art and literature that h...
Article
This study investigated whether interaction with a sex-expert computer system called Sexpert affected couples' attitudes concerning computerized sexual information and modified their ongoing sexual behavior. Fifty sexually active couples were randomly assigned to one of three experimental conditions involving either interaction with Sexpert, exposu...
Article
The literature on female dyspareunia is reviewed with an emphasis on description and classification, incidence and prevalence, etiological factors, and treatment approaches. The research is found to be plagued with methodological problems and characterized by a persistent dichotomization of issues into physiological and psychological categories. A...
Article
In an ongoing research program investigating the utility of Sexpert, an expert computer system designed to counsel couples about their sexual relationships, we tested whether sexually active couples' attitudes concerning computerized sexual counseling could be affected by interacting with Sexpert. Eighty-one young heterosexual couples drawn from th...
Article
Full-text available
Sexpert, an expert computer program designed to counsel couples on their sexual relationships, was evaluated. Eighty-one heterosexual couples were assigned to one of three experimental manipulations (Sexpert, video, and self-help book) or a control condition. Daily sexual behavior monitoring forms and structured retrospective reports served as meas...
Article
Full-text available
A frequently reported disorder affecting mostly women, dyspareunia (pain with penile-vaginal intercourse) has been under-investigated in comparison to other sexual dysfunctions and pain syndromes. After presenting a critical review of the literature, delineating the history of description, classification, prevalence, etiology, and treatment, this t...

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