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Loss of libido due to stress
Abstract
Discusses loss of sexual desire (SD) due to stress. Anxiety, anger, depression, and guilt are crucial in the loss of SD. Concern about self-image and body-image can reduce SD; this can occur after an individual undergoes a hysterectomy, when stress responses cause a deterioration in sexual functioning. Cultural changes, such as the increased sexual freedom of women, can threaten men and result in a lowered SD. Organic stressors, including prescription and over-the-counter drugs, can also reduce SD. The loss of SD is difficult to treat, but can be addressed in counseling; usually, establishing open communication between partners is an important 1st step. Sensate focus exercises can be suggested to aid partners in the restoration of SD. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
... Surgery serves as an effective threat of body damage (Kanto, 1996) and fear of body damage is known to cause exaggerated inappropriate reactions and reactivated castration fears (Janis, 1974, p. 109) particularly in vulnerable persons. Genital surgery, more than other types of surgery, is known to elicit psychological stress in the form of altered mood state, anxiety, irritation, impaired sexuality and somatic symptoms (Arnett et al., 1986;Dias, 1983;Lalinec-Michaud & Engelsmann, 1985). Particularly in vulnerable personalities pronounced psychological, sexual or somatic distress post surgery, when compared to nonvulnerable individuals, may come to light (O'Hara et al., 1989). ...
... Questionnaires. Genital surgery is known to elicit responses in the form of altered mood state, anxiety, irritation, impaired sexuality and somatic symptoms (Arnett et al., 1986;Dias, 1983;Lalinec-Michaud & Engelsmann, 1985) particularly in vulnerable personalities (O'Hara et al., 1989). The choice of the questionnaires was based on these facts and on their known fitness for use in Turku. ...
... Thus, altogether the questionnaires were aimed at assessing psychological, sexual and somatic variables (e.g. Arnett et al., 1986;Gath, 1987;Janis, 1974;Lalinec-Michaud & Engelsmann, 1985) and were previously ethically approved for a pilot study about the effects of gynaecological surgery. The timing for administering the questionnaires was in agreement with earlier research (e.g. ...
... Surgery serves as an effective threat of body damage (Kanto, 1996) and fear of body damage is known to cause exaggerated inappropriate reactions and reactivated castration fears (Janis, 1974, p. 109) particularly in vulnerable persons. Genital surgery, more than other types of surgery, is known to elicit psychological stress in the form of altered mood state, anxiety, irritation, impaired sexuality and somatic symptoms (Arnett et al., 1986;Dias, 1983;Lalinec-Michaud & Engelsmann, 1985). Particularly in vulnerable personalities pronounced psychological, sexual or somatic distress post surgery, when compared to nonvulnerable individuals, may come to light (O'Hara et al., 1989). ...
... Questionnaires. Genital surgery is known to elicit responses in the form of altered mood state, anxiety, irritation, impaired sexuality and somatic symptoms (Arnett et al., 1986;Dias, 1983;Lalinec-Michaud & Engelsmann, 1985) particularly in vulnerable personalities (O'Hara et al., 1989). The choice of the questionnaires was based on these facts and on their known fitness for use in Turku. ...
... Thus, altogether the questionnaires were aimed at assessing psychological, sexual and somatic variables (e.g. Arnett et al., 1986;Gath, 1987;Janis, 1974;Lalinec-Michaud & Engelsmann, 1985) and were previously ethically approved for a pilot study about the effects of gynaecological surgery. The timing for administering the questionnaires was in agreement with earlier research (e.g. ...
... La confiance dans ses capacités sexuelles pour commencer et maintenir des rapports intimes satisfaisants est affectée par les croyances qu'a le sujet sur ses propres caractéristiques personnelles et sur ce que désire le partenaire (Donaghue, 2009). Le rôle de la perception négative du schéma corporel sur la sexualité et le désir a été mentionné plusieurs auteurs (Arnett et al., 1986 ;Trudel, 2003). Une autre étude a examiné les relations entre les différentes variables concernant l'image du corps et la réponse sexuelle. ...
Objectives
To study how the female body is perceived by both sexually active Tunisian women and their partners and how this is related to female sexuality.
Material and methods
Our study was transversal, descriptive and analytic. It involved 100 Tunisian women who have been married for at least one year and consulted in primary care medicine during the month of January 2013. Each one filled in an identification questionnaire 34 items dealing with the way how she perceived its own body, about her partner, her sexual activity and how she perceived it.
Results
The mean age of the participants was 33.2 years (20–51 years). They had been married for 8 years in average (1–25 years). The participants were satisfied with their bodies in 72% of cases. This satisfaction was associated with being unveiled and perceiving the body as physically attractive, erotic, young and positively affecting their self-confidence and self-esteem (P < 0.05). According to participants, most of the husbands (84%) were satisfied with their wives’ bodies. The body satisfaction for women as well as for their husbands was related to satisfying the desire, achieving orgasm, taking the initiative in sexual activity and in preparations to sex (P < 0.05).
Conclusion
A body satisfying both Tunisian women and their spouses seems to be a guarantee of a better self-esteem and a better quality of female sexuality in its various stages and a promotion of the development of women and couples.
The human sexual desire is usually explained by multi-component models including neuroendocrinal, psychological and social factors. The purpose of this study has been to establish the degree in which some of these factors (affectivity, daily stress and heterosocial anxiety) are related to sexual desire. A sample of 201 young adults (100 men and 101 women), filled out the Positive and Negative Affect Scale (PANAS), the Questionnaire of Daily Stress (CED-44), the Social Interaction Self Statement Test (SISST) and the Sexual Desire Inventory (SDI). The results indicated low correlations between affectivity, daily stress, social interaction self statements, and sexual desire. Regarding stress, it was supported that moderate levels are associated with higher solitary sexual desire. These findings are discussed in relation to previous research.
Objectif
Cet article a pour ambition de proposer aux cliniciens un modèle permettant le repérage des éléments dysfonctionnels responsables de l’apparition ou du maintien du Désir Sexuel Hypoactif.
Méthodologie
En nous appuyant sur une large recension des écrits cliniques et empiriques, nous suggérons une vision globale dont les fondements théoriques viennent de la sexofonctionnelle.
Résultats
Ce modèle souligne le caractère multifactoriel du Désir Sexuel Hypoactif et nous conduit vers une structuration didactique en cinq axes.
Discussion
De cette manière, les facteurs (1) cognitifs, (2) physiologiques, (3) comportementaux, (4) émotionnels et (5) environnementaux sont discutés.
Conclusions
Cette étiologie en cinq axes facilitera l’évaluation de l’ensemble des éléments responsables du Désir Sexuel Hypoactif et permettra aux cliniciens une adaptation de leur traitement en fonction d’une anamnèse attentive au caractère multifactoriel du Désir Sexuel Hypoactif.
Object
The purpose of this article is to propose a model to clinicians designed to highlight the dysfunctional elements responsible for the appearance and continuation of Hypoactive Sexual Desire Disorder.
Methodology
Supported by a broad analysis of clinical and empirical accounts, we suggest a global vision whose theoretical foundations come from “sexofonctionnelle”.
Results
This model underlines the multi-factor aspect of Hypoactive Sexual Desire Disorder and leads us to a didactical structuration comprising five axes.
Discussion
Thereby, the cognitive, physiological, behavioural, emotional and environmental factors are discussed.
Conclusion
This etiology with its five axes will facilitate the assessment of all the elements responsible for Hypoactive Sexual Desire Disorder and will enable clinicians to adapt their treatment by being aware of the multi-factor nature of Hypoactive Sexual Desire Disorder when taking a medical history.
Altogether 112 Finnish males (aged 25 - 67 years) participated in the present research. Of these, 35 underwent conventional and 77 no-scalpel [NS] vasectomy. All were assessed immediately before and 1 year after the vasectomy, by means of Beck's Depression Inventory [BDI], Taylor's Anxiety Scale [TAS], the Buss-Durkee Hostility Inventory [BDHI], and Measurement of Masculinity-Femininity [MF]. In addition, changes in angst, sexuality and somatic symptoms were rated by means of Likert scales. The men were divided on the basis of these assessments, into two groups: a psychologically vulnerable vs. a non-vulnerable group. Post surgery, the latter males experienced a greater satisfaction in regards to psychological, sexual and somatic well being as well as in their masculine self-esteem. During the experimental period scrotal discomfort was reflected in a negative change towards vasectomy. Back pain was unrelated to vasectomy technique, but correlated to the immediateness of post-vasectomy coitus. A 10-day post-vasectomy abstinence was recommended.
Describes a treatment program for males suffering from hypoactive sexual desire disorder. Treatment focused on developing the emotional aspects of the client, on increasing his sexual repertoire, and on improving his attitude and response to these sexual experiences in the context of each client's relationship. These aims were addressed by the use of communication exercises, sensate focus exercises, and guided fantasies. 15 men and their partners were so treated. While there was a decrease in the level of performance anxiety and sexual anxiety, Ss still experienced difficulty in level of sexual interest and in initiating sexual activity. At the 3- and 6-mo follow-up, the level of communication, sexual satisfaction, sexual arousal, and satisfaction with the relationship was still high. A case study is included. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
There are limited outcome data on the efficacy of psychological interventions for male and female sexual dysfunction and the role of innovative combined treatment paradigms.
To highlight the salient psychological and interpersonal issues contributing to sexual health and dysfunction; to offer a four-tiered paradigm for understanding the evolution and maintenance of sexual symptoms; and to offer recommendations for clinical management and research.
An International Consultation assembled over 200 multidisciplinary experts from 60 countries into 17 committees. The recommendations of committee members represent state-of-the-art knowledge and opinions of experts from five continents were developed in a process over a 2-year period. Concerning the Psychological and Interpersonal Committee of Sexual Function and Dysfunction, there were nine experts from five countries.
Expert opinion was based on grading of evidence-based medical literature, widespread internal committee discussion, public presentation, and debate.
Medical and psychological therapies for sexual dysfunctions should address the intricate biopsychosocial influences of the patient, the partner, and the couple. The biopsychosocial model provides a compelling reason for skepticism that any single intervention (i.e., a phosphodiesterase type 5 inhibitor, supraphysiological doses of a hormone, processing of childhood victimization, marital therapy, pharmacotherapy of depression, etc.) will be sufficient for most patients or couples experiencing sexual dysfunction.
There is need for collaboration between healthcare practitioners from different disciplines in evaluation, treatment, and education issues surrounding sexual dysfunction. In many cases, neither psychotherapy alone nor medical intervention alone is sufficient for the lasting resolution of sexual problems. Assessment of male, female, and couples' sexual dysfunction should ideally include inquiry about: predisposing, precipitating, maintaining, and contextual factors. Treatment of lifelong and/or chronic dysfunction will be different from acquired or recent dysfunction. Research is needed to identify efficacious combined and/or integrated treatments for sexual dysfunction.
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