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Satisfacción sexual: revisión de los factores individuales y de pareja relacionados
Abstract
Sexual satisfaction, understood as a subjective assessment of liking or disliking a person makes regarding their sexual life, is now considered a key factor of sexual health and an important indicator for health and quality of life, according to WHO guidelines. Therefore, this issue has become increasingly relevant in the studies on sexuality and health. However, the information available in Chile and Latin America is limited, suggesting the need to generate studies to have updated knowledge regarding to chilean reality
... On the other hand, the role of motherhood and the submissive wife who was dedicated solely to the home prevented the process of exploration in order to know her body and experiment, in order to reach an orgasm, since fear and shame repressed the enjoyment of her sexuality. Currently, it is observed that this type of ideologies remain permanent and have transcended from generation to generation, limiting the enjoyment of a full sexual life (Ahumada, S., Luttges, C., & Molina, T., 2014). ...
... Davila & Guerra (2017) reports that Masters and Johnson carried out a study on the sexual physiology of human beings, where they describe four stages: Sexual arousal (Leads to preparation for sexual intercourse through mental and physical changes), Plateau (Occur biological phenomena where periods of rest can occur), Orgasm (It is the climax of the four stages where the accumulated tension is released and can be multiple, the sensation can occur differently depending on the person) and the resolution where the cycle ends. through a period of calm On the other hand, relevant associations have been reported between sexual satisfaction and a better level of physical, psychological and general well-being, as well as with a better quality of life and to achieve this, sexual guilt must be eliminated, since according to some studies, a long and exclusive relationship is related to greater security and sexual satisfaction (Ahumada, Luttges & Molina 2014). ...
The purpose of this case study is to analyze the importance of sexual satisfaction of four married women with children. The indicators for the study were age, years of marriage, number and level of coexistence with children. A semi-structured interview was carried out where the original question was: Do you feel satisfied with your sexual life? According to the response obtained, subsequent questions are triggered, these are oriented towards your sexual life. The women interviewed relate satisfaction to the respect, trust and communication they have during the sexual act, but they point out that there are factors that affect it, such as the activities they do with their children, home, work and husband, within the development of The research detected a misconception about sexual pleasure and this is due to limited sexuality due to lack of privacy, daily life and parenting. Finally, reference is made to the importance of education and sexual health and emphasizing the benefits they have on a physical, psychological and social level, exalting the skills of the nursing professional in terms of the promotion and comprehensive care of the individual, focused on sexuality and respecting its integrity.
... Por tanto, con una mirada más amplia sobre la sexualidad humana, se dice que la satisfacción sexual es un componente de la sexualidad que involucra aspectos emocionales, físicos y relacionales, que se vincula estrechamente con la valoración del bienestar físico y mental, la salud y la calidad de vida, siendo la insatisfacción en las relaciones sexuales una de las principales causas de separaciones de pareja (Ahumada G. et al., 2014). Según Lawrance & Byers (1995) y frecuencia de los orgasmos, nivel de autoestima, culpa, condiciones sociodemográficas como: sexo, edad, religión, entre otros. ...
... Según Lawrance & Byers (1995) y frecuencia de los orgasmos, nivel de autoestima, culpa, condiciones sociodemográficas como: sexo, edad, religión, entre otros. (Ahumada G. et al., 2014). ...
Estudios revelan que tanto la satisfacción sexual como la calidad del sueño tienen implicaciones en la salud física, mental y en el bienestar general, así como asociaciones con distintas condiciones médico/fisiológicas, psicológicas, factores personales, interpersonales, socioeconómicos y demográficos; y están presentes en todo el ciclo vital humano. El objetivo es determinar la relación entre la satisfacción sexual y la calidad del sueño; y comparar el nivel de satisfacción sexual entre hombres y mujeres estudiantes universitarios. Se incluyó en el estudio (n=171) estudiantes del último semestre de la Facultad de Ciencias Humanas y de la Educación de la Universidad Técnica de Ambato, perteneciente al cantón Ambato de la Provincia de Tungurahua en Ecuador, de los cuales 59 eran varones y 112 fueron mujeres, mismos que fueron evaluados mediante la Nueva Escala de Satisfacción Sexual (NSSS) y el Índice de Calidad del Sueño de Pittsburg (PSQI). Se mostró que la población presenta niveles de medio a alto de satisfacción sexual y de calidad del sueño; según la prueba Rho de Spearman existe una correlación negativa leve entre la Satisfacción sexual y las dificultades en torno a la calidad del sueño (Rho = -0,262. p < 0,01); y según la prueba T de Welch no existen diferencias estadísticamente significativas en cuanto a la variable Satisfacción Sexual entre hombres y mujeres (p > 0,05). En base a los resultados obtenidos, se puede comprobar que, a mayor satisfacción sexual, mayor calidad del sueño, sin embargo, el ser hombre o mujer en el contexto del estudio, no predijo el nivel de satisfacción sexual.
... En este segundo estudio de validación del ISS (Moral, 2016), se comprobó la invarianza de los modelos factoriales, dividiendo de forma aleatoria la muestra en dos mitades, aunque no se contrastó la invarianza entre ambos sexos, a pesar de que existen diferencias en satisfacción sexual entre mujeres y hombres, y estas diferencias podrían ser relevantes (Castellanos, Álvarez, Ruiz & Pérez, 2013). En una revisión sistemática, Sánchez, Santos y Sierra (2014) hallaron que una menor satisfacción se asocia con el hecho de ser mujer, pero esta asociación es más significativa y consistente en muestras clínicas que en muestras de población general o no clínicas; asimismo, señalan que la intimidad emocional tiene más impacto en la satisfacción sexual de las mujeres que en la de los hombres, al concebir la sexualidad como una práctica que rebasa lo biológico y se redefine en lo sociocultural (Ahumada, Lüttges, Molina & Torres, 2014; Armenta-Hurtarte, Sánchez-Aragón & Díaz-Loving, 2014). ...
... Debido a la utilidad que proporciona en los estudios de salud sexual y pareja contar con una medición breve y válida de la satisfacción sexual (Ahumada et al., 2014;Díaz et al., 2016), el propósito del presente trabajo consistió en aportar nuevas pruebas de validez del ISS como una medición unidimensional de la satisfacción sexual reducida a 10 indicadores (ISS-10) y describir su distribución en parejas. Como objetivos se plantearon: contrastar la invarianza del modelo de un factor entre ambos sexos; describir la distribución del ISS-10; aportar pruebas de validez convergente en relación con la satisfacción con la relación y el engrandecimiento marital; y comprobar el efecto del sexo, la edad, el tiempo de casados o unión libre, el número de hijos, la escolaridad y el estado civil sobre las puntuaciones en el ISS-10. ...
Objetivo:
El Índice de Satisfacción Sexual de Hudson constituye una medición unidimensional de la satisfacción sexual empleada en investigación y clínica. En México, se ha propuesto una forma reducida a 10 ítems del ISS (ISS-10), que ha servido de base a este estudio para aportar nuevas evidencias de validez cruzada (entre mujeres y hombres) y convergente; describir su distribución y estudiar su relación con seis variables sociodemográficas.
Método:
Se realizó una investigación instrumental en la que participaron 807 personas casadas o en unión libre de Monterrey, México, a las cuales se les aplicó el ISS-10, la Escala de Valoración de la Relación (RAS), la Escala de Engrandecimiento Marital (MAS) y otras cuatro escalas entre enero y mayo de 2014, mediante un muestreo de rutas aleatorias. Se aplicó análisis factorial confirmatorio multigrupo.
Resultados:
El modelo de un factor con 10 indicadores mostró invarianza entre mujeres y hombres, pero las puntuaciones del ISS-10 no siguieron una distribución normal. Además, en la muestra total, la correlación del ISS-10 con la satisfacción con la relación (RAS) fue muy alta (rS = .71) y con el engrandecimiento marital (MAS), alta (rS = .56). La edad, los años de casados o en unión libre y la escolaridad presentaron correlaciones bajas con el ISS-10 (rS de .13 a .27). El sexo y el estado civil fueron independientes del ISS-10.
Conclusión:
El Índice de Satisfacción Sexual, como una medición unidimensional de la satisfacción sexual reducida a 10 indicadores, presenta evidencias de validez; independientemente de que se aplique a hombre o mujer, y puede ser baremado a partir de puntuaciones de percentil.
... Los estudios han demostrado que la satisfacción sexual tiene incidencia en la calidad y estabilidad de una relación marital (Yeh et al., 2006;Wawrziczny et al., 2022); incluso, puede compensar parcialmente los efectos negativos de una mala comunicación (Litzinger & Gordon, 2005). En tal sentido, la insatisfacción sexual puede ser causante de desgaste en la relación y, por consiguiente, de la separación (Ahumada et al., 2014). ...
La satisfacción sexual es un elemento muy importante en la salud sexual, la sexualidad humana, la felicidad y el bienestar a nivel general. En consecuencia, es clave medir y comprender la primera para evaluar a estas últimas; además, ya que la satisfacción sexual varía según el sexo, necesario usar un instrumento que permita medir la variable en ambos sexos. Por ello, el objetivo de lapresente investigación es analizar la invarianza factorial de la “Nueva escala de satisfacción sexual”, versión corta (NSSS-S, por sus siglas en inglés) en función al sexo. Se utilizó una muestra de 322 estudiantes universitarios (varones 53.1% y mujeres 46.9%) de 3 universidades de Huaraz, Perú. Los hallazgos sugieren que el modelo bidimensional (individual e interpersonal/actividad) de la NSSS-S presenta adecuados bondes de ajuste en las puntuaciones (X2 /gl = 4.12; CFI = .94; SRMR = .042), con pesos factoriales superiores a .69; el análisis factorial confirmatorio multigrupo mostró que la estructura factorial de dos dimensiones es posible para ambos sexos, y que la fiabilidad es buena para ambas dimensiones (ω = .89 y .92). La versión en español de la NSSS-S posee adecuadas evidencias de validez y confiabilidad para medir la variable satisfacción sexual en una muestra de universitarios de ambos sexos. Sin embargo, aún debe comprobarse en distintos ámbitos del Perú.
... Por otra parte, diversas investigaciones [11,12,13] han encontrado una relación entre la imagen corporal y la satisfacción sexual de una persona; es decir, la manera en que una persona percibe su cuerpo tiene un impacto en la manera en que vive sus experiencias sexuales. Una persona que se siente bien con su cuerpo desarrollará comportamientos saludables como el uso de protección en las prácticas sexuales [11] y tendrá una mejor comunicación con su pareja [12] . ...
... Sexual satisfaction (SS), the last phase of the human sexual response (Carrobles & Sanz-Yaque, 1991) refers to the subjective assessment of liking or disliking that people make about their sexual relationships and includes the pleasant sensations derived from the physical act that are related to the emotional satisfaction of the individual in order to find confidence and self-confidence (Ahumada, Luttges, Molina, & Torres, 2014;Lawrance & Byers, 1995). High levels of SS are associated with higher global quality of life and self-esteem, and less depression, anxiety, stress, physical health problems, and poor self-concept; furthermore, both, self-esteem and body image predict SS (for a review, see Sánchez-Fuentes, Santos-Iglesias, & Sierra, 2014). ...
El objetivo fue evaluar la validez incremental, la consistencia interna y la estabilidad temporal de la Nueva Escala de Satisfacción Sexual versión corta. La muestra incluyó 401 universitarios (232 mujeres y 169 hombres), sexualmente activos, de 18 a 38 años de edad (M = 20.83; DE = 2.66). Una submuestra de 76 participantes respondió la escala cuatro semanas después de la primera aplicación. El análisis factorial confirmatorio identificó una estructura de dos factores. El análisis de invarianza, usando MGCFA confirmó la invarianza por sexo de la escala. La consisten-cia interna de la escala y sus subescalas fue excelente, tanto para hombres como para mujeres (ω = .89-.95) y la estabilidad temporal, cuatro semanas después de la primera apli-cación, fue adecuada (r = .74; ICC = .85). Finalmente, los hombres puntuaron más alto en satisfacción
sexual global y en Ego-Centered, pero no en Partner -and Sexual Activity-Centered, en comparación con las mujeres. La NSSS-S es una medida de satisfacción sexual psicométricamente apropiada para la población hispano-latina.
... A su vez, puede tener relación con la frecuencia sexual, el orgasmo, variables afectivas, como el amor, comunicación con la pareja, placer y alegría después del encuentro sexual. Al mismo tiempo, ha sido conceptualizada como un derecho sexual y factor clave de la calidad de vida, al favorecer el estado de salud mental y físico de las personas (Ahumada, Lüttges, Molina & Torres, 2014). ...
La población de Personas Mayores, ha aumentado durante estos últimos años y se espera que siga así, llevándonos a indagar sobre la participación ocupacional de esta población en la Participación Social con compañeros/amigos y Actividades Básicas de la Vida Diaria, como la actividad sexual. Ambas ocupaciones se ligan a un solo fenómeno llamado sexualidad, considerado como fuente de bienestar global, de calidad de vida y un derecho. Frente a lo cual, surge como objetivo señalar el abordaje de la Terapia Ocupacional y sus profesionales en la sexualidad de Personas Mayores de acuerdo a la información empírica disponible, e identificar las teorías desde Terapia Ocupacional que guían el abordaje de la sexualidad como ocupación, desde una metodología argumentativa según las directrices que componen un ensayo. Se obtuvo que las investigaciones indican escasez del abordaje de la actividad sexual como ocupación y se encontró que el fenómeno de la actividad sexual y su problemática ocupacional, no cuenta con modelos e instrumentalización disciplinar.
... Sexual satisfaction (SS), the last phase of the human sexual response (Carrobles & Sanz-Yaque, 1991) refers to the subjective assessment of liking or disliking that people make about their sexual relationships and includes the pleasant sensations derived from the physical act that are related to the emotional satisfaction of the individual in order to find confidence and self-confidence (Ahumada, Luttges, Molina, & Torres, 2014;Lawrance & Byers, 1995). High levels of SS are associated with higher global quality of life and self-esteem, and less depression, anxiety, stress, physical health problems, and poor self-concept; furthermore, both, self-esteem and body image predict SS (for a review, see Sánchez-Fuentes, Santos-Iglesias, & Sierra, 2014). ...
The objective was to assess the incremental validity , internal consistency and temporal stability of the New Sexual Satisfaction Scale short version (NSSS-S) in Span-ish-speaking Latino adults. The sample included 401 university students (232 women and 169 men), sexually active, 18 to 38 years old (M = 20.83; SD = 2.66). A subsample of 76 participants answered the scale four weeks after the first application. Confirmatory factor analysis (CFA) identified a two-factor structure. The invariance analysis with multi-group confirmatory factor analysis (MGCFA) confirmed the invariance by sex of the scale. The internal consistency reliability of the scale and its subscales was excellent for both men and women (ω = .89-.95) and the temporal stability , four weeks after the first application, was adequate (r = .74; ICC = .85). Finally, men scored higher in overall sexual satisfaction and the Ego-Centered subscale, but not in the Partner-and Sexual Activity-Centered subscale, as compared to women. To conclude, the NSSS-S is a psycho-metrically appropriate scale to measure sexual satisfaction in Spanish-speaking Latino adults. Resumen El objetivo fue evaluar la validez incremental, la consistencia interna y la estabilidad temporal de la Nueva Escala de Satisfacción Sexual versión corta. La muestra incluyó 401 universitarios (232 mujeres y 169 hombres), sexualmente activos, de 18 a 38 años de edad (M = 20.83; DE = 2.66). Una submuestra de 76 participantes respondió la escala cuatro semanas después de la primera aplicación. El análisis factorial confirmatorio identificó una estructura de dos factores. El análisis de invarianza, usando MGCFA confirmó la invarianza por sexo de la escala. La consisten-cia interna de la escala y sus subescalas fue excelente, tanto para hombres como para mujeres (ω = .89-.95) y la estabi-lidad temporal, cuatro semanas después de la primera apli-cación, fue adecuada (r = .74; ICC = .85). Finalmente, los hombres puntuaron más alto en satisfacción sexual global y en Ego-Centered, pero no en Partner-and Sexual Activity Centered , en comparación con las mujeres. La NSSS-S es una medida de satisfacción sexual psicométricamente apropiada para la población hispano-latina. Palabras clave: medición de invarianza, validez factorial, análisis factorial confirmatorio, satisfacción sexual, uni-versitarios
... Sexual satisfaction (SS), the last phase of the human sexual response (Carrobles & Sanz-Yaque, 1991) refers to the subjective assessment of liking or disliking that people make about their sexual relationships and includes the pleasant sensations derived from the physical act that are related to the emotional satisfaction of the individual in order to find confidence and self-confidence (Ahumada, Luttges, Molina, & Torres, 2014;Lawrance & Byers, 1995). High levels of SS are associated with higher global quality of life and self-esteem, and less depression, anxiety, stress, physical health problems, and poor self-concept; furthermore, both, self-esteem and body image predict SS (for a review, see Sánchez-Fuentes, Santos-Iglesias, & Sierra, 2014). ...
The objective was to assess the incremental validity, internal consistency and temporal stability of the New Sexual Satisfaction Scale short version (NSSS-S) in Spanish-speaking Latino adults. The sample included 401 university students (232 women and 169 men), sexually active, 18 to 38 years old (M = 20.83; SD = 2.66). A subsample of 76 participants answered the scale four weeks after the first application. Confirmatory factor analysis (CFA) identified a two-factor structure. The invariance analysis with multigroup confirmatory factor analysis (MGCFA) confirmed the invariance by sex of the scale. The internal consistencyreliability of the scale and its subscales was excellent for both men and women (ω = .89 - .95) and the temporal stability, four weeks after the first application, was adequate (r = .74; ICC = .85). Finally, men scored higher in overall sexual satisfaction and the Ego-Centered subscale, but not in the Partner -and Sexual Activity-Centered subscale, as compared to women. To conclude, the NSSS-S is a psychometrically appropriate scale to measure sexual satisfaction in Spanish-speaking Latino adults.
... Las variables de satisfacción sexual y funciones cognitivas superiores han sido vinculadas con el consumo de cibersexo en el marco de las neurociencias (Love et al., 2015) a nivel internacional, llegando a resultados no concluyentes, manteniendo abierto el debate sobre la figura de adicción a la pornografía o cibersexo y cuál es la relación de ésta con el funcionamiento ejecutivo en los sujetos que la presentan. Como ya se indicó, los estudios de satisfacción sexual en Chile son escasos (Ahumada et al., 2014;Contreras, Jaime, Lillo y Vera-Villarroel, 2017) no explorando relaciones entre este tópico y el consumo de cibersexo o el funcionamiento ejecutivo. En vista de lo anterior, este estudio pretende proporcionar información sobre patrones de consumo de cibersexo y analizar su relación con el control inhibitorio y la satisfacción sexual en adultos de sexo masculino. ...
El consumo de Cibersexo puede generar adicción en usuarios de internet, pudiendo estar relacionado con el funcionamiento ejecutivo y satisfacción sexual de estos. Se pretende analizar la relación entre consumo de cibersexo, control inhibitorio y satisfacción sexual en 120 hombres entre 20 y 29 años, mediante el Internet Sex Screening Test, la prueba de Stroop y un Cuestionario de Bienestar Sexual. Los resultados, indicaron un alto consumo de riesgo (20,8%) y adictivo (6,7%). Se obtuvo una relación positiva entre control inhibitorio y bienestar sexual (r ho= 2,94; p <,001) y una relación negativa entre bienestar sexual y consumo de cibersexo (r ho=-0,21; p <,019). No existió asociación entre patrones adictivos de consumo de cibersexo y control inhibitorio. Al comparar patrones de consumo de cibersexo, se aprecian diferencias significativas en el bienestar emocional (H=8,15; p <,043) presentando los consumidores recreativos mayor satisfacción. Los resultados permiten informar sobre tópicos poco estudiados en Chile, destacando el alto consumo de cibersexo y la ausencia de relación entre control inhibitorio y el consumo de cibersexo, al menos no en presencia de estímulos relacionados al cibersexo. Resumen Cibersexo; Adicción al sexo; Sexualidad; Función ejecutiva; Bienestar sexual. Palabras Clave
... Por último, el cuarto instrumento utilizado fue la Nueva Escala de Satisfacción Sexual (NSSS). Esta escala fue traducida al castellano (Pérez, 2013) y diseñada para medir la satisfacción sexual independiente del género, orientación sexual o estatus de relación de pareja (Ahumada et al., 2014). La NSSS examina la satisfacción sexual a través de una escala tipo Likert donde cada pregunta es valorada en el sentido de menor a mayor grado de satisfacción. ...
Prostate cancer is the most diagnosed in the male population in Puerto Rico. However, it is little studied in the field of health, specifically in the field of clinical health psychology. The present study examines whether emotional distress and sexual satisfaction mediate the relationship between erectile dysfunction and quality of life and if erectile dysfunction is related to the treatment. For this, a quantitative exploratory design was used. The sample was 44 patients between the ages of 50 to 86 years. It was compiled by availability in different urologists' offices. For its collection, several meetings were held with specialists, a data collection logistics was established, in which the administrative
staff identified the participants through their ICD 10 diagnoses. The participants completed four self-administered questionnaires, which most of them showed an appropriate Cronbach's Alpha. The results indicated that exist a low moderately significant relationship between treatment and erectile dysfunction (b = -0.35, 95% BcCI
[-0.82, -0.03]) and that there is an indirect effect of psychological distress (b = -0.35, 95 % BcCI [-0.82, -0.03]) and sexual satisfaction (b = -.87, 95% BcCI [-2.18, -0.24] in the relationship between erectile dysfunction and the patient's quality of life. The preliminary data from the present study allow the offering of psychotherapeutic treatments focused on this population.
Keywords: emotional distress; erectile dysfunction; quality life; sexual satisfaction
... En el terreno de la investigación, diversos estudios como los realizados por Iglesias Campos, Morrell Mengual, Caballero Gascón, Ceccato y Gil Llario (2018), muestran que las mujeres que tienen mayor variedad de prácticas afectivas y sexuales reportan también mayores niveles de satisfacción; por su parte, Johnson, Galambos y Anderson Así la satisfacción sexual se presenta como un componente central y multideterminado de la relación de pareja (Ahumada, Lüttges, Molina & Torres, 2014;Fuertes, 2014) y cuya variación a través del tiempo y las situaciones vividas confluyen para impactar de manera tan importante al individuo y sus relaciones de pareja. ...
La vida sexual de la pareja es central en el entendimiento de su dinámica. Variables percibidas en la otra persona, como rasgos de personalidad sexual, conductas comunicativas y las estrategias con las que seduce a su pareja, son fundamentales en la evaluación subjetiva de la forma, frecuencia y técnicas utilizadas durante la interacción sexual. Ante esto, el presente estudio tuvo como objetivo determinar la relación entre dichas variables en una muestra no probabilística propositiva de 470 hombres y mujeres de la Ciudad de México que reportaron haber sentido pasión por alguien. Algunos de los resultados muestran que, para ambos sexos, los ingredientes esenciales en la experimentación de gozo sexual son: la percepción de personalidades involucradas emocionalmente, atractivas sexuales y dispuestas eróticamente, la ejecución de estrategias de expresión sexual, búsqueda de cercanía, expresión y desenvolvimiento y enamoramiento, la percepción de promiscuidad o restricción. Sin embargo, el uso de las mismas estrategias de seducción favorece la evasión, presión y aburrimiento.
La relación de pareja es una dimensión central de la vida de las personas que repercute en su felicidad y bienestar. Este tema es de interés para diversas disciplinas, teniendo un amplio recorrido en investigación, y ha sido abordado desde diferentes paradigmas y perspectivas de estudio. Con el objetivo de analizar las investigaciones llevadas a cabo sobre relaciones de pareja desde el año 2000 al 2018, se revisan 83 publicaciones localizadas tras una búsqueda exhaustiva en las principales bases de datos. Los resultados apuntan a que la mayoría de las investigaciones optan por una metodología exclusivamente cuantitativa, tienden a emplear instrumentos ya validados, cuentan con muestras de hasta 250 participantes y abordan temas clásicos como la satisfacción, la sexualidad o la comunicación en pareja. La información aportada permite obtener una visión global del tema de estudio y está encaminada a poder replicar, proponer nuevas o ampliar las investigaciones ya realizadas.
Objective: To determine the biopsychosocial factors associated with female sexual dysfunction in a Mexican population. Methods: A comparative study in women who were attended at a Family Medicine Unit of Queretaro, Mexico. Surveys of Laumman, Chavez and Velazco, Faces III, and Grajales, were applied to assess sexuality, marital functionality, familiar functionality and state self-esteem. The results were analyzed with Odds Ratios, chi-square and Student t test. Results: Of 110 women interviewed, 65 (59%) reported sexual dysfunction and 45 (41%) denied. They formed two groups randomly from 44 women with and without sexual dysfunction. Factors that were significantly associated with sexual disorders were: age greater than 40 years, labor outside the home, presence of obesity and/or overweight, hypertension, diabetes mellitus, prior hysterectomy, maternity, marital dysfunction, high self-esteem, mild to severe depression, dysfunctional family, low socioeconomic status. The most common sexual dysfunction were: decrease in sexual desire (34.1%), erectile dysfunction couples (22.7%), dyspareunia and lack of arousal (20.5%), referred to as unpleasant sex and inability to reach orgasm 13.6%) sexual performance anxiety (6.8%) and premature ejaculation (4.5%). Conclusions: It is important to identify the factors affecting female sexuality to offer multidisciplinary management and prevention implications at the level of family and marital environment.
En el presente estudio teórico se realiza una revisión sistemática de investigaciones publicadas en las que la satisfacción sexual constituye la variable dependiente. Tras una búsqueda bibliográfica en las principales bases de datos electrónicas, y una vez realizado un proceso de selección, se resumen los principales resultados de 197 artículos científicos publicados entre 1979 y 2012. Se comprueba la complejidad y la relevancia de la satisfacción sexual, la cual se asocia con: a) variables individuales, como ciertas características socio-demográficas, psicológicas, así como con el estado de salud físico y psicológico; b) variables vinculadas con la relación de pareja y con la respuesta sexual; c) factores relacionados con el apoyo social y relaciones familiares; y d) creencias y valores culturales como la religión. Como conclusión se puede señalar que la satisfacción sexual constituye un factor clave, tanto de la salud sexual como del bienestar general de las personas. No obstante, a pesar de su relevancia, se echan en falta modelos teóricos que aúnen los factores más importantes en la explicación de la satisfacción sexual.
This study of 535 older married couples examined the relationship between depression and health and sexual satisfaction directly and when mediated by communication. The sample included 535 older couples who completed a survey questionnaire known as Project Couple Retire. Among the items in the questionnaire were measures of depression, health, perception of sexual intimacy, communication and other demographic information. Results from Structural Equation Modeling indicated that for women, health was a significant predictor of sexual satisfaction. For both genders, the results suggest that depression, when mediated by communication, is a predictor of sexual satisfaction among older couples. Implications for clinicians are discussed.
This study extended the Interpersonal Exchange Model of Sexual Satisfaction (IEMSS) to short-term dating relationships. The IEMSS has been shown to have excellent validity for long-term heterosexual relationships. The IEMSS proposes that sexual satisfaction is greater to the extent that, over time, relationship satisfaction is high, levels of sexual rewards exceed levels of sexual costs, relative sexual reward levels exceed relative sexual cost levels, and interpersonal equality of sexual rewards and of sexual costs are perceived to exist. Fifty-one college men and 57 college women in a dating relationship of 3 to 36 months participated in the study. As predicted, more sexually satisfied individuals reported greater relationship satisfaction, a more favorable reward/cost ratio, a more favorable relative reward/relative cost ratio, and more equal rewards and costs between partners. Hierarchical regression analysis indicated that relationship satisfaction, the difference between relative rewards, relative costs and cost equality made unique contributions to the prediction of sexual satisfaction, accounting for 75 percent of the variance in sexual satisfaction. The model was shown to work equally well for men and women, for individuals new and less new to their relationship, and for high and low self-disclosers. The IEMSS offers a promising approach for investigating and understanding sexual satisfaction.
Aim. To apply and validate in Chilean population "The Female Sexual Function Index" (International Consensus Development Conference on Sexual Female Dysfunctions). Design and methods. 383 sexually active healthy women between 20-59 years, beneficiaries of the Center of Health "Carol Urzúa". Instrument: questionnaire of 19 questions, contained in six domains: desire, arousal, lubrication, orgasm, satisfaction and pain. Statistical analysis: We used ANOVA, Kruskall-Wallis, squared Chi, logistical regression and Cronbach's alpha correlation coefficient. Results. Mean age: 35.3±10.9 years, married (50.4%) or cohabit (17.0%), with middle education (48.2%). The internal consistency of the test was good (>0.70). The sexuality achieves its maximum expression between 35-40 years (score: 29.1±4.9) and declines afterwards (21.0±6.0), especially desire and arousal. After 44 years old the risk of sexual disfunction increases (OR:3.6, IC: 2.1-6.3, p
This review details a key innovation across the field of adolescent sexuality research over the last decade—conceptualizing sexuality as a normative aspect of adolescent development. Anchored in a growing articulation of adolescent sexuality as having positive qualities and consequences, we provide an organizing framework for understanding sexuality as normative and developmentally expected. Using this framework, we report on 3 specific areas of research that have developed “critical mass” over the past decade: new views on sexual behavior, sexual selfhood, and sexual socialization in the 21st century. We conclude by suggesting that the next step in the field of adolescent sexuality development is the explicit integration of “positive” dimensions of sexuality with risk management dimensions. Rather than navigating a binary between positive and risky, we propose characterizing the “both/and” quality of adolescent sexuality development as normative. This framework, we argue, encourages empirical research that assumes a wide range of strategies through which adolescents learn about themselves, their bodies, intimate partners, and relationships within contexts where they are required to both manage risks and develop positive patterns for adulthood sexuality. We conclude with considerations for future research and public policy.
To investigate the effects of hysterectomy and/or oophorectomy on sexual satisfaction.
Forty sexually active women underwent a hysterectomy and/or oophorectomy, for benign gynecological diseases. Patients were interviewed 15 days prior to their operation and again in the 3rd and 6th months after the surgical procedure. Depressive symptoms, anxiety symptoms and sexual satisfaction were measured by the Hamilton Depression Rating Scale, the Hamilton Anxiety Scale and the Golombock Rust Inventory of Sexual Satisfaction (GRISS), respectively. Repeated-measures analyses of variance (ANOVA) examined alterations in anxiety, depression and sexual satisfaction. Independent t-test and Mann-Whitney U tests compared the numerical data.
The women had mild depressive symptoms before the surgery; however, these symptoms lessened between 3 and 6 months after the surgery. Similarly, the level of anxiety symptoms decreased during the postoperative period. Based on the GRISS cut-off point, it was found that the patients had problems in the sub-dimensions of frequency, communication, and avoidance in the pre-operative period. This pre-existing sexual dissatisfaction continued after the surgery, and sensuality and anorgasmia problems increased. Satisfaction, sensuality, avoidance and anorgasmia GRISS scores were significantly higher after the operation than before. Therefore, the patients' sexual satisfaction was decreased after the operation.
Patients were dissatisfied with frequency and communication, and they had high levels of avoidance before operation. In the postoperative period, sexual dissatisfaction increased. Although depression and anxiety decreased after the operation, we found that hysterectomy and/or oophorectomy had negative effects on sexual satisfaction.
The development and bicultural validation of the New Sexual Satisfaction Scale (NSSS)--a 20 item, multidimensional, composite measure of sexual satisfaction--is presented. The development of the scale was based on a five-dimension, conceptual model that emphasized the importance of multiple domains of sexual behavior including sexual sensations, sexual awareness and focus, sexual exchange, emotional closeness, and sexual activity. Scale construction and validation were carried out using seven independent samples with over 2,000 participants aged 18 to 55 in Croatia and the United States. Primary data collection was completed using online survey tools. Analyses did not confirm the proposed conceptual framework but suggested a two-dimensional structure focusing on self ("ego-centered") and the other (a "partner- and sexual activity-centered" factor) domains, each containing items representing all five conceptual dimensions. Scale reliability (k = 20) was satisfactory for all samples, and construct validity was confirmed in both cultures. The NSSS was also found to have acceptable one-month stability. It is suggested that the NSSS may be a useful tool for assessing sexual satisfaction regardless of a person's gender, sexual orientation, and relationship status.
Comparisons of nationally representative survey data of the population ages 18-54 years in 1971 (N = 2252) and 1992 (N = 1718) from Finland show that sexual satisfaction has greatly increased particularly among women. Some predictors of sexual satisfaction of men and women are examined on the basis of the 1992 survey data on people ages 18-74 years (N = 2250). Correlations between social background factors, sexual ideas and assertiveness, optional relationships, sexual practices, organism, and satisfaction with sexual intercourse were calculated. To control the simultaneous effect of the variables explaining satisfaction, path analyses were conducted. Results show that young age, a sexually unreserved and a nonreligious childhood home, early start of sexual life, high education, sexual assertiveness, considering sexuality important in life, reciprocal feeling of love, use of sex materials, frequent intercourse, many-sided (versatile) sexual techniques, and frequent orgasm correlate with finding sexual intercourse pleasurable. There were some gender differences in the connections between the independent factors and satisfaction with coitus. The importance of sexuality in life, love, and the use of sexual materials were connected directly to physical sexual satisfaction among men but only indirectly among women. For women, but not for men, young age and early start of sexual life correlated with enjoyment of intercourse. The greater sexual dissatisfaction of women compared to men, which still prevails, may be due to their late start of sexual life, conservative sexual attitudes, unimportance of sexuality in life, lack of sexual assertiveness, and use of restricted sexual techniques. The emancipation of women may change these ideas and practices of women. This might lessen the gender gap in physical sexual satisfaction.
This study analyzed psychosocial variables of sexual satisfaction in Chile using data from the COSECON survey. Participants were 5,407 subjects (2,244 min and 3,163 women, aged 18-69 years). We used a cross-sectional questionnaire with a national probability sample. Data were collected using a thorough sexual behavior questionnaire consisting of 190 face-to-face questions and 24 self-reported questions. A single item included in the COSECON questionnaire assessed sexual satisfaction. Results showed that high education level, marital status, and high socioeconomic levels were associated with sexual satisfaction in women but not in men. The results also showed important gender differences and sustain the idea that sexuality changes may be more present in middle and high social classes. The proximal variables typically used for measuring sexual satisfaction, such as the frequency of sexual intercourse and orgasm, showed a positive but smaller association with sexual satisfaction. Other important variables related to sexual satisfaction were being in love with the partner and having a steady partner. The results confirmed previous findings and are discussed in the frame of approaches like the exchange, equity, and sexual scripts theories.
The purpose of the present investigation was to (a) develop a reliable self‐report questionnaire that assesses women's sexual satisfaction and (b) investigate the correlates of sexual satisfaction in women. A total of 275 college‐aged women completed the Pinney Sexual Satisfaction Inventory (PSSI) and were also assessed on a variety of sexual behaviors, experiences, and attitudes. The results supported the internal reliability of the PSSI, and evidence of covergent validity was provided by strong positive correlations between the PSSI and other measures of sexual satisfaction. A factor analysis revealed two underlying dimensions of the PSSI: General Sexual Satisfaction and Satisfaction with Partner. The variables that were most highly correlated with the PSSI were relationship commitment, orgasm consistency, frequency of intercourse, and effectiveness of contraceptive device. These findings have implications for further use of the PSSI in research and clinical practice.
Investigated the extent to which marital therapy would influence a couple's sexual relationship, using 20 couples who requested such therapy. The mean ages of husbands and wives were 30 and 27 yrs, respectively. Sexual functioning was not the couples' primary referral problem. Ss received 10 weekly sessions of marital therapy. Both partners completed an inventory of sexual satisfaction pre- and posttherapy. A significant improvement in the reported quality of the couples' sexual functioning was found, particularly for the frequency of sexual intercourse, communication, and sexual satisfaction. It is concluded that behavioral marital therapy alone may be effective in the treatment of sexual problems. (16 ref) (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Introduction:
The extent to which low sexual function or sexual dissatisfaction in women impacts on well-being remains uncertain, yet this is a critical issue in the controversy as to the benefits of pharmacotherapy for women seeking treatment for female sexual dysfunction. Aim. To explore the relationship between well-being and self-perceived satisfaction with sexual function in women and to determine if there is an independent effect of menopausal status or age.
Design:
A community-based cross-sectional study.
Patients:
A total of 421 women, aged 18 to 65 years were recruited from the community. Women were required to self-identify at study outset as being either satisfied or dissatisfied with their sexual life and be premenopausal or postmenopausal.
Main outcome measures:
Scores from the Psychological General Well-Being Index (PGWB), the Beck Depression Index (BDI) and a daily diary of sexual function.
Results:
A group of 349 women were included in the analysis. Total PGWB and domain scores of positive well-being and vitality were lower in dissatisfied women compared to satisfied women. PGWB total and domain scores of depressed mood, positive well-being and vitality were higher in older women. Menopause did not have an independent effect on well-being.
Conclusions:
Women who self-identify as having sexual dissatisfaction have lower psychological general well-being. These findings reinforce the importance of addressing sexual health and well-being in women as an essential component of their health care.
Patients with heart failure often suffer from depression. However, little is known about the influence of depression on sexual activity and satisfaction. This secondary analysis of descriptive cross-sectional data study examines the role of depression on sexual activity and sexual satisfaction in heart failure. Results highlight the need for acute care nurses to routinely screen for depression and sexual concerns in HF.
Sexual satisfaction is an important treatment objective for men with erectile dysfunction (ED).
To evaluate potential associations between International Index of Erectile Function (IIEF) satisfaction at study endpoint and a range of baseline, on-treatment, and endpoint variables.
An exploratory analysis was conducted involving 3,935 subjects with ED randomized to on-demand tadalafil (N = 2,824) or placebo (N = 1,111) in randomized, controlled trials across 28 countries. Patients achieving scores > or =16 on IIEF questions 7, 8, 13, and 14 at study endpoint were operationally defined as satisfied (vs. <16, not satisfied). Multivariate logistic regression and other analyses were conducted to ascertain correlates and potential predictors of improvements in the IIEF-erectile function domain (IIEF-EF).
Satisfaction on the IIEF at study endpoint, on-treatment improvements in IIEF-EF, and endpoint sexual frequency.
Patients who were satisfied with sexual function were on average younger and had less severe ED, a shorter history of the condition, and no history of vascular disorders, hypertension, or diabetes mellitus/insulin use at baseline (P < 0.01 vs. not satisfied for each). Satisfied patients were also more likely to experience a > or =4-point increase on the IIEF-EF domain on treatment (adjusted odds ratio [OR] = 22.4; 95% CI = 17.6-28.5; P < 0.0001) or IIEF-EF > or =26 at endpoint (adjusted OR = 41.0; 95% CI = 33.6-50.2; P < 0.0001). Satisfaction emerged as a strong correlate of a > or =4-point increase in the IIEF-EF on treatment; however, as a correlate of endpoint sexual frequency, baseline sexual frequency was stronger than endpoint satisfaction.
Satisfaction is associated with certain baseline, on-treatment, and endpoint variables in ED patients. Further studies are needed to confirm these preliminary findings and explore their meaning for female partners.
This study investigated the ability of maritally-adjusted couples, couples attaining a divorce, and couples in counseling to predict the rewarding effects of their behavior on their spouse. Twenty-six couples, five obtaining a divorce, nine in counseling, and twelve adjusted couples completed a Marital Interaction Questionnaire in which they rated how rewarding each of the behaviors depicted was to them. Then each member predicted how rewarding it was to their spouse. Behaviors depicting six areas of marital interaction were included in the questionnaire. The computed perceptual accuracy scores were analyzed by a three-way classification-Analysis of Variance (ANOVA)-for unequal n's. This analysis yielded a significant main effect of marital status and a significant interaction between marital status by sex of spouse and between marital status by area of interaction. The maritally-adjusted group was always more accurate than the other two groups in their predictions, however, they were significantly more accurate only for selected areas of interaction.
Using a step-wise multiple regression analysis, this study examined the role, in nondistressed marriages, of such sexual variables as frequency of sexual activity, number of orgasms, sexual desire, and sexual excitability in the prediction of female sexual satisfaction as compared to the role of such personality and relationship variables as sexual assertiveness, sexual attitudes (erotophobia-erotophilia), and relationship closeness. The findings suggest that individual and relationship variables (sexual assertiveness, erotophilia, and relationship closeness) aid in the prediction of female sexual satisfaction over and above what can be learned from knowing about the frequency of sexual activity, the number of orgasms a woman has, her level of sexual excitability, and how much she desired the sexual activity. Findings, methodological advances in the use of sex diaries, and limitations of the study are explored.
A large component of women's sexual desire is responsive rather than spontaneous. Therefore, women's motivation and ability to find and respond to sexual stimuli to experience sexual arousal and subsequent sexual desire is crucial, but complex. In ongoing relationships, a woman's motivation appears to be largely influenced by her emotional intimacy with her partner and her wish to enhance it. Drugs (including androgen replacement therapy) aimed at increasing women's spontaneous sexual wanting (less characteristic of women in long-term relationships) or their arousability may have a role if other psychologic factors affecting arousability are addressed in tandem. A woman's sexual arousal is composite and complex, correlating well with how mentally exciting she finds the sexual stimulus and its context and poorly with objective genital blood flow changes. Drugs aimed at increasing the latter, including phosphodiesterase inhibitors, may have a role if there is prior careful enquiry as to whether genital engorgement is present but not attended to or is physically absent. Psychophysiologic studies to date suggest the former is common in women presenting with arousal disorder.
Sex is important to quality of life. There are a number of questionnaires to measure sexual-function, but many lack applicability and usefulness to certain groups.
To identify questionnaires measuring sexual function, determine the domains most commonly assessed, and examine evidence for their usefulness in different populations.
Computerized literature search using Medline, PubMed and PsychLit, reference lists, and unpublished reports, published in English between 1957 and 2001. MESH terms included sexual function, sexual dysfunction, sexual satisfaction, quality of life, and questionnaire. Articles were excluded if the questionnaire did not measure sexual function from the patient perspective.
Questionnaires were grouped as general questionnaires that include a sexual function domain, and sexual-function-specific questionnaires. Questionnaires were evaluated for domains, applicability to different populations, and evidence for reliability, validity and responsiveness.
Literature search yielded 62 questionnaires, 57 which assessed sexual function from the patient perspective; 12 were general and 45 specific. Six domains were commonly represented, including interest and desire, satisfaction/quality of experience, excitement/arousal, performance, attitude/behavior, and relationship. Only 28% could be used in homosexual patients, and 52% were applicable to both genders; 57% were designed for use in chronic disease populations. Only nine questionnaires had evidence for both adequate reliability and validity.
Current measures of sexual functioning often exclude important domains, lack applicability to gender and sexual preference groups, or lack adequate testing of validity and testing in important populations. Future questionnaires should take into account these concerns.
This study examined the association between relationship satisfaction and sexual satisfaction over time to provide evidence about possible causal explanations for the association between two variables. Eighty-seven individuals in long-term relationships completed measures of sexual satisfaction and relationship satisfaction at 2 times 18 months apart. There was only limited evidence, based on exploratory analysis, to support either the hypothesis that changes in a relationship satisfaction lead to changes in sexual satisfaction or the hypothesis that changes in sexual satisfaction lead to changes in relationship satisfaction. However, sexual satisfaction and relationship satisfaction wer found to change concurrently. The quality of intimate communication accounted for part of the concurrent changes in relationship satisfaction and sexual satisfaction. I discuss the results in terms of the need to develop more complex models depicting the longitudinal associations between relationship satisfaction and sexual satisfaction.
Sexual satisfaction is an integral component of sexual health and well-being, yet we know little about which factors contribute to it among lesbian/bisexual women. To examine a proposed ecological model of sexual satisfaction, we conducted an internet survey of married heterosexual women and lesbian/bisexual women in committed same-sex relationships. Structural equation modeling included five final latent variables for heterosexual women and seven final latent variables for lesbian/bisexual women. Overall, results indicated that, for both groups of women, a similar constellation of factors (depressive symptoms, relationship satisfaction, sexual functioning, and social support) was related to sexual satisfaction. In lesbian/bisexual women, internalized homophobia was an additional factor. Contrary to expectations, the presence of children in the home and a history of childhood sexual abuse did not contribute significantly to the model for either group. Findings support the idea that gender socialization may influence sexual satisfaction more than socialization around sexual orientation. Additionally, given that for both groups of women relationship satisfaction explained a substantial amount of variance in sexual satisfaction, sexual concerns may be better addressed at the relationship than the individual level.
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