A Descriptive Analysis of Sexual Problems in Long-Term Heterosexual Relationships.

BACKGROUND: Although much research has described individual sexual dysfunctions, few studies to date have examined the types of problems that couples consider most significant in their sexual relationships. AIM: To clarify the types of relational sexual problems that are most common and most severe in the sexual lives of individuals in long-term romantic relationships. METHODS: A community sample of 117 mixed-sex couples completed this in-lab study. Members of each couple separately completed a demographics questionnaire and a measure of their relational sexual problems, the Sexual Problems Questionnaire (SPQ). Descriptive analyses (eg, examination of means, frequency counts) were conducted to determine the most common and severe sexual problems reported by participants. t-Tests were performed to examine gender differences in mean severity ratings for each SPQ item. Qualitative data were examined by conducting a frequency count on the SPQ items that participants reported to be most important in their sexual relationships. Results of all frequency counts were divided by the total sample size and are reported as percentages. MAIN OUTCOME MEASURES: Participants reported on the severity of their sexual problems using the 25-item SPQ. RESULTS: Quantitative analyses revealed that the most common and problematic sexual problems endorsed by both sexes were frequency of sex, sexual initiation, and showing interest. A frequency count of participants' qualitative reports also revealed that frequency of sex (women = 36%; men = 39%), sexual initiation (women = 33%; men = 32%), and showing interest (women and men = 25%) were the most important sexual issues for most individuals. CLINICAL IMPLICATION: The most pressing relational sexual problems for couples in long-term romantic relationships are consistent between sexes and pertain to the domain of sexual desire. STRENGTH & LIMITATIONS: The current study used an expanded measure of sexual problems, which allowed participants to report on a broad range of issues in their sexual relationships. The direction of such relational sexual problems (eg, desiring more or less sexual frequency) was not explored. CONCLUSION: The key problems in sexual relationships center on the theme of sexual desire, and men and women consider these issues to be problematic to a similar extent. Sutherland SE, Rehman US, Fallis EE. A Descriptive Analysis of Sexual Problems in Long-Term Heterosexual Relationships. J Sex Med 2019;16:701-710.

The Influence of Attachment Styles on Sexual Communication Behavior.

Attachment theory is one of the major theoretical frameworks for understanding romantic relationships. Attachment styles are formed through interactions with caregivers and shape an individual's expectations of subsequent interpersonal relationships. In this study, we examined how attachment styles influence participants' ability to communicate with their partners about problems in their sexual relationship. A community sample of 81 couples engaged in two video-recorded discussions, one representing an aspect of the couple's sexual relationship where the male partner wanted change and the second representing an aspect of the sexual relationship where the female partner wanted change. Conversations were then coded, with each person being rated on three positive communication dimensions (positive affect, offering solutions, and responsiveness) and three negative communication dimensions (hostility, negative affect, and unskilled communication behaviors). As predicted, attachment avoidance was related to more negative and less positive communication for both the individual and his or her partner. Our observational data did not reveal any significant effects of attachment anxiety on sexual communication. These results can be contrasted with findings from self-report studies that do suggest an anxious attachment adversely impacts sexual communication.

How Is Sexual Communication Different from Nonsexual Communication? A Moment-by-Moment Analysis of Discussions Between Romantic Partners.

Our goal was to investigate whether systematic differences exist in how couples discuss sexual versus nonsexual conflicts in their relationships and to explore the nature of these differences. We compared sexual and nonsexual conflict discussions on two key dimensions of interpersonal behavior: warmth and dominance. Past theoretical work suggests that there are unique barriers to sexual communication that lead partners to perceive such communication as being more threatening to the relationship and to the self (Metts & Cupach, 1989). Empirical findings have supported this perspective by demonstrating that sexual communication tends to be avoided by couples (e.g., Byers, 2011). Extending this notion further, we reasoned that relationship partners should behave in ways to mitigate the increased perceived threat associated with sexual communication, leading to observable differences in how couples navigate sexual versus nonsexual relationship conflicts. We recruited a sample of 115 couples in established relationships and asked each couple to engage in two recorded interactions: one sexual and one nonsexual conflict discussion. Subsequently, each partner was coded continuously on the two dimensions of warmth and dominance. We found a number of differences in how couples discussed sexual versus nonsexual conflicts. Further, couples reported higher levels of anxiety in advance of sexual, as compared to nonsexual, conflict discussions. However, anxiety did not mediate the observed differences in communication. The theoretical and clinical implications of these findings are discussed.

The longitudinal association of relationship satisfaction and sexual satisfaction in long-term relationships.

Several prominent models of relationship satisfaction and sexual satisfaction imply directional relationships between these constructs (e.g., attachment theory, social exchange models of relationship satisfaction, the interpersonal exchange model of sexual satisfaction). Previous research has demonstrated that sexual satisfaction and relationship satisfaction are distinct but correlated constructs, but relatively few studies have examined how they are related over time. Thus, the purpose of this study was to examine this association. A sample of heterosexual couples (N = 113) completed a longitudinal study spanning 2 years. At Times 1 and 2 they completed measures of relationship satisfaction and sexual satisfaction. Data were analyzed according to the principles of the actor-partner interdependence model using structural equation modeling. Significant actor effects were detected such that, for both men and women, one's own earlier sexual satisfaction predicted one's later relationship satisfaction. In contrast, one's own earlier relationship satisfaction did not significantly predict one's subsequent sexual satisfaction. Sexual satisfaction was a stronger predictor of subsequent relationship satisfaction for men than women. There were no significant partner effects. These results contribute to our theoretical understanding of sexuality and sexual satisfaction in the context of long-term relationships by providing support for theories that conceptualize sexual satisfaction as one factor that contributes to relationship satisfaction. (PsycINFO Database Record

An Interpersonal Investigation of Sexual Self-Schemas.

A sexual self-schema is a cognitive generalization about sexual aspects of the self. In the current study, we examined how an individual's sexual self-schema influenced the processing of self and partner related sexual information. Specifically, we investigated how sexual self-schemas related to own and partner sexual satisfaction and how they influenced perceptions of partner sexual satisfaction. Participants were 117 heterosexual couples in committed, long-term relationships. Both partners completed measures assessing their sexual self-schemas, their own sexual satisfaction, and perceptions of partner sexual satisfaction. Consistent with our predictions, own sexual schema was associated with own sexual satisfaction. For men, more positive sexual self-schemas were associated with greater sexual satisfaction, and for women, more negative sexual self-schemas were associated with lower sexual satisfaction. For both men and women, there was no significant association between own sexual self-schema and partner sexual satisfaction. Sexual self-schemas directly and indirectly influenced an individual's perception of the partner's sexual satisfaction, such that men and women with more positive sexual self-schemas rated their partners as more sexually satisfied, after controlling for the partner's self-reported level of sexual satisfaction. Our findings demonstrated that sexual self-schemas are relevant to own sexual satisfaction as well as the processing of interpersonally relevant sexual information, specifically one's perceptions of partner sexual satisfaction.

Perceptions of partner sexual satisfaction in heterosexual committed relationships.

Sexual script theory implies that partners' ability to gauge one another's level of sexual satisfaction is a key factor in determining their own sexual satisfaction. However, relatively little research has examined how well partners gauge one another's sexual satisfaction and the factors that predict their accuracy. We hypothesized that the degree of bias in partner judgments of sexual satisfaction would be associated with quality of sexual communication. We further posited that emotion recognition would ameliorate the biases in judgment such that poor communicators with good emotion recognition would make less biased judgments of partner satisfaction. Participants were 84 married or cohabiting heterosexual couples who completed measures of their own and their partners' sexual satisfaction, relationship satisfaction, quality of communication about sexual issues within their relationships, and emotion recognition ability. Results indicated that both men and women tended to be accurate in perceiving their partners' levels of sexual satisfaction (i.e., partner perceptions were strongly correlated with self-reports). One sample t-tests indicated that men's perceptions of their partners' sexual satisfaction were biased such that they slightly underestimated their partners' levels of sexual satisfaction whereas women neither over- nor underestimated their partners' sexual satisfaction. However, the gender difference was not significant. Bias was attenuated by quality of sexual communication, which interacted with emotion recognition ability such that when sexual communication was good, there was no significant association between emotion recognition ability and bias, but when sexual communication was poor, better emotion recognition ability was associated with less bias.

Development and validation of the response to sexual difficulties scale.

Leading models of sexual dysfunction, such as those proposed by Masters and Johnson (1970), Barlow (1986), and Janssen, Everaerd, Spiering, and Janssen (2000), emphasize the role of anxiety and self-monitoring in the development and persistence of sexual difficulties. These models have considerable explanatory power, but focus on the intrapersonal factors that yield anxiety and self-monitoring. Accounting for the interpersonal context in which sexual activity occurs is also likely to be important. For example, anxiety and self-monitoring may arise from negative, yet accurate, predictions about how one's partner will respond to one's own sexual functioning difficulties. The current studies describe the development and validation of the Response to Sexual Difficulties Scale (RSDS), which was designed to assess how one expects one's partner to respond to one's own sexual difficulties (RSDS-Own Difficulties) and how one expects oneself to respond to one's partner's sexual difficulties (RSDS-Partner Difficulties). Study 1 established the initial reliability and construct validity of the RSDS-Own Difficulties in a sample of adults in committed relationships (N = 59). Study 2 further examined the construct and discriminant validity of the RSDS Own Difficulties and Partner Difficulties in a sample of heterosexual couples (N = 87). Results indicated that both measures had strong internal consistency and were not redundant with measures of mood or personality. Scores on the RSDS-Own Difficulties and Partner Difficulties were strongly associated, indicating that reports of one's own response to one's partner's difficulty matched the partner's assessment of the reaction. RSDS scores predicted sexual functioning, relationship satisfaction, sexual satisfaction, and sexual communication. The RSDS may, then, provide a useful means of assessing the role of interpersonal factors in the development and persistence of sexual difficulties.

The importance of sexual self-disclosure to sexual satisfaction and functioning in committed relationships.

INTRODUCTION: Past research indicates that sexual self-disclosure, or the degree to which an individual is open with his or her partner about sexual preferences, is a key aspect of sexual satisfaction and that partner's lack of knowledge about one's sexual preferences is associated with persistent sexual dysfunction. AIMS: To replicate and extend past research by examining (i) how one's own levels of sexual self-disclosure are related to one's own sexual health (after controlling for partner's levels of sexual self-disclosure); (ii) how one's partner's levels of sexual self-disclosure are associated with one's own sexual health (after controlling for one's own levels of sexual self-disclosure); and (iii) whether gender moderates the associations between sexual self-disclosure and sexual health. MAIN OUTCOME MEASURES: Scores from the Golombok Rust Inventory of Sexual Satisfaction and the Sexual Communication Satisfaction Scale. METHODS: A cross-sectional dyadic study using a convenience sample of 91 heterosexual couples in long-term committed relationships. Data were analyzed using the Actor-Partner Interdependence Model. RESULTS: One's own level of sexual self-disclosure is positively associated with one's own sexual satisfaction, ß = -0.24, t(172.85) = -3.50, P < 0.001. Furthermore, partner's level of sexual self-disclosure is associated with men's sexual satisfaction but not with women's sexual satisfaction, ß = -0.45, t(86.81) = -4.06, P < 0.001 and ß = 0.02, t(87.00) = 0.20, ns, respectively. The association between own self-disclosure and sexual problems is stronger for women as compared with men, ß = -0.72, t(87.00) = -6.31, P < 0.001 and ß = -0.24, t(86.27) = -3.04, P < 0.01, respectively. CONCLUSIONS: Our results demonstrate that sexual self-disclosure is significantly associated with sexual satisfaction and functioning for both men and women, albeit in different ways. Our findings underscore the importance of sexual self-disclosure and highlight the importance of the interpersonal level of analysis in understanding human sexuality.

Marital satisfaction and communication behaviors during sexual and nonsexual conflict discussions in newlywed couples: a pilot study.

The way couples communicate during conflict discussions has been found to be a reliable predictor of marital satisfaction. However, in previous research, there has been little experimental control over the selection of topics. The present study examined, in a sample of 15 newlywed couples, whether affective displays during the discussion of a sexual and a nonsexual conflict topic differentially predict current marital satisfaction. Communication behaviors were coded using an adaptation of the Specific Affect Coding System, resulting in composite "negative behavior" and "positive behavior" categories. Data were analyzed using multilevel modeling. Negative behaviors displayed during the nonsexual conflict discussions were not significantly related to concurrent self-reported relationship satisfaction. In contrast, for wives, negative behaviors displayed during the discussion of a sexual problem were significantly related to lower levels of relationship satisfaction. For the sexual and nonsexual conflict discussions, positive behaviors were positively associated with relationship satisfaction, although this effect did not reach statistical significance. Overall, the authors' findings emphasize the importance of incorporating sexual variables in the study of marriage. Furthermore, their study represents an important step in recognizing that marital research benefits from an examination of specific topics of conflict as a factor to consider in studies of marital functioning.