Insecure attachment and support-seeking during COVID-19: a sequential mixed methods investigation.

The COVID-19 pandemic led many couples to stay at home together with minimal contact with others. As social distancing measures reduced contact with outside households, many partners could seek support only from one another. In two studies using a sequential mixed methods design, we investigated support-seeking behaviors in romantic relationships during COVID-19. In the qualitative study, semi-structured interviews (n = 48) showed differences in how and why partners seek support with an initial consideration of the role of attachment. We identified the following themes: direct support-seeking, indirect support-seeking, (in)dependence, and gender dynamics. In the quantitative study (n = 588), high COVID-19 worry, high attachment anxiety, and low attachment avoidance were associated with more support-seeking. Interestingly, we also found that when COVID-19 worry was high, individuals high in attachment avoidance were more likely to report seeking support. The paper provides a unique insight into the impact of COVID-19 on support-seeking behaviors in romantic relationships.

Women's strategies for navigating a healthy sex life post-sexual trauma.

Sexual trauma is common. Consequences of sexual trauma can include deterioration of mental and physical health and it can also affect future romantic and sexual relationships. Previous studies have identified common healthy and destructive coping mechanisms to recover after experiencing sexual trauma, but few studies have investigated useful strategies to move into a healthy sexual relationship focused on resilience. In-depth semi-structured interviews were conducted with 41 women with a history of sexual trauma who were in a healthy sexual relationship at the time of participation. Participants provided strategies that helped them move beyond the sexually traumatic event(s) toward a healthy sexual relationship. Reflexive thematic analysis identified 5 effective and 6 ineffective strategies reported by the participants. Rich examples of resilience and empowerment were overarching in the effective strategies used for moving toward healthy sexual relationships. Women were also able to reflect on the strategies that were ineffective for them with kindness and understanding for their coping at that time, a normalizing theme for women working through sexual trauma. The results of this study will help therapists and researchers working with women who have experienced sexual trauma learn from their experiences in working beyond trauma toward a healthy sexual relationship.

Are Digital Interventions the Next Frontier in Sex Therapy? A Mixed Methods Study Examining Attitudes toward Digital Sex Therapy.

Digital health interventions can address governments' aims of providing better care, better outcomes, and lower costs. No previous research has examined attitudes toward digital sex therapy to understand what might facilitate, or hinder, the uptake of these interventions. This sequential mixed-methods study with qualitative structured interviews (n = 27) followed by a quantitative survey (n = 334) aimed to understand participants' expectations and attitudes toward digital sex therapy interventions. Participants reported a mixture of positive and negative attitudes to digital sex therapy. More positive attitudes, higher education level, and previous engagement in therapy predicted greater openness to using these interventions.

Systematic review and theoretical comparison of children's outcomes in post-separation living arrangements.

The purpose of the systematic review was to synthesize the literature on children's outcomes across different living arrangements (nuclear families, shared physical custody [SPC], lone physical custody [LPC]) by extracting and structuring relevant theoretical hypotheses (selection, instability, fewer resources, and stressful mobility) and comparing the empirical findings against these hypotheses. Following the PRISMA guidelines, the review included 39 studies conducted between January 2010-December 2022 and compared the living arrangements across five domains of children's outcomes: emotional, behavioral, relational, physical, and educational. The results showed that children's outcomes were the best in nuclear families but in 75% of the studies children in SPC arrangements had equal outcomes. Children in LPC tended to report the worst outcomes. When compared with the different theoretical hypotheses, the results were the most consistent with fewer resources hypothesis which suggests that children especially in LPC families have fewer relational and economic resources whereas children in SPC families are better able to maintain resources from both parents.

Toward a causal link between attachment styles and mental health during the COVID-19 pandemic.

BACKGROUND: Recent research has shown that insecure attachment, especially attachment anxiety, is associated with poor mental health outcomes, especially during the COVID-19 pandemic. Other research suggests that insecure attachment may be linked to nonadherence to social distancing behaviours during the pandemic. AIMS: The present study aims to examine the causal links between attachment styles (secure, anxious, avoidant), mental health outcomes (depression, anxiety, loneliness) and adherence to social distancing behaviours during the first several months of the UK lockdown (between April and August 2020). MATERIALS & METHODS: We used a nationally representative UK sample (cross-sectional n = 1325; longitudinal n = 950). The data were analysed using state-of-the-art causal discovery and targeted learning algorithms to identify causal processes. RESULTS: The results showed that insecure attachment styles were causally linked to poorer mental health outcomes, mediated by loneliness. Only attachment avoidance was causally linked to nonadherence to social distancing guidelines. DISCUSSION: Future interventions to improve mental health outcomes should focus on mitigating feelings of loneliness. Limitations include no access to pre-pandemic data and the use of categorical attachment measure. CONCLUSION: Insecure attachment is a risk factor for poorer mental health outcomes.

Coparenting change after couple therapy using self-reports and observational data.

Parent couples are involved in a coparenting bond and in a romantic relationship. Research on couple therapy has mainly explored the impact of couple therapy on romantic relationships; however, little is known about how couple therapy affects the coparenting relationship. Self-reports of positive and negative coparenting and observed emotional behavior in coparenting-related conversation tasks were assessed pre- and posttherapy (6 months intervals) in 64 mixed-sex parental couples. Results showed that mothers and fathers reported more positive coparenting after therapy. There were no significant changes in the reported negative coparenting and in the emotional behavior. Exploratory analyses indicated gender differences in emotional expression. The findings suggest that fathers might have been more active in the coparenting conversation after therapy.

Beliefs and Attitudes Held Toward Sex Therapy and Sex Therapists.

There is a growing recognition that sexual problems can adversely impact health, well-being, and quality of life. Sex therapy provides individuals with an effective means of understanding, improving, and resolving their sexual difficulties. Yet, few individuals access a sex therapist when experiencing sexual difficulties and research on perceptions toward this service remains limited. The current study aimed to explore attitudes and beliefs held by a sample with a current or previous history of sexual problems toward sex therapy and therapists. A total of 27 individuals aged 19-53 participated in unmoderated structured interviews that were analyzed using reflexive thematic analysis. The results were organized into five categories, (1) overall perceptions of sex therapy, (2) when and for whom is sex therapy, (3) expectations, (4) beliefs about sex therapists, and (5) sources of beliefs. While the results indicated that participants held positive attitudes toward the service and about others seeking sex therapy, none had accessed sex therapy for their previous or current sexual problems. Numerous barriers relating to stigma, cost, and accessibility appeared to hinder the utilization of the service. The inaccurate and unrealistic beliefs about sex therapy and sex therapists highlight the need for increased education regarding the profession, which could reduce barriers and increase accessibility.

Spectral and cross-spectral analysis-A tutorial for psychologists and social scientists.

Social scientists have become increasingly interested in using intensive longitudinal methods to study social phenomena that change over time. Many of these phenomena are expected to exhibit cycling fluctuations (e.g., sleep, mood, sexual desire). However, researchers typically employ analytical methods which are unable to model such patterns. We present spectral and cross-spectral analysis as means to address this limitation. Spectral analysis provides a means to interrogate time series from a different, frequency domain perspective, and to understand how the time series may be decomposed into their constituent periodic components. Cross-spectral extends this to dyadic data and allows for synchrony and time offsets to be identified. The techniques are commonly used in the physical and engineering sciences, and we discuss how to apply these popular analytical techniques to the social sciences while also demonstrating how to undertake estimations of significance and effect size. In this tutorial we begin by introducing spectral and cross-spectral analysis, before demonstrating its application to simulated univariate and bivariate individual- and group-level data. We employ cross-power spectral density techniques to understand synchrony between the individual time series in a dyadic time series, and circular statistics and polar plots to understand phase offsets between constituent periodic components. Finally, we present a means to undertake nonparameteric bootstrapping in order to estimate the significance, and derive a proxy for effect size. A Jupyter Notebook (Python 3.6) is provided as supplementary material to aid researchers who intend to apply these techniques. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Comparison of Indirect and Direct Approaches to Identifying an Unfaithful Partner.

Infidelity has been operationalized inconsistently across studies, and measurement approaches have been employed that are not ideally suited for addressing the stigmatized and subjective nature of infidelity, thereby limiting the conclusions that can be drawn from this body of literature. In 2016, Thompson and O'Sullivan took a step toward addressing these shortcomings by implementing an indirect measurement approach. We extend their findings using a sample of 465 married and divorced individuals via MTurk. Substantially more participants reported having engaged in infidelity via the indirect approach than the direct approach, and results suggest that-in contrast to findings from direct questioning-similar percentages of men and women engage in self-defined infidelity. Implications for research and clinical practice are provided.

What Does It Mean to Be Responsive to a Partner's Sexual Needs? Toward a Definition of Sexual Need Responsiveness.

Being responsive to a partner's sexual needs in relationships (i.e., sexual need responsiveness) is associated with higher sexual and relationship satisfaction. Previous research has focused on researcher-led definitions of sexual need responsiveness. The purpose of the present study was to develop a participant-informed definition of sexual need responsiveness. A total of 305 individuals responded to five open-ended questions concerning the definition and behaviors pertaining to sexual need responsiveness. The content analysis results showed that the most common elements in participants' definition included listening to and accommodating each other's sexual needs and wishes whenever possible, while respecting both partners' safety and boundaries. Both verbal and non-verbal communication in various forms was used to express and share needs with partners and participants often evaluated responsiveness in terms of their sexual satisfaction. The results provide a participant-informed definition of sexual need responsiveness and can be used to inform research and clinical practice.

Successful negotiation of goal conflict between romantic partners predicts better goal outcomes during COVID-19: A mixed methods study.

When romantic partners' personal goals conflict, this can negatively affect personal goal outcomes, such as progress. In a concurrent mixed methods study, we investigated whether goal conflict and negation of goal conflict were associated with goal outcomes (progress, confidence, motivation) and what strategies partners used during the COVID-19 pandemic to negotiate goal conflict. Survey participants (n = 200) completed a daily diary for a week and weekly longitudinal reports for a month and interview participants (n = 48) attended a semi-structured interview. Results showed that higher goal conflict was associated with lower goal outcomes, and successful negotiation of goal conflict was associated with better goal outcomes. Qualitative analyses identified three goal conflict negotiation strategies (compromise, integration, concession). Conversations focused on both practical and emotional needs and included respectful communication and space from conflict (timeout or avoidance). The mixed methods results suggest that goal conflict was low during the pandemic and participants were often able to negotiate goal conflict resulting in better goal outcomes.

Adapting to change: How has COVID-19 affected people's work and personal goals?

COVID-19 has had a devastating impact on the global economy and affected millions of people's work and personal lives across the world. The purpose of the present study was to better understand how individuals' work and personal goals have been affected by the pandemic and how they have adapted to these changes. We conducted qualitative semi-structured interviews (n = 48) and surveyed participants (n = 200) weekly for 5 weeks. Both methods revealed similar themes regarding the adaptation and pursuit of goals (social support, handling unpredictable situations, logistics, solving problems creatively, goal postponement, and no changes). Survey responses also showed that most individuals experienced their goals as more difficult (79%; 13% easier; 9% no change) and found that many had had to adapt or postpone their work and personal goals, often due to logistical difficulties. Businesses and governments should do more to help individuals adapt their goals to the new circumstances.

Is Infidelity Predictable? Using Explainable Machine Learning to Identify the Most Important Predictors of Infidelity.

Infidelity can be a disruptive event in a romantic relationship with a devastating impact on both partners' well-being. Thus, there are benefits to identifying factors that can explain or predict infidelity, but prior research has not utilized methods that would provide the relative importance of each predictor. We used a machine learning algorithm, random forest (a type of interpretable highly non-linear decision tree), to predict in-person and online infidelity across two studies (one individual and one dyadic, N = 1,295). We also used a game theoretic explanation technique, Shapley values, which allowed us to estimate the effect size of each predictor variable on infidelity. The present study showed that infidelity was somewhat predictable overall and interpersonal factors such as relationship satisfaction, love, desire, and relationship length were the most predictive of online and in person infidelity. The results suggest that addressing relationship difficulties early in the relationship may help prevent infidelity.

Attachment anxiety predicts worse mental health outcomes during COVID-19: Evidence from two studies.

COVID-19 has resulted in a mental health crisis across the globe. Understanding factors that may have increased individuals' risk of poor mental health outcomes is imperative. Individual differences in attachment styles have been shown to predict poorer mental health outcomes and insecure individuals struggle to cope with stressful situations. Therefore, we extended past research by examining whether higher attachment insecurity (anxiety and avoidance) predicted worse mental health over time during the COVID-19 pandemic. Study 1 examined mood and mood fluctuations daily over a week in the beginning of lockdown and depression and anxiety weekly over a five-week period (n = 200). Study 2 examined depression and anxiety before and during the pandemic (n = 100 couples). As predicted, individuals higher (vs. lower) in attachment anxiety, but not avoidance, reported greater depression and anxiety during the pandemic in both studies. Individuals lower in attachment anxiety experienced an improvement in mental health over time in Study 1 suggesting that more secure individuals may recover more quickly from the initial change in circumstances. Attachment styles did not significantly predict mood or mood fluctuations. Attachment anxiety is likely to be a risk factor for poor mental health outcomes during COVID-19.

Uncovering the Most Important Factors for Predicting Sexual Desire Using Explainable Machine Learning.

BACKGROUND: Low sexual desire is the most common sexual problem reported with 34% of women and 15% of men reporting lack of desire for at least 3 months in a 12-month period. Sexual desire has previously been associated with both relationship and individual well-being highlighting the importance of understanding factors that contribute to sexual desire as improving sexual desire difficulties can help improve an individual's overall quality of life. AIM: The purpose of the present study was to identify the most salient individual (eg, attachment style, attitudes toward sexuality, gender) and relational (eg, relationship satisfaction, sexual satisfaction, romantic love) predictors of dyadic and solitary sexual desire from a large number of predictor variables. METHODS: Previous research has relied primarily on traditional statistical models which are limited in their ability to estimate a large number of predictors, non-linear associations, and complex interactions. We used a machine learning algorithm, random forest (a type of highly non-linear decision tree), to circumvent these issues to predict dyadic and solitary sexual desire from a large number of predictors across 2 online samples (N = 1,846; includes 754 individuals forming 377 couples). We also used a Shapley value technique to estimate the size and direction of the effect of each predictor variable on the model outcome. OUTCOMES: The outcomes included total, dyadic, and solitary sexual desire measured using the Sexual Desire Inventory. RESULTS: The models predicted around 40% of variance in dyadic and solitary desire with women's desire being more predictable than men's overall. Several variables consistently predicted dyadic sexual desire such as sexual satisfaction and romantic love, and solitary desire such as masturbation and attitudes toward sexuality. These predictors were similar for both men and women and gender was not an important predictor of sexual desire. CLINICAL TRANSLATION: The results highlight the importance of addressing overall relationship satisfaction when sexual desire difficulties are presented in couples therapy. It is also important to understand clients' attitudes toward sexuality. STRENGTHS & LIMITATIONS: The study improves on existing methodologies in the field and compares a large number of predictors of sexual desire. However, the data were cross-sectional and there may have been variables that are important for desire but were not present in the datasets. CONCLUSION: Higher sexual satisfaction and feelings of romantic love toward one's partner are important predictors of dyadic sexual desire whereas regular masturbation and more permissive attitudes toward sexuality predicted solitary sexual desire. Vowels LM, Vowels MJ, Mark KP. Uncovering the Most Important Factors for Predicting Sexual Desire Using Explainable Machine Learning. J Sex Med 2021;18:1198-1216.

Partner support and goal outcomes during COVID-19: A mixed methods study.

During the COVID-19 pandemic, people have been stuck indoors with their partners for months. Having a supportive partner is likely to be especially important during this time when access to outside sources of support is limited. The present mixed-methods study aimed to investigate how partner support is associated with goal outcomes during COVID-19. The survey participants (n = 200) completed a daily diary for a week and five weekly longitudinal reports, and 48 participants attended a semi-structured interview. The quantitative results showed that higher relational catalyst support (i.e., support for growth opportunities) predicted better goal outcomes; qualitative analyses revealed partners use direct and indirect forms of emotional and instrumental support toward goal pursuit. This is important because most studies to date have not differentiated between direct and indirect forms of support. Overall, the findings suggest that having a supportive partner is important for not only surviving, but also thriving through the pandemic.

Attachment styles, negotiation of goal conflict, and perceived partner support during COVID-19.

Due to the pandemic, people have been stuck indoors with their partners for months. Instead of being able to rely on multiple sources of support, many couples have to rely on each other more. We investigated whether goal conflict, successful negotiation of the conflict, and individual differences in attachment styles were associated with perceived partner support to understand factors that may enable or hinder goal pursuit during the pandemic. Participants (n = 200) completed a daily diary for a week and weekly longitudinal reports for five weeks. Results showed that higher goal conflict predicted perception of less relational catalyst (RC) support and more anti-RC support from partner, whereas more successful negotiation of goal conflict predicted higher RC support and lower anti-RC support. Attachment avoidance was directly associated with less support whereas attachment anxiety moderated the relationship between goal conflict and support. Implications for partner support during the pandemic are discussed.

Ebbs and Flows of Desire: A Qualitative Exploration of Contextual Factors Affecting Sexual Desire in Bisexual, Lesbian, and Straight Women.

Previous research has found that sexual desire ebbs and flows over time within and across relationships, leading to instances of desire discrepancy. The purpose of the present study was to understand factors that may contribute to desire and desire discrepancy and examine differences and similarities across women from diverse sexual identity groups. The present qualitative study involved semi-structured interviews with 31 women (10 bisexual, 8 lesbian, and 13 straight). We identified six main themes (changes across lifespan, hormonal influences, mental and physical health, objective of desire, partner dynamics, external factors) with 21 subthemes. The findings showed more similarities between the women than differences.

Strategies for Mitigating Sexual Desire Discrepancy in Relationships.

Sexual desire discrepancy, when one member of a couple experiences more or less sexual desire relative to their partner, is among the main reasons for couples to seek therapy. A great deal of prior research has examined the complexity of sexual desire and the role of sexual desire discrepancy in long-term relationships, but little research has specifically examined strategies used to mitigate sexual desire discrepancy when it arises. Thus, the purpose of the present mixed methods study was to identify the strategies that individuals in long-term relationships use during times of desire discrepancy and to address whether the use of specific strategies influenced sexual and relationship satisfaction and sexual desire. We collected data from 229 participants and our thematic content analysis produced 17 strategies, divided into five main groups (disengagement, communication, engagement in activity alone, engagement in other activity with partner, and have sex anyway). Specific strategies were associated with sexual and relationship satisfaction but not with sexual desire. Specifically, partnered strategies were associated with higher levels of sexual and relationship satisfaction compared to individual strategies. Additionally, participants who reported that their strategies were very helpful had higher levels of sexual and relationship satisfaction compared to participants who found them somewhat helpful followed by not at all helpful. These results have implications for clinicians, educators, and researchers and highlight the importance of using effective strategies to deal with desire discrepancy and communicating about them in relationships. The use of effective strategies can have implications for overall couple well-being.

"Not Tonight, Honey:" Reasons Couples Do Not Engage in Sex and Their Impact on Satisfaction and Desire.

INTRODUCTION: Sexual activity is an important aspect of most romantic relationships. However, many couples report declines in sexual activity over time and report many reasons for not engaging in sexual activity on a daily basis. AIM: To investigate the reasons for not engaging in sexual activity in couples over a month and whether these reasons are associated with sexual and relationship satisfaction and sexual desire. METHODS: We collected 30-day daily electronic report data from 174 individuals (87 mixed-sex couples). The responses between men and women were analyzed using chi-squared tests, and we used multilevel modeling to examine the association between the reasons and satisfaction and desire. MAIN OUTCOME MEASURE: The main outcome measure includes daily sexual satisfaction, relationship satisfaction, and sexual desire. Daily reported reasons for not engaging in sexual activity are categorized into joint reason, self-based reason, partner-based reason, and other reasons. RESULTS: Men and women were equally likely to endorse joint reasons for not engaging in sexual activity (eg, "It just didn't happen"), whereas women were more likely to endorse self-based reasons (eg "I wasn't in the mood") and men partner-based reasons (eg "My partner was tired"). The reasons for not engaging in sexual activity were associated with daily sexual and relationship satisfaction and daily sexual desire. Higher baseline sexual desire was associated with a greater likelihood of endorsing partner-related reasons and smaller likelihood of endorsing self-related reasons. Higher baseline sexual satisfaction was associated with a decreased likelihood of reporting partner-based reasons, and higher baseline relationship satisfaction was associated with an increased likelihood of reporting joint reasons. Some of the other associations were significant only for men or women. CLINICAL IMPLICATIONS: Results inform couples' therapy and other clinical interventions and highlight the importance of addressing the reasons for not engaging in sexual activity to find ways of mitigating some of these reasons. STRENGTH & LIMITATIONS: The study was the first to date to address reasons for not engaging in sexual activity in a sample of couples in an experience-sampling study. However, our scope was limited to mixed-sex couples who were primarily white and heterosexual, and we only addressed reasons for not engaging in partnered sex (not solitary sex). CONCLUSION: The reasons for not engaging in sexual activity seem different for men and women and are associated with sexual and relationship satisfaction and sexual desire, and this link appears to be bidirectional. Mark KP, Vowels LM, Leistner CE. "Not Tonight, Honey:" Reasons Couples Do Not Engage in Sex and Their Impact on Satisfaction and Desire. J Sex Med 2020;17:431-441.