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The Interplay of Worry and Relationship Satisfaction to Understand Sexual Distress: An APIM Study with Heterosexual Couples Using Cross-Sectional Data

2024/08/26 by Edna M. Martins, Patrícia M. Pascoal, Andreia A. Manão +1 · 3 citations
Health Professions · Medicine · Psychology · Social Sciences · #Adolescent Sexual and Reproductive Health #Anxiety #Clinical psychology #Cross-sectional study #Developmental psychology #Distress #Gender Roles and Identity Studies #Human sexuality #Medicine #Psychiatry #Psychology #Sexual function and dysfunction studies #Sexual relationship #Social psychology #Worry #Young adult

paper · doi:10.1080/0092623x.2024.2391390

published in Journal of Sex & Marital Therapy 50(7), 878-893 (Routledge)

openalex publication_date 2024/08/26 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/22

Abstract

The current study takes an integrative approach, considering individual transdiagnostic processes and relationship outcomes. It assumes an interdependence approach and aims to test a dyadic model to analyze the impact of worry and relationship satisfaction on heterosexual couples' sexual -distress, an essential factor for diagnosing sexual dysfunction. The current study recruited 103 couples from the community to complete an online survey containing the Female Sexual Distress Scale-Revised, the Penn State Worry Questionnaire - Abbreviated, and the Global Measure of Relationship Satisfaction. The results show that women's and men's worries are associated with their own sexual distress, and men's relationship satisfaction has an effect on their own and their partner's sexual distress. These results highlight the critical role of cognitive processes in shaping the experience of sexual distress and reinforce the importance of taking an integrative perspective that considers relationship (satisfaction), individual (worry) and social factors (gender) in interventions to treat sexual distress.

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