Journal articles: 'Sexual difficulties'

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Bonierbale, M. "From sexual difficulties to sexual dysfunctions (SD)." Sexologies 18, no. 1 (January 2009): 10–13. http://dx.doi.org/10.1016/j.sexol.2008.07.005.

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Silva, Padmal. "Management of male sexual difficulties." British Journal of Clinical Psychology 32, no. 4 (November 1993): 513–14. http://dx.doi.org/10.1111/j.2044-8260.1993.tb01087.x.

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Silva, Padmal. "Management of female sexual difficulties." British Journal of Clinical Psychology 33, no. 1 (February 1994): 115–16. http://dx.doi.org/10.1111/j.2044-8260.1994.tb01101.x.

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Graham, Cynthia A., Aleksandar Štulhofer, Theis Lange, Gert Martin Hald, Ana A. Carvalheira, Paul Enzlin, and Bente Træen. "Prevalence and Predictors of Sexual Difficulties and Associated Distress Among Partnered, Sexually Active Older Women in Norway, Denmark, Belgium, and Portugal." Archives of Sexual Behavior 49, no. 8 (June 12, 2020): 2951–61. http://dx.doi.org/10.1007/s10508-020-01742-7.

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Abstract There has been little comparative, cross-cultural research on sexual difficulties and associated distress, and factors associated with these, among older women. Therefore, the aim of this study was to investigate prevalence rates of sexual difficulties, distress related to these difficulties, and associated sociodemographic, relational, and health factors, among sexually active older women (60–75 years) in committed relationships across four European countries (Norway, Denmark, Belgium, and Portugal). These data could inform us about what differentiates women who do and do not experience distressing sexual difficulties and facilitate the identification of older women who might benefit from clinical interventions as well as the development of new interventions. In total, 1057 women (357 Norwegian; 322 Danish; 237 Belgian; 141 Portuguese) completed a cross-sectional questionnaire assessing six sexual difficulties—vaginal dryness, orgasmic difficulties, lacking interest in sex, lacking enjoyment in sex, pain during sex, and no excitement/arousal during sex—and associated distress. We found a high prevalence of sexual difficulties lasting 3 months or longer in the past year (between 23.5 and 50.2%, depending on the specific difficulty). With the exception of vaginal dryness and pain during sex, however, the majority of women reporting sexual difficulties (50.0% to 86.1%, depending on the specific difficulty) reported no or mild distress. There were relatively few cross-country differences, either in the prevalence of sexual difficulties or related distress. Few sociodemographic or health variables were associated with distressing sexual difficulties, but higher sexual intimacy, higher emotional intimacy, and better mental health were associated with less distress about some sexual difficulties. The findings underline the importance of healthcare professionals asking older women about sexual function and especially associated distress, and suggest that careful attention to the psychological and relationship context of these sexual difficulties is needed, as these could be important targets in the treatment process.

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Lordello, Maria Claudia, Suzane Holzhacker, Lilian Macri, Laise Veloso, Zelia Macedo, Nina Batista, and Ivaldo Silva. "Psychosocial Difficulties and Female Sexual Dysfunctions." Journal of Sexual Medicine 14, no. 5 (May 2017): e337. http://dx.doi.org/10.1016/j.jsxm.2017.04.595.

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Ambler, Nicholas, Amanda C. de C Williams, Patrick Hill, Rachel Gunary, and Gina Cratchley. "Sexual Difficulties of Chronic Pain Patients." Clinical Journal of Pain 17, no. 2 (June 2001): 138–45. http://dx.doi.org/10.1097/00002508-200106000-00006.

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Cacchioni, Thea, and Carol Wolkowitz. "Treating women’s sexual difficulties: the body work of sexual therapy." Sociology of Health & Illness 33, no. 2 (January 17, 2011): 266–79. http://dx.doi.org/10.1111/j.1467-9566.2010.01288.x.

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Watson, Erin, Robin R. Milhausen, Jessica Wood, and Scott Maitland. "Sexual Motives in Heterosexual Women With and Without Sexual Difficulties." Journal of Sex & Marital Therapy 43, no. 2 (January 6, 2016): 110–20. http://dx.doi.org/10.1080/0092623x.2015.1124303.

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Paul, Victoria, and Ana Carvalheira. "The relevance of the SESII-W/M in establishing a relationship between sexual difficulties and sexual excitation/inhibition." Psychology, Community & Health 8, no. 1 (June 11, 2019): 27–44. http://dx.doi.org/10.5964/pch.v8i1.255.

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Aims The main purpose of this study is to analyse the relationship between sexual difficulties and factors of sexual arousal, excitement, and sexual inhibition among men and women. Method A total of 1,878 participants, of whom 983 were men (52%) and 895 were women (48%), with a mean age of 35.9 years (SD = 11.9; range = 18-79), were recruited online. The study’s instruments included a socio-demographic questionnaire, a questionnaire about sexual difficulties, and the Sexual Excitation/Sexual Inhibition Inventory for Women and Men (SESII-W/M). Results Women with and without sexual difficulties differed significantly on all subscales of the SESII-W/M. Men with sexual difficulties scored significantly higher in the dimensions of Inhibitory Cognitions and the Dyadic Elements of the Sexual Interaction than men without difficulties. Inhibitory Cognitions was the strongest predictor of sexual difficulties for both men and women. Relationship Importance was also a strong predictor of sexual difficulties in women. Conclusions Sexual inhibition serves as a predictor of sexual difficulties. The SESII-W/M seems to work better in determining the factors of sexual inhibition as predictors of sexual difficulties among women, than in identifying causes of sexual difficulties among men.

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Morais, Hugo B., Apryl A. Alexander, Rebecca L. Fix, and Barry R. Burkhart. "Childhood Sexual Abuse in Adolescents Adjudicated for Sexual Offenses: Mental Health Consequences and Sexual Offending Behaviors." Sexual Abuse 30, no. 1 (January 19, 2016): 23–42. http://dx.doi.org/10.1177/1079063215625224.

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Most studies on the mental health consequences of childhood sexual abuse (CSA) focus predominantly on CSA survivors who do not commit sexual offenses. The current study examined the effects of CSA on 498 male adolescents adjudicated for sexual offenses who represent the small portion of CSA survivors who engage in sexual offenses. The prevalence of internalizing symptoms, parental attachment difficulties, specific sexual offending behaviors, and risk for sexually offending were compared among participants with and without a history of CSA. Results indicated that participants with a history of CSA were more likely to be diagnosed with major depression and posttraumatic stress disorder than those who did not report a history of CSA. A history of CSA was also positively correlated with risk for sexually offending and with specific offense patterns and consensual sexual behaviors. No significant differences emerged on parental attachment difficulties. These results highlight that adolescents adjudicated for sexual offenses with a history of CSA present with differences in sexual and psychological functioning as well as markedly different offending patterns when compared with those without a CSA history. Clinical implications and future directions are discussed.

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Tripp, Dean A., Madelaine Gierc, Phylicia Verrault, Katherine Fretz, Mark Ropeleski, and Michael Beyak. "Sexual difficulties in patients with inflammatory bowel disease (IBD): results of a 2-year study." Gastrointestinal Nursing 18, no. 6 (July 2, 2020): 34–42. http://dx.doi.org/10.12968/gasn.2020.18.6.34.

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Background: Sexual difficulties are common in individuals with inflammatory bowel disease (IBD). Aims: This study aimed to document sexual difficulties in IBD; to investigate longitudinal patterns in these difficulties; and to identify biopsychosocial factors that may serve as predictors of these difficulties. Methods: A longitudinal study was conducted, with IBD outpatients completing three questionnaires across 2 years. Items assessed biopsychosocial variables (e.g., age, PHQ-9, Multidimensional Scale of Perceived Social Support) and sexual difficulties (Golombok-Rust Inventory of Sexual Satisfaction). Findings: Patients reported a moderate level of sexual difficulties, with 17.5–74.5% exceeding the threshold of clinical significance across domains. No significant changes in sexual difficulties occurred across the study period. Biopsychosocial factors accounted for up to 25.2% of the variance in sexual difficulties, with age, depressive symptoms, pain-related disability, perceived social support, and optimism associated with these difficulties in the hypothesised directions. Conclusions: Patients reported significant sexual difficulties in several domains, with a high degree of stability over time. Biopsychosocial factors were associated with reported sexual difficulties, particularly older age and lower perceived social support. These factors are suggested as targets for intervention research.

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Adamyan, L. V., E. V. Sibirskaya, S. M. Sharkov, A. K. Fayzulin, A. N. Medvedeva, and A. D. Minakova. "DIFFICULTIES IN DIAGNOSING DISORDERS OF SEXUAL DEVELOPMENT." Russian Journal of Pediatric Surgery 23, no. 1 (April 4, 2019): 44–47. http://dx.doi.org/10.18821/1560-9510-2019-23-1-44-47.

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Deterioration of sexual development is one of the actual problems, namely, the difficulty of its diagnosis, because there is no universal Protocol that would be recommended for all cases of sexual dysfunction. An important problem is that there is a considerable number of diagnostic methods, but the specificity and effectiveness vary in a wide range. Diagnostic laparoscopy and genetic testing, including chromosomal analysis, comparative genomic hybridization (CGH), FISH to determine SRY, are among the most effective diagnostic methods that can be used to verify pathology that may not be detected by routine methods. Timely diagnosis is extremely important due to the fact that the sooner the violation is verified, the sooner the correct gender is delivered to the patient and the appropriate correction is made for him. It must be remembered that patients with impaired sex formation have the risk of malignancy of the gonads. This article presents a clinical case of diagnosis and management of a patient with impaired sexual development at the age of 1 year and 6 months, showing how important a comprehensive diagnostic examination is, as well as diagnostic methods for making a correct diagnosis.

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Brown, Hilary. "Sexual issues for people with learning difficulties." Nursing Standard 7, no. 12 (December 9, 1992): 54–55. http://dx.doi.org/10.7748/ns.7.12.54.s62.

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Laganà, Luciana, Catherine Classen, Rebecca Caldwell, Elizabeth Lloyd McGarvey, Lora D. Baum, Erin Cheasty, and Cheryl Koopman. "Sexual Difficulties of Patients With Gynecological Cancer." Professional Psychology: Research and Practice 36, no. 4 (2005): 391–99. http://dx.doi.org/10.1037/0735-7028.36.4.391.

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McCabe, Marita P., and Catherine Connaughton. "Psychosocial Factors Associated with Male Sexual Difficulties." Journal of Sex Research 51, no. 1 (July 16, 2013): 31–42. http://dx.doi.org/10.1080/00224499.2013.789820.

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Zwickl, Savannah, and Gareth Merriman. "The association between childhood sexual abuse and adult female sexual difficulties." Sexual and Relationship Therapy 26, no. 1 (January 28, 2011): 16–32. http://dx.doi.org/10.1080/14681994.2010.530251.

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Moreira, Edson D., Dale B. Glasser, Rosie King, Fernanda Gross Duarte, Clive Gingell, and for the GSSAB Investigators' Group. "Sexual difficulties and help-seeking among mature adults in Australia: results from the Global Study of Sexual Attitudes and Behaviours." Sexual Health 5, no. 3 (2008): 227. http://dx.doi.org/10.1071/sh07055.

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Background: The Global Study of Sexual Attitudes and Behaviours was a survey of 27 500 men and women in 29 countries. Here we report the sexual activity, the prevalence of sexual difficulties and related help-seeking behaviour among participants in Australia. Methods: A telephone survey was conducted in Australia in 2001–2002, with interviews based on a standardised questionnaire. A total of 1500 individuals (750 men and 750 women) aged 40 to 80 years completed the survey. The questionnaire covered demographic information, overall health, and sexual behaviours, attitudes and beliefs. Results: Overall, 83% of men and 74% of women had engaged in sexual intercourse during the 12 months preceding the interview, and 38% of all men and 29% of all women engaged in sexual intercourse more than once a week. Early ejaculation (23%), erectile difficulties (21%) and a lack of sexual interest (18%) were the most common male sexual difficulties. The most frequently reported female sexual difficulties were: lack of sexual interest (33%), lubrication difficulties (26%) and an inability to reach orgasm (25%). Older age was a significant predictor of male erectile difficulties and of lubrication difficulties in women. Only a minority of men and women had sought help for their sexual difficulty(ies) from a health professional. Conclusions: Many middle-aged and older adults in Australia report continued sexual interest and sexual activity. Several sexual difficulties are highly prevalent in this population, but those experiencing these difficulties rarely seek medical help. This may be because they do not perceive such difficulties as serious or sufficiently upsetting.

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Buchanan, Ann, and Robert Wilkins. "Sexual abuse of the mentally handicapped: difficulties in establishing prevalence." Psychiatric Bulletin 15, no. 10 (October 1991): 601–5. http://dx.doi.org/10.1192/pb.15.10.601.

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That adults with mental handicap∗ are particularly vulnerable to sexual exploitation is not new, although relatively unacknowledged or investigated. Indeed successive acts under the mental health legislation have sought to protect them, particularly those with severe mental handicap. With the growing awareness and identification of sexual abuse of children, and the growing knowledge of the long-term psychological effects (Jehu, 1989), which may be even more severe for people who have disabilities (Kennedy, 1990; Sinason, 1989), it has been acknowledged that not only are the mentally handicapped particularly vulnerable to abuse (Benedict et al, 1990), but the problem may well be seriously underestimated by those working in management positions (Brown & Craft, 1989). While it is recognised that the mentally handicapped have rights and need to express their sexuality, they also have the right not to be exploited or abused. We therefore need to know more about the numbers, indicators and circumstances where this group may be sexually abused and to develop policies, systems and training to protect them (Brown & Craft, 1989). This pilot study was a step in this process.

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McCarthy, Michelle. "Learning Difficulties and Sexual Vulnerability: A Social Approach." Journal of Applied Research in Intellectual Disabilities 25, no. 3 (April 9, 2012): 288. http://dx.doi.org/10.1111/j.1468-3148.2011.00645.x.

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Potter, Jennifer E. "A 60-Year-Old Woman With Sexual Difficulties." JAMA 297, no. 6 (February 14, 2007): 620. http://dx.doi.org/10.1001/jama.297.6.620.

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Fyson, R. "Learning Difficulties and Sexual Vulnerability: A Social Approach." British Journal of Social Work 41, no. 7 (October 1, 2011): 1412–14. http://dx.doi.org/10.1093/bjsw/bcr150.

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Walmsley, Jan. "Learning Difficulties and Sexual Vulnerability: A Social Approach." British Journal of Learning Disabilities 39, no. 3 (August 4, 2011): 252. http://dx.doi.org/10.1111/j.1468-3156.2011.00699.x.

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Callus, Anne-Marie. "Learning difficulties and sexual vulnerability: a social approach." Disability & Society 27, no. 2 (March 2012): 296–99. http://dx.doi.org/10.1080/09687599.2011.653105.

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McCormick, Naomi B., and Robert K. Vinson. "Sexual Difficulties Experienced by Women with Interstitial Cystitis." Women & Therapy 7, no. 2-3 (November 23, 1988): 109–19. http://dx.doi.org/10.1300/j015v07n02_09.

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White, I. D. "Sexual Difficulties after Pelvic Radiotherapy: Improving Clinical Management." Clinical Oncology 27, no. 11 (November 2015): 647–55. http://dx.doi.org/10.1016/j.clon.2015.06.018.

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Cavalcante, Elani Graça Ferreira, Ivana Cristina Vieira de Lima, Ana Karina Bezerra Pinheiro, Mahara Coelho Crisostomo Miranda, and Marli Teresinha Gimeniz Galvão. "Difficulties and facilities for notification of sexual partners with sexually transmitted infections." Revista da Rede de Enfermagem do Nordeste 18, no. 2 (June 13, 2017): 250. http://dx.doi.org/10.15253/2175-6783.2017000200015.

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Fliegner, Maike, Hertha Richter-Appelt, Kerstin Krupp, and Franziska Brunner. "Sexual Function and Socio-Sexual Difficulties in Women with Polycystic Ovary Syndrome (PCOS)." Geburtshilfe und Frauenheilkunde 79, no. 05 (May 2019): 498–509. http://dx.doi.org/10.1055/a-0828-7901.

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Abstract Introduction PCOS is the most common endocrine syndrome in women of the reproductive age that has manifold effects on the life of affected women. Little scientific attention has been devoted to these womenʼs sexual lives. Aim To investigate sexual quality of life in women with PCOS. Methods The sample size was n = 44. Measures employed were: An extended list of sexual dysfunctions and perceived distress based on DSM-IV-TR, Female Sexual Function Index (FSFI), German Questionnaire on Feelings of Inadequacy in Social and Sexual Situations (FUSS), Rosenberg Self-Esteem Scale (RSE), Brief Symptom Inventory (BSI) subscale depression. The relationships of these components were examined including further variables (body mass index, degree of hirsutism using the Ferriman-Gallwey Score, wish for a child). An open question about what participants see as the source of their sexual problems was presented. Results Only moderate impairment in sexual function was detected, but feelings of inadequacy in social and sexual situations were markedly elevated and positively correlated with the degree of hirsutism. Depression showed to be a major problem. Conclusion Patients with PCOS should be screened for socio-sexual difficulties and emotional problems. Specialized psychological and sexological counselling can complement patient care.

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Stephenson, Kyle R., Carey S. Pulverman, and Cindy M. Meston. "Assessing the Association Between Childhood Sexual Abuse and Adult Sexual Experiences in Women with Sexual Difficulties." Journal of Traumatic Stress 27, no. 3 (June 2014): 274–82. http://dx.doi.org/10.1002/jts.21923.

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Mossige, Svein, Tine K. Jensen, Wenke Gulbrandsen, Sissel Reichelt, and Odd Arne Tjersland. "Children's narratives of sexual abuse." Narrative Inquiry 15, no. 2 (December 22, 2005): 377–404. http://dx.doi.org/10.1075/ni.15.2.09mos.

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Personal narratives from ten children who all claimed to have been sexually abused were analyzed and compared to narratives of stressful events the children produced in therapy sessions. The narratives were compared to each other along the following dimensions: level of elaboration, narrative structure, contextual embeddedness, and causal coherence. Each child's attempt to find purpose and resolution was also analyzed. The stressful event narratives were generally more elaborate, more structured, and more contextually embedded and coherent than the sexual abuse narratives. Very few of the sexual abuse narratives contained resolutions or causal connections that are considered important for contributing to meaning- making. It is suggested that in order to understand the difficulties children face, a narrative perspective needs to include the emotional significance of the events to be narrated, and a trauma perspective must include the cultural impact of the event. A theory that intends to understand children's narration difficulties should encompass both these perspectives. (Narratives, Child sexual abuse, Traumas)

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Galinsky, Adena M. "Sexual Touching and Difficulties with Sexual Arousal and Orgasm Among U.S. Older Adults." Archives of Sexual Behavior 41, no. 4 (December 8, 2011): 875–90. http://dx.doi.org/10.1007/s10508-011-9873-7.

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Wen, Li Ming, Chris Rissel, Yan Cheng, Juliet Richters, and Richard O. de Visser. "Tobacco smoking and sexual difficulties among Australian adults: a cross-sectional study." Sexual Health 14, no. 4 (2017): 313. http://dx.doi.org/10.1071/sh17005.

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Background Few studies have examined smoking and female sexual difficulties. The aim of this study was to investigate the association between current tobacco smoking and sexual difficulties in Australian men and women. Methods: Data for this study came from the Second Australian Study of Health and Relationships (2012–13), which includes a representative sample of 18 427 sexually active Australian adults (aged 16–69 years). The main study and outcome measures were tobacco smoking and sexual difficulties. A multiple logistic regression analysis was conducted to adjust for potential confounders. Results: Male heavy smokers (>20 cigarettes per day) were significantly more likely than non-smokers to have trouble keeping an erection [adjusted odds ratio (AOR) 4.14, 95% confidence interval (CI) 1.87–9.20; P < 0.0001], lack interest in having sex (AOR 2.18, 95% CI 1.20–3.97; P = 0.011), have anxiety about performance (AOR 2.46, 95% CI 1.24–4.86; P = 0.010) and be unable to come to orgasm (AOR = 2.81, 95% CI 1.23–6.42; P = 0.015). Female smokers were also significantly more likely than non-smokers to not find sex pleasurable (AOR 1.48, 95% CI 1.05–2.07; P = 0.025); and light female smokers were significantly more likely than non-smokers to be unable to come to orgasm (AOR = 1.44, 95% CI 1.05–1.98; P = 0.025). Conclusions: Current tobacco smoking was associated with sexual difficulties in both men and women. For women, even light smoking was associated with not finding sex pleasurable and being unable to come to orgasm.

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Lui, Paraniala Silas C., Michael P. Dunne, Philip Baker, and Verzilyn Isom. "Sexual difficulties faced by men in the Solomon Islands: a mixed-methods study." Sexual Health 14, no. 4 (2017): 338. http://dx.doi.org/10.1071/sh16170.

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Background To date there has been little research into men’s sexual and reproductive health in Pacific Island countries. The aim of this study was to describe men’s sexual difficulties and barriers to their seeking reproductive health care in the Solomon Islands. Methods: The study included qualitative inquiry (17 individual interviews and three focus group discussions with a total of 21 men) and a quantitative quasi-randomised quota sample household survey (n = 400). The prevalence of sexual difficulties and potential risk factors, such as chronic diseases, health risk behaviours, depression and psychological distress were measured using standardised questions translated into pidgin. Results: The most commonly self-reported sexual difficulties were premature ejaculation (39.5%), low sexual desire (29.0%), orgasm difficulty (27.3%) and erectile difficulty (4.3%). More than half (56%) of the men experienced at least one sexual difficulty. Relatively few men (7.3%) had ever sought professional health care for reproductive health problems, and 15.4% of men preferred to use kastom (traditional) medicine for sexual problems. Multivariate analysis revealed that comorbid non-communicable diseases (NCDs), low health-related quality of life and dissatisfaction with sexual relationships were independently correlated with sexual difficulties. Contrary to expectations, self-reported psychological distress was inversely associated with these difficulties. In general, the insights gained from in-depth interviews validated the survey findings. Conclusion: This study adds the first data on symptoms of sexual dysfunction among men in the Solomon Islands and is one of few studies from the Pacific region. The findings strongly suggest the need for comprehensive health services that are gender-specific and sensitive to the sexual difficulties of Islander men.

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Thors, Christina L., Jo Ann Broeckel, and Paul B. Jacobsen. "Sexual Functioning in Breast Cancer Survivors." Cancer Control 8, no. 5 (September 2001): 442–48. http://dx.doi.org/10.1177/107327480100800508.

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Background A growing body of evidence suggests that sexual dysfunction may be among the more common and distressing symptoms experienced by breast cancer survivors. Methods This report reviews studies in which sexual functioning in breast cancer survivors has been investigated. Included are reports on the prevalence and nature of sexual difficulties, the relationship between specific breast cancer treatments and sexual difficulties, and the treatment of sexual dysfunction following completion of breast cancer treatment. Results A review of the literature suggests a wide range of rates for the prevalence of sexual problems in breast cancer survivors. Factors that may affect prevalence rates include the methods used to determine prevalence and the demographic and medical characteristics of the patients studied. With regard to treatment effects, evidence suggests that breast cancer patients who undergo chemotherapy are at high risk for sexual dysfunction after treatment. In contrast, there is little evidence of a link between type of surgical treatment (eg, lumpectomy vs mastectomy) or treatment with tamoxifen and sexual functioning outcomes. Conclusions A growing body of evidence suggests that sexual problems can be a long-term side effect of breast cancer treatment. Oncology professionals should initiate communication about sexual difficulties, perform comprehensive assessments, and educate and counsel patients about the management of these difficulties.

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Munasinghe, Thiloma, Richard D. Hayes, Jane Hocking, Jocelyn Verry, and Christopher K. Fairley. "Prevalence of sexual difficulties among female sex workers and clients attending a sexual health service." International Journal of STD & AIDS 18, no. 9 (September 1, 2007): 613–16. http://dx.doi.org/10.1258/095646207781568592.

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The objective of this study was to determine the proportion of sex workers and non-sex workers with sexual difficulties. Consenting female sex workers (93) and non-sex worker clients (178) attending the Melbourne Sexual Health self-answered an anonymous questionnaire about demographic characteristics, sexual behaviour, prevalence of sexual difficulties with private partners, distress regarding one's sex life, and physical pleasure, emotional satisfaction with sex and overall satisfaction with life. The demographic characteristics, sexual behaviours, prevalence of painful sex (34% versus 42%), orgasmic difficulty (43% versus 40%), vaginal dryness (45% versus 36%) and performance anxiety (28% versus 37%), physical pleasure and emotional satisfaction with sex and overall life satisfaction among sex workers was similar to that of non-sex workers, respectively. Sex workers were more likely to experience sexual disinterest (odds ratio 1.9, (95% confidence interval 1.1, 3.2) and less likely to report being distressed about their sex life ( P = 0.04). The prevalence of sexual difficulties, other than desire was similar to those of non-sex workers. These findings may be relevant only to sex workers operating in a highly regulated sex industry.

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O'Gorman, Ethna C., Ian T. Bownes, and Wallace W. Dinsmore. "Sexual and marital dysfunction and polypartnerism in sexually transmitted diseases (STD) clinic attenders." Irish Journal of Psychological Medicine 7, no. 1 (March 1990): 32–35. http://dx.doi.org/10.1017/s0790966700016980.

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AbstractSexual dysfunctions are common in S.T.D. (Sexually Transmitted Diseases) Clinic attenders. Marital/relationship dysfunctions frequently follow specific sexual dysfunctions such as erectile, impotence and premature ejaculation. In addition concomitant marital therapy has been shown to enhance treatment for sexual dysfunction. Polypartnerism or multiple or serial sexual partners is also a common feature of S.T.D. clinic attenders. To date, no study has fully evaluated the social, psychological and medical determinants of this behaviour.The study examined the relationship between sexual dysfunction, marital difficulties and polypartnerism in 50 heterosexual STD clinic attenders. Thirty-one per cent of the sample had pathological scores on the Golombok-Rust Inventory of Sexual Satisfaction (GRISS). Forty-two per cent of the sample has pathological scores on the Golombok-Rust Inventory of Marital Satisfaction (GRIMS). There was a significant relationship between sexual dysfunction and marital dysfunction. Polypartnerism was also correlated with sexual and relationship dysfunction. It was felt that by offering treatment for specific sexual dysfunctions identified at STD clinics, marital/relationship difficulties could be averted. Subsequently polypartnerism could be reduced. By altering polypartnerism in this way, an important opportunity to influence vector spread of STD, including HIV infection is afforded.

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Andersen, Barbara L. "Predicting and Treating the Sexual Difficulties of Gynecologic Cancer Survivors." Cancer Control 3, no. 2 (March 1996): 113–19. http://dx.doi.org/10.1177/107327489600300203.

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Women treated for gynecologic cancer represent approximately 45% of cancer survivors. Many report significant sexual difficulties during follow-up, and data suggest these difficulties are direct consequences of their cancer treatments. Health care providers can identify at the time of initial therapy those women who will be at greater risk for problem development. Clinical observations are provided on the development of sexual problems for these women as they attempt to resume sexual intercourse, and the psychologic and behavioral therapies that can be used for treatment are discussed.

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May, Kathryn, and Alan Riley. "Sexual function after 60." British Menopause Society Journal 8, no. 3 (September 1, 2002): 112–15. http://dx.doi.org/10.1258/136218002100321811.

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Ageing need not herald the end of a satisfying sex life. Research shows that men and women over the age of 60 can enjoy sexual activity, and it appears to be factors arising from the male that, most frequently, influence whether or not sexual activity will continue. With improved treatments now available to treat male sexual dysfunction and an ongoing search for greater understanding of the aetiology and management of female sexual dysfunction, in addition to improved general health, it is anticipated that the proportion of sexually active older people will increase. It is the responsibility of healthcare professionals to ensure that elderly people feel comfortable seeking help for sexual difficulties and that help is made available to all, irrespective of age and sex.

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Wylie, Kevan R. "Optimising clinical interventions for sexual difficulties within a relationship." Journal of Men's Health & Gender 3, no. 4 (December 2006): 350–55. http://dx.doi.org/10.1016/j.jmhg.2006.09.002.

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Patterson, Charlotte J., and Emma C. Potter. "Sexual orientation and sleep difficulties: a review of research." Sleep Health 5, no. 3 (June 2019): 227–35. http://dx.doi.org/10.1016/j.sleh.2019.02.004.

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Huws, R. "Non attenders at a marital and sexual difficulties clinic." Psychiatric Bulletin 15, no. 1 (January 1991): 8–9. http://dx.doi.org/10.1192/pb.15.1.8.

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The Marital and Sexual Difficulties Clinic at Sheffield offers out-patient treatment that is usually based on a modified Masters & Johnson method. This consists of behavioural techniques, notably sensate focus, used within a psychoanalytic background.

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Mattson-DiCecca, Anna A. "Update: A 60-Year-Old Woman With Sexual Difficulties." JAMA 301, no. 1 (January 7, 2009): 94. http://dx.doi.org/10.1001/jama.2008.932.

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Hijazi, Lina, Rak Nandwani, and Philip Kell. "Medical management of sexual difficulties in HIV-positive individuals." International Journal of STD & AIDS 13, no. 9 (September 1, 2002): 587–92. http://dx.doi.org/10.1258/09564620260216272.

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In the current era of effective antiretroviral therapy, sexual dysfunction is being increasingly recognized in HIV-positive individuals. This article reviews the literature about the causes, treatments available and any issues specific to the HIV-positive individual.

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Hallam-Jones, Ruth, Kevan R. Wylie, Judith Osborne-Cribb, Christine Harrington, and Stephen Walters. "Sexual difficulties within a group of patients with vulvodynia." Sexual and Relationship Therapy 16, no. 2 (May 2001): 113–26. http://dx.doi.org/10.1080/14681990120040050.

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Mitchell, Kirstin Rebecca, Michael King, Irwin Nazareth, and Kaye Wellings. "Managing Sexual Difficulties: A Qualitative Investigation of Coping Strategies." Journal of Sex Research 48, no. 4 (July 2011): 325–33. http://dx.doi.org/10.1080/00224499.2010.494332.

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Hendrickx, Lies, Luk Gijs, and Paul Enzlin. "Who’s Distressed by Sexual Difficulties? Exploring Associations Between Personal, Perceived Partner, and Relational Distress and Sexual Difficulties in Heterosexual Men and Women." Journal of Sex Research 56, no. 3 (July 20, 2018): 300–313. http://dx.doi.org/10.1080/00224499.2018.1493570.

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Kelley, Erika L., and Christine A. Gidycz. "Mediators of the relationship between sexual assault and sexual functioning difficulties among college women." Psychology of Violence 7, no. 4 (October 2017): 574–82. http://dx.doi.org/10.1037/vio0000073.

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Mullen, P. E., J. L. Martin, J. C. Anderson, S. E. Romans, and G. P. Herbison. "The Effect of Child Sexual Abuse on Social, Interpersonal and Sexual Function in Adult Life." British Journal of Psychiatry 165, no. 1 (July 1994): 35–47. http://dx.doi.org/10.1192/bjp.165.1.35.

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BackgroundThe association was examined between reporting child sexual abuse (CSA) and a range of social, interpersonal and sexual difficulties in adult life.MethodA random sample of 2250 women were posted a questionnaire exploring a range of abuse experiences. All 248 reporting CSA were invited for interview, together with an equal number of controls. At interview a detailed inquiry was made into the CSA and into current interpersonal, social and sexual function.ResultsSignificant associations emerged between reporting CSA and a decline in socioeconomic status, increased sexual problems, and the disruption of intimate relationships by difficulties with trust as well as a propensity to perceive their partners as uncaring and overcontrolling. CSA was more common in those from disturbed and disrupted families and in those who also reported physical and emotional abuse. This explained part, but not all, of the apparent association between CSA and negative outcomes.ConclusionsThose reporting CSA are more likely to suffer social, interpersonal and sexual difficulties in adult life.

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Syrjala, K. L., S. L. Roth-Roemer, J. R. Abrams, J. M. Scanlan, M. K. Chapko, S. Visser, and J. E. Sanders. "Prevalence and predictors of sexual dysfunction in long-term survivors of marrow transplantation." Journal of Clinical Oncology 16, no. 9 (September 1998): 3148–57. http://dx.doi.org/10.1200/jco.1998.16.9.3148.

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PURPOSE To describe the prevalence of sexual difficulties in men and women after marrow transplantation (MT), and to define medical, demographic, sexual, and psychologic predictors of sexual dysfunction 3 years after MT. PATIENTS AND METHODS Four hundred seven adult MT patients were assessed pretransplantation. Survivors repeated measures of psychologic and sexual functioning at 1 and 3 years posttransplantation. RESULTS Data were analyzed from 102 event-free 3-year survivors who defined themselves as sexually active. Men and women did not differ in sexual satisfaction pretransplantation. At 1 and 3 years posttransplantation, women reported significantly more sexual dysfunction than men. Eighty percent of women and 29% of men reported at least one sexual problem by 3 years after MT. No pretransplantation variables were significant predictors of 3-year sexual satisfaction for women. For men, pretransplantation variables of older age, poorer psychologic function, not being married, and lower sexual satisfaction predicted sexual dissatisfaction at 3 years (R2=.28; P < .001). Women who were more dissatisfied 3 years after MT did not receive hormone replacement therapy (HRT) at 1 -year posttransplantation and were less satisfied at 1 year, but not pretransplantation (R2=.35; P < .001). CONCLUSION Sexual problems are significant in the lives of MT survivors, particularly for women. Although HRT before 1 year posttransplantation improves sexual function, it does not ensure sexual quality of life. Intervention for women is needed to apply hormonal, mechanical, and behavioral methods to prevent sexual difficulties as early after transplantation as possible.

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McAlinden, Anne-Marie. "Sex Offender Registration: Implications and Difficulties for Ireland." Irish Journal of Sociology 10, no. 1 (May 2000): 75–102. http://dx.doi.org/10.1177/079160350001000104.

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This paper explores the implications and difficulties of a system of sex offender registration for the two jurisdictions of Ireland. From the orthodox perspective, registration appears justified. Sexual offending has increase and this is used by the media to generate a ‘moral panic’. However, in terms of Blumer's (1971) developmental perspective, sexual offenders in the community have been socially constructed in Ireland, as a problem requiring specific action. This perspective most adequately explains the formulation of legislation. Arguments expounded in favour of registration include the supposedly high recidivism among sex offenders, the inadequacy of supervision provisions and the resulting need to ‘track’ the offender for public protection. Yet a plethora of obstacles which were not considered at the time the legislation was being formulated, such as cost and inadequate policing resources, may impede its effectiveness in aiding law enforcement and reduce it to symbolic significance only. Given these difficulties, I argue that registration is not an appropriate response to the problem of released sexual offenders in Ireland. Rather, from the social constructionist perspective, I suggest that it is better to ‘treat’ the sex offender through less formal and stringent means in the community, away from the criminal justice process.

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Wilson, Laura C., and Angela Scarpa. "Interpersonal Difficulties Mediate the Relationship Between Child Sexual Abuse and Depression Symptoms." Violence and Victims 30, no. 1 (2015): 163–76. http://dx.doi.org/10.1891/0886-6708.vv-d-13-00059.

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This study examined the influence of interpersonal functioning as a mediator in the relationship between child sexual abuse and depression symptoms, after accounting for the influence of child physical abuse. The research questions build on the existing knowledge base by examining mechanisms of adult adjustment among child sexual abuse survivors. In the current study, 2,892 young adult women (18–29 years old; M = 19.06) reported on child sexual and physical abuse, 5 domains of interpersonal functioning, and depression symptoms. The results supported aggression, sensitivity, ambivalence, and lack of sociability as mediators in the relationship between child sexual abuse and depression symptoms. These results suggest that interpersonal difficulties related to hostility, emotional reactivity, inability to collaborate, and isolation may be of particular interest when understanding depression in child sexual abuse survivors. The findings support interpersonal problems as a key mechanism of depression symptoms following child sexual abuse and is even demonstrated when examining long-term outcomes and controlling for child physical abuse. The hypotheses and findings are discussed in the context of interpersonal psychotherapy for depression.

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Journal articles on the topic 'Sexual difficulties'

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