Sexual dysfunction in depression and anxiety: Conceptualizing sexual dysfunction as part of an internalizing dimension
Abstract
Sexual dysfunction is often implicated in depression and anxiety disorders, but the current nosology of sexual dysfunction, depression, and anxiety (i.e., DSM-IV) does not adequately address these relationships. Because recent papers (Krueger, R. F., & Markon, K. E. (2006). Reinterpreting comorbidity: A model-based approach to understanding and classifying psychopathology. Annual Review of Clinical Psychology, 2, 111-133) have suggested and provided evidence for latent internalizing and externalizing dimensions that help explain high comorbidity between mental disorders, the current paper suggests that sexual dysfunction might conceptually belong to a latent internalizing factor. To address this, evidence is presented for the relationship among disorders of sexual desire, arousal, and orgasm comorbid with depression and anxiety. A review of sexual disorders is also presented along with a critical examination of the way the current DSM is organized with respect to sexual dysfunction, depression, and anxiety.
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Sexual dysfunction is also a common symptom of depression.
“Sexual dysfunction is also a common symptom of depression (526-530).”
From Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care (2011) · cites this paper as [526]
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DE HERT, M., CORRELL, C. U., BOBES, J., CETKOVICH‐BAKMAS, M., COHEN, D., ASAI, I., DETRAUX, J., GAUTAM, S., MÖLLER, H., NDETEI, D. M., et al. (2011) · World Psychiatry · doi:10.1002/j.2051-5545.2011.tb00014.x · Cited by 2,488 · see citing works
DE HERT, M., COHEN, D., BOBES, J., CETKOVICH‐BAKMAS, M., LEUCHT, S., NDETEI, D. M., NEWCOMER, J. W., UWAKWE, R., ASAI, I., MÖLLER, H., et al. (2011) · World Psychiatry · doi:10.1002/j.2051-5545.2011.tb00036.x · Cited by 870 · see citing works
On the interpersonal dynamics of sexuality
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Kashdan, T. B., Adams, L., Savostyanova, A., Ferssizidis, P., McKnight, P. E., & Nezlek, J. B. (2011) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.03.004 · Cited by 88 · see citing works
Sex Hormone Levels, Genetic Androgen Receptor Polymorphism, and Anxiety in ≥50-Year-Old Males
Schneider, G., Nienhaus, K., Gromoll, J., Heuft, G., Nieschlag, E., & Zitzmann, M. (2011) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2011.02443.x · Cited by 32 · see citing works
Giuri, S., Caselli, G., Manfredi, C., Rebecchi, D., Granata, A., Ruggiero, G. M., & Veronese, G. (2017) · American Journal of Men s Health · doi:10.1177/1557988316652936 · Cited by 14 · see citing works
- Authors
- Laurent, S. M., & Simons, A. D.
- Affiliations
- University of Oregon (US)
- Corresponding author
- Laurent, Sean M.
- ORCID
- Laurent, Sean M.
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2009-11
- Volume
- 29
- Issue
- 7
- Pages
- 573-585
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W1980375820
- Cited by
- 288
- References
- 131
- Citations by year
- 2026: 10 · 2025: 17 · 2024: 14 · 2023: 40 · 2022: 21 · 2021: 25 · 2020: 20 · 2019: 12 · 2018: 15 · 2017: 13 · 2016: 20 · 2015: 16 · 2014: 17 · 2013: 16 · 2012: 8
- FWCI
- 1.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Keywords
- sexual dysfunction, depression, anxiety, internalizing disorders, latent dimensions, comorbidities, sexual arousal disorders, orgasm disorders, DSM-IV classification
- MeSH terms
- Anxiety Disorders, Depressive Disorder, Female, Humans, Internal-External Control, Male, Comorbidity, Causality, Sexual Dysfunctions, Psychological
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