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Cited by 439Sexual function and dysfunction studiesSexuality, Behavior, and TechnologyMarriage and Sexual Relationships

The DOI matches its Crossref record; 361 of the 361 references it cites were found in a registry or an index.

Psychological and Interpersonal Dimensions of Sexual Function and Dysfunction

Brotto, Lori, Atallah, Sandrine, Johnson-Agbakwu, Crista, Rosenbaum, Talli, Abdo, Carmita, Byers, E. Sandra, Graham, Cynthia, Nobre, Pedro, Wylie, Kevan·2016·The Journal of Sexual Medicine
DOI 10.1016/j.jsxm.2016.01.019
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Abstract

ABSTRACT Introduction Psychological, interpersonal, and sociocultural factors play a significant role in making one vulnerable to developing a sexual concern, in triggering the onset of a sexual difficulty, and in maintaining sexual dysfunction in the long term. Aim To focus on psychological and interpersonal aspects of sexual functioning in women and men after a critical review of the literature from 2010 to the present. Methods This report is part 1 of 2 of our collaborative work during the 2015 International Consultation on Sexual Medicine for Committee 2. Main Outcome Measures Systematic review of the literature with a focus on publications since 2010. Results Our work as sexual medicine clinicians is essentially transdisciplinary, which involves not only the collaboration of multidisciplinary professionals but also the integration and application of new knowledge and evaluation and subsequent revision of our practices to ensure the highest level of care provided. There is scant literature on gender non-conforming children and adolescents to clarify specific developmental factors that shape the development of gender identity, orientation, and sexuality. Conversely, studies consistently have demonstrated the interdependence of sexual function between partners, with dysfunction in one partner often contributing to problems in sexual functioning and/or sexual satisfaction for the other. We recommend that clinicians explore attachment styles of patients, childhood experiences (including sexual abuse), onset of sexual activity, personality, cognitive schemas, infertility concerns, and sexual expectations. Assessment of depression, anxiety, stress, substance use and post-traumatic stress (and their medical treatments) should be carried out as part of the initial evaluation. Clinicians should attempt to ascertain whether the anxiety and/or depression is a consequence or a cause of the sexual complaint, and treatment should be administered accordingly. Cognitive distraction is a significant contributor to sexual response problems in men and women and is observed more consistently for genital arousal than for subjective arousal. Assessment of physical and mental illnesses that commonly occur in later life should be included as part of the initial evaluation in middle-aged and older persons presenting with sexual complaints. Menopausal status has an independent effect on reported changes in sex life and difficulties with intercourse. There is strong support for the use of psychological treatment for sexual desire and orgasm difficulties in women (but not in men). Combination therapies should be provided to men, whenever possible. Conclusion Overall, research strongly supports the routine clinical investigation of psychological factors, partner-related factors, context, and life stressors. A biopsychosocial model to understand how these factors predispose to sexual dysfunction is recommended.

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Research works printed but not linked: 10

  1. Green, 1989, The sissy boy syndrome and the development of male homosexuality
  2. Möller, 2001, Infertility and sexuality—an overview of the literature and clinical practice, Scand J Sexol, 4, 75
  3. González, 1999, Niveles de ansiedad y depresión en mujeres con y sin disfunción sexual. Estudio comparative. [Levels of anxiety and depression in women with and without sexual dysfunction. A comparative study], Psiquis (Mexico), 16, 17
  4. Mallis, 2002, Expressions of anxiety in patients with erectile dysfunction, Int J Impot Res, 14, S87
  5. Rajkumar, 2014, The association of anxiety with the subtypes of premature ejaculation: a chart review, Prim Care Companion CNS Disord, 16
  6. Binik, 2014, Introduction: the future of sex therapy, 1
  7. Rosen, 2000, Medical and psychological interventions for erectile dysfunction: toward a combined treatment
  8. Shao, 2008, Clinical study on treatment of premature ejaculation with paroxetine and behavior therapy, Chin J Androl, 22, 18
  9. Yuan, 2008, [A comparative study on treatment for premature ejaculation: citalopram used in combination with behavioral therapy versus either citalopram or behavioral therapy alone], Chin J Androl, 22, 35
  10. Rutte, 2015, Prevalence and correlates of sexual dysfunction in men and women with Type 2 Diabetes, J Sex Marital Ther, 41, 680, 10.1080/0092623X.2014.966399 · DOI

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Metadata

Authors
Brotto, L., Atallah, S., Johnson-Agbakwu, C., Rosenbaum, T., Abdo, C., Byers, E. S., Graham, C., Nobre, P., & Wylie, K.
Affiliations
  • University of British Columbia (CA)
  • Clinique du Levant , Beirut, , Lebanon
  • Obstetrics and Gynecology   , Phoenix, AZ , USA
  • Haziporen 10bet , Bet Shemesh, , Israel
  • Universidade de São Paulo (BR)
  • University of New Brunswick (CA)
  • University of Southampton (GB)
  • University of Aveiro (PT)
  • Porter Brook Medical Centre (GB)
Corresponding author
Brotto, Lori
ORCID
Venue
The Journal of Sexual Medicine
Publisher
Oxford University Press (OUP)
Published
2016-04-01
Volume
13
Issue
4
Pages
538-571
ISSN
  • 1743-6095 (ISSN-L)
  • 1743-6109
DOI
10.1016/j.jsxm.2016.01.019
OpenAlex
W3080181030
Cited by
439
References
359
Citations by year
2026: 28 · 2025: 58 · 2024: 44 · 2023: 57 · 2022: 44 · 2021: 64 · 2020: 55 · 2019: 29 · 2018: 29 · 2017: 23 · 2016: 6
FWCI
4.13
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • The Journal of Sexual Medicine (publishedVersion)
  • ePrints Soton (University of Southampton) (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
  • Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
  • Social Sciences › Sociology and Political Science › Marriage and Sexual Relationships
Keywords
sexual dysfunction, sexual function, psychological factors, interpersonal factors, biopsychosocial model, sexual satisfaction, attachment styles, child sexual abuse, cognitive schemas, cognitive distraction, anxiety and depression, substance use, post-traumatic stress, menopause, sexual desire disorders, orgasm disorders, sexual medicine

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