Intimacy and quality of life among sexually dysfunctional men and women
Abstract
This study evaluated the associations between intimacy, quality of life, and sexual dysfunction in men and women. Participants were 145 sexually functional (43 men, 102 women) adults drawn from the general population and 198 sexually dysfunctional (114 men, 84 women) adults who came to a university sexual behavior clinic. All respondents were currently involved in a heterosexual relationship. Respondents completed a series of questionnaires to evaluate the level of intimacy in their relationships, their quality of life, and their level of sexual dysfunction. All aspects of intimacy were lower among sexually dysfunctional men than among sexually functional men for all subgroups of dysfunctionality (premature ejaculation, erectile failure, and lack of sexual desire). Levels of intimacy were less likely to discriminate between functional and dysfunctional women, with functional women only obtaining higher intimacy scores than each of the dysfunctional groups of women (inorgasmia, lack of arousal, lack of sexual desire) for social intimacy and recreational intimacy and, to a lesser extent, for sexual intimacy. Objective levels of quality of life as well as the satisfaction and importance of the quality of life domains were more likely to be lower when sexually dysfunctional women were compared with their functional counterparts than when sexually dysfunctional men were compared with their functional counterparts. The implications of these findings for an understanding of factors that contribute to sexual dysfunction, and the treatment of these disorders, is discussed.
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Men with ED report lower levels of relationship satisfaction and more relationship conflict than men without ED, and intimacy is an important correlate of sexual satisfaction in men with ED.
“In addition, it has been found that men with ED report lower levels of relationship satisfaction and more relationship conflict than men without ED and that intimacy is an important correlate of sexual satisfaction in men with ED.27,62, 63, 64, 65, 66, 67”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [63]
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Shindel, A. W., Şerefoğlu, E. C., Althof, S. E., Arafa, M., Bhat, G. S., Snoeren, E. M. S., Zhang, Y., & El-Meliegy, A. (2025) · Sexual Medicine Reviews · doi:10.1093/sxmrev/qeaf016 · Cited by 12 · see citing works
Prevalence and Nature of Sexual Dysfunctions in OCD in a Tertiary Medical College
Singh, O. P., Ray, P., Mallick, A. K., Thakurta, R. G., Dhar, P., & Sarkar, S. (2021) · Eastern Journal of Psychiatry · doi:10.5005/ejp-17-2-20 · Cited by 12 · see citing works
Treating Men's Orgasmic Difficulties
Rowland, D. L., & Cooper, S. E. (2017) · doi:10.1002/9781118510384.ch6 · Cited by 12 · see citing works
McCabe, M. P., & Giles, K. R. (2012) · International Journal of Sexual Health · doi:10.1080/19317611.2012.680686 · Cited by 11 · see citing works
Disorders of sexual desire and arousal.
Carey, J. (2006) · Obstetrics and Gynecology Clinics of North America · doi:10.1016/j.ogc.2006.10.004 · Cited by 15 · see citing works
Peng, J. P., Yang, L., Liu, L., Zhou, R., Liu, J., Li, N.-C., Li, L., Jiang, Y., Liu, Y., Zhu, Z., et al. (2021) · Sexual Medicine · doi:10.1016/j.esxm.2020.100296 · Cited by 10 · see citing works
Træen, B., & Kvalem, I. L. (2022) · Sexuality & Culture · doi:10.1007/s12119-022-10037-z · Cited by 10 · see citing works
Colson, M. (2007) · Gérontologie et société · doi:10.3917/gs.122.0063 · Cited by 10 · see citing works
Porto, R., & Giuliano, F. (2013) · The French Journal of Urology · doi:10.1016/j.purol.2013.01.005 · Cited by 8 · see citing works
What predicts the quality of life in Turkey: The results of a country representative study
Yetim, B., & Çeli̇k, Y. (2019) · Health & Social Care in the Community · doi:10.1111/hsc.12875 · Cited by 8 · see citing works
Amanelahi, A., Refahi, N., & Rajabi, G. (2017) · نشریه روان پرستاری · doi:10.21859/ijpn-05053 · Cited by 7 · see citing works
- Authors
- McCabe, M. P.
- Affiliations
- Deakin University (AU)
- Corresponding author
- McCabe, Marita P.
- ORCID
- McCabe, Marita P.
- Venue
- Journal of Sex & Marital Therapy
- Publisher
- Informa UK Limited
- Published
- 1997-12
- Volume
- 23
- Issue
- 4
- Pages
- 276-290
- ISSN
- 0092-623X (ISSN-L)
- 1521-0715
- OpenAlex
- W2063271455
- Cited by
- 167
- References
- 17
- Citations by year
- 2025: 3 · 2023: 1 · 2022: 4 · 2021: 12 · 2020: 3 · 2019: 4 · 2018: 2 · 2017: 10 · 2016: 9 · 2015: 5 · 2014: 6 · 2013: 14 · 2012: 14
- FWCI
- 1.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Sex & Marital Therapy (publishedVersion)
- PubMed (publishedVersion)
- 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, intimacy, quality of life, sexual intimacy, social intimacy, premature ejaculation, erectile dysfunction, lack of sexual desire, heterosexual couples, gender differences
- MeSH terms
- Adult, Aged, Female, Humans, Interpersonal Relations, Male, Middle Aged, Quality of Life, Sexual Behavior, Sexual Dysfunctions, Psychological
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