The factor most commonly discussed in relation to sexual satisfaction is communication between partners. Greater sexual satisfaction has been reported by. translate, adapt and validate the brief version of the Sexuality Scale in a is learned from the interactions with the family context, peer relationships and sexual. Association between marital relationship quality and sexual function was .. Regression analysis of Relation and Sexuality Scale (RSS) and.
The results of these studies are in favor of the presence of a association between sexual function and marital relationship quality.
However, there are studies showing opposite results.
In patients with IHD, sexual activity decreases for several reasons, 33 including, but not limited to, sexual disorders e. Erectile dysfunction shares mutual vascular risk factors with IHD, as they are both manifestations of a systemic vascular disease. Nonetheless, we believe that cardiologists should take heed of this association, for sexual problems can diminish the quality of life and life satisfaction in couples.
Men and women are different with respect to their sexuality, especially their sexual disorders. Review of literature shows that most of the studies on sexuality in IHD patients have focused on men and few have enrolled women or both genders. These assessments could also provide interesting comparisons between the sexual function of both genders. Association between sexual function and marital relationship quality varied based on the education level of the IHD patients in the present study.
Associations of total sexual function and frequency of sexual intercourse were significant in all the sub-scores of marital relationship quality in those with lower education levels. In the patients with higher education levels, however, the total sexual function and frequency of sexual intercourse were only tied to the extent to which the couples agreed on matters of importance to their relationship, the degree to which the couples were satisfied with their relationship, and the level of closeness experienced by the couples.
Association between sexual fear and function and marital relationship quality was also different in the individuals with different levels of education. Whereas the patients with higher education levels showed some association between their sexual function and marital relationship quality, the association was stronger between the sub-scores of marital relationship quality and sexual function.
In our extensive literature search, we found no evaluation of the effect of education on the relationship between sexual function and marital relationship quality. Although many studies have demonstrated that individuals with lower education levels have more problems regarding their sexuality, 40 this still seems to be a matter of debate.
The current study had a few limitations. Although it was beyond the scope of our study, it is crucial to note that cultural factors and gender roles may have a profound impact on sexual and marital satisfaction.
Illustration of a causal relationship between marital relationship quality and sexual function was beyond the scope of the current study, as we used a cross-sectional design. Our evaluations also did not assess sexual function and satisfaction perceived by the spouse.
In addition, sexual function, but not disorders, was considered as the outcome. Finally, history of sexual function and marital relationship before the development of IHD was not taken into account in this investigation.
Conclusion Considering the divergent results of studies assessing the association between sexual function and marital relationship quality in the general population, the present study documented this association among IHD patients, albeit with different patterns based on gender, education level, and marital distress level.Paul Gebhard on The Kinsey Scale and Other Sex Research
The authors would like to gratefully thank Naghizadeh MM. Baqiyatallah University of Medical Sciences funded the study.
Berg P, Snyder DK. Differential diagnosis of marital and sexual distress: J Sex Marital Ther ; 7: Cardiologists' discussions about sexuality with patients with chronic coronary artery disease. Am Heart J ; The second Princeton consensus on sexual dysfunction and cardiac risk: J Sex Med ; 3: It exhibits sound psychometric properties and has a demonstrated ability to discriminate between clinical and nonclinical samples.
Sexual Satisfaction, Sexual Distress, Sexual Communication, Female Sexual Dysfunction Introduction Sexual satisfaction is a broad construct closely linked to overall relationship satisfaction [ 1 — 5 ]. Numerous studies have found that sexual satisfaction is positively associated with indicators of relationship quality such as love [ 6 — 8 ], commitment [ 9 ], and stability [ 9 ], and is inversely related to likelihood of divorce [ 310 ].
The factor most commonly discussed in relation to sexual satisfaction is communication between partners. Greater sexual satisfaction has been reported by married individuals who disclose more about both nonsexual [ 19 ] and sexual aspects of their relationship [ 1920 ].
Effective communication between partners could contribute to sexual satisfaction by facilitating closeness and intimacy, and by informing partners about sexual desires and preferences that, in turn, could lead to enhanced arousal and orgasm. Indeed, feeling incapable of communicating sexual desires has been a common attribute of orgasm problems, and sexually assertive women report higher levels of desire, orgasm ability, and sexual satisfaction [ 22 ].
Compendium of Gender Scales
Analyses of the U. National Health and Social Life Survey [ 23 ] indicated that low desire and arousal concerns were the categories most strongly associated with dissatisfaction in women. Frank and colleagues [ 24 ] found that sexual dysfunction was also related to dissatisfaction among married couples, and the relation was particularly strong in women with arousal problems. Discrepancy between couples in reported levels of sexual desire has also been negatively associated with sexual satisfaction [ 25 ].
While end point criteria for treatment effectiveness such as increased frequency of sexual thoughts and behaviors, enhanced genital and subjective arousal, and enhanced orgasm frequency and intensity are undeniably important considerations, the clinical relevance of such changes may be questionable if not accompanied by clinically meaningful improvements in overall sexual satisfaction. Widely accepted as integral to the diagnosis of most categories of female sexual dysfunction is the notion of personal distress [ 2728 ].
Yet, to our knowledge, no studies have examined the relation between what constitutes satisfaction and what constitutes distress within the sexual realm. Based on a review of the sexual satisfaction literature [ 1 — 26 ], we propose a primary distinction between personal and relational components of sexual satisfaction, both of which, we believe, are necessary to fully understand what constitutes sexual satisfaction in women.
The literature suggests two main facets of relational sexual satisfaction: Perceived sexual communication is the most frequently cited contributor of sexual satisfaction in the literature [ 19 — 21 ].
Although compatibility has not previously been proposed as an umbrella construct, we believe that global appraisal of compatibility is an important, distinct, and measurable facet of sexual satisfaction. It reflects frequently described contributing factors such as perceived compatibility of sexual desire [ 25 ], sexual beliefs, values [ 29 ], and attitudes [ 3031 ], and perceived couple similarity [ 32 ].
With regard to personal components of sexual satisfaction, these would include both global judgements of overall sexual satisfaction such as that assessed by most current assessment instruments e. The SSS-W was developed to provide a comprehensive measure of sexual satisfaction and sexual distress that would benefit researchers and clinicians interested in further understanding what constitutes sexual satisfaction in women and how it relates to levels of sexual functioning.
In Phase I of this study, we targeted development of an assessment tool for the two relational aspects of sexual satisfaction, communication and compatibility, and one facet of personal sexual satisfaction, global contentment.
In Phase II of this study, we targeted development of an assessment tool for a second aspect of personal sexual satisfaction, distress.
The final SSS-W scale represents the first multifaceted sexual satisfaction and distress scale that has been validated on a clinically diagnosed sample of women with sexual dysfunction.
The item questionnaire, a demographics questionnaire, and several other measures not relevant to the current study were administered to females enrolled in psychology classes at the University of British Columbia, Vancouver, Canada in exchange for course credit.