Pazmany Els, Bergeron Sophie, Verhaeghe Johan, Van Oudenhove Lukas, Enzlin Paul
Institute for Family and Sexuality Studies, Department of Neuroscience, KU Leuven, Leuven, Belgium.
J Sex Med. 2015 Feb;12(2):516-28. doi: 10.1111/jsm.12787. Epub 2014 Dec 5.
While there is increasing interest in studying aspects of communication processes in sex research, the association between dyadic sexual communication and relationship and sexuality outcomes has not yet been examined in pre-menopausal women with dyspareunia.
To examine the associations between dyadic sexual communication and pain, sexual distress, sexual function and dyadic adjustment in women with self-reported dyspareunia and their male partners.
Pre-menopausal women (n=38; M age=24.92, SD=6.12) with self-reported dyspareunia from a community sample and their partners (n=38; M age=26.71, SD=6.59) completed an online survey. The Actor-Partner Interdependence Model was used in order to investigate both actor and partner effects.
Both members of the couple completed: (i) the Dyadic Sexual Communication Scale and (ii) the Dyadic Adjustment Scale; women also completed (iii) the Female Sexual Function Index, (iv) the Female Sexual Distress Scale, and (v) a Visual Analogue Scale on pain during intercourse; and men also completed (vi) the International Index of Erectile Functioning.
Controlling for relationship duration, women's better dyadic sexual communication was significantly associated with their higher levels of sexual function (P=0.028), lower levels of sexual distress (P=0.003) and higher levels of dyadic adjustment (P=0.005), but not with their pain or men's sexual function or dyadic adjustment. Controlling for relationship duration, men's better dyadic sexual communication was associated with their higher levels of dyadic adjustment (P=0.027) but not with their sexual function, nor with women's sexual function or dyadic adjustment.
These findings contribute to the theoretical knowledge on interaction processes in couples with dyspareunia and suggest that it may be important to enhance open and direct communication about sexual matters in couples with dyspareunia.
虽然性研究中对交流过程方面的研究兴趣日益浓厚，但二元性交流与关系及性结果之间的关联尚未在患有性交困难的绝经前女性中得到检验。
研究自我报告有性交困难的女性及其男性伴侣之间的二元性交流与疼痛、性困扰、性功能及二元关系调适之间的关联。
从社区样本中选取自我报告有性交困难的绝经前女性（n = 38；平均年龄 = 24.92，标准差 = 6.12）及其伴侣（n = 38；平均年龄 = 26.71，标准差 = 6.59）完成一项在线调查。采用行为者 - 伴侣相互依赖模型来研究行为者和伴侣的影响。
夫妻双方均完成：（i）二元性交流量表和（ii）二元关系调适量表；女性还完成（iii）女性性功能指数、（iv）女性性困扰量表以及（v）性交时疼痛的视觉模拟量表；男性还完成（vi）国际勃起功能指数。
在控制关系持续时间后，女性更好的二元性交流与更高的性功能水平（P = 0.028）、更低的性困扰水平（P = 0.003）以及更高的二元关系调适水平（P = 0.005）显著相关，但与她们的疼痛、男性的性功能或二元关系调适无关。在控制关系持续时间后，男性更好的二元性交流与更高的二元关系调适水平（P = 0.027）相关，但与他们的性功能、女性的性功能或二元关系调适无关。
这些发现有助于丰富关于性交困难夫妻互动过程的理论知识，并表明在性交困难夫妻中加强关于性问题的开放和直接交流可能很重要。
