Muise Amy, Bergeron Sophie, Impett Emily A, Rosen Natalie O
Department of Psychology, York University.
Department of Psychology, Université de Montréal.
Health Psychol. 2017 Aug;36(8):819-827. doi: 10.1037/hea0000470. Epub 2017 Feb 6.
Most women with vulvodynia-a prevalent, chronic, vulvovaginal pain condition-engage in intercourse with their partners despite experiencing pain. Their motivation for doing so appears to be interpersonally oriented (e.g., to meet their partners' sexual needs), but the costs and benefits of such motivations are unknown. We tested whether sexual communal strength (being responsive to a partner's sexual needs) and unmitigated sexual communion (focusing on a partner's sexual needs to the exclusion of one's own needs) were associated with sexual function, and sexual and relationship satisfaction in couples with coping with vulvodynia.
In an 8-week daily experience study, 95 women diagnosed with vulvodynia and their partners reported on sexual communal strength, unmitigated sexual communion, sexual function, and sexual and relationship satisfaction on days when sexual activity occurred.
On days when women reported higher sexual communal strength, both they and their partners reported greater sexual function and satisfaction, and their partners reported greater relationship satisfaction. When women's partners reported higher sexual communal strength, both they and the women reported better sexual function, partners reported greater sexual satisfaction, and women reported greater relationship satisfaction. On days when women reported higher unmitigated sexual communion, they reported poorer sexual function and lower sexual satisfaction, and both the women and partners reported lower relationship satisfaction. When women's partners reported higher unmitigated sexual communion, they reported poorer sexual function.
These novel aspects of sexual motivation should be targeted in psychological interventions aimed to improve the sexual and relationship well-being of affected couples. (PsycINFO Database Record
大多数患有外阴痛（一种常见的慢性外阴阴道疼痛病症）的女性尽管经历疼痛仍会与伴侣进行性交。她们这样做的动机似乎是以人际关系为导向的（例如，满足伴侣的性需求），但这种动机的成本和收益尚不清楚。我们测试了性共同力量（对伴侣的性需求做出反应）和无节制的性共融（专注于伴侣的性需求而忽视自己的需求）是否与性功能、以及应对外阴痛的夫妻的性满意度和关系满意度相关。
在一项为期8周的日常经历研究中，95名被诊断患有外阴痛的女性及其伴侣报告了在发生性活动的日子里的性共同力量、无节制的性共融、性功能、性满意度和关系满意度。
当女性报告更高的性共同力量时，她们和伴侣都报告了更高的性功能和满意度，伴侣报告了更高的关系满意度。当女性的伴侣报告更高的性共同力量时，他们和女性都报告了更好的性功能，伴侣报告了更高的性满意度，女性报告了更高的关系满意度。当女性报告更高的无节制的性共融时，她们报告了较差的性功能和较低的性满意度，女性和伴侣都报告了较低的关系满意度。当女性的伴侣报告更高的无节制的性共融时，他们报告了较差的性功能。
这些性动机的新方面应在旨在改善受影响夫妻的性和关系幸福感的心理干预中作为目标。（PsycINFO数据库记录
