Department of Human Development and Family Sciences, The University of Texas at Austin.
The Population Research Center, The University of Texas at Austin.
J Sex Res. 2019 Sep;56(7):882-898. doi: 10.1080/00224499.2019.1568375. Epub 2019 Feb 19.
Research and clinical data have shown that couples with sexual problems report a lack of sexual communication. However, no published meta-analyses have evaluated the relationship between sexual communication and sexual function. This meta-analysis examines the correlation between couples' sexual communication and dimension of sexual function across 48 studies. Sexual communication was positively associated with sexual desire (r = .16), sexual arousal (r = .21), lubrication (r = .17), orgasm (r = .23), erectile function (r = .19), less pain (r = .12), and overall sexual function (r = .35). The effect sizes for sexual desire (r = .21; r = .12) and orgasm (r = .26; r = .16) were higher for women than for men. For overall sexual function, studies with married participants (r = .47) had a larger effect size than studies with participants with multiple relationship types (r = .31) or than studies with dating participants (r = .11). Effect sizes were larger for studies conducted outside of the United States (r = .39) compared to studies conducted in the United States (r = .12). We discuss the importance of addressing the relationship between sexual communication and sexual function, as well as future directions for research in this area.
研究和临床数据表明，有性问题的夫妇报告缺乏性沟通。然而，目前尚无发表的荟萃分析评估过性沟通与性功能之间的关系。本荟萃分析考察了 48 项研究中夫妇间性沟通与性功能各维度之间的相关性。性沟通与性欲（r=0.16）、性唤起（r=0.21）、润滑（r=0.17）、性高潮（r=0.23）、勃起功能（r=0.19）、疼痛减轻（r=0.12）和整体性功能（r=0.35）呈正相关。对于性欲（r=0.21；r=0.12）和性高潮（r=0.26；r=0.16），女性的效应量大于男性。对于整体性功能，已婚参与者研究（r=0.47）的效应量大于多种关系类型参与者研究（r=0.31）或约会参与者研究（r=0.11）。与在美国进行的研究（r=0.12）相比，在美国以外进行的研究（r=0.39）的效应量更大。我们讨论了重视性沟通与性功能之间关系的重要性，以及该领域未来的研究方向。
