Department of Psychology and Neuroscience, Life Sciences Centre, Dalhousie University, 1355 Oxford Street, P.O. Box 15000, Halifax, NS, B3H 4R2, Canada.
Department of Psychology, York University, Toronto, ON, Canada.
Arch Sex Behav. 2019 Nov;48(8):2491-2506. doi: 10.1007/s10508-019-01465-4. Epub 2019 Aug 29.
Female sexual interest/arousal disorder (FSIAD) is associated with psychological, relational, and sexual consequences for affected women, and their romantic partners also suffer repercussions. Prior research suggests that women with FSIAD report more difficulties with emotion regulation than controls. Yet, whether emotion regulation is associated with the psychological, relational, and sexual well-being of both members of affected couples is unknown. Eighty-seven women diagnosed with FSIAD via a clinical interview and their male partners completed standardized measures of difficulties in emotion regulation, depression, anxiety, relationship satisfaction, dyadic conflict, sexual desire, and sexual distress. A subset (n = 71 couples) also completed measures of emotional suppression and reappraisal in relation to sex. Analyses used multilevel modeling guided by the actor-partner interdependence model. When women reported greater difficulties regulating negative emotion, they reported greater depression and anxiety, and when men reported more of these difficulties, they had greater depression, anxiety, and sexual distress, and the women with FSIAD reported lower relationship satisfaction. When women reported greater emotional suppression, they reported greater depression and anxiety, and lower relationship satisfaction; when they reported greater use of emotional reappraisal, they had fewer symptoms of depression and anxiety, and their partners reported lower dyadic conflict. When men reported greater emotional suppression, they had greater depression, lower relationship satisfaction, and sexual desire; when they reported greater emotional reappraisal, they had lower depression and anxiety, higher relationship satisfaction, lower dyadic conflict, higher sexual desire and women reported higher relationship satisfaction and lower dyadic conflict. Emotion regulation may be an important target for interventions to help couples cope with FSIAD.
女性性兴趣/唤起障碍（FSIAD）会对受影响的女性及其浪漫伴侣的心理、关系和性方面产生后果。先前的研究表明，FSIAD 女性比对照组更难以调节情绪。然而，情绪调节是否与受影响夫妇双方的心理、关系和性健康有关尚不清楚。通过临床访谈诊断为 FSIAD 的 87 名女性及其男性伴侣完成了情绪调节困难、抑郁、焦虑、关系满意度、夫妻冲突、性欲望和性困扰的标准化测量。一部分（n=71 对夫妇）还完成了与性行为相关的情绪抑制和情绪重评的测量。分析使用 Actor-Partner Interdependence Model 指导的多层次模型进行。当女性报告情绪调节困难程度更高时，她们报告的抑郁和焦虑程度更高，而当男性报告这些困难程度更高时，他们的抑郁、焦虑和性困扰程度更高，FSIAD 女性报告的关系满意度更低。当女性报告情绪抑制程度更高时，她们报告的抑郁和焦虑程度更高，关系满意度更低；当她们报告更多的情绪重评时，她们的抑郁和焦虑症状更少，伴侣报告的夫妻冲突更少。当男性报告情绪抑制程度更高时，他们的抑郁程度更高，关系满意度更低，性欲望更低；当他们报告更多的情绪重评时，他们的抑郁和焦虑程度更低，关系满意度更高，夫妻冲突更低，性欲望更高，女性报告的关系满意度更高，夫妻冲突更低。情绪调节可能是帮助夫妻应对 FSIAD 的干预措施的一个重要目标。
