CICPSI, Faculdade de Psicologia, Universidade de Lisboa, 1649-013 Lisboa, Portugal.
Escola de Psicologia e Ciências da Vida, Universidade Lusófona de Humanidades e Tecnologias, 1649-013 Lisboa, Portugal.
Int J Environ Res Public Health. 2020 Oct 27;17(21):7864. doi: 10.3390/ijerph17217864.
Sexual distress is a core characteristic of sexual dysfunction; however, little is known about its correlates. In the current study, we aimed to contribute to the understanding of both sexual distress and its positive counterpart, sexual pleasure, by taking a transdiagnostic approach to sexual distress using two types of repetitive negative thinking: worry and rumination. Because sexual activity mostly occurs in a dyadic context, we also looked at the potential mediating effect of co-worry and co-rumination, and we used them as mediators. Our preliminary exploratory quantitative study used a cross-sectional design, with a sample of 206 partnered heterosexual people. We used path analysis with parallel mediation, with structural equation modelling being performed using lavaan designed for R environment. Overall, our results show that repetitive negative thinking is associated with both sexual distress and sexual pleasure, and that neither co-rumination nor co-worry mediates these associations. The exception is the indirect effect of rumination on sexual pleasure that is mediated by co-rumination. These results demonstrate that a transdiagnostic approach to sexual distress is a new field worth exploring, and they contribute to establishing the relevance of a cognitive approach to sexual dysfunction.
性困扰是性功能障碍的核心特征；然而，关于其相关因素知之甚少。在目前的研究中，我们旨在通过使用两种类型的重复消极思维：担忧和沉思，对性困扰采取跨诊断的方法来增进对性困扰及其积极对应物——性愉悦的理解。因为性行为主要发生在二元关系的背景下，我们还研究了共同担忧和共同沉思的潜在中介作用，并将它们作为中介。我们的初步探索性定量研究采用了横断面设计，样本为 206 对异性恋伴侣。我们使用了平行中介的路径分析，使用 lavaan 进行了结构方程建模，lavaan 是专门为 R 环境设计的。总的来说，我们的结果表明，重复消极思维与性困扰和性愉悦都有关联，而且共同沉思和共同担忧都不能中介这些关联。唯一的例外是沉思对性愉悦的间接影响，它是由共同沉思来中介的。这些结果表明，对性困扰的跨诊断方法是一个值得探索的新领域，它们有助于确立认知方法对性功能障碍的相关性。
