Department of Psychology.
Department of Social and Preventive Medicine.
J Fam Psychol. 2021 Aug;35(5):628-638. doi: 10.1037/fam0000829. Epub 2021 Mar 18.
Intimacy is vital to romantic relationships, yet is often thwarted by relational challenges, such as sexual difficulties. With prevalence estimates ranging from 10% to 28%, genito-pelvic pain/penetration disorder (GPPPD) is an important sexual problem resulting in negative consequences for affected women and their partners, including significant sexual dysfunction and dissatisfaction. Findings from cross-sectional studies indicate that higher levels of intimacy are associated with better sexuality outcomes in couples coping with GPPPD. However, single-occasion measurements may not capture the daily variations in intimacy that could have important implications for couples' sexual well-being. The present study focused on a key intimacy-building component-perceived partner responsiveness (PPR)-and its daily associations with women's pain and both partners' sexual function and satisfaction. Using daily diaries over an 8-week period, 160 women ( = 26.23, = 6.26) with GPPPD and their partners ( = 27.73, = 7.35) reported on PPR, sexual function and satisfaction, as well as women's pain, on days when sexual activity occurred ( = 8.87, = 5.87). Drawing on the Actor-Partner Interdependence Model, a multivariate multilevel modeling approach was adopted. Controlling for trait-level PPR, when women and partners reported greater PPR, women reported greater sexual function and satisfaction and partners reported greater sexual function. When partners reported greater PPR, they reported greater sexual satisfaction. No association was found between PPR and women's pain. PPR may facilitate better sexual function and satisfaction and could be an important target in sex and couple therapy for GPPPD. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
亲密关系对浪漫关系至关重要,但常常会受到关系挑战的阻碍,例如性方面的困难。由于生殖器-骨盆疼痛/插入障碍(GPPPD)的患病率估计值在 10%至 28%之间,因此它是一个重要的性问题,会给受影响的女性及其伴侣带来负面影响,包括严重的性功能障碍和不满。横断面研究的结果表明,在应对 GPPPD 的夫妇中,亲密关系水平越高,性结果越好。然而,单次测量可能无法捕捉亲密关系的日常变化,而这些变化可能对夫妻的性健康具有重要意义。本研究集中于一个关键的亲密关系构建组成部分——感知伴侣反应性(PPR)——及其与女性疼痛以及双方的性功能和满意度的日常关联。在 8 周的时间内,通过使用每日日记,160 名患有 GPPPD 的女性(n=26.23,M=6.26)及其伴侣(n=27.73,M=7.35)在有性行为的日子里报告了 PPR、性功能和满意度,以及女性的疼痛(n=8.87,M=5.87)。本研究采用了 Actor-Partner Interdependence Model(互倚模型)的多元多层建模方法。在控制特质水平 PPR 的情况下,当女性和伴侣报告的 PPR 较高时,女性报告的性功能和满意度较高,伴侣报告的性功能也较高。当伴侣报告的 PPR 较高时,他们报告的性满意度较高。PPR 与女性的疼痛之间没有关联。PPR 可能有助于改善性功能和满意度,并且可能是 GPPPD 性治疗和夫妻治疗的重要目标。