Manão Andreia A, Pascoal Patrícia M
HEI-Lab: Digital Human-Environment Interaction Labs, Lusófona University, Campo Grande 376, 1749-024 Lisbon, Portugal.
Healthcare (Basel). 2023 Nov 9;11(22):2930. doi: 10.3390/healthcare11222930.
Body dissatisfaction is a well-established risk factor for emotional problems and low levels of well-being indicators, such as sexual health. Cognitive models propose that dissatisfaction with one's body can cause cognitive distraction related to physical appearance during sexual activity. This may compromise sexual response, namely, sexual satisfaction in heterosexual cis women. However, this relationship has only been studied within heterosexual samples. The present study aims to test a mediation model using cognitive distraction related to body appearance during sexual activity as a mediator between body dissatisfaction and sexual satisfaction in LGB+ cis people (lesbian, gay, bisexual, and other minority sexual orientations). This cross-sectional online study comprised 165 cisgender LGB+ participants ( = 67 cis women, 40.6%; = 98 cis men, 59.4%). Self-report questionnaires were used: the Global Body Dissatisfaction Scale, the Body Appearance Distraction Scale, and a Single-Item Measure of Sexual Satisfaction. Cis women and cis men experience similar levels of body dissatisfaction, cognitive distraction with body appearance during sexual activity, and sexual satisfaction. Body appearance cognitive distraction during sexual activity mediated the relationship between body dissatisfaction and sexual satisfaction only in the men's sample. Overall, in terms of gender and body dissatisfaction, our results reveal a reversed pattern than those found in heterosexual samples. This may be because LGB+ cis women may conform less to societal pressure, leading to less meaning given to body dissatisfaction in relation to sexuality, which may lead to more positive sexual outcomes. Likewise, LGB+ cis men present higher body dissatisfaction and experience lower sexual satisfaction, possibly due to the emphasis on physical appearance in the gay subculture. The results confirm the validity of cognitive models of sexual response.
身体不满是导致情绪问题和幸福感指标水平低下（如性健康）的一个公认风险因素。认知模型提出，对自己身体的不满会在性行为中引发与外貌相关的认知干扰。这可能会损害性反应，即异性恋顺性别女性的性满意度。然而，这种关系仅在异性恋样本中得到研究。本研究旨在测试一个中介模型，该模型以性行为中与身体外貌相关的认知干扰作为LGB +顺性别者（女同性恋、男同性恋、双性恋和其他少数性取向者）身体不满与性满意度之间的中介变量。这项横断面在线研究包括165名顺性别LGB +参与者（67名顺性别女性，占40.6%；98名顺性别男性，占59.4%）。使用了自我报告问卷：全球身体不满量表、身体外貌干扰量表和性满意度单项测量。顺性别女性和顺性别男性在身体不满、性行为中对身体外貌的认知干扰以及性满意度方面的水平相似。仅在男性样本中，性行为中的身体外貌认知干扰介导了身体不满与性满意度之间的关系。总体而言，在性别和身体不满方面，我们的研究结果揭示了一种与异性恋样本相反的模式。这可能是因为LGB +顺性别女性可能较少受到社会压力的影响，导致在性方面对身体不满的重视程度较低，这可能会带来更积极的性结果。同样，LGB +顺性别男性表现出更高的身体不满，性满意度较低，这可能是由于男同性恋亚文化中对外貌的强调。研究结果证实了性反应认知模型的有效性。
