Malone Natalie, Vigil Kasey E, Palomino Kaylee A, Duroseau Brenice, Thorpe Shemeka
Educational, School, and Counseling Psychology, University of Kentucky, 251 Scott St, Lexington, KY 40506, USA.
School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.
Mindfulness (N Y). 2025 May;16(5):1288-1301. doi: 10.1007/s12671-025-02566-z. Epub 2025 Apr 1.
This study examined the mediating role of sexual mindfulness on the relationship between indicators of Black women's psychological functioning and sexual functioning.
A total of 448 Black women (82% Black American, = 34, = 8.71) completed an online survey between January and February of 2023. Self-report measures were demographic information, sexual functioning, indicators of psychological functioning (i.e., psychological distress, perceived stress, and post-traumatic stress symptoms), and sexual mindfulness (comprised of mindful awareness and mindful non-judgment during sex). Data analysis consisted of descriptives and frequencies, bivariate correlations, and mediation analysis.
We observed a significant indirect effect of (1) psychological distress on sexual function via mindful awareness ( = -0.06, = -0.07, = -0.10, -0.02) and mindful non-judgment ( = -0.06, = -0.08, = -0.10, -0.03) during sex; and (2) perceived stress on sexual functioning via mindful awareness ( = -0.07, = -0.09, = -0.13, -0.03) and mindful non-judgment ( = -0.05, = -0.06, = -0.09, -0.02) during sex. Regarding post-traumatic stress, only mindful non-judgment during sex mediated the relationship between sexual functioning and intrusive symptoms ( = -0.18, = -0.04, = -0.37, -0.04), avoidance-based symptoms ( = -0.25, β = -0.03, = -0.47, -0.06), and hypervigilance ( = -0.21, = -0.03, = -0.44, -0.04).
Findings suggest that interventions aimed at enhancing sexual mindfulness could benefit Black women's psychological and sexual functioning, providing valuable insights for sex therapists working with this population and researchers interested in the benefits of mindfulness-based interventions.
This study is not preregistered.
本研究考察了性正念在黑人女性心理功能指标与性功能之间关系中的中介作用。
2023年1月至2月期间,共有448名黑人女性(82%为美国黑人,年龄 = 34岁,标准差 = 8.71)完成了一项在线调查。自我报告测量包括人口统计学信息、性功能、心理功能指标(即心理困扰、感知压力和创伤后应激症状)以及性正念(包括性行为过程中的正念觉察和正念非评判)。数据分析包括描述性统计和频率分析、双变量相关性分析以及中介分析。
我们观察到:(1)心理困扰通过性行为过程中的正念觉察(效应值 = -0.06,标准误 = -0.07,95%置信区间下限 = -0.10,上限 = -0.02)和正念非评判(效应值 = -0.06,标准误 = -0.08,95%置信区间下限 = -0.10,上限 = -0.03)对性功能产生显著的间接效应;(2)感知压力通过性行为过程中的正念觉察(效应值 = -0.07,标准误 = -0.09,95%置信区间下限 = -0.13,上限 = -0.03)和正念非评判(效应值 = -0.05,标准误 = -0.06,95%置信区间下限 = -0.09,上限 = -0.02)对性功能产生显著的间接效应。关于创伤后应激,只有性行为过程中的正念非评判介导了性功能与侵入性症状(效应值 = -0.18,标准误 = -0.04,95%置信区间下限 = -0.37,上限 = -0.04)、回避型症状(效应值 = -0.25,β = -0.03,95%置信区间下限 = -0.47,上限 = -0.06)以及过度警觉(效应值 = -0.21,标准误 = -0.03,95%置信区间下限 = -0.44,上限 = -0.04)之间的关系。
研究结果表明,旨在增强性正念的干预措施可能有益于黑人女性的心理和性功能,为与该人群合作的性治疗师以及对基于正念的干预措施的益处感兴趣的研究人员提供了有价值的见解。
本研究未进行预先注册。