| 1. |
- Bergmark, K., et al.
(author)
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Synergy between sexual abuse and cervical cancer in causing sexual dysfunction
- 2005
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In: J Sex Marital Ther. - : Routledge. - 0092-623X .- 1521-0715. ; 31:5, s. 361-83
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Journal article (peer-reviewed)abstract
- Experiencing a sexual abuse creates a life-long traumatic memory. The life-long effect of such abuse on sexuality, well-being, the risk of contracting cervical cancer, or problems after treatment for cervical cancer is not known. A population-based follow-up study in 1996-97 that used an anonymous postal questionnaire for data collection, 256 women with stage IB-IIA cervical cancer registered in 1991-92 in Sweden, and 350 women without cervical cancer frequency matched for age and region of residence, provided information. Among the women with a history of cervical cancer and the control women, 46 (18%) and 50 (15%), respectively, reported a history of sexual abuse. The follow-up was 1-70 years after the sexual abuse. The relative risk (with 95% confidence interval) of decreased well-being was 2.4 (1.1-5.2) among controls and 2.7 (1.1-6.4) among former cervical cancer patients. A history of both sexual abuse and cervical cancer gave a relative risk of 30.0 (7.0-129.0) for superficial dyspareunia. Sexual abuse increased the risk of sexual problems after treatment. The sexually abused cervical cancer patients were generally less willing than other patients to trade off possible maximal survival and forgo parts of the treatment. A history of sexual abuse and cervical cancer are both independent risk factors for sexual dysfunction and decreased well-being, and there may be a large synergy when both factors are combined. Diagnosis and treatment of cervical cancer may be improved by recognition of a sexual abuse history.
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| 2. |
- Bodlund, Owe, et al.
(author)
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Self-image and personality traits in gender identity disorders : an empirical study.
- 1994
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In: Journal of sex & marital therapy. - 0092-623X .- 1521-0715. ; 20:4, s. 303-17
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Journal article (peer-reviewed)abstract
- Self-image and personality traits, measured by SASB and SCID screen respectively, were compared between transsexuals, patients diagnosed as Gender Identity Disorders of Adolescence and Adulthood, Non-transsexual Type (GIDAANT), and normal controls. Transsexual and GIDAANT patients differed significantly in both their self-image and personality traits. While both the transsexuals' and controls' self-images were positive with self-love, the GIDAANT patients had a negative self-image. On the SCID screen, the GIDAANT group fulfilled 39.8% of all axis II criteria; transsexuals fulfilled 28.6% versus 17.1% for the control group. Mean GAF scores (axis V) were 62, 70, and 83, respectively. For all patients a more negative self-image was significantly related to lower social functioning according to GAF and to more personality pathology according to SCID screen. The prevalence of additional clinical axis I and II disorders was about twice as high among GIDAANT patients as among transsexuals. Although the two conditions are closely related, we found more differences than similarities in the studied aspects and a clear tendency that the GIDAANT patients had more psychopathology overall. Although the transsexuals also differed significantly in some aspects from the controls, they showed less personality pathology and they had a normal self-image. Negative self-image, high degree of fulfilled axis II criteria, and low GAF scores seem to be corresponding factors and in this study clearly differentiate transsexuals from GIDAANT patients.
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| 3. |
- Elmerstig, Eva, et al.
(author)
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Being “good in bed” : Body concerns, self-perceptions and gender expectations among Swedish heterosexual female and male senior high school students
- 2017
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In: Journal of sex & marital therapy. - : Taylor & Francis. - 0092-623X .- 1521-0715. ; 43:4, s. 326-342
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Journal article (peer-reviewed)abstract
- We investigated gender differences regarding body perceptions, self-perceptions, values and expectations in sexual situations, and factors associated with expectations, among Swedish heterosexual female and male high school students. A total of 2765 students (aged 18-22) completed questionnaires. Women reported lower satisfaction with themselves and their body appearance (p<0.001), and felt more inferior to their partner (p<0.001). Men felt more superior to their partner, and felt higher expectations (p<0.001). Male sex, difficulty saying no to sex, dissatisfaction with the body, feeling inferior or superior to partner, and considering partner’s satisfaction as more important, were all associated with feeling expectations during sex.
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| 4. |
- Elmerstig, Eva, et al.
(author)
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Vulvar Pain : Associations Between First-Time Vaginal Intercourse, Tampon Insertion and Later Experiences of Pain
- 2016
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In: Journal of sex & marital therapy. - : Routledge. - 0092-623X .- 1521-0715. ; 42:8, s. 707-720
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Journal article (peer-reviewed)abstract
- This study examines associations between the first experience of vaginal intercourse/tampon insertion and later experiences of vulvar pain. The study is based on questionnaire-data from 1259 Swedish female senior high-schools students 18-22 years old. Of these, 592 women reported present vulvar pain. Present vulvar pain was associated with first-time experiences at vaginal intercourse (pain, negative experience, against will) and with pain at tampon insertion. First-time experiences were also related to temporal aspects of present vulvar pain during vaginal intercourse (at the beginning, after a while during and after). Implications of first-time experiences of vaginal intercourse for future symptoms of vulvar pain are discussed.
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| 5. |
- Engman, Maria, et al.
(author)
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Itch and burning pain in women with partial vaginismus with or without vulvar vestibulitis
- 2007
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In: Journal of Sex and Marital Therapy. - : Informa UK Limited. - 0092-623X .- 1521-0715. ; 33:2, s. 171-186
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Journal article (peer-reviewed)abstract
- Fifty-three women with partial vaginismus with or without vulvar vestibulitis and 27 asymptomatic women estimated sensations of burning pain and itch at 20 standardized moments during a standardized penetration situation, including vaginal muscle contractions. Forty-three women with partial vaginismus (81.1%) reported burning pain, 23 (43.4%) itch, and 22 (41.5%) both complaints, compared to 0% of the asymptomatic women. In 17 of 22 cases, burning pain preceded the appearance of itch and in four cases the two complaints coincided. The median time from the moment when burning pain started until itch appeared was 150 seconds.
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| 6. |
- Engman, Maria, et al.
(author)
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Postcoital burning pain and pain at micturition : early symptoms in women with partial vaginismus with or without vulvar vestibulitis?
- 2008
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In: Journal of Sex and Marital Therapy. - : Informa UK Limited. - 0092-623X .- 1521-0715. ; 34:5, s. 413-428
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Journal article (peer-reviewed)abstract
- Twenty-four women with partial vaginismus with or without vulvar vestibulitis participated in a semi-structured telephone interview concerning early signs and development of their pain symptoms during/after intercourse. At the onset of the problem, pain after intercourse was more common than pain during penetration. Pain intensity during penetration increased from the onset of the problem to when the women ceased having intercourse. Pain during penetration lasted for 1 minute, and was most often described as sharp/incisive/bursting, while pain after intercourse had a duration of 2 hours and was described as burning and/or smarting. Post-coital pain during micturition was described by 70% of the women.
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| 7. |
- Fischer, Vinicius Jobim, et al.
(author)
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The Role of Emotion Regulation Strategies for Sexual Function and Mental Health: A Cluster Analytical Approach
- 2024
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In: Journal of sex & marital therapy. - : ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD. - 0092-623X .- 1521-0715. ; 50:2, s. 123-136
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Journal article (peer-reviewed)abstract
- We investigated distinct profiles in emotion regulation strategies (reappraisal and suppression) and their associations with sexual function and mental health. The online survey sample consisted of 5436 adult participants. The gender stratified cluster analysis resulted in a four-cluster solution for both men and women. Better sexual function and mental health scores were found for participants with high cognitive reappraisal and low expressive suppression. High expressive suppression was associated with higher anxiety and depression and worse sexual function. Sexological care should take into account the assessment of emotion regulation abilities and emotion regulation training interventions to support reappraisal strategies.
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