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Psychological and Interpersonal Dimensions of Sexual Function and Dysfunction.
Lori Brotto1, Sandrine Atallah2, Crista Johnson-Agbakwu3
1Department of Obstetrics/Gynaecology, University of British Columbia, Vancouver, BC, Canada.
The Journal of Sexual Medicine
|April 6, 2016
Summary
Psychological and interpersonal factors significantly impact sexual health. Addressing these, alongside partner dynamics and life stressors, is crucial for managing sexual dysfunction effectively.
Area of Science:
- Sexual Medicine
- Psychology
- Interpersonal Relationships
Background:
- Psychological, interpersonal, and sociocultural factors contribute to sexual concerns and dysfunction.
- Understanding these factors is key to addressing long-term sexual health issues.
Purpose of the Study:
- To review psychological and interpersonal aspects of sexual functioning in men and women.
- Literature review focused on publications from 2010 to the present.
Main Methods:
- Systematic literature review.
- Focus on publications since 2010.
- Part 1 of a collaborative work for the 2015 International Consultation on Sexual Medicine.
Main Results:
- Sexual function is interdependent between partners; one partner's dysfunction affects the other.
- Cognitive distraction impacts sexual response, particularly genital arousal.
- Psychological treatments show strong support for female sexual desire and orgasm difficulties.
- Clinicians should assess attachment styles, childhood experiences, mental health conditions, and life stressors.
Conclusions:
- Routine clinical investigation of psychological factors, partner dynamics, context, and stressors is strongly supported.
- A biopsychosocial model is recommended for understanding predisposition to sexual dysfunction.
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