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Updated: May 14, 2025

Validation of a Psychosocial Intervention on Body Image in Older People: An Experimental Design
Published on: May 31, 2021
Exploring the Roles of Body Dissatisfaction, Cognitive Distraction, and Age in Sexual Distress Related to Sexual
Ivanilda B Costa1, Pedro J Rosa1,2, Patrícia M Pascoal1,3,4
1HEI-Lab-Digital Human-Environment Interaction Labs, Lusófona University, Campo Grande 376, 1749-024 Lisboa, Portugal.
Body dissatisfaction in men negatively impacts sexual satisfaction and increases sexual distress. Cognitive distraction mediates this effect, with age acting as a protective factor against these negative sexual outcomes.
Area of Science:
- Psychology
- Sexual Health
- Cognitive Science
Background:
- Self-objectification theory links body objectification to dissatisfaction, impacting social and emotional well-being.
- Cognitive models suggest body dissatisfaction leads to cognitive distraction during sexual activity, affecting sexual response.
- Research on body dissatisfaction and sexual outcomes in heterosexual men is limited compared to women.
Purpose of the Study:
- To investigate the association between body dissatisfaction and sexual outcomes (satisfaction, distress) in heterosexual men.
- To examine the mediating role of cognitive distraction in this relationship.
- To explore potential moderating effects, such as age.
Main Methods:
- An observational, cross-sectional, correlational study.
- Convenience sample of 597 heterosexual males (mean age 35.52).
- Data collected via a web survey.
Main Results:
- Cognitive distraction significantly mediated the relationship between body dissatisfaction, sexual distress, and sexual satisfaction.
- Age moderated this effect, with older men showing a decreased mediated impact of cognitive distraction.
- Age appears to be a protective factor against the negative sexual consequences of body dissatisfaction.
Conclusions:
- Cognitive models effectively explain sexual outcomes beyond just sexual function.
- Heterosexual men experience body dissatisfaction with detrimental effects on sexual health.
- Healthcare practitioners should consider assessing body dissatisfaction in the context of men's sexual health.
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