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首页> 外文期刊>The journal of sexual medicine >The Mediating Role of Sexual Behavior in Event-Level Associations Between Sexual Difficulties and Sexual Satisfaction in Newlywed Mixed-Sex Couples
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The Mediating Role of Sexual Behavior in Event-Level Associations Between Sexual Difficulties and Sexual Satisfaction in Newlywed Mixed-Sex Couples

机译：性行为中的中介在新婚混杂性伴侣性困难与性满足之间的事件级联系

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IntroductionMany sexual difficulties encountered by couples in their day-to-day lives, although of insufficient intensity and persistence to warrant a clinical diagnosis of sexual disorder, are nevertheless frequent and a source of individual and relational distress. AimThe aim of this study was to assess the event-level associations between couples’ everyday, subclinical sexual difficulties (specifically, low subjective sexual arousal, low physiological sexual arousal, and genito-pelvic pain), the range of sexual behaviors that these couples engage in, and their sexual satisfaction. Methods70 Newlywed participants (35 couples, average age?= 25.6 years, SD?= 3.2 years; average duration of relationship?= 5.4 years, SD?= 3.4 years) individually completed daily diaries about sexual difficulties, range of activities performed during sex, and sexual satisfaction over the course of 5 weeks. Analyses were guided by the actor-partner interdependence model. Main Outcome MeasureThe main outcome was sexual satisfaction, measured at the event-level on a 5-point Likert scale using a single-item question. ResultsOn days of sexual activity, men and women’s difficulties with subjective sexual arousal were associated with lower sexual satisfaction in both partners (actor and partner effects). This association was mediated by the range of couples’ sexual behaviors, such that lower subjective arousal was associated with a more restricted range of sexual activities, which in turn was associated with lower sexual satisfaction. Men’s and women’s difficulties with physiological sexual arousal, and women’s genito-pelvic pain, were each associated with their own lower sexual satisfaction. No partner effects were observed for these sexual difficulties, nor were they mediated by the range of couples’ sexual activities. Clinical ImplicationsThe study’s results highlight how couples’ sexual difficulties can interfere with same-day sexual satisfaction, and how for subjective sexual arousal, this interference is reflected by a more restricted range of sexual behaviors. Strength & LimitationsStrengths of the study include the daily diary methodology, which allowed a focus on event-level sexual activities with minimal retrospective bias. Further, the dyadic analyses allowed both intra-individual and inter-individual effects to be assessed. Limitations include the lack of a more general measure of sexual desire and of a more diverse sample, in terms of age, race, and sexual orientation. ConclusionThese findings underscore the importance of treatments that include both partners, and that target the types as well as range of sexual activities in which couples engage.Jodouin J-F, Bergeron S, Janssen E. The Mediating Role of Sexual Behavior in Event-Level Associations Between Sexual Difficulties and Sexual Satisfaction in Newlywed Mixed-Sex Couples. J Sex Med 2018;15:1384–1392.
机译：夫妻在日常生活中遇到的简介业性困难虽然强度不足，但持续不足以保证临床诊断性疾病的临床诊断，但经常和个人和关系窘迫的来源。这项研究的目的是评估夫妻日常生活中的事件级联系，亚临床性困难（具体而言，性能令人生畏，低生理性令人生意，生理骨盆疼痛），这些夫妻所接种的性行为范围在和他们的性满足。方法70新婚夫妇（35对夫妻，平均年龄？= 25.6岁，SD？= 3.2年;平均关系持续时间？= 5.4岁，SD？= 3.4岁）单独完成的日记，关于性困难，活动中的活动范围，在5周的过程中和性满意度。分析由演员合作伙伴相互依存模型引导。主要结果测量主要结果是性满意度，在使用单项问题的5点李克特量表的事件级别测量。性活动的结果，男女与主观性唤醒的困难与双方性交性较低有关（演员和合作伙伴效应）的性满意度。该协会是由夫妻的性行为范围的介导的，使得较低的主观唤醒与更狭窄的性活动范围有关，这反过来与较低的性满足相关。男性和女性对生理性唤醒的困难，以及女性的Genito-Pelvic疼痛，每个人都与自己的性满意度降低有关。对于这些性困难，没有观察到合作伙伴效果，也不是由夫妻的性活动的范围介导的。临床综合性研究的结果突出了夫妻的性困难如何干扰同日性满足，以及如何对主观性唤醒的影响，这种干扰被更受限制的性行为范围反映出来。该研究的强度和限制包括日记方法，其允许专注于最小的回顾偏差的事件级性活动。此外，Dyadic分析允许评估个体内部和间间的效果。限制包括缺乏更一般的性欲和更多样化的样本，在年龄，种族和性取向方面。结论这些发现强调了包括两个合作伙伴的治疗的重要性，并将这些类型的类型以及夫妻接触的性活动范围.jodouin jf，janssen e。性行为在事件级协会中的中介作用中的调解作用新婚杂志中的性困难与性满意度。 J SEX MED 2018; 15：1384-1392。

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