Sexual exchanges explain the association between attachment insecurities and sexual satisfaction in long-term couples.

Although attachment insecurity has been linked to sexual dissatisfaction in cross-sectional research, little is known about the mechanisms by which attachment is associated with sexual satisfaction over time. This study examined the role of attachment insecurities in sexual satisfaction over time using the Interpersonal Exchange Model of Sexual Satisfaction (IEMSS) as a theoretical framework. Participants were 151 Canadian mixed-gender couples in a long-term relationship ( = 9.

It's not all that bad: associations among pain characteristics and sexual well-being in people living with chronic pain.

Background: Individuals experiencing chronic pain often report adverse effects on their sexual functioning. However, other important aspects of sexual well-being (SWB), such as sexual distress and sexual self-esteem, have received little attention. This is an important omission because a SWB involves more than just good sexual function.

Anxiety Sensitivity in the Sexual Context: Links between Sexual Anxiety Sensitivity and Sexual Well-Being.

Anxiety sensitivity, the fear of physiological arousal sensations, has been linked to lower sexual frequency, poorer sexual function, and greater sexual anxiety. The current study assessed whether anxiety sensitivity specific to the sexual context, termed sexual anxiety sensitivity, was linked to a wide range of indicators of sexual well-being over and above associations accounted for by general anxiety sensitivity. As a first step, we developed the Sexual Anxiety Sensitivity Inventory (SASI).

A Validation Study of the Global Measure of Sexual Satisfaction in Sexually Active Adolescents.

Positive views of adolescents' sexuality have only begun to garner interest in the last two decades. Despite great strides in this emerging area, progress is limited by the paucity of valid and reliable measures among this population. The goal of this study was to validate the widely used adult five-item Global Measure of Sexual Satisfaction (GMSEX) in a large sample of sexually active adolescents.

Toward an Integrative Model of Intimacy, Sexual Satisfaction, and Relationship Satisfaction: A Prospective Study in Long-Term Couples.

Sexual and relationship well-being are strongly intertwined in couple relationships. However, relationship quality is generally examined through relationship satisfaction only, neglecting the importance of sexual satisfaction as an aspect of relationship quality for many couples. Moreover, considering the role of interpersonal processes, such as intimacy, in relationship quality seems essential to better understand couples' optimal functioning.

Body Image and Sexual Well-Being: A Qualitative Study of Women's Perceptions of Partner and Relationship Influences.

Women with poorer body image tend to report lower sexual well-being; yet, minimal research has examined interpersonal factors affecting women's body image in the context of sexual activity. We examined women's perceptions of the influence of relationship and partner factors on their body image during sexual activity with their male partner. Semi-structured interviews with 16 young adult women (ages 19-29) revealed that relationship factors (relationship quality and stage) and partner factors (partner's judgment or objectification, compliments from partner, partner's attractiveness, partner's body image, and partner initiation of sexual activity) were perceived as influencing body image in sexual situations.

Perceived barriers and rewards to sexual consent communication: A qualitative analysis.

Increasingly, affirmative consent - direct, unambiguous and voluntary agreement to engage in sexual activity (Craig & McKinley, 2015) - is the standard being adopted by educational institutions in North America (Bennett, 2016). Yet, studies show that most individuals continue to communicate consent through nonresistance (Jozkowski et al., 2014a).

Young Adults' Qualitative Self-Reports of Their Outcomes of Online Sexual Activities.

Online sexual activities (OSA) refer to Internet-based activities, behaviours, and materials that are sexual in nature. Many young adults engage in OSA, but report doing so infrequently. Most OSA outcome research has focused on negative effects of only some types of OSA (e.

Beyond the Label: Asexual Identity Among Individuals on the High-Functioning Autism Spectrum.

Researchers have suggested that asexuality, which has been conceptualized traditionally as a persistent lack of sexual attraction to others, may be more common among individuals with autism spectrum disorder than in the neurotypical population. However, no studies to date have considered how these individuals understand and conceptualize their sexual identity. The aim of this study was to provide a more nuanced understanding of asexuality among individuals with high-functioning autism spectrum disorder (HF-ASD) than has been done in the past.

Development and Initial Validation of the Attitudes Towards Older Adult Sexuality in Long-term Care Scale (AOASLC).

In long-term care facilities where older adults may reside, negative attitudes about later life sexuality can result in restrictive facility policies and staff behaviors that suppress residents' rights to sexual expression. No assessment instrument specifically focuses on the sexual behaviors of long-term care residents and existing measures of attitudes toward older adult sexuality do not include sexual expression in long term care, nor do they assess a full range of sexual behaviors. We developed the Attitudes toward Older Adult Sexuality in Long-term Care Scale (AOASLC).

Individual and Relationship Predictors of Trajectories of Sexual Function across Adolescent and Young Adult Relationships.

Many young adults report poor sexual function, but research typically fails to consider relationship context and how problems might evolve over time. Research is needed to provide insights into how sexual problems are experienced across relationships, as well as the types of sexual function problems associated with various trajectories. We investigated retrospective trajectories of sexual problems across the multiple relationships of 688 young adults (18-24 years) as well as the individual and relationship factors associated with these trajectories.

A Dyadic Longitudinal Study of Child Maltreatment and Sexual Well-Being in Adult Couples: The Buffering Effect of a Satisfying Relationship.

This study examined the contribution of child maltreatment (CM) to trajectories of couples' sexual well-being, and whether relationship satisfaction moderates these associations. Using a sample of 269 mixed-sex couples followed over one year, dyadic latent growth curve models showed both actor and partner effects. In terms of actor effects, women's emotional neglect was associated with lower initial levels of sexual satisfaction, and most types of women's CM were related to a sharper decrease over time in sexual satisfaction.

An Experimental Investigation of Variations in Judgments of Hypothetical Males and Females Initiating Mixed-Gender Threesomes: An Application of Sexual Script Theory.

Although many young adults are interested in mixed-gender threesomes (MGTs), little research has assessed attitudes toward them. Yet, MGTs offer a rare context to investigate how consensually nonmonogamous sexual encounters and involvement with same-sex others influence attitudes. Thus, by adopting sexual script theory as a framework, the current study compared three dimensions of character judgments (cognitive abilities, morality, partner quality) and assumptions about the sexual history of hypothetical males and females who initiated a MGT (two females and one male; two males and one female) or mixed-sex dyadic sexual activity with a casual or committed partner.

Young adolescents' responsiveness to sexual communication with their mother: Distinguishing diverse intentions.

Introduction: It is unlikely that parents can have effective sexuality discussions with their adolescent if the adolescent is not responsive to their efforts. We evaluated young adolescents' intentions of being responsive to sexual communication with their mother and whether youths who were likely, ambivalent, or unlikely to be responsive differed on their characteristics, features of previous sexual communication, and features of the mother-adolescent relationship.

Methods: Participants were 259 Canadian adolescents (12-14 years; 53% girls) who received and returned a survey by mail.

Sexual health-related training of Canadian midwives and its association with practice outcome.

Background: Although promoting sexual health should be an integral part of midwifery practice, little is known about midwives' preparation to address their clients' sexual health concerns.

Aims: To assess the formal and self-directed training on sexual health topics relevant to midwifery practice of Canadian midwives as well as the association between training and various practice outcomes.

Methods: Forty midwives registered in the Province of Ontario, Canada completed an online survey assessing their formal and self-directed sexual health training, knowledge, comfort, and practice related to 10 sexual health issues.

No. 279-Female Sexual Health Consensus Clinical Guidelines.

Objective: To establish national guidelines for the assessment of women's sexual health concerns and the provision of sexual health care for women.

Evidence: Published literature was retrieved through searches of PubMed, CINAHL, and the Cochrane Library from May to October 2010, using appropriate controlled vocabulary (e.g.

Sexual Portrait of Couples Seeking Relationship Therapy.

This study sought to provide information about the sexual well-being of 298 mixed-sex couples seeking relationship therapy and determined the extent to which problems with sexual functioning and dyadic adjustment of both partners are associated with sexual satisfaction. Partners completed measures of dyadic adjustment, sexual satisfaction, and sexual functioning. Thirty percent of couples reported a clinically significant sexual problem.

Figuring It Out: How Late Adolescent and Young Adult Men and Women Perceive and Address Problems in Sexual Functioning.

Although there are high rates of sexual problems and sexual dysfunction in adulthood (Mitchell et al., 2013), little is known about the circumstances under which problems are first experienced. A growing body of research addresses prevalence of problems in sexual functioning among adolescents and young adults, yet little is known about the meanings that young people give to these experiences or how they deal with them.

No. 279-Female Sexual Health Consensus Clinical Guidelines.

Objective: To establish national guidelines for the assessment of women's sexual health concerns and the provision of sexual health care for women.

Evidence: Published literature was retrieved through searches of PubMed, CINAHL, and the Cochrane Library from May to October 2010, using appropriate controlled vocabulary (e .g.

Understanding the Sexual Satisfaction of Women With Provoked Vestibulodynia and Their Partners: Comparison With Matched Controls.

Provoked vestibulodynia (PVD)-a recurrent, localized vulvar pain-interferes with couples' sexual relationships as evidenced by lower sexual satisfaction compared to controls. Little is known about what components of sexual satisfaction contribute to this lower satisfaction. Using the Interpersonal Exchange Model of Sexual Satisfaction (IEMSS), we compared the sexual exchanges (sexual rewards and costs, relative sexual rewards and costs, balance of sexual rewards and costs, balance of relative sexual rewards and costs, equality of sexual rewards and costs) and sexual satisfaction of 50 women with PVD and their male partners to 50 matched-control couples.