Background: Childhood trauma, in particular childhood sexual abuse (CSA), and unmet sexuality and intimacy needs are prevalent among people with psychosis spectrum disorders. The association between CSA and sexuality and intimacy needs over time in adults with psychosis spectrum disorders were examined.
Method: Patients (n = 1119) were recruited as part of the Genetic Risk and OUtcome of Psychosis (GROUP) study, a representative cohort of patients with non-affective psychotic disorder. At baseline, three-year and six-year follow-up, sexuality and intimacy needs were assessed with the Camberwell Assessment of Needs. CSA was assessed with the Childhood Trauma Questionnaire.
Results: At baseline, sexuality (26%) and intimacy (40%) needs were prevalent; 90% of these needs remained unmet. Cross-sectionally, CSA was associated with sexuality needs (OR = 1.68, 95% CI: 1.13-2.04) and intimacy needs (OR = 1.75, 95% CI: 1.04- 1.77). Childhood emotional abuse (CEA) was also cross-sectionally associated with sexuality and intimacy needs. Others forms of trauma were not. Prospectively, CSA predicted incidence of a sexuality need (HR = 2.1, 95% CI: 1.23-3.74) as well as an intimacy need (HR = 1.7, 95% CI: 1.11-2.66), as did CEA (sexuality: HR = 1.8, 95% CI: 1.11-2.89; intimacy: HR = 1.4, 95% CI: 1.03-1.96). CSA and CEA were not associated with persistence of sexuality or intimacy.
Conclusion: CSA and CEA are associated with a higher prevalence and incidence of sexuality and intimacy needs in patients with psychotic disorders. High rates of unmet sexuality and intimacy needs may indicate an underlying need for trauma-related treatment as well as a need for novel interventions targeting these needs.
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http://dx.doi.org/10.1016/j.schres.2021.08.003 | DOI Listing |
BMC Neurol
January 2025
School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Introduction: As the most frequent chronic neurological disorder in young adults, Multiple sclerosis (MS) significantly affects neurological function, particularly the autonomic nervous system. While the physical symptoms are visible, MS also causes hidden effects like sexual dysfunction. Research indicates that sexual disorders are more prevalent in MS patients compared to other neurological conditions and are approximately five times more common than in the general population.
View Article and Find Full Text PDFJ Women Aging
January 2025
Department of Sociology, European University at St. Petersburg, St Petersburg, Russia.
Women's sexuality as a dimension of embodied identity is shaped and constrained by social norms of gender and age and negotiated by women in complex ways. Discourses of hegemonic bodily normativity ascribe a sexless subjectivity to Russian women in their post-reproductive years, contributing to their social exclusion. At the same time, in modern Russian society a neoliberal concept of "successful active aging" is gradually changing understandings of aging, making later-life sexuality more visible and legitimate.
View Article and Find Full Text PDFBehav Sci (Basel)
January 2025
Department of Health Sciences, Institute of Business Administration, Sakarya University, Sakarya 54050, Türkiye.
Psychological well-being is the experience of fewer negative emotions, such as feelings of loneliness, depression, and low mood, and more positive emotions, such as taking pride in one's life, being enthusiastic about one's life, and having a highly satisfying purpose in life. In other words, it describes an individual who is happy and free from psychopathology. Psychological well-being in romantic relationships is influenced by several factors, such as empathy, relationship stability, and quality of sex life.
View Article and Find Full Text PDFJ Fam Psychol
January 2025
Department of Psychology, University of Nebraska-Lincoln.
Emerging research indicates that dehumanization may occur in couples with serious consequences; however, this research is in its infancy, and there is a need to integrate dehumanization perspectives with key theories of intimate relationships to best understand this phenomenon. Drawing on work on individuation in couples, we present an integrated framework of dehumanizing deindividuation that is characterized by derogation (viewing a partner with contempt), disregard (ignoring or overlooking a partner), and denial of autonomy (restricting a partner's self-determination). We present data from two samples highlighting the reliability and validity of a new measure, the Dehumanizing Deindividuation in Couples (DDC) scale, which was internally consistent and had excellent construct replicability.
View Article and Find Full Text PDFConscious Cogn
January 2025
Department of Psychological and Brain Sciences, University of California Santa Barbara, CA, USA.
Asking participants to Think Aloud is a common method for studying conscious experience, but it remains unclear whether this approach alters thought qualities-such as meta-awareness, rate of topic shifts, or the content of thoughts in task-absent conditions. To investigate this, we conducted two studies comparing thinking aloud to thinking silently. In Study 1, 111 participants alternated between 15-minute intervals of verbalizing and silently reflecting on their stream of consciousness in a counterbalanced design.
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