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Stress and Depression Are Associated with Sexual Function and Satisfaction in Young Men Who Have Sex with Men. | LitMetric

Stress and Depression Are Associated with Sexual Function and Satisfaction in Young Men Who Have Sex with Men.

Arch Sex Behav

Institute for Sexual and Gender Minority Health and Wellbeing, Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Published: July 2023

AI Article Synopsis

  • Prior research indicates that improved mental health and relationship quality enhance sexual function and satisfaction, guiding interventions for mental, relationship, and sexual health issues.
  • This study involved 348 young men who have sex with men (YMSM) in serious relationships and revealed that higher levels of depression and stress correlate with poorer sexual function, satisfaction, and greater discomfort, although relationship quality can moderate these effects.
  • Results suggest that while high relationship satisfaction may help buffer sexual satisfaction from stress, it can also intensify the negative impact of depression on sexual functioning, highlighting the need for further research on diverse sexual health dynamics.

Article Abstract

Prior research suggests that better mental health and higher relationship quality are associated with better sexual function and satisfaction. Such insights can inform intervention development for mental, relationship, and sexual health concerns. This study examined the interactions among these variables in a racially and ethnically diverse group of young men who have sex with men (YMSM) in serious relationships (N = 348). Data were drawn from wave 5 of a longitudinal cohort study. We examined cross-sectional associations between depression and stress (predictors) and sexual function, sexual satisfaction, and anal discomfort (outcomes) and to what extent these associations were moderated by relationship quality. Higher endorsement of depression and stress was associated with worse sexual functioning, lower sexual satisfaction, and more anal discomfort. We also found that fewer negative interactions, stronger commitment, and higher relationship satisfaction were associated with better sexual functioning and higher sexual satisfaction. Higher relationship satisfaction and commitment were found to attenuate the association between stress and sexual satisfaction. Contrary to expectations, higher relationship satisfaction also showed a trend toward exacerbating the association between depression and sexual functioning. These results suggest that, for YMSM, high relationship satisfaction and commitment may protect sexual satisfaction from being negatively impacted by high stress. However, YMSM in highly satisfying relationships may experience poor sexual functioning associated with depression as particularly distressing. This study addressed a major gap in the literature by focusing on mental, relationship, and sexual health in a diverse sample. Future research should examine a wider range of sexual functioning outcomes and include minority stress in study design.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10691266PMC
http://dx.doi.org/10.1007/s10508-023-02615-5DOI Listing

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