1,031
Views
92
CrossRef citations to date
0
Altmetric
Articles

Cognitive and Emotional Predictors of Female Sexual Dysfunctions: Preliminary Findings

&
Pages 325-342 | Published online: 24 Jun 2008
 

Abstract

The influence of cognitive and emotional variables on specific female sexual dysfunctions was investigated. A total of 207 women (160 without sexual problems and 47 with a Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) diagnosis of sexual dysfunction) answered a set of questionnaires assessing cognitive and emotional variables (cognitive schemas activated in sexual context – Questionnaire of Cognitive Schema Activation in Sexual Context (QCSASC); sexual beliefs – Sexual Dysfunctional Beliefs Questionnaire (SDBQ); automatic thoughts and emotions presented during sexual activity – Sexual Modes Questionnaire (SMQ)); and sexual functioning (Female Sexual Function Index (FSFI)). Results indicated that most women with sexual dysfunction activate incompetence schemas when facing unsuccessful sexual situations. Additionally, lack of erotic thoughts and increased attentional focus on failure and disengagement thoughts during sexual activity were also common in the clinical sample. Besides these common factors, results showed that some specific cognitive and emotional factors are associated with different clinical presentations. Sexual conservative beliefs seem to be closely related to hypoactive sexual desire and to a certain extent to arousal difficulties in women. Body image beliefs and automatic thoughts focusing on self-body appearance seem to be strongly associated with orgasmic disorder. Regarding emotions, fear was one of the best predictors of vaginismus, whereas sadness, disillusion, guilt, and lack of pleasure and satisfaction were closely associated to hypoactive sexual desire. Overall, these findings may contribute to the discussion regarding the treatment strategies used for the different female sexual dysfunctions.

The study was approved by the IRB. The authors would like to thank to Allen Gomes, MD, Hospitais da Universidade de Coimbra, Portugal, for making possible the collection of the clinical sample and also for his comments and suggestions. Thanks also to D. Rijo, MA, C. Salvador, MA, M. Lima, PhD, Faculdade de Psicologia, Universidade de Coimbra, Portugal; A. Gomes, MA, L. Fonseca, MA, A. Carvalheira, MA, J. Teixeira, MD, G. Santos, MD, J. Quartilho, MD, PhD, P. Abrantes, MD, A. Canhão, MD, Hospitais da Universidade de Coimbra, for their suggestions and help in the sample collection. Thanks also to participants who volunteered for the study.

Notes

∗ p < .05

∗∗p < .01

∗∗∗p < .001

∗ p < .05

∗∗p < .01

∗∗∗p < .001.

∗ p < .05

∗∗p < .01

∗∗∗p < .001.

∗ p < .05

∗∗p < .01

∗∗∗p < .001

1High scores meaning low frequency of vaginismus.

∗∗p < .01

∗∗∗p < .001.

∗ p < .05

∗∗p < .01

Log in via your institution

Log in to Taylor & Francis Online

PDF download + Online access

  • 48 hours access to article PDF & online version
  • Article PDF can be downloaded
  • Article PDF can be printed
USD 53.00 Add to cart

Issue Purchase

  • 30 days online access to complete issue
  • Article PDFs can be downloaded
  • Article PDFs can be printed
USD 193.00 Add to cart

* Local tax will be added as applicable

Related Research

People also read lists articles that other readers of this article have read.

Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine.

Cited by lists all citing articles based on Crossref citations.
Articles with the Crossref icon will open in a new tab.