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New parents' sexual frequency and desire fluctuate throughout the transition to parenthood (i.e., the first year after childbirth). Poorer infant sleep and parental sleep are each associated with lower sexual frequency and desire in cross-sectional research. According to the theory, infant sleep might shape new parents' sexual frequency and desire in so far as it disrupts parental sleep, though this pathway has yet to be examined. We examined the role of parental sleep in the indirect pathway between infant sleep and sexual frequency and sexual desire in couples, both within and between-person, during the first-year postpartum. In a dyadic longitudinal study, 203 first-time mothers and their partners reported on infant sleep quality, parental sleep, sexual frequency, and sexual desire at 3-, 6-, 9-, and 12-months postpartum. Poorer infant sleep was associated with mothers' (within-couple) and partners' (between-couple) poorer sleep and, in turn, lower sexual frequency for the couple. For both mothers (within-person) and partners (between-person), poorer infant sleep was associated with their own lower sexual desire through poorer parental sleep via the indirect pathway. Ongoing assessment of infant sleep and parental sleep may reveal opportunities to mitigate the negative effects of poor sleep on new parents' sexual relationships. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Expectations play a key role in shaping sexual and relationship well-being. Across the transition to parenthood, couples navigate many changes to their sexual relationships, yet little is known about their expectations related to sex. This longitudinal study investigated how unmet and exceeded expectations for postpartum sexual concerns - assessed in pregnancy and compared to experiences at 3-months postpartum - affect sexual and relationship well-being. Data were collected from 200 new-parent couples mid-pregnancy and at 3, 6, 9, and 12-months postpartum. Mothers' unmet expectations (i.e., sexual experiences were worse than expected) were associated with their own lower sexual and relationship satisfaction at 3-months postpartum. Partners' unmet expectations were associated with their own lower sexual satisfaction, higher sexual distress and relationship conflict, and mothers' lower sexual satisfaction. Mothers' exceeded expectations (i.e., sexual experiences were not as bad as they expected) were linked to their own and their partners' higher sexual satisfaction and lower sexual distress and relationship conflict at 3-months postpartum. Partners' exceeded expectations were only associated with mothers' lower sexual distress at 3-months postpartum. Expectations did not predict change in outcomes over time. Findings provide novel evidence that expectations for one's sexual relationship are associated with new parents' sexual and relationship adjustment during a vulnerable period for sexuality and well-being.

The transition to parenthood involves numerous stressors. Consequently, many new parents report negative changes to their sexual desire, sexual satisfaction, and relationship satisfaction relative to pre-pregnancy, with the most disruption reported at 3-months postpartum. While prior research suggests that dyadic coping—a couple’s capacity to deal with stress effectively and mutually—is positively linked with relationship satisfaction, little is known about how it relates to sexual and relational outcomes in new parents’ daily lives. This study examined how common and negative dyadic coping were associated with new parents’ own and their partner’s daily sexual desire, sexual satisfaction, and relationship satisfaction. New parent couples ( N = 120) completed a baseline survey and 21 days of daily diaries between 3- and 4-months postpartum. Data were analyzed using structural equation modeling. After controlling for mood, for both women who gave birth and their partners, on days that they reported higher common dyadic coping, they reported greater sexual desire, and sexual and relationship satisfaction. On days when women reported lower negative dyadic coping, both they and their partner reported greater relationship satisfaction. When women reported higher common dyadic coping, their partners reported greater sexual desire. When women reported lower negative dyadic coping, they reported greater sexual desire. When partners reported lower negative dyadic coping, they reported greater relationship satisfaction. Focusing on strategies to encourage common and reduce negative daily dyadic coping may be beneficial for sexual and relationship well-being early in the postpartum when couples report experiencing a peak in sexual and relationship challenges.

Whereas greater levels of intimacy have been shown to promote couples’ sexual well-being, recent theories suggest that satisfying sex is maintained via the capacity to encourage the partner’s individuality, while remaining intimately connected. Responses to capitalization attempts (i.e., the disclosure of a positive personal event) provide an opportunity to strengthen both the couple’s intimacy and each partner’s autonomy. Although responses to capitalization attempts are linked to couples’ greater relationship adjustment, very little is known about their relation to couples’ sexual well-being. The aim of this study was to examine the associations between self-reported, perceived, and observed responses to capitalization attempts and sexual satisfaction, sexual distress, and sexual function in 151 cohabiting couples who participated in a filmed discussion in the laboratory. They also completed self-report questionnaires pertaining to their responsiveness and to that of the partner during the discussion, as well as their sexual well-being. Results indicated that one’s higher levels of self-reported and partner-perceived active–constructive responses (enthusiasm/elaboration) during the discussion were associated with one’s own greater sexual satisfaction. Higher levels of perceived passive–constructive responses (quiet but interested) from one’s partner were associated with one’s own lower sexual satisfaction, and one’s higher levels of self-reported and perceived passive–destructive responses (lack of interest/self-focus) were associated with one’s own greater sexual distress. Finally, higher levels of observed active–destructive responses (undermines/denies the positive nature of the event) were associated with one’s own lower sexual function, while in women, they were associated with their lower sexual satisfaction. Findings contribute to a growing body of literature underscoring the importance of intimacy for sexual well-being in long-term relationships.

This study examined the associations between childhood maltreatment (CM) and the mean-level of perceived partner responsiveness (PPR; the extent to which individuals feel cared for, understood, and validated by their partner) over 35 days, the day-to-day variability in PPR, and the initial levels and trajectories of PPR over 1 year in community couples. Both members of 228 couples completed a self-reported measure of CM and provided daily reports of PPR over 35 days and retrospective reports of PPR at three time points over 1 year. A person’s greater CM was related to a lower mean level of PPR over 35 days and to a lower initial level of their own PPR. A person’s sexual abuse, physical neglect, and emotional neglect had an effect over and above other forms of CM in these associations. A person’s greater CM was also related to higher day-to-day variability in their own and their partner’s PPR, and a person’s greater emotional neglect was associated with a sharper decrease over time in their own PPR. These findings provide a more fine-grained understanding of how CM may affect the perceptions of being cared about, accepted, and validated by a partner on a daily basis and over time.

Background There is limited information about the physical indicators and biopsychosocial predictors of self-reported pain during intercourse and pain during a gynecological examination at 12- and 24-month following childbirth. Aim This longitudinal study aimed to (i) Compare the findings from gynecological exams at 12- and 24-month postpartum for women with minimal vs clinically significant pain during intercourse; (ii) Assess the biomedical and psychosocial correlates of self-reported pain during intercourse and the vestibular pain index (VPI) from the cotton-swab test at 12- and 24-month postpartum; (iii) Establish the relationship between self-reported pain during intercourse and the cotton-swab test. Methods Women (N = 97 at 12 months postpartum and N = 44 at 24-month postpartum) recruited from a local women’s hospital completed online surveys in their first trimester of pregnancy and at 12- and 24-month postpartum to assess pain during intercourse and biopsychosocial variables. Those with clinically significant (pain ≥4/10 on a visual analogue scale) were matched with those reporting minimal pain (pain Main Outcome Measures (i) Findings from the gynecological examination (ii) Numerical rating scale for the VPI; (iii) Visual analogue scale of pain during intercourse. Results The majority of women in both pain groups had normal physical findings in the gynecological exam. Greater sexual distress and pain catastrophizing at 12- and 24-month postpartum were significantly associated with greater pain during intercourse at each time-point, respectively. Greater pain catastrophizing at 12 months postpartum was significantly associated with greater pain during the cotton-swab test at that time-point. Lower relationship satisfaction at 12 months postpartum was associated with greater VPI ratings at 24 months postpartum. Pain during intercourse and the VPI were moderately and positively correlated. Clinical Implications Addressing psychosocial variables may interrupt the maintenance of postpartum pain. Following an initial assessment, self-reported pain intensity may be a suitable proxy for repeated examinations. Strengths & Limitations This study is the first to describe the physical findings and psychosocial predictors of pain during intercourse and the VPI at 12- and 24-month postpartum. The homogenous and small sample may limit generalizability. Conclusion There were no observable physical indicators of clinically significant postpartum pain during intercourse. Psychosocial variables were linked to women’s greater postpartum pain during intercourse and VPI ratings.

Background Research to date suggests that couples undergoing assisted reproductive technology (ART) are at a high risk of experiencing sexual difficulties. Aim This dyadic cross-sectional study aimed to provide a better understanding of the infertility-specific personal (ie, emotional, mind-body) and relational stressors associated with the sexual desire, orgasm, arousal, and sexual satisfaction of infertile couples seeking ART. Methods The sample included 185 mixed-sex infertile couples seeking ART. Participants completed online the Fertility Quality of Life tool and either the Female Sexual Function Index or the International Index of Erectile Function. Data were analyzed using path analyses based on the Actor-Partner Interdependence Model. Outcomes Individuals’ own and their partners’ sexual function (desire, orgasm, arousal domains) and sexual satisfaction. Results For men and women, infertility-related emotional stressors were associated with their own and their partner's lower sexual desire. For women, experiencing greater infertility-related emotional stressors was also associated with their partner's lower sexual satisfaction. While experiencing greater infertility-related mind-body stressors was not associated with men and women's own sexual desire, arousal, orgasm, and satisfaction, for women, it was associated with their partner's lower sexual arousal. Lastly, for men and women, infertility-related relational stressors were associated with their own lower sexual arousal, as well as with their own and their partner's lower sexual satisfaction. For women, experiencing greater relational stressors was also associated with their own lower sexual desire and orgasm. Clinical Implications Interventions addressing the emotional, mind-body, and relational spheres of infertile couples seeking ART may help facilitate improvements in sexual function and satisfaction and better serve their needs. Strengths & Limitations This study included a large sample of couples. Our sample was heterogeneous with regards to couples’ cause of infertility and treatment stage. The use of an infertility-related measure allowed us to better capture personal and relational stressors specific to couples seeking ART. Given the cross-sectional design of our study, causality between infertility-related stressors and sexual function and satisfaction cannot be inferred. Our sample included predominantly White, mixed-sex individuals with a high level of education, which may reduce the generalizability of our findings. Conclusion Couples’ subjective experience of infertility and treatment (personal and relational stressors) seems to be strongly associated with their sexual health, allowing us to identify potential targets of intervention with couples seeking ART. S.E. Amiri, A Brassard, N.O. Rosen, et al. Sexual Function and Satisfaction in Couples with Infertility: A Closer Look at the Role of Personal and Relational Characteristics. J Sex Med 2021;XX:XXX–XXX.

Provoked vestibulodynia is a vulvar pain condition causing sexual dysfunction, affecting 8% to 10% of women. Our recently published randomized clinical trial (N = 108 couples) found that cognitive behavioral couple therapy (CBCT) and topical lidocaine reduced women's pain and associated sexual symptoms, with CBCT showing more benefits. Little is known about pretreatment predictors of treatment outcomes in couples sex therapy. In the current study, we examined women and their partners' pretreatment demographic (age, relationship length), clinical (pain duration, anxiety) and interpersonal (partner responses to pain, sexual goals) predictors/moderators of women's pain intensity, pain unpleasantness, and sexual function at posttreatment and 6-month follow-up. Longer relationship duration, lower anxiety in women, partner higher solicitousness and partner higher approach sexual goals predicted better pain outcomes for women with PVD irrespective of treatment condition. CBCT was more effective than lidocaine for improving women's sexual function at posttreatment when, at pretreatment, women had partners with higher anxiety and women reported lower approach sexual goals, whereas lidocaine was more effective for improving women's sexual function at follow-up when partners had higher approach sexual goals. Findings can assist clinicians in determining what treatment will be most beneficial for whom.

Couples experience greater satisfaction and desire when they are motivated to meet each other's sexual needs (sexual communal strength); however, doing so at the expense of one's own sexual needs (unmitigated sexual communion) can detract from satisfaction and desire. Self-determination theory suggests engaging in sex for pleasure and value (autonomous reasons) versus out of pressure and obligation (controlled reasons) may account for these differences. Across two dyadic studies, one cross-sectional (

Intimacy is vital to romantic relationships, yet is often thwarted by relational challenges, such as sexual difficulties. With prevalence estimates ranging from 10% to 28%, genito-pelvic pain/penetration disorder (GPPPD) is an important sexual problem resulting in negative consequences for affected women and their partners, including significant sexual dysfunction and dissatisfaction. Findings from cross-sectional studies indicate that higher levels of intimacy are associated with better sexuality outcomes in couples coping with GPPPD. However, single-occasion measurements may not capture the daily variations in intimacy that could have important implications for couples' sexual well-being. The present study focused on a key intimacy-building component-perceived partner responsiveness (PPR)-and its daily associations with women's pain and both partners' sexual function and satisfaction. Using daily diaries over an 8-week period, 160 women (Mage = 26.23, SD = 6.26) with GPPPD and their partners (Mage = 27.73, SD = 7.35) reported on PPR, sexual function and satisfaction, as well as women's pain, on days when sexual activity occurred (M = 8.87, SD = 5.87). Drawing on the Actor-Partner Interdependence Model, a multivariate multilevel modeling approach was adopted. Controlling for trait-level PPR, when women and partners reported greater PPR, women reported greater sexual function and satisfaction and partners reported greater sexual function. When partners reported greater PPR, they reported greater sexual satisfaction. No association was found between PPR and women's pain. PPR may facilitate better sexual function and satisfaction and could be an important target in sex and couple therapy for GPPPD. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Over the past 30 years, there has been substantial evidence that women’s sexual self-schemas—views of themselves as a sexual person—are associated with their sexual function. The aim of this review was to summarize existing methods of conceptualizing and assessing sexual self-schemas, including their advantages, disadvantages, and implications for understanding women’s sexual function. We provide recommendations for the utility of each measure in research and clinical contexts, with a goal toward improving understanding of women’s sexuality and enhancing research on assessment and treatment of women’s sexual difficulties. Most studies assessing sexual self-schemas have used a self-report measure in which participants rated how descriptive various adjectives were of themselves; the adjectives were identified as reflecting attributes of a sexual woman (e.g., passionate, open). Novel measures of women’s sexual self-schemas have been developed more recently, aimed at assessing additional dimensions of sexual self-views such as schema organization or content. Furthermore, some work has conceptualized sexual self-schemas by intentionally activating sexual self-views and assessing associations with sexual responses or function. Assessing sexual self-schemas with a one-dimensional scale, used widely in past literature, has many advantages, including demonstrated validity and ease of administration and scoring. A measure of sexual self-schema organization may offer new insights for treatment outcome research, as the interconnectedness of a woman’s sexual self-schema network could be amenable to change through therapy. The Meaning Extraction Method of computerized text analysis may be especially pertinent in assessment contexts and for monitoring treatment progress, enabling a rich individualized assessment of a woman’s sexual self-schema. We recommend continued development and validation of emerging sexual self-schema measures, including increasing their accessibility, so that they may be more broadly applied to research and clinical practice.

Despite sexual activity being safe for the majority of expectant couples (i.e., the pregnant individual and their partner), negative attitudes toward having sex during pregnancy are common and are related to lower sexual well-being across this vulnerable life period. Using dyadic response surface analysis in a sample of 254 first-time expectant couples, we examined the degree to which expectant partners demonstrated similar

Sexual well-being is an important contributor to romantic relationship quality, health, and quality of life, yet couples face significant disruptions to their sexuality during the transition to parenthood. While there is evidence of variability in the sexual well-being of new parents, distinct classes of dyadic trajectories have not been established. Sexual frequency, desire, satisfaction, and distress are each unique components of sexual well-being and may follow different patterns of change within couples. We sought to establish classes of trajectories of four aspects of sexual well-being for couples in the transition to parenthood as well as the associations among identified classes. Couples (N = 203) expecting their first child completed online standardized measures of sexual well-being at 20 and 32 weeks in pregnancy and at 3, 6, 9, and 12 months postpartum. Dyadic latent class growth analyses were conducted to identify classes of trajectories for each facet of sexual well-being, and dual trajectory analyses examined the probability of group membership across classes. Couples' sexual well-being over time was heterogeneous. Sexual frequency had two classes: high (33%) and low (67%); sexual desire had three classes: moderate (36%), high (25%), and discrepant (39%); sexual satisfaction had two classes: high (64%) and low (36%); and sexual distress had two classes: low (76%) and discrepant (24%). Overlap in classes of sexual well-being was variable such that high and low or discrepant (between partners) classes did not always co-occur. Findings provide more nuanced information about new parents' postpartum sexual health, which may facilitate early assessment and intervention. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Background The Maternal and Partner Sex During Pregnancy Scales (MSP/PSP) are self-report measures of expectant couples’ attitudes towards sex during pregnancy. Aim This study aimed to examine dyadic non-independence of MSP/PSP scores in a sample of expectant couples, while providing an evaluation of factor structure, validity, and reliability of the Portuguese versions of the MSP/PSP. The association between partners’ attitudes and frequency of sexual behaviors was also examined. Methods A total of 189 expectant couples completed a survey that included a sociodemographic questionnaire, the MSP/PSP, frequency of sexual behaviors, as well as validated measures of attitudes to sex, sexual function, sexual satisfaction, depression, and perceived social support. Outcomes Dyadic interdependence was tested via Pearson correlation between MSP/PSP scores; between-dyads variability was tested via intraclass correlation of the unconditional model including only MSP/PSP scores using a multi-level model. Associations between attitudes and sexual behavior were tested using regression analysis (between-dyads outcomes) or APIM (mixed outcomes). Factor structure, internal consistency, and validity (convergent, discriminant, and concurrent) of the Portuguese versions of the scales were assessed. Results MSP/PSP scores were interdependent within-dyads. Male partners presented significantly more positive attitudes towards sex during pregnancy than pregnant women. Attitudes were linked to indices of sexual well-being for both partners (sexual functioning, sexual satisfaction) and, for both partners, more positive attitudes were associated with higher frequencies of most partnered sexual behaviors. The Portuguese MSP/PSP scales showed good factor structure, and good to excellent indices of reliability and validity. Clinical Implications The Portuguese MSP/PSP is adequate for use in couples. The scales can be used to screen partners with negative attitudes towards sex during pregnancy and evaluate how these attitudes relate to intra- and inter-individual sexual well-being during pregnancy. Strengths & Limitations A strength of this study is the inclusion of both expectant partners and the use of dyadic analysis. Couples who participated in the study were all in mixed-gender/sex relationships, although this was not defined as an inclusion criterion. Future studies should use the MSP/PSP in more diverse samples in order to further determine how the scale performs for couples with different characteristics. Conclusion Scores in the MSP/PSP are interdependent between mixed-sex/gender expectant couple members. More positive attitudes towards sex during pregnancy are linked to higher frequencies of partnered sexual behaviors and to both partners’ greater sexual well-being. Tavares Ines M., Heiman Julia R., Rosen Natalie O., et al. Validation of the Maternal and Partner Sex During Pregnancy Scales (MSP/PSP) in Portugal: Assessing Dyadic Interdependence and Associations with Sexual Behaviors. J Sex Med Rev 2021;18:789–799.

People's beliefs about how to maintain sexual satisfaction have been associated with how they navigate sexual differences, but research has yet to explore the consequences of these beliefs for couples facing a distressing sexual issue. The current research extends past work on sexual growth beliefs (i.e., the view that sexual satisfaction requires continuous effort to maintain) and sexual destiny beliefs (i.e., the view that sexual satisfaction is the result of natural sexual compatibility with a partner) to couples for whom these beliefs might be especially consequential - those coping with sexual dysfunction. In a dyadic longitudinal study of 97 couples coping with women's clinically significant low desire and arousal, we tested how sexual growth and destiny beliefs are associated with sexual, relationship, and personal well-being. We found that endorsing greater sexual growth beliefs was associated with higher sexual desire for both partners, whereas, with some exceptions, endorsing greater sexual destiny beliefs was linked to lower sexual desire and relationship satisfaction, more conflict, and more depressive and anxious symptoms. However, these effects did not persist one year later. Our findings highlight the implications of sexual growth and destiny beliefs for both couple members when navigating a chronic sexual difficulty.

Background The transition to parenthood is associated with changes to new parents’ mood and sexual health. Sexual dysfunction—problems with sexual function accompanied by sexual distress (i.e., worries and concerns about one’s sex life)—is linked to poorer overall health, yet few studies have examined how sexual dysfunction unfolds for couples during this transition. Postpartum depression is a risk factor for sexual dysfunction; however, the association between depressive symptoms and how postpartum sexual dysfunction evolves has not been examined. Purpose To establish trajectories of sexual function and sexual distress for mothers and partners and to examine if postpartum depressive symptoms were associated with these trajectories. Methods Data were collected from 203 first-time parent couples from midpregnancy until 12-months postpartum. Sexual function and sexual distress were assessed at six time points (two prenatal) and depressive symptoms were assessed at 3-months postpartum. Results Dyadic latent piece-wise growth curve models revealed significant declines in mothers’ and partners’ sexual function between pregnancy and 3-months postpartum and significant improvements from 3- to 12-months postpartum. Mothers’ sexual distress increased between pregnancy and 3-months postpartum and decreased thereafter, whereas partner’s sexual distress remained stable. Depressive symptoms were associated with poorer sexual function and higher sexual distress at 3-months postpartum for both partners but did not predict change over time. Conclusions Mothers and their partners experience changes to their sexual function during the transition to parenthood; however, mothers are at greater risk of sexual dysfunction. Depressive symptoms are a risk factor for poorer sexual health at 3-months postpartum for both parents.

Pain is a risk factor for postpartum depression (PPD) and labour epidural analgesia (LEA) may lower the incidence of PPD. We evaluated depressive symptoms risk at three, six, and 12 months postpartum in women with LEA compared with women without LEA. With ethics approval, hypotheses were tested using data from a longitudinal prospective observational cohort study between January 2015 and January 2019 in nulliparous women aged ≥ 18 yr with uncomplicated, singleton pregnancies. Email surveys were completed at baseline (18–20 weeks’ gestation) and at three-, six- and 12 months postpartum, including the Edinburgh Postpartum Depression Scale (EPDS). Maternal, infant, and anesthesia characteristics were abstracted from electronic databases. The EPDS scores at three, six, and 12 months postpartum were analyzed using generalized estimating equations with and without covariates. Of the 909 women who consented to participate, 709 women were included in the study. Antenatal EPDS scores, not LEA, predicted postpartum depressive symptom risk (P 0.05). This study did not identify an association between LEA and risk of depressive symptoms postpartum, although small mean differences between groups cannot be ruled out. Future studies should focus on other modifiable variables that influence the development of PPD.

Women commonly experience heightened sexual distress in pregnancy and postpartum, and there is limited knowledge of protective factors. Women report declines in the importance of sexuality during this time, suggesting that valuing sexuality could be a relevant individual difference factor. It may be particularly protective for women to feel successful in living in line with their sexual values. In a longitudinal study, we examined associations between the extent to which women valued their role as a sexual partner, and their success living in line with this partner-oriented sexual value, with their sexual distress. Women (

We used a mixed-method design to examine the attributions women in mixed-gender/sex relationships make for their partner's perceived pornography use and whether such attributions covary with women's relationship and sexual satisfaction. A final sample of 199 women completed measures of relationship satisfaction, sexual satisfaction, and their perceptions of partner's pornography use. Participants also completed three open-ended questions assessing their attributions of their partner's perceived pornography use. Qualitative analyses revealed 11 themes in women's attributions of their partner's perceived pornography use; some of the themes reflected on women themselves (e.g., being open-minded and accepting), whereas other themes reflected on the partner (e.g., partner is sexually bored) or the relationship (e.g., strong and trusting relationship). Furthermore, the women made positive, negative, and neutral attributions. Quantitative analyses showed that positive attributions were significantly more frequent than neutral or negative attributions and the latter two categories did not differ significantly from each other. Also, greater frequency of positive and neutral attributions and lower frequency of negative attributions were associated with higher relationship satisfaction and sexual satisfaction. Our results suggest that women make a range of attributions about their partner's pornography use and that this variation relates meaningfully to indices of relationship functioning.

Background The experience of distressing low sexual interest/arousal—female sexual interest/arousal disorder (FSIAD)—is prevalent in women of all ages and is associated with poorer sexual, relationship, and psychological well-being than women without this difficulty. Women who are partnered are almost 5 times more likely to be distressed by low desire and to receive a diagnosis of FSIAD than unpartnered women, indicating that interpersonal factors are highly relevant, although largely neglected in past research. Aim In a dyadic cross-sectional and longitudinal study, we examined whether partner responses to FSIAD were associated with the sexual, relationship, and psychological well-being of couples, and whether any effects persisted 1 year later. Methods Women diagnosed with FSIAD (N = 89) completed a validated measure of perceived partner positive vs negative responses to their low sexual interest/arousal and their partners reported on their own responses, as well as measures of sexual desire, sexual satisfaction, relationship satisfaction, sexual distress, and anxiety. 1 year later, couples (N = 66) completed the outcome measures again. Data were analyzed according to the Actor-Partner Interdependence Model. Outcomes Outcomes included were the Sexual Desire Inventory–Solitary and Partner-Focused Subscales; Global Measure of Sexual Satisfaction; Female Sexual Distress Scale; Couple Satisfaction Index; and State-Trait Anxiety Inventory–Short-Form. Results When women with FSIAD perceived more positive partner responses (eg, warm, supportive, compassionate) than negative responses (eg, hostile, unsupportive, indifferent), they were more satisfied with the relationship and they and their partners reported lower anxiety. When partners reported more positive than negative responses, they had greater relationship and sexual satisfaction and lower sexual distress and anxiety. Exploratory analyses revealed that women's perceptions of their partners' responses accounted for the link between partners' own responses and women's relationship satisfaction and anxiety. Partner responses did not predict any change in outcomes over time. Clinical Implications Findings support interpersonal conceptualizations of FSIAD and may inform the development of future couple-based interventions. Strengths & Limitations This study is one of the few dyadic investigations of FSIAD, as diagnosed via a clinical interview. Significant associations were only observed cross-sectionally, limiting causal conclusions. There was limited power to detect longitudinal effects. Conclusion More positive responses to women's low sexual interest/arousal by partners is linked to better adjustment among couples affected by FSIAD.

Background Changes in sexual well-being are common for new mothers and their partners after the birth of a baby. However, most research has sampled mothers not couples, assessed only one aspect of sexual well-being, and has not included a control sample of couples. Aim This study aimed to compare the sexual well-being (ie, sexual frequency, sexual satisfaction, sexual desire, sexual distress) of first-time mothers and their partners in the transition to parenthood (first 12-month postpartum) to community couples who are not actively in this transition. We also compared the sexual well-being within couples (eg, mothers to their partners). Methods Couples in the transition to parenthood (n = 99) completed measures of sexual satisfaction, sexual desire, sexual distress, and sexual frequency at 3, 6, and 12 months postpartum, and community couples (n = 104) completed the measures at a single time point. Outcomes Measures included the following: (i) Global Measure of Sexual Satisfaction Scale; (ii) Female Sexual Function Index and International Index of Erectile Function sexual desire subscale; (iii) Female Sexual Distress Scale-Revised; and (iv) checklist of sexual behaviors. Results Compared with community controls, new parents reported lower sexual satisfaction, lower sexual desire, and higher sexual distress at all time-points; however, these group differences became less pronounced by 12 months postpartum. By 6 months postpartum, there was no difference in sexual frequency between postpartum couples and the control group. Mothers experienced persistently lower sexual desire relative to their partners throughout the 12 months postpartum. Between 39% and 59% of mothers reported clinically low sexual desire, and 47–57% reported significant sexual distress at all time points. There were no significant differences reported in sexual satisfaction, sexual desire, or sexual distress between women and their partners in the community sample. Clinical Implications Clinicians should be aware that sexual well-being may be compromised in new parents, and some of these challenges are still present for new parents at 12 months postpartum. Findings can be used to educate new parents regarding their expectations about postpartum sexual well-being. Strengths & Limitations The strengths of the present study are the dyadic approach, assessing multiple aspects of sexual well-being in new parents over time, and the comparison with a community sample. An important limitation is that the control sample was not followed up over time. Conclusion Education regarding postpartum sexual well-being should be incorporated in routine perinatal and postnatal healthcare practices to support new parents in developing realistic expectations about changes during the transition to parenthood, potentially preventing undue distress.

OBJECTIVE The postpartum period is a vulnerable time for sexual health, yet the relationship between biopsychosocial factors and sexual function over time remains unclear. Our aim was to identify trajectories of postpartum sexual function in first-time mothers (N = 646) and examine associations with biopsychosocial factors. METHODS Biopsychosocial factors were assessed at delivery and 3 months postpartum. Sexual function was assessed during pregnancy, 3, 6, and 12 months postpartum using the Female Sexual Function Index. Latent class growth analysis was conducted to identify distinct sexual function trajectories. Multinomial logistic regressions examined associations between biopsychosocial factors and membership in the trajectories. RESULTS Three trajectories were identified: 52% of women reported minimal sexual function problems at 3 months postpartum and improved the least over time, 35% of women reported moderate sexual function problems at 3 months and improved the most over time, and 13% of women reported marked sexual function problems at 3 months and improved somewhat over time. Biomedical factors were not significantly related to trajectory membership. Higher sexual distress at 3 months postpartum was associated with increased odds of being in the moderate and marked sexual function problems subgroups, whereas higher sexual function in pregnancy was associated with decreased odds of being in these subgroups. Lower depressive symptoms and higher relationship satisfaction was associated with reduced odds of being in the marked problems subgroup. CONCLUSIONS Improvement in sexual function postpartum is heterogeneous. Psychosocial, but not biomedical factors were significantly associated with the trajectories. This information may be integrated into psychoeducation, and for informing earlier assessment and intervention practices. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Emotion regulation is a key contributor to social functioning and mental health; yet, its influence on sexual well-being has only recently gained research attention. To elucidate correlates of women’s sexual satisfaction, desire, frequency, function, and distress and guide future study, the present review evaluates research at the intersection of emotion regulation and sexual well-being. There are clear associations between mood and sexual well-being, with the interference of negative emotion on sexual outcomes stronger for women relative to men. Although there is evidence that women’s poorer emotion regulation abilities are related to poorer sexual well-being, associations between specific emotion regulation strategies and sexual outcomes are less established, possibly due to the abundance of regulatory strategies and dearth of research on emotion regulation in sexual contexts. Still, our review suggests that women’s greater sexual well-being is positively associated with strategies characterized by adaptive engagement (e.g., problem solving, acceptance, reappraisal) and negatively associated with strategies characterized by disengagement (e.g., avoidance, suppression, distraction) and aversive cognitive perseveration (e.g., worry, rumination). Extant research is consistent with models of women’s sexual response and offers preliminary support for the emotion regulation–sexual well-being link. While the explanatory power of the current literature is limited by a lack of dyadic and longitudinal studies, interventions targeting emotion regulation hold promise for improving women’s and couples’ sexual well-being.

Pornography use is now considered a normative sexual activity, including for partnered individuals. Although there are documented positive and negative effects of pornography use on romantic relationships, studies to date suffer from key limitations, narrowing their clinical relevance. Most rely on vague recall measurement that may inadequately capture actual pornography use, and all are exclusively based on mixed-sex couples. This study used a 35-day dyadic daily diary design to examine the associations between an individual’s daily pornography use and their own and their partner’s relationship satisfaction, partnered sexual desire, and probability of partnered sexual activity in mixed-sex and same-sex couples ( N = 217 couples). For women, regardless of partner’s sex, using pornography was associated with their own and their partner’s higher sexual desire and with higher odds of partnered sexual activity. For men, regardless of partner’s sex, using pornography was associated with their partner’s lower sexual desire; for men coupled with women, with lower odds of partnered sexual activity, and for men coupled with men, with higher odds of partnered sexual activity. For all participants, pornography use was unrelated to relationship satisfaction. The current study demonstrated that an individual’s pornography use is associated with same-day couple’s sexual dynamics, with different associations according to users’ and their partners’ sex.

While sexual frequency and satisfaction are strong contributors to the quality and longevity of romantic relationships and overall well-being, mismatches in sexual desire between partners are common and have been linked with poorer satisfaction. Previous findings linking mismatches in desire with poorer relationship and sexual outcomes have typically been derived using difference scores, an approach that does not account for partners’ overall levels of desire. In a sample of 366 couples, we investigated whether partners who match in desire are more satisfied than desire-discrepant couples. Results of dyadic response surface analyses provided no support for a unique matching effect. Higher desire rather than matching in desire between partners predicted relationship and sexual satisfaction. These findings shed new light on whether the correspondence between partners’ levels of sexual desire is associated with satisfaction and suggest the need to focus on sustaining desire and successfully navigating differences rather than promoting matching in desire.

Although facilitative and negative partner responses are known to impact couples' adaptation to provoked vestibulodynia (PVD), a chronic genito-pelvic pain condition, it is still unknown what leads individuals to adopt or perceive such adaptative or detrimental behaviors. Attachment influences sexual and relationship adjustment, emotional reactivity and perceived support in romantic relationships, and as such could be associated with partner responses. This study aimed at examining the mediating role of facilitative and negative partner responses in the associations between attachment and relationship and sexual adjustment in 125 couples coping with PVD. Couples completed self-report questionnaires on attachment, partner responses, sexual satisfaction and distress, and relationship satisfaction. Results indicated that partners' attachment avoidance was negatively associated with facilitative partner-reported responses, which in turn was associated with partners' sexual and relationship satisfaction. Attachment anxiety in women and partners was associated with greater women-perceived negative partner responses, which in turn was associated with women's and partners' greater sexual distress and lower sexual satisfaction, and women's lower relationship satisfaction. Partners' greater attachment anxiety was also associated with greater partner-reported facilitative responses, which was associated with partners' lower and women's greater relationship satisfaction. Assessing attachment orientations may help clinicians better understand couples' dyadic coping.

Objective Robust evidence suggests children's catastrophizing about their own pain is a risk factor for poor child pain-related outcomes. In children of parents with chronic pain, child catastrophizing about their parents' pain might be a unique predictor of child pain-related outcomes given their increased exposure to parental chronic pain and disability. The objective of this study was to examine associations between child and parent catastrophizing about their own and each other's pain and child and parent pain-related outcomes. Methods Seventy-two parents with chronic pain and their children (ages 8-15) completed questionnaires assessing their trait catastrophizing about their own and each other's pain, their own pain, and the child's internalizing symptoms. Children completed the cold pressor task (CPT) in the presence of their parent. Parents and children rated children's worst pain intensity and their own anxiety during the task. Analyses were guided by the Actor-Partner Interdependence Model. Results Greater child catastrophizing about parent pain was associated with children's and parents' increased catastrophizing about their own pain. Child catastrophizing about parent pain was associated with greater child- and parent-reported child internalizing symptoms and greater CPT pain intensity for the child, but not parent/child usual pain or CPT anxiety, over and above the influence of parent and child catastrophizing about their own pain. Conclusions Child catastrophizing about parent pain is a potential vulnerability factor associated with poor pain-related outcomes in children of parents with chronic pain that should be considered in future research and clinical settings. Statement of contribution What is already known on this subject? Higher rates of pain and internalizing symptoms are observed in offspring of parents with vs. without chronic pain. Greater child and parent pain catastrophizing are associated with poorer pain-related outcomes in children. Child catastrophizing about parent chronic pain and its association with child outcomes has not been examined. What does this study add? Greater child catastrophizing about parent chronic pain is associated with greater child internalizing and CPT pain. These effects were seen beyond the association of child and parent catastrophizing about their own pain.

New mothers often experience significant declines in their sexual and relationship satisfaction compared to pre-pregnancy, yet there has been limited research examining protective factors. Intimacy-defined as the degree of disclosure and perceived partner responsiveness in a relationship-has been identified as contributing to the positive adjustment of individuals coping with novel life stressors, as well as to general sexual and relationship satisfaction. However, it is unknown whether sexual disclosure and/or partner responsiveness are reciprocally related to sexual and relationship satisfaction. This study examined the longitudinal associations between sexual intimacy-that is, intimacy in the context of sex-and sexual and relationship satisfaction in first-time mothers. First-time mothers (N = 171) completed online measures assessing disclosure and perceived partner responsiveness specific to their sexual relationship, sexual satisfaction, and relationship satisfaction at 3, 6, and 12 months postpartum. Analyses were conducted with path analysis using a longitudinal panel mediation model. Greater perceived partner responsiveness in relation to sex at a prior wave predicted increases in both sexual and relationship satisfaction at the subsequent wave. Sexual disclosure did not contribute to sexual or relationship satisfaction over time; the results did not support a reciprocal model of sexual disclosure and perceived partner responsiveness, nor indirect effects of these variables on outcomes. Perceived partner responsiveness in relation to sex is positively related, and temporally precedes sexual and relationship satisfaction in first-time mothers.

Introduction Chronic vulvar pain is a multidimensional condition with great variability in clinical presentation among affected women. In a companion article, part 1, we reviewed and recommended assessment and measurement tools for vulvar pain and related outcomes with a view toward improving consistency and comparison across studies. Yet methodological challenges to conducting research with this population remain and can further hinder conclusions regarding etiology and treatment. Aim To discuss methodological challenges to conducting vulvar pain research alongside recommended solutions. Methods The expert authors reviewed the scientific evidence related to the study of vulvar pain and made decisions regarding methodological challenges and mitigation strategies via discussion and consensus. Main Outcome Measure We articulated key challenges to conducting research in this area and formulated recommendations for mitigating these challenges. Results Challenges to the field include selection and sample biases, heterogeneity of the condition, inclusion of the partner, and neglect of the multidimensional aspects of vulvar pain. 2 key recommendations are more careful and detailed tracking and characterization of research samples and greater multidisciplinary collaboration to better capture the complexity of chronic vulvar pain. Clinical Implications This methodological critique points to several challenges to clinical research with populations struggling with chronic vulvar pain and makes suggestions for how to mitigate these issues. Strength & Limitations Comments in this expert review raise awareness regarding core challenges to the study of vulvar pain and can inform study design of clinical research with this population. The content of this review is based on expert knowledge and opinion rather than a formal systematic review or extended consultation process. Conclusion A careful reflection upon methodological challenges facing clinical research of vulvar pain and ways to mitigate such challenges is crucial for improving the quality, generalizability, and uptake of research findings.