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Gepubliceerd in: Cognitive Therapy and Research 3/2015

01-06-2015 | Original Article

Cognitive Schemas Activated in Sexual Context: A Comparative Study with Homosexual and Heterosexual Men and Women, With and Without Sexual Problems

Auteurs: Maria Manuela Peixoto, Pedro Nobre

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 3/2015

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Abstract

The role of cognitive schemas on sexual functioning has been studied in samples of heterosexual men and women. However, there are no published studies on the impact of cognitive schemas on sexual functioning in gay men or lesbian women. The current study analyzed the differences in cognitive schemas associated with negative sexual events in a sample of heterosexual and homosexual men and women, with and without sexual problems. A total of 168 women and 148 men completed a web-survey. Participants answered questions about self-perceived sexual problems, and completed the Questionnaire of Cognitive Schemas Activated in Sexual Context. Results for men and women were analyzed in separate MANOVAs (sexual problems × sexual orientation). Men with sexual problems scored significantly higher in negative cognitive schemas when facing an adverse sexual episode compared with sexually healthy men, regardless of sexual orientation. Women with sexual problems also scored significantly higher in Undesirability/rejection, Incompetence, and Difference/loneliness schemas when compared women without sexual problems, regardless of sexual orientation. Also, sexual orientation was also found to have a significant effect among women, with lesbian women activating significantly more Undesirability/rejection, Difference/loneliness, and Helpless schemas, than heterosexual women. Overall, findings suggest that, despite some specific patterns particularly in lesbian women, the role of cognitive schemas on sexual functioning is very similar in heterosexual and homosexual men and women. These results highlight the core role of cognitive factors on sexual problems in gay men and lesbian women.
Voetnoten
1
For Premature Ejaculation, cutoff was ≥2 in 7 point Likert scale ("Less than 60 seconds").
 
Literatuur
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.CrossRef American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.CrossRef
go back to reference Anderson, B. L., & Cyranowski, J. M. (1994). Women’s sexual self-schema. Journal of Personality and Social Psychology, 67, 1079–1100.CrossRef Anderson, B. L., & Cyranowski, J. M. (1994). Women’s sexual self-schema. Journal of Personality and Social Psychology, 67, 1079–1100.CrossRef
go back to reference Anderson, B. L., Cyranowski, J. M., & Espindle, D. (1999). Men’s sexual self-schema. Journal of Personality and Social Psychology, 76, 645–661.CrossRef Anderson, B. L., Cyranowski, J. M., & Espindle, D. (1999). Men’s sexual self-schema. Journal of Personality and Social Psychology, 76, 645–661.CrossRef
go back to reference Anderson, B. L., Woods, X., & Cyranowski, J. (1994). Sexual self-schema as a possible predictor of sexual problems following cancer treatment. The Canadian Journal of Human Sexuality, 3, 165–170. Anderson, B. L., Woods, X., & Cyranowski, J. (1994). Sexual self-schema as a possible predictor of sexual problems following cancer treatment. The Canadian Journal of Human Sexuality, 3, 165–170.
go back to reference Barlow, D. (1986). Causes of sexual dysfunction: The role of anxiety and cognitive interference. Journal of Consulting and Clinical Psychology, 54(2), 140–148.CrossRefPubMed Barlow, D. (1986). Causes of sexual dysfunction: The role of anxiety and cognitive interference. Journal of Consulting and Clinical Psychology, 54(2), 140–148.CrossRefPubMed
go back to reference Beck, J. S. (1995). Cognitive therapy: Basics and beyond. New York: The Guilford Press. Beck, J. S. (1995). Cognitive therapy: Basics and beyond. New York: The Guilford Press.
go back to reference Beck, A. T. (1996). Beyond belief: A theory of modes, personality, and psychopathology. In P. M. Salkovskis (Ed.), Frontiers of cognitive therapy (pp. 1–25). New York: The Guilford Press. Beck, A. T. (1996). Beyond belief: A theory of modes, personality, and psychopathology. In P. M. Salkovskis (Ed.), Frontiers of cognitive therapy (pp. 1–25). New York: The Guilford Press.
go back to reference Carey, M. P., Wincze, J. P., & Meisler, A. W. (1993). Sexual dysfunction: Male erectile disorder. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders: A step-by-step treatment manual - (2nd ed., pp. 442–480). New York: The Guilford Press. Carey, M. P., Wincze, J. P., & Meisler, A. W. (1993). Sexual dysfunction: Male erectile disorder. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders: A step-by-step treatment manual - (2nd ed., pp. 442–480). New York: The Guilford Press.
go back to reference Coyne, K., Mandalia, S., McCullough, S., Catalan, J., Noestlinger, C., Colebunders, R., & Asboe, D. (2010). The international index of erectile function: Development of an adapted tool for use in HIV-positive men who have sex with men. Journal of Sexual Medicine, 7, 769–774. doi:10.1111/j.1743-6109.2009.01579.x.CrossRefPubMed Coyne, K., Mandalia, S., McCullough, S., Catalan, J., Noestlinger, C., Colebunders, R., & Asboe, D. (2010). The international index of erectile function: Development of an adapted tool for use in HIV-positive men who have sex with men. Journal of Sexual Medicine, 7, 769–774. doi:10.​1111/​j.​1743-6109.​2009.​01579.​x.CrossRefPubMed
go back to reference Cyranowski, J. M., Aarestad, S. L., & Anderson, B. L. (1999). The role of sexual self-schema in a diathesis—stress model of sexual dysfunction. Applied & Preventive Psychology, 8, 217–228.CrossRef Cyranowski, J. M., Aarestad, S. L., & Anderson, B. L. (1999). The role of sexual self-schema in a diathesis—stress model of sexual dysfunction. Applied & Preventive Psychology, 8, 217–228.CrossRef
go back to reference Cyranowski, J. M., & Anderson, B. L. (1998). Schemas, sexuality, and romantic attachment. Journal of Personality and Social Psychology, 74, 1364–1379.CrossRefPubMed Cyranowski, J. M., & Anderson, B. L. (1998). Schemas, sexuality, and romantic attachment. Journal of Personality and Social Psychology, 74, 1364–1379.CrossRefPubMed
go back to reference Hart, T. A., & Schwartz, D. R. (2010). Cognitive-behavioral erectile dysfunction treatment for gay men. Cognitive and Behavioral Practice, 17, 66–76.CrossRef Hart, T. A., & Schwartz, D. R. (2010). Cognitive-behavioral erectile dysfunction treatment for gay men. Cognitive and Behavioral Practice, 17, 66–76.CrossRef
go back to reference Hill, D. B. (2007). Differences and similarities in men’s and women’s sexual self-schemas. Journal of Sex Research, 44, 135–144.CrossRefPubMed Hill, D. B. (2007). Differences and similarities in men’s and women’s sexual self-schemas. Journal of Sex Research, 44, 135–144.CrossRefPubMed
go back to reference Kuffel, S. W., & Heiman, J. R. (2006). Effects of depressive symptoms and experimentally adopted schemas on sexual arousal and affect in sexually healthy women. Archives of Sexual Behavior, 35, 163–177. doi:10.1007/s10508-005-9015-1.PubMed Kuffel, S. W., & Heiman, J. R. (2006). Effects of depressive symptoms and experimentally adopted schemas on sexual arousal and affect in sexually healthy women. Archives of Sexual Behavior, 35, 163–177. doi:10.​1007/​s10508-005-9015-1.PubMed
go back to reference Lau, J., Kim, J., & Tsui, H. (2006). Prevalence and factors of sexual problems in Chinese males and females having sex with the same-sex partner in Hong-Kong: A population-based study. International Journal of Impotence Research, 1, 130–140. doi:10.1038/sj.ijir.3901368.CrossRef Lau, J., Kim, J., & Tsui, H. (2006). Prevalence and factors of sexual problems in Chinese males and females having sex with the same-sex partner in Hong-Kong: A population-based study. International Journal of Impotence Research, 1, 130–140. doi:10.​1038/​sj.​ijir.​3901368.CrossRef
go back to reference Masters, W. H., & Johnson, V. E. (1979). Homosexuality in perspectives. New York: Bantam Books. Masters, W. H., & Johnson, V. E. (1979). Homosexuality in perspectives. New York: Bantam Books.
go back to reference Mays, V. M., & Cochran, S. D. (2001). Mental health correlates of perceived discrimination among lesbian, gay, and bisexual adults in the United States. American Journal of Public Health, 91, 1869–1876.CrossRefPubMedCentralPubMed Mays, V. M., & Cochran, S. D. (2001). Mental health correlates of perceived discrimination among lesbian, gay, and bisexual adults in the United States. American Journal of Public Health, 91, 1869–1876.CrossRefPubMedCentralPubMed
go back to reference McCabe, M. (2001). Evaluation of a cognitive behavior therapy program for people with sexual dysfunction. Journal of Sex & Marital Therapy, 27, 259–271. doi:10.1080/009262301750257119. McCabe, M. (2001). Evaluation of a cognitive behavior therapy program for people with sexual dysfunction. Journal of Sex & Marital Therapy, 27, 259–271. doi:10.​1080/​0092623017502571​19.
go back to reference Middleton, L. S., Kuffel, S. W., & Heiman, J. R. (2008). Effects of experimentally adopted schemas on vaginal response and subjective sexual arousal: A comparison between women with sexual arousal disorder and sexually healthy women. Archives of Sexual Behavior, 37, 950–961. doi:10.1007/s10508-007-9310-0.CrossRefPubMed Middleton, L. S., Kuffel, S. W., & Heiman, J. R. (2008). Effects of experimentally adopted schemas on vaginal response and subjective sexual arousal: A comparison between women with sexual arousal disorder and sexually healthy women. Archives of Sexual Behavior, 37, 950–961. doi:10.​1007/​s10508-007-9310-0.CrossRefPubMed
go back to reference Mitchell, K. R., Mercer, C. H., Ploubidis, G. B., Jones, K. G., Datta, J., Field, N., & Wellings, K. (2013). Sexual function in Britain: Findings from the third national survey of sexual attitudes and lifestyles (Natsal-3). The Lancet, 382, 1817–1829.CrossRef Mitchell, K. R., Mercer, C. H., Ploubidis, G. B., Jones, K. G., Datta, J., Field, N., & Wellings, K. (2013). Sexual function in Britain: Findings from the third national survey of sexual attitudes and lifestyles (Natsal-3). The Lancet, 382, 1817–1829.CrossRef
go back to reference Nobre, P. (2013). Male sexual dysfunctions. In J. G. Hofmann (Ed.). The Wiley handbook of cognitive behavioral therapy. Part two (pp. 645–672). New York: Wiley-Blackwell. Nobre, P. (2013). Male sexual dysfunctions. In J. G. Hofmann (Ed.). The Wiley handbook of cognitive behavioral therapy. Part two (pp. 645–672). New York: Wiley-Blackwell.
go back to reference Nobre, P., & Pinto-Gouveia, J. (2006). Dysfunctional sexual beliefs as vulnerability factors for sexual dysfunction. The Journal of Sex Research, 43, 68–75.CrossRef Nobre, P., & Pinto-Gouveia, J. (2006). Dysfunctional sexual beliefs as vulnerability factors for sexual dysfunction. The Journal of Sex Research, 43, 68–75.CrossRef
go back to reference Nobre, P., & Pinto-Gouveia, J. (2009a). Cognitive schemas associated with negative sexual events: A comparison of men and women with and without sexual dysfunction. Archives of Sexual Behavior, 38, 842–851. doi:10.1007/s10508-008-9450-x.CrossRefPubMed Nobre, P., & Pinto-Gouveia, J. (2009a). Cognitive schemas associated with negative sexual events: A comparison of men and women with and without sexual dysfunction. Archives of Sexual Behavior, 38, 842–851. doi:10.​1007/​s10508-008-9450-x.CrossRefPubMed
go back to reference Nobre, P. J., & Pinto-Gouveia, J. (2009b). Questionnaire of cognitive schema activation in sexual context: A measure to assess cognitive schemas activated in unsuccessful sexual situations. Journal of Sex Research, 46, 1–13. doi:10.1080/00224490902792616.CrossRef Nobre, P. J., & Pinto-Gouveia, J. (2009b). Questionnaire of cognitive schema activation in sexual context: A measure to assess cognitive schemas activated in unsuccessful sexual situations. Journal of Sex Research, 46, 1–13. doi:10.​1080/​0022449090279261​6.CrossRef
go back to reference Pazmani, E., Bergeron, S., Van Oudenhove, L., Verhaeghe, J., & Enzlin, P. (2013). Aspects of sexual self-schema in premenopausal women with dyspareunia: Associations with pain, sexual function, and sexual distress. Journal of Sexual Medicine, 10, 2255–2264. doi:10.1111/jsm.12237.CrossRef Pazmani, E., Bergeron, S., Van Oudenhove, L., Verhaeghe, J., & Enzlin, P. (2013). Aspects of sexual self-schema in premenopausal women with dyspareunia: Associations with pain, sexual function, and sexual distress. Journal of Sexual Medicine, 10, 2255–2264. doi:10.​1111/​jsm.​12237.CrossRef
go back to reference Pechorro, P., Diniz, A., Almeida, S., & Vieira, R. (2009). Validação portuguesa do índice de Funcionamento Sexual Feminino (FSFI) [Portuguese validation of the Female Sexual Functioning Index (FSFI)]. Laboratório de Psicologia, 7, 33–44. Pechorro, P., Diniz, A., Almeida, S., & Vieira, R. (2009). Validação portuguesa do índice de Funcionamento Sexual Feminino (FSFI) [Portuguese validation of the Female Sexual Functioning Index (FSFI)]. Laboratório de Psicologia, 7, 33–44.
go back to reference Reissing, E. D., Binik, Y. M., Khalifé, S., Cohen, D., & Amsel, R. (2003). Etiological correlates of vaginismus: Sexual and physical sexual abuse, sexual knowledge, sexual self-schema, and relationship adjustment. Journal of Sex and Marital Therapy, 29, 47–59. doi:10.1080/00926230390154835.CrossRefPubMed Reissing, E. D., Binik, Y. M., Khalifé, S., Cohen, D., & Amsel, R. (2003). Etiological correlates of vaginismus: Sexual and physical sexual abuse, sexual knowledge, sexual self-schema, and relationship adjustment. Journal of Sex and Marital Therapy, 29, 47–59. doi:10.​1080/​0092623039015483​5.CrossRefPubMed
go back to reference Reissing, E. D., Laliberté, G. M., & Davis, H. J. (2005). Young women’s sexual adjustment: The role of sexual self-schema, sexual self-efficacy, sexual aversion and body attitudes. The Canadian Journal of Human Sexuality, 14, 77–85. Reissing, E. D., Laliberté, G. M., & Davis, H. J. (2005). Young women’s sexual adjustment: The role of sexual self-schema, sexual self-efficacy, sexual aversion and body attitudes. The Canadian Journal of Human Sexuality, 14, 77–85.
go back to reference Rosen, R. C., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsig, R., & D’Agostino, R, Jr. (2000). The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex and Marital Therapy, 26, 191–208.CrossRefPubMed Rosen, R. C., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsig, R., & D’Agostino, R, Jr. (2000). The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex and Marital Therapy, 26, 191–208.CrossRefPubMed
go back to reference Rosen, R., Riley, A., Wagner, G., Osterloh, I., Kirkpatrick, J., & Mishra, A. (1997). The international index of erectile function (IIEF): A multidimensional scale for assessment erectile dysfunction. Urology, 49, 822–830.CrossRefPubMed Rosen, R., Riley, A., Wagner, G., Osterloh, I., Kirkpatrick, J., & Mishra, A. (1997). The international index of erectile function (IIEF): A multidimensional scale for assessment erectile dysfunction. Urology, 49, 822–830.CrossRefPubMed
go back to reference Safren, S. A., Hollander, G., & Hart, T. A. (2001). Cognitive-behavioral therapy with lesbian, gay, and bisexual youth. Cognitive and Behavioral Practice, 8, 215–223.CrossRef Safren, S. A., Hollander, G., & Hart, T. A. (2001). Cognitive-behavioral therapy with lesbian, gay, and bisexual youth. Cognitive and Behavioral Practice, 8, 215–223.CrossRef
go back to reference Safren, S. A., & Rogers, T. (2001). Cognitive-behavioral therapy with gay, lesbian, and bisexual clients. Journal of Clinical Psychology, 57, 629–643.CrossRefPubMed Safren, S. A., & Rogers, T. (2001). Cognitive-behavioral therapy with gay, lesbian, and bisexual clients. Journal of Clinical Psychology, 57, 629–643.CrossRefPubMed
go back to reference Sandfort, T. G., Bakker, F., Schellevis, F. G., & Vanwesenbeeck, I. (2006). Sexual orientation and mental and physical health status: Findings from a Dutch population survey. American Journal of Public Health, 96, 1119–1125.CrossRefPubMedCentralPubMed Sandfort, T. G., Bakker, F., Schellevis, F. G., & Vanwesenbeeck, I. (2006). Sexual orientation and mental and physical health status: Findings from a Dutch population survey. American Journal of Public Health, 96, 1119–1125.CrossRefPubMedCentralPubMed
go back to reference Sandfort, T. G., de Graaf, R., Bijl, R. V., & Schnabel, P. (2001). Same-sex behavior and psychiatric disorders. Archives of General Psychiatry, 58, 85–91.CrossRefPubMed Sandfort, T. G., de Graaf, R., Bijl, R. V., & Schnabel, P. (2001). Same-sex behavior and psychiatric disorders. Archives of General Psychiatry, 58, 85–91.CrossRefPubMed
go back to reference Sbrocco, T., & Barlow, D. H. (1996). Conceptualizing the cognitive component of sexual arousal: Implications for sexuality research and treatment. In P. M. Salkovskis (Ed.), Frontiers of cognitive therapy (pp. 419–449). New York: The Guilford Press. Sbrocco, T., & Barlow, D. H. (1996). Conceptualizing the cognitive component of sexual arousal: Implications for sexuality research and treatment. In P. M. Salkovskis (Ed.), Frontiers of cognitive therapy (pp. 419–449). New York: The Guilford Press.
go back to reference Walsh, K., & Hope, D. A. (2010). LGB-Affirmative cognitive behavioral treatment for social anxiety: A case study applying evidence-based practice principles. Cognitive and Behavioral Practice, 17, 56–65.CrossRef Walsh, K., & Hope, D. A. (2010). LGB-Affirmative cognitive behavioral treatment for social anxiety: A case study applying evidence-based practice principles. Cognitive and Behavioral Practice, 17, 56–65.CrossRef
go back to reference Wiegel, M., Scepkowski, L. A., & Barlow, D. H. (2007). Cognitive-affective processes in sexual arousal and sexual dysfunction. In E. Janssen (Ed.), The psychophysiology of sex (pp. 143–165). Bloomington: Indiana University Press. Wiegel, M., Scepkowski, L. A., & Barlow, D. H. (2007). Cognitive-affective processes in sexual arousal and sexual dysfunction. In E. Janssen (Ed.), The psychophysiology of sex (pp. 143–165). Bloomington: Indiana University Press.
Metagegevens
Titel
Cognitive Schemas Activated in Sexual Context: A Comparative Study with Homosexual and Heterosexual Men and Women, With and Without Sexual Problems
Auteurs
Maria Manuela Peixoto
Pedro Nobre
Publicatiedatum
01-06-2015
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 3/2015
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-014-9661-5

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