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Mindfulness

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05-06-2020 | ORIGINAL PAPER

Mindfulness-Related Variables and Sexual/Relationship Satisfaction in People with Physical Disabilities

Auteurs: Raquel Pereira, Isabel Almeida, Pedro M. Teixeira, Pedro J. Nobre

Gepubliceerd in: Mindfulness | Uitgave 8/2020

Abstract

Objectives

Research has shown the role of mindfulness and self-compassion in promoting resilience while living with a disabling condition. However, little is known on the influence of these variables on sexual and relationship satisfaction of people with physical disabilities. This cross-sectional study aimed to explore the contribution of mindfulness, self-compassion, and acceptance in predicting sexual and relationship satisfaction, above and beyond experiencing physical disability.

Methods

A sample of 377 participants, aged between 18 and 55 years old, took part in a survey. Of these, 189 participants had a self-reported physical disability, the majority (70.1%) being either motor or neuromuscular health conditions.

Results

Findings showed that higher levels of mindfulness, self-compassion, and acceptance significantly predicted higher sexual (ΔR² = between .081 and .166; p < .05) and relationship satisfaction (ΔR² = between .072 and .106; p < .05), above and beyond the physical condition of the participants. Additionally, the physical condition was a moderator for the relationship between the mindfulness dimension of self-compassion and sexual satisfaction (ΔR² = .024; p = .037), as this association was only significant for people with physical disabilities.

Conclusions

This study explores possible vulnerability and protective psychological mechanisms that may be involved in sexual and relationship satisfaction, above and beyond the effects of the physical disability. Despite its limitations, findings call into attention for the importance of further research on mindfulness-related variables in optimizing sexual health in people with and without physical disabilities.

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Ahumuza, S., Matovu, J., Ddamulira, J., & Muhanguzi, F. (2014). Challenges in accessing sexual and reproductive health services by people with physical disabilities in Kampala, Uganda. Reproductive Health, 11(1), 1–9. https://doi.org/10.1186/1742-4755-11-59.CrossRef

Baer, R. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice, 10(2), 125–143. https://doi.org/10.1093/clipsy.bpg015.CrossRef

Baer, R., Smith, G., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45. https://doi.org/10.1177/1073191105283504.CrossRefPubMed

Bond, F., Hayes, S., Baer, R., Carpenter, K., Guenole, N., Orcutt, H., Waltz, T., & Zettle, R. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42(4), 676–688. https://doi.org/10.1177/0748175614538064.CrossRefPubMed

Brotto, L., & Heiman, J. (2007). Mindfulness in sex therapy: applications for women with sexual difficulties following gynecologic cancer. Sexual and Relationship Therapy, 22(1), 3–11. https://doi.org/10.1080/14681990601153298.CrossRef

Brotto, L., Basson, R., Smith, K., Driscoll, M., & Sadownik, L. (2015). Mindfulness-based group therapy for women with provoked vestibulodynia. Mindfulness, 6(3), 417–432. https://doi.org/10.1007/s12671-013-0273-z.CrossRef

Brown, K., & Ryan, R. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848. https://doi.org/10.1037/0022-3514.84.4.822.CrossRefPubMed

Castilho, P., & Pinto-Gouveia, J. (2011). Auto-compaixão: Estudo da validação da versão portuguesa da Escala da Auto-compaixão e da sua relação com as experiências adversas na infância, a comparação social e a psicopatologia. Psychologica, 54, 203–230.CrossRef

Crewe, N., & Krause, J. (1988). Marital relationships and spinal cord injury. Archives of Physical Medicine and Rehabilitation, 69(6), 435–438.PubMed

Dahm, K., Meyer, E., Neff, K., Kimbrel, N., Gulliver, S., & Morissette, S. (2015). Mindfulness, self-compassion, posttraumatic stress disorder symptoms, and functional disability in U.S. Iraq and Afghanistan war veterans. Journal of Traumatic Stress, 28(5), 460–464. https://doi.org/10.1002/jts.22045.CrossRefPubMedPubMedCentral

Esmail, S., Darry, K., Walter, A., & Knupp, H. (2010). Attitudes and perceptions towards disability and sexuality. Disability and Rehabilitation, 32(14), 1148–1155. https://doi.org/10.3109/09638280903419277.CrossRefPubMed

García, A., & Álvarez, C. (2014). Sexuality and functional diversity: an analysis from a gender perspective. Procedia - Social and Behavioral Sciences, 161, 299–305. https://doi.org/10.1016/j.sbspro.2015.01.078.CrossRef

Germer, C., & Neff, K. (2013). Self-compassion in clinical practice. Journal of Clinical Psychology, 69(8), 856–867. https://doi.org/10.1002/jclp.22021.CrossRefPubMed

Goodrich, E., Wahbeh, H., Mooney, A., Miller, M., & Oken, B. (2015). Teaching mindfulness meditation to adults with severe speech and physical impairments: an exploratory study. Neuropsychological Rehabilitation, 25(5), 708–732. https://doi.org/10.1080/09602011.2014.970201.CrossRefPubMed

Gregório, S., & Pinto-Gouveia, J. (2011). Facetas de mindfulness: características psicométricas de um instrumento de avaliação. Psychologica, 54, 259–280 https://doi.org/10.14195/1647-8606_54_10.CrossRef

Hayes, S. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35(4), 639–665. https://doi.org/10.1016/S0005-7894(04)80013-3.CrossRef

Hayes, A. (2012). PROCESS: a versatile computational tool for observed variable mediation, moderation, and conditional process modeling. https://www.semanticscholar.org/paper/PROCESS-%3A-A-Versatile-Computational-Tool-for-%2C-%2C-1-Hayes/862dd61cccad6b39ffe890557db19a6356bbe8ca

Hayes, S., Strosahl, K., & Wilson, K. (1999). Acceptance and commitment therapy: an experiential approach to behavior change. New York: Guilford Press.

Hayter, M., & Dorstyn, D. (2014). Resilience, self-esteem and self-compassion in adults with spina bifida. Spinal Cord, 52(2), 167–171. https://doi.org/10.1038/sc.2013.152.CrossRefPubMed

Hocaloski, S., Elliott, S., Brotto, L., Breckon, E., & McBride, K. (2016). A mindfulness psychoeducational group intervention targeting sexual adjustment for women with multiple sclerosis and spinal cord injury: a pilot study. Sexuality and Disability, 34(2), 183–198. https://doi.org/10.1007/s11195-016-9426-z.CrossRef

Johnston, D. (2012). Mindfulness: A proposed couple-based intervention for the altered self-identity of breast cancer survivors. Mindfulness, 3(4), 282–290. https://doi.org/10.1007/s12671-012-0093-6.CrossRef

Kabat-Zinn, J., & Burney, R. (1981). The clinical use of awareness meditation in the self-regulation of chronic pain. Pain, 11, S273. https://doi.org/10.1016/0304-3959(81)90541-8.CrossRef

Kedde, H., van de Wiel, H., Schultz, W., Vanwesenbeeck, I., & Bender, J. (2012). Sexual health problems and associated help-seeking behavior of people with physical disabilities and chronic diseases. Journal of Sex and Marital Therapy, 38(1), 63–78. https://doi.org/10.1080/0092623X.2011.569638.CrossRefPubMed

Kelland, M. D. (2009). Psicología, discapacidad física y la aplicación de la consciencia plena budista a los programas de artes marciales. Revista de Artes Marciales Asiáticas, 4(4), 8–17.CrossRef

Kocsis, A., & Newbury-Helps, J. (2016). Mindfulness in sex therapy and intimate relationships (MSIR): clinical protocol and theory development. Mindfulness, 7(3), 690–699. https://doi.org/10.1007/s12671-016-0506-z.CrossRef

Lawrance, K., & Byers, S. (1992). Development of the interpersonal exchange model of sexual satisfaction in long term relationships. Canadian Journal of Human Sexuality, 1(3), 123–128.

Lawrance, K., & Byers, S. (1995). Sexual satisfaction in long-term heterosexual relationships: the interpersonal exchange model of sexual satisfaction. Personal Relationships, 2(4), 267–285. https://doi.org/10.1111/j.1475-6811.1995.tb00092.x.CrossRef

Leavitt, C. E., Lefkowitz, E. S., & Waterman, E. A. (2019). The role of sexual mindfulness in sexual wellbeing, relational wellbeing, and self-esteem. Journal of Sex & Marital Therapy, 45(6), 497–509. https://doi.org/10.1080/0092623X.2019.1572680.CrossRef

Lucena-Santos, P., Pinto-Gouveia, J., & Silva Oliveira, M. (2015). Terapias comportamentais de 3^ageração: Guia para profissionais. Synopsis Editora.

McCabe, M., & Taleporos, G. (2003). Sexual esteem, sexual satisfaction, and sexual behavior among people with physical disability. Archives of Sexual Behavior, 32(4), 359–369.CrossRefPubMed

McClelland, S. (2014). “What do you mean when you say that you are sexually satisfied?” A mixed methods study. Feminism & Psychology, 24(1), 74–96. https://doi.org/10.1177/0959353513508392.CrossRef

McCracken, L., & Vowles, K. (2014). Acceptance and commitment therapy and mindfulness for chronic pain model, process, and progress. American Psychologist, 69(2), 178–187. https://doi.org/10.1037/a0035623.CrossRefPubMed

Mosalanejad, F., Afrasiabifar, A., & Zoladl, M. (2018). Investigating the combined effect of pelvic floor muscle exercise and mindfulness on sexual function in women with multiple sclerosis: a randomized controlled trial. Clinical Rehabilitation, 32(10), 1340–1347. https://doi.org/10.1177/0269215518777877.CrossRefPubMed

Neff, K. (2003a). Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2(2), 85–101. https://doi.org/10.1080/15298860390129863.CrossRef

Neff, K. (2003b). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223–250. https://doi.org/10.1080/15298860390209035.CrossRef

Neff, K., & Dahm, K. (2015). Self-compassion: what it is, what it does, and how it relates to mindfulness. In B. O. M. Robinson & B. Meier (Eds.), Handbook of mindfulness and self-regulation (pp. 121–140). Berlin: Springer.

Neff, K., & Germer, C. (2013). A pilot study and randomized controlled trial of the mindful self-compassion program. Journal of Clinical Psychology, 69(1), 28–44. https://doi.org/10.1002/jclp.21923.CrossRefPubMed

Nezhad, M., & Shameli, L. (2017). The effect of acceptance and commitment therapy on sexual satisfaction of couples in Shiraz. International Journal of Medical Research & Health Sciences, 6(1), 58–65.

Pascoal, P., Narciso, I., Pereira, N., & Ferreira, A. (2013). Processo de validação da Global Measure of Sexual Satisfaction em três amostras da população portuguesa. Psicologia: Reflexão e Crítica, 26(4), 691–700. https://doi.org/10.1590/S0102-79722013000400009.CrossRef

Pascoal, P., Narciso, I., & Pereira, N. (2014). What is sexual satisfaction? Thematic analysis of lay people’s definitions. Journal of Sex Research, 51(1), 22–30. https://doi.org/10.1080/00224499.2013.815149.CrossRefPubMed

Pascoal, P., Oliveira, L., & Raposo, C. (2015). Evidências de validade da Global Measure of Relationship Satisfaction (GMREL) em três amostras da população portuguesa. Psicologia: Reflexão e Crítica, 28(1), 41–48. https://doi.org/10.1590/1678-7153.201528105.CrossRef

Peixoto, M., & Nobre, P. (2015a). Prevalence of sexual problems and associated distress among gay and heterosexual men. Sexual and Relationship Therapy, 30(2), 211–225. https://doi.org/10.1080/14681994.2014.986084.CrossRef

Peixoto, M., & Nobre, P. (2015b). Prevalence of sexual problems and associated distress among lesbian and heterosexual women. Journal of Sex & Marital Therapy, 41(4), 427–439. https://doi.org/10.1080/0092623X.2014.918066.CrossRef

Pinto-Gouveia, J., Gregório, S., Dinis, A., & Xavier, A. (2012). Experiential avoidance in clinical and non-clinical samples: AAQ-II Portuguese version. International Journal of Psychology and Psychological Therapy, 12(2), 139–156.

Reeve, D. (2004). Psycho-emotional dimensions of disability and the social model. In C. Barnes & G. M. (Eds.), Implementing the social model of disability: theory and research (pp. 83–100). Leeds: The Disability Press.

Rowen, T., Stein, S., & Tepper, M. (2015). Sexual health care for people with physical disabilities. Journal of Sexual Medicine, 12(3), 584–589. https://doi.org/10.1111/jsm.12810.CrossRefPubMed

Sánchez-fuentes, M., Santos-iglesias, P., & Sierra, J. C. (2014). A systematic review of sexual satisfaction. International Journal of Clinical and Health Psychology, 14, 67–75. https://doi.org/10.1016/S1697-2600(14)70038-9.CrossRef

Senders, A., Wahbeh, H., Spain, R., & Shinto, L. (2012). Mind-body medicine for multiple sclerosis: a systematic review. Autoimmune Diseases, 1(1), 1–12. https://doi.org/10.1155/2012/567324.CrossRef

Shakespeare, T. (2006). Disability Rights and Wrongs. Abingdon: Routledge.CrossRef

Smith, S. (2009). Social justice and disability: competing interpretations of the medical and social models. In K. Kristiansen, S. Vehmas, & T. Shakespeare (Eds.), Arguing about disability: philosophical perspectives (pp. 15–29). Abingdon: Routledge.

Stuntzer, S. (2014). Self-compassion and sexuality: a new model for women with disabilities. Ideas and Research You Can Use: VISTAS 2014, 67(August).

Stuntzner, S., & Hartley, M. (2015). Balancing self-compassion with self-advocacy: a new approach for persons with disabilities. http://self-compassion.org/wp-content/uploads/2015/08/Stuntzner_Hartley.pdf

Stuntzner, S., Dalton, J., & Macdonald, A. (2018). The therapeutic triad of disability. https://ct.counseling.org/2018/07/the-therapeutic-triad-of-disability/

Swain, J., & French, S. (2008). Affirming identity. In J. Swain & S. French (Eds.), Disability on equal terms (pp. 65–78). Thousand Oaks: SAGE Publications Ltd..CrossRef

Taleporos, G., & McCabe, M. (2003). Relationships, sexuality and adjustment among people with physical disability. Sexual and Relationship Therapy, 18(1), 25–43. https://doi.org/10.1080/1468199031000061245.CrossRef

World Health Organization. (2001a). International classification of functioning, disability and health. http://psychiatr.ru/download/1313?view=name=CF_18.pdf

World Health Organization. (2001b). Disability Assessment Schedule 2.0 (WHODAS 2.0). World Health Organization. http://www.who.int/classifications/icf/whodasii/en/

World Health Organization. (2006). Defining sexual health: report of technical consultation on sexual health 28-31 January 2002, Geneva. Sexual Health Document Series, (January), 0–30.

World Health Organization. (2011). What do we know about disability? World Health Organization. http://www.who.int/disabilities/world_report/2011/report/en/

Titel: Mindfulness-Related Variables and Sexual/Relationship Satisfaction in People with Physical Disabilities
Auteurs: Raquel Pereira
Isabel Almeida
Pedro M. Teixeira
Pedro J. Nobre
Publicatiedatum: 05-06-2020
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 8/2020
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-020-01414-6

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Abstract

Objectives

Methods

Results

Conclusions

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