Browsing by Author "Brotto, Lori A."
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- Portuguese version of Cues for Sexual Desire Scale: The influence of relationship durationPublication . Carvalheira, Ana Alexandra; Brotto, Lori A.; Maroco, JoãoIntroduction. It is well established that sexual desire is a triggered response to effective sexual stimuli. Factors that trigger women’s sexual desire can change over time and circumstances. The Cues for Sexual Desire Scale (CSDS) is a valuable assessment tool to measure the range and magnitude of such stimuli. Aim. To investigate the psychometric properties of CSDS within a Portuguese community sample of women; to examine the influence of relationship duration on CSDS scores. Methods. Portuguese women (N = 3,687) over age 18 completed a web-based survey of previously pilot-tested items. Main Outcome Measures. Factor structure and internal consistency of CSDS scores; differences between women in longer-term (more than five years) and shorter-term (less than three years) relationships; predictors of CSDS scores. Results. A factor analysis revealed a difference in factor structure between the Portuguese and the original (English) version of CSDS. A five factor solution explained 58.3% of the total variance. The CSDS demonstrated good reliability (Cronbach’s = 0.913). All subscales had a values greater than 0.85. Women in longer-term relationships had significantly fewer cues for sexual desire (M = 124) compared to women in shorter-term relationships (M = 128), t(1,879) = 3.7, P < 0.001. Older women (B = -0.075; P < 0.001), and longer term relationships (B = -0.056; P < 0.05), were significant predictors of lower CSDS-P scores. Additionally, women who masturbated (B = 0.172; P < 0.001) and reached orgasm easily (B = 0.059; P < 0.001) had higher scores for CSDS-P. Conclusions. The CSDS is a useful instrument for identifying triggers that facilitate sexual desire in Portuguese women.Women in longer-term relationships reported fewer cues compared to women in shorter-term relationships. This has clinical implications and suggests that encouraging women to consider newer and varied cues that might evoke or enhance sexual desire may be one means of addressing concerns with low sexual desire.
- Women's motivations for sex: Exploring the diagnostic and statistical manual, fourth edition, text revision criteria for hypoactive sexual desire and female sexual arousal disordersPublication . Carvalheira, Ana Alexandra; Brotto, Lori A.; Leal, Isabel PereiraIntroduction. There are problems with the existing definition of hypoactive sexual desire disorder (HSDD) in that desire for sex and sexual fantasy are not a universal experience. Aims. To explore: (i) women’s motivations to engage in sexual activity; (ii) frequency and predictors of sexual fantasies; (iii) sexual arousal; (iv) recognition of sexual arousal; and (v) association between relationship duration and these variables. Methods. Three thousand six hundred eighty-seven women completed a web-based survey of previously pilot-tested items. Main Outcome Measures. Investigator-derived self-report questions of sexual desire and arousal, and sexual fantasies. Results. Among women who easily became aroused, 15.5% reported only engaging in sex if they felt sexual desire at the outset whereas 30.7% typically or always accessed desire only once they were aroused. Women in longer-term relationships engaged in sex with no sexual desire more often (42%) than women in short-term relationships (22.4%) (P < 0.001). The percentage of women that reported fantasies only sometimes was 52.5%. A logistic regression revealed that religion (odds ratio [OR] = 1.45; P < 0.001), difficulty getting aroused (OR = 0.511; P < 0.001), responsive desire (OR = 0.919; P < 0.05), and frequency of orgasm (OR = 1.11; P < 0.05) were significantly associated with sexual fantasy. After controlling for age, relationship duration was negatively associated with frequency of initiating sex (r = -0.116, P < 0.001), women’s satisfaction with their own sexuality (r = -0.173, P < 0.001) and sexual satisfaction with the partner (r = -0.162, P < 0.001). Conclusions. Results reflect diversity in women’s motivations for sex, and there is evidence that responsive desire occurs in women with and without arousal difficulties. We strongly recommend relationship duration as well as adequacy of partner sexual stimulation to be recognized in any future diagnostic framework of dysfunction. Clinical implications as well as those for future diagnostic nomenclature are considered.