Stress and Depression Are Associated with Sexual Function and Satisfaction in Young Men Who Have Sex with Men.
Depression
Mental health
Relationship functioning
Sexual and gender minorities
Sexual functioning
Sexual orientation
Journal
Archives of sexual behavior
ISSN: 1573-2800
Titre abrégé: Arch Sex Behav
Pays: United States
ID NLM: 1273516
Informations de publication
Date de publication:
07 2023
07 2023
Historique:
received:
12
07
2022
accepted:
30
04
2023
revised:
27
02
2023
pmc-release:
01
07
2024
medline:
7
7
2023
pubmed:
31
5
2023
entrez:
30
5
2023
Statut:
ppublish
Résumé
Prior research suggests that better mental health and higher relationship quality are associated with better sexual function and satisfaction. Such insights can inform intervention development for mental, relationship, and sexual health concerns. This study examined the interactions among these variables in a racially and ethnically diverse group of young men who have sex with men (YMSM) in serious relationships (N = 348). Data were drawn from wave 5 of a longitudinal cohort study. We examined cross-sectional associations between depression and stress (predictors) and sexual function, sexual satisfaction, and anal discomfort (outcomes) and to what extent these associations were moderated by relationship quality. Higher endorsement of depression and stress was associated with worse sexual functioning, lower sexual satisfaction, and more anal discomfort. We also found that fewer negative interactions, stronger commitment, and higher relationship satisfaction were associated with better sexual functioning and higher sexual satisfaction. Higher relationship satisfaction and commitment were found to attenuate the association between stress and sexual satisfaction. Contrary to expectations, higher relationship satisfaction also showed a trend toward exacerbating the association between depression and sexual functioning. These results suggest that, for YMSM, high relationship satisfaction and commitment may protect sexual satisfaction from being negatively impacted by high stress. However, YMSM in highly satisfying relationships may experience poor sexual functioning associated with depression as particularly distressing. This study addressed a major gap in the literature by focusing on mental, relationship, and sexual health in a diverse sample. Future research should examine a wider range of sexual functioning outcomes and include minority stress in study design.
Identifiants
pubmed: 37253920
doi: 10.1007/s10508-023-02615-5
pii: 10.1007/s10508-023-02615-5
pmc: PMC10691266
mid: NIHMS1945360
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
2083-2096Subventions
Organisme : NIDA NIH HHS
ID : U01 DA036939
Pays : United States
Organisme : NIDA NIH HHS
ID : U01DA036939
Pays : United States
Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
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