Validity and Reliability Evidence and Norms for the Spanish Version of the Sexual Inhibition/Sexual Excitation Scales-Short Form.

BACKGROUND: The Sexual Inhibition/Sexual Excitation Scales-Short Form (SIS/SES-SF) is a brief instrument for assessing the propensity for sexual excitement and inhibition in men and women. The aim of the present study was to provide evidence for the validity and reliability of the Spanish version of the SIS/SES-SF scores by examining invariance, reliability (information function and internal consistency), the relationship between the scores and sexual functioning, and presenting its standard scores. METHOD: A total of 2,223 Spanish heterosexuals (43.41% men and 56.59% women) aged 18 to 83 years (M = 39.94, SD = 11.95), distributed across age groups (18-34, 35-49, ≥ 50 years old) participated. RESULTS: The three-factor structure of the Spanish version of SIS/SES-SF showed weak measurement invariance by sex and strict measurement invariance by age. The scores explained the dimensions of sexual functioning, especially sexual arousal and erection/lubrication. In addition, men and women without difficulties in sexual functioning demonstrated more propensity for sexual excitation and less sexual inhibition. The standard scores are presented by sex and age group. CONCLUSIONS: The study provides evidence of the validity and reliability of the SIS/SES-SF measures, confirming its usefulness for assessing propensity to sexual excitation and inhibition.

Sexual Rewards and Costs in Heterosexual and Gay Hispanic Adults.

The Interpersonal Exchange Model of Sexual Satisfaction proposes that sexual satisfaction can be explained by the balance of sexual rewards or costs exchange. The Interpersonal Exchange Model of Sexual Satisfaction Questionnaire (IEMSSQ) was developed from this model. The IEMSSQ includes the Reward/Costs Checklist (RCC). The RCC assesses different sexual exchanges that are categorized into sexual rewards and/or costs. Analyses and comparisons of sexual rewards and costs in the Hispanic cisgender population based on gender (man or woman) and sexual orientation (heterosexual and homosexual) with this measure have not been conducted. The main goal was to analyze and rank the sexual rewards, costs, and both, indicated by a sample of 1996 Hispanic partnered participants (heterosexual men, gay men, heterosexual women, and lesbians). The predominant sexual exchanges that were reported involved emotional aspects, both as rewards and costs. When participants indicated that the exchange was both a reward and a cost, they were referring to aspects specifically related to the sexual relationship itself. Heterosexual men and women had greater rewards and higher costs, respectively. Gay men obtained a greater number of items reported as rewards and costs. The results provide further insight into sexual satisfaction related to gender and sexual orientation.

Validation of the Short-Facebook Jealousy Scale among Colombian Men and Women

Social networks, particularly Facebook, influence romantic relationships, as they can generate jealousy and conflict between members of the couple. The Facebook Jealousy Scale (FJS) is an instrument that assesses jealousy about using Facebook, but no similar instrument is available in Colombia. The main aim was to examine the psychometric properties of the FJS in a Colombian sample of 485 men and 727 women. Participants answered the socio-demographic questionnaire, the adaptation of the Facebook Jealousy Scale, Romantic Partner Conflict Scale, Rosenberg Self-Esteem Scale and Romantic Jealousy Scale. The final version of the FJS was made up of 15 items which were distributed across three dimensions: Partner's Activity, Partner's Surveillance, Partner's Romantic and Sexual relationship. Ordinal's alpha values from its three factors ranged between .90 and .95. Concurrent validity was also provided, as the measure was associated with dimensions from partner conflict, self-esteem, and romantic jealousy. An invariance test by gender was also performed, resulting in compliance with metric invariance. Therefore, the FJS is a useful tool for clinicians and researchers who work on issues related to romantic relationships. Research analyzing Facebook jealousy provides an interesting indicator of couple's monitoring and controlling behaviors, which are features of psychological abuse, a subtype of intimate partner violence.

Las redes sociales, particularmente Facebook, influyen en las relaciones sentimentales, ya que pueden generar celos y conflictos entre los miembros de la pareja. La Escala de Celos de Facebook (FJS) es un instrumento que evalúa los celos por el uso de Facebook, y no hay ningún instrumento similar disponible en Colombia. El objetivo principal fue examinar las propiedades psicométricas del FJS en una muestra colombiana de 485 hombres y 727 mujeres. Los participantes completaron un cuestionario sociodemográfico, la adaptación de la Escala de Celos de Facebook, la Escala de Conflicto de Pareja Romántica, la Escala de Autoestima de Rosenberg y la Escala de Celos Románticos. La versión final de la FJS estuvo conformada por 15 ítems que, a su vez, conformaron tres dimensiones: Actividad de la pareja, Vigilancia de la pareja, Relación romántica y sexual de la pareja. Los valores de alfa ordinal de los tres factores oscilaron entre .90 y .95. También se demostró validez concurrente con otras dimensiones relacionadas con conflicto en la pareja, autoestima y celos románticos. El análisis de invarianza según género resultó en un nivel de invarianza métrica. El FJS es una medida que puede ser útil para la práctica clínica y los investigadores que trabajan en temas relacionados con las relaciones románticas. La investigación que analice los celos asociados al Facebook ofrecerá un interesante indicador de la supervisión en el contexto de pareja y las conductas de control, elementos clave del abuso psicológico, un subtipo de la violencia de pareja.

Objectification and Violence Against Women: The Spanish Validation of the Interpersonal Sexual Objectification Scale-Perpetration Version.

The aim of this study was to validate the Interpersonal Sexual Objectification Scale-Perpetration Version (ISOS-P), a measure that assesses sexual objectification perpetration. The sample consisted of 356 heterosexual men of Spanish nationality. Confirmatory factor analysis was performed. The Spanish validation of the ISOS-P comprises 15 items and showed a trifactorial structure. McDonald's omega values ranged from 0.71 to 0.80, and evidences of validity are shown by positive correlations with the endorsement of a positive attitude toward rape and having perpetrated several sexual aggression types. The Spanish validation of the ISOS-P is a valid and reliable scale.

Only "yes" means "yes": Negotiation of Sex and Its Link With Sexual Violence.

Lack of consent is an essential characteristic of sexual violence. The present study was conducted to analyze the relation between sexual consent and the risk of perpetrating sexual aggression by men and victimization suffered by women in more depth. The sample consisted of 1681 heterosexual Spanish men and women aged 18-66 years. The participants completed an online survey containing the Spanish versions of the Sexual Consent Scale Revised and the Sexual Experiences Survey. The results showed that 70.2% of the women had been sexual victims, and 20.8% of men reported having perpetrated sexual violence. On the one hand, sexual aggressors, unlike non aggressors, underestimated the relevance of obtaining sexual consent, and more aggressors reported lack of perceived behavioral control for requesting sexual consent and endorsed less positive attitudes to obtain sexual consent than non aggressors. On the other hand, sexual victims, compared to non victims, considered requesting explicit sexual consent relevant, but held certain ideas, attitudes, and behaviors that did not go along with obtaining sexual consent, which leaves women in a position of vulnerability.

Sexually Explicit Material and Its Relationship with Sociodemographic Variables, Sexual Satisfaction, and Relationship Satisfaction in a Spanish Sample.

Previous research that has examined the use of sexually explicit material (SEM) in the Spanish population and its relationship with sociodemographic variables, sexual satisfaction, and satisfaction with the relationship are practically non-existent. Therefore, the main goal was to analyze the pattern of use of SEM (frequency, format, context, content, and purpose of its use) and its relationship with sociodemographic variables (sex, age, sexual orientation, educational level, religiosity, status of partner, number of sexual partners, and age of first exposure to SEM), sexual satisfaction, and relationship satisfaction. The sample consisted of 221 participants, with an average age equal to 29.88 years (SD = 9.73) and of Spanish nationality. All participants completed a sociodemographic questionnaire, as well as the Spanish adaptations of the Sexual Media Questionnaire, Global Measure of Sexual Satisfaction, and Global Measure of Relationship Satisfaction. Based on the results, it was found that men use SEM more frequently than women, that the age of first exposure is 14 years old, the most used pattern of SEM is internet websites with sexual content in which adult men and women appear, and the way to visualize it is alone as private stimulation. In addition, it was shown that a higher frequency of SEM use implies a decrease in sexual satisfaction and vice versa, while there is no association between the frequency of SEM use and satisfaction with the relationship. The importance of considering the use of SEM, both in research on sexual satisfaction and in clinical practice, is discussed.

Protection of Human Rights and Barriers for People with HIV/AIDS in Colombia: An Analysis of the Legal Framework.

People living with HIV/AIDS not only suffer in terms of physical and/or psychological health, but also frequently experience violations of human rights and fundamental freedoms. Although there are international treaties and a regulatory framework that legally protects people with HIV/AIDS, it is essential to determine the effectiveness of the regulatory framework in Colombia. Therefore, our main goal was to examine the legislation on HIV/AIDS in Colombia with the purpose of understanding the decrees and laws, and describing the main obstacles and barriers that people with HIV/AIDS encounter. For this purpose, we employed the method of legal interpretation and reviewed the legal regulations on HIV/AIDS, as well as the judgments of guardianship of the Constitutional Court. It is verified that there is a specific regulation on HIV/AIDS, specifically decree 559 of 19,991, decree 1543 of 1997, Law 599 of 2000, Law 972 of 2005, and Law 1220 of 2008. Although at the legislative level Colombia shows an evolution in the norm, patients with HIV/AIDS continue to be victims of human rights violations. As a result, and through the analysis of tutela judgments, it was found that the Constitutional Court recognized the violation of rights and ordered the necessary measures to be taken to guarantee the human rights and fundamental freedoms of the defendants.

Transphobia and gender identity: social representations of trans women from Brazil and Colombia.

The present research aimed to identify and discuss the social representations of trans women related to gender identity and transphobia in Brazil and Colombia. In this study participated 43 Trans women, 22 from Brazil, aged between 18 and 55 years (M=29.09, SD=8.53) and 21 from Colombia, aged between 21 and 41 years (M=28.19, SD=7.63). This study adopted a qualitative approach in which semi-structured interviews were used. The data were analyzed by the Iramuteq software, which identified the social representations in classes. The results showed what the participants understood about transphobia and how they regarded their experiences with this gender identity. The participants presented negative social representations, aiming at their personal experiences related to their social context. Themes related to violence, discrimination, prejudice, denial of rights and family support emerged from both the Brazilian and Colombian sample. Implications for Tran´s quality of life are discussed.

Transphobia and gender identity: social representations of trans women from Brazil and Colombia / Transfobia e identidade de gênero: representações sociais de mulheres trans do Brasil e Colômbia

Abstract The present research aimed to identify and discuss the social representations of trans women related to gender identity and transphobia in Brazil and Colombia. In this study participated 43 Trans women, 22 from Brazil, aged between 18 and 55 years (M=29.09, SD=8.53) and 21 from Colombia, aged between 21 and 41 years (M=28.19, SD=7.63). This study adopted a qualitative approach in which semi-structured interviews were used. The data were analyzed by the Iramuteq software, which identified the social representations in classes. The results showed what the participants understood about transphobia and how they regarded their experiences with this gender identity. The participants presented negative social representations, aiming at their personal experiences related to their social context. Themes related to violence, discrimination, prejudice, denial of rights and family support emerged from both the Brazilian and Colombian sample. Implications for Tran´s quality of life are discussed.

Resumo A presente pesquisa teve como objetivo identificar e discutir as representações sociais de mulheres trans relacionadas à identidade de gênero e transfobia no Brasil e na Colômbia. Neste estudo participaram 43 mulheres trans, 22 do Brasil, com idade entre 18 e 55 anos (M=29,09, DP=8,53) e 21 da Colômbia, com idade entre 21 e 41 anos (M=28,19, DP=7,63). Este estudo adotou uma abordagem qualitativa na qual foram utilizadas entrevistas semiestruturadas. Os dados foram analisados pelo software Iramuteq, que identificou as representações sociais. Os resultados mostraram o que os participantes entenderam sobre transfobia e como eles encararam suas experiências com essa identidade de gênero. Os participantes apresentaram representações sociais negativas, visando suas experiências pessoais relacionadas ao seu contexto social. Temas relacionados à violência, discriminação, preconceito, negação de direitos e apoio familiar emergiram da amostra brasileira e colombiana. Espera-se que este estudo possa contribuir para compreensão deste fenômeno biopsicossocial.

Sexual Abuse vs. Sexual Freedom? A Legal Approach to the Age of Sexual Consent in Adolescents in Spanish-Speaking Countries.

Child and adolescent sexual abuse (CSA) is an international public health problem. Despite the importance of CSA, there is no consensus definition, and the lack of consensus is related to difficulties in conducting prevalence studies as well as research in other areas. To establish a consensual definition, legal aspects such as the age of sexual consent and the difference in age or power between victim and aggressor as well as aspects related to sexual freedom and sexual indemnity must be considered. Therefore, the main goal of this research was to analyze the age of sexual consent in the legal systems of Spanish-speaking countries and to examine whether the Romeo and Juliet clause is established. To achieve the proposed aims, we employed the legal interpretation method, and we analyzed the current Criminal Codes of the 21 Spanish-speaking countries. From the results, it is found that the age of sexual consent varies between countries, establishing valid sexual consent between 13 and 18 years. In addition, only six countries have the Romeo and Juliet clause that protects sexual freedom in adolescents. Finally, we discussed the lack of consensus on the age of sexual consent and the limitations presented by the Romeo and Juliet clause.

Protection against Sexual Violence in the Colombian Legal Framework: Obstacles and Consequences for Women Victims.

Sexual violence is a type of gender-based violence (GBV), as it is one of the different types of violence that is exerted against women. Sexual violence infringes fundamental human rights, and denies women's dignity and self-determination, personal development, and well-being. Despite international treaties and a regulatory framework that legally protects Colombian women against sexual violence, it is necessary to know the effectiveness of this regulatory framework in Colombia. Therefore, the main objective of this research is to examine criminal legislation on crimes of sexual violence in Colombia with a dual purpose: first, to analyze procedural guarantees for women victims of sexual violence; second, to determine obstacles for victims of sexual violence in accordance with the legal framework. We used a legal interpretation method to perform an analysis and interpret the law. The results found that, although sexual violence is considered a type of crime, procedural guarantees are not effective as victims encounter serious obstacles with negative consequences, such as the violation of fundamental human rights.

Association between Psychopathological Dimensions and Sexual Functioning/Sexual Arousal in Young Adults.

Psychological-psychiatric factors have a different effect on sexual functioning in men and women. This research aimed to examine the association between psychopathological dimensions and dimensions of sexual functioning in Spanish young adults in two studies. Study 1 examined sexual functioning and psychopathological dimensions in 700 women and 516 men. Study 2 conducted an experimental laboratory task to evaluate subjective sexual arousal and genital sensations when watching visual sexual stimuli in a subsample of participants from Study 1 (143 women and 123 men). As a result, the first study showed that depression and anxiety-related symptoms had a negative effect, both in men and women, and having a partner had a positive influence on the dimensions of sexual functioning. The second study showed that anxiety symptoms were positively associated with subjective sexual arousal in both men and women, and anxiety was associated with the assessment of genital sensations in men. The differences between the results of anxiety may be explained because sexual arousal was evaluated in general terms in Study 1, whereas it was evaluated as a state in Study 2. These findings confirm that the presence of psychopathological symptoms contributes to sexual functioning, as well as the necessity of strengthening mental illness prevention programs that include sexual health components.

Validation of the Interpersonal Exchange Model of Sexual Satisfaction Questionnaire in adults with a same-sex partner / Validación del Interpersonal Exchange Model of Sexual Satisfaction Questionnaire en adultos con pareja del mismo sexo

BACKGROUND/OBJECTIVE: The Interpersonal Exchange Model of Sexual Satisfaction Questionnaire (IEMSSQ) is one of the few instruments that has been developed from a theoretical model and assess sexual satisfaction. In addition, it has been successfully validated in Spanish heterosexual population. The objective of this study is to adapt and examine its psychometric properties (reliability, evidence of validity, and measurement invariance across sexual orientation and sex) in gay people in a relationship. METHOD: A sample of 1,820 adults, of whom 50% are gay people and 55% men, answered the Spanish version of the IEMSSQ. In addition, subjects with gay orientation answered the Massachusetts General Hospital-Sexual Functioning Questionnaire and the Dyadic Adjustment Scale. RESULTS: When comparing by sex and sexual orientation, the IEMSSQ has a strict invariant structure. Its reliability is good, and the evidence of construct and concurrent validity is adequate. However, the components of equality are moderate. CONCLUSIONS: The IEMSSQ makes it possible to compare the sexual satisfaction between gay/heterosexual men and women, presenting good psychometric properties in gay people, constituting an useful instrument in the clinical and research field

ANTECEDENTES/OBJETIVO: El Interpersonal Exchange Model of Sexual Satisfaction Questionnaire (IEMSSQ) es uno de los escasos instrumentos que evalúan la satisfacción sexual desde un modelo teórico y ha sido validado con éxito en población española heterosexual. El objetivo de este estudio es adaptar y examinar sus propiedades psicométricas (fiabilidad, evidencias de validez e invarianza según orientación sexual y sexo) en adultos gais con una relación de pareja. MÉTODO: Una muestra de 1.820 adultos, de los cuales el 50% son gais/lesbianas y el 55% hombres, contestó a la versión española del IEMSSQ. Además, los sujetos con orientación gay contestaron el Massachusetts General Hospital-Sexual Functioning Questionnaire y la Escala de Ajuste Diádico. RESULTADOS: El IEMSSQ posee una estructura invariante estricta, por sexo y orientación sexual. Su fiabilidad es buena, y las evidencias de validez de constructo y concurrente adecuadas, aunque moderadas en los componentes de igualdad. CONCLUSIONES: El IEMSSQ permite comparar la satisfacción sexual entre hombres gais y mujeres lesbianas y heterosexuales, presentando buenas propiedades psicométricas en adultos gais, constituyendo un instrumento útil en el ámbito clínico y en el de la investigación

An Explanatory Model of Sexual Satisfaction in Adults with a Same-Sex Partner: An Analysis Based on Gender Differences.

This study aimed to develop an explanatory model of sexual satisfaction in same-sex attracted individuals with a partner, based on personal and interpersonal variables. The participants were 410 men (mean age = 29.24, SD = 9.84) and 410 women (mean age = 29, SD = 8.57) who maintained a relationship with another person of the same sex. Internalized homophobia was considered as a personal variable, and as interpersonal variables, the dimensions of attachment (anxiety and avoidance), sexual functioning, dyadic adjustment, relationship satisfaction, the components of the Interpersonal Exchange Model of Sexual Satisfaction, the number of sexual costs and the number of sexual rewards were considered. The degree to which sexual satisfaction was related to these variables was examined separately, for both men and women, through multiple linear regression models within the framework of structural equation models. The results indicated that sexual satisfaction is associated in a negative sense with internalized homophobia, the number of sexual costs, anxiety, and avoidance, and in a positive sense with the remaining variables. Relational variables were more relevant in the explanation of sexual satisfaction. The clinical implications are discussed.

Invariance of the Sexual Double Standard Scale: A Cross-Cultural Study.

The Sexual Double Standard (SDS) is an instrument used to judge sexual behavior, in which men are usually granted greater sexual freedom, while the same sexual behavior is condemned in women. Culture can be a relevant variable for the SDS. Therefore, we have examined the measurement invariance of the Sexual Double Standard Scale (SDSS) across the Spanish and Colombian populations, comparing this phenomenon by country and gender. The scale comprises two factors: sexual freedom and sexual shyness. The sample consisted of 1832 heterosexual adults (46.3% men, 53.7% women), 54.3% of whom were Spanish and 45.7% Colombian. Strong invariance was found. The reliability values were good for country and gender. Men and women from both countries supported greater freedom for themselves compared to the other gender. Furthermore, Spanish women, unlike their Colombian counterparts, supported greater sexual shyness for men. Thus, what some authors have labeled as a "reverse sexual double standard" seems to emerge.

Escalas de Valoración de Excitación Sexual y Valoración de Sensaciones Genitales: propiedades psicométricas en muestras españolas / Ratings of sexual arousal and ratings of genital sensations: psychometric properties in spanish sample

Objetivo. La excitación sexual subjetiva es la percepción de excitación a nivel psicológico, siendo el Multiple Indicators of Subjective Sexual Arousal (MISSA) uno de los escasos instrumentos para evaluarla de manera situacional. El objetivo es adaptar a población española y examinar las propiedades psicométricas de dos de las escalas del MISSA: Valoración de Excitación Sexual (VES) y Valoración de Sensaciones Genitales (VSG). Material y método. Se emplearon dos muestras independientes formadas por jóvenes heterosexuales de 18-30 años de edad. En la primera muestra (n=122) se examinó la estructura factorial de la escala VES, la cual se puso a prueba en una segunda muestra (n=336) en la que se examinó la invarianza por sexo. Además, en esta segunda muestra se buscaron evidencias de validez de ambas escalas. Los participantes de ambos estudios (N=458) contestaron las escalas VES y VSG en una situación experimental de laboratorio en la que eran expuestos a films de contenido neutro y contenido sexual explícito. Resultados. La versión española de la escala VES presenta una estructura unidimensional con una adecuada fiabilidad de consistencia interna (α=0,90). Dicha estructura es invariante en cuanto al sexo, no encontrándose diferencias entre hombres y mujeres. Tanto las puntuaciones de la escala VES como de la VSG correlacionaron con la predisposición a excitarse y con la erotofilia. Conclusiones. Las escalas VES y VSG son fiables y válidas para evaluar la excitación sexual subjetiva ante estímulos sexuales, constituyendo instrumentos adecuados para su uso, tanto en el ámbito clínico como en el de la investigación (AU)

Objective. Subjective sexual arousal is the psychological perception of arousal. The Multiple Indicators of Subjective Sexual Arousal (MISSA) is one of the limited self-reported measures to evaluate it in a specific situation. The aim is to adapt and examine the psychometric properties of two scales from the MISSA: Ratings of Sexual Arousal (RSA) and Ratings of Genital Sensations (RGS) in a Spanish sample. Material and method. The measures were administered to two independent samples composed by heterosexual young individuals aged from 18 to 30 years old. In the first sample (n=122) the factorial structure of the RSA was examined, which was later confirmed in a second sample (n=336) where invariance analysis by sex and validity evidences were also analyzed. Both, the RSA and the RGS, together with other scales measuring similar constructs, were answered by participants from both studies (N=458) in a laboratory setting in which individuals were exposed to films with neutral content and explicit sexual content. Results. The Spanish version of the RSA shows a unidimensional structure with adequate reliability (α=.90). This structure showed to be invariant by sex, thus no significant differences were found between men and women. Scores from both, the RSA and the RGS correlated with higher predisposition to get excited and erotophilia. Conclusions. The RSA and RGS are reliable and valid measures to evaluate subjective sexual arousal towards sexual stimuli. Therefore, their use is suitable for both clinical and research areas (AU)

Sexual Satisfaction in Spanish Heterosexual Couples: Testing the Interpersonal Exchange Model of Sexual Satisfaction.

The study of sexual satisfaction in Spain is scarce and has proceeded atheoretically. This study aimed at examining sexual satisfaction in 197 Spanish heterosexual couples based on the Interpersonal Exchange Model of Sexual Satisfaction. Men and women reported equal satisfaction. Men's sexual satisfaction was predicted by their own relationship satisfaction, balance of sexual rewards and costs, and comparison level of sexual rewards and costs. Women's sexual satisfaction was predicted by their own relationship satisfaction, balance of sexual rewards and costs, comparison level of sexual rewards and costs, equality of sexual costs, and their partner's balance of sexual rewards and costs. These results provide with a better understanding of the mechanisms that explain sexual satisfaction in Spanish couples. Implications for research and therapy are discussed.

Validation of the Interpersonal Exchange Model of Sexual Satisfaction Questionnaire in a Spanish Sample.

The Interpersonal Exchange Model of Sexual Satisfaction Questionnaire (IEMSSQ) contains a number of separate measures that, together, have been useful in enhancing understanding of sexual satisfaction because it is based on a validated theoretical framework and has good psychometric properties. The present study aimed to determine the psychometric properties of the IEMSSQ in a Spanish sample of 520 men and 701 women in a mixed-sex relationship. Participants completed Spanish translations of the IEMSSQ, the Index of Sexual Satisfaction, the Dyadic Adjustment Scale, and the Massachusetts General Hospital-Sexual Functioning Questionnaire. The results showed that the Spanish IEMSSQ has good psychometric properties. Internal consistency values were excellent. For the most part, test-retest reliabilities were good, except for the equality components, for which they were moderate. Consistent with predictions, the various subscales were correlated with scores on sexual satisfaction, dyadic adjustment, and sexual functioning, demonstrating good concurrent and convergent validity. The applicability of the IEMSSQ for use with Spanish speakers in clinical and research settings is discussed.

Funcionamiento sexual en personas mayores: influencia de la edad y de factores psicosexuales / Sexual functioning in the elderly: Influence of age and psychosexual factors

Objetivo: Examinar la prevalencia de alteraciones del funcionamiento sexual de hombres y mujeres mayores, y analizar el efecto que la edad, la asertividad sexual, las actitudes sexuales y el abuso de pareja tienen sobre su funcionamiento sexual. Material y método: Cuatrocientas cinco personas (48,4% varones y 51,6% mujeres) con edades comprendidas entre 55 y 80 años, seleccionadas mediante un muestreo incidental, contestan a las versiones validadas en población española del MGH-SFQ, HISA, SOS, HISF e ISA. Resultados: El 39% de los varones y el 58% de las mujeres presentan algún tipo de dificultad en su funcionamiento sexual. En los hombres, la edad predice de forma negativa el funcionamiento sexual (β = −0,29), mientras que la asertividad sexual de inicio (β = 0,26) y la de rechazo-ausencia de timidez sexual (β = 0,17) lo hacen en sentido positivo. En las mujeres también se encuentra una relación negativa entre edad y funcionamiento sexual (β = −0,41); además, en su caso, la asertividad sexual de rechazo-ausencia de timidez (β = 0,17), las actitudes favorables hacia las fantasías sexuales (β = 0,26), el abuso de pareja no físico (β = −0,20), así como la interacción entre la edad y las actitudes hacia las fantasías sexuales (β = 0,21) predicen su funcionamiento sexual. Conclusiones: Las mujeres presentan mayor prevalencia de disfunciones sexuales, que no necesariamente van acompañadas de insatisfacción. La edad, la asertividad sexual, y las actitudes sexuales y el abuso psicológico en el caso de las mujeres son predictores del funcionamiento sexual en personas mayores (AU)

Objective: to examine the prevalence of changes in sexual functioning in both men and women older than 55 years. In addition, we analysed the effect of age, sexual assertiveness, sexual attitudes and partner violence on sexual functioning. Material and method: there were 405 individuals (48.4% men and 51.6% women) with ages ranging from 55 to 80 years old, selected by a non-probabilistic sampling, who answered the validated Spanish versions of the MGH-SFQ, HISA, SOS, HISF and ISA assessment tools. Results: some difficulties in sexual functioning were reported by 39% of men and 58% of women. In men, age negatively predicted sexual functioning (β=−.29), while initiation sexual assertiveness (β=.26) and no shyness/refusal (β=.17) positively predicted it. In women, age was also negatively associated with sexual functioning (β=−.41). In addition, no shyness/refusal (β=.17), positive attitude towards sexual fantasies (β=.26), no physical partner violence (β=−.20) and the interaction between age and positive attitudes towards sexual fantasies (β=.21) were predictors of sexual functioning. Conclusions: women show a greater prevalence of sexual dysfunction; however, such problems are not necessarily linked to sexual dissatisfaction. Age, sexual assertiveness and sexual attitudes, along with psychological abuse in the case of women, are predictors of sexual functioning in elderly people