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Sexuality and Disability

, Volume 32, Issue 3, pp 365–382 | Cite as

Sexual Satisfaction of High-Functioning Adults with Autism Spectrum Disorder

  • E. Sandra Byers
  • Shana Nichols
Original Paper

Abstract

This study examined the validity of the Interpersonal Exchange Model of Sexual Satisfaction (IEMSS) as a framework for understanding the sexual satisfaction of 205 adults (77 men and 128 women) with high-functioning autism spectrum disorder (HF-ASD) who were in a romantic relationship of at least 3 months duration. Participants completed an online survey that included a background questionnaire, the IEMSS Questionnaire, and a measure of autism symptoms. The results provide support for the validity of the IEMSS in that all the IEMSS components (relationship satisfaction, balance of sexual rewards and costs, balance of relative sexual rewards and costs, equality of rewards, equality of costs) were significantly associated with sexual satisfaction. Relationship satisfaction and the balance of rewards and costs added over and above the other components. The model was not moderated by gender, relationship duration or extent of autism symptoms. However, participants with more autism symptoms related to social functioning reported lower sexual satisfaction as well as lower scores on all of the IEMSS components. There were few gender differences. These results are discussed in terms of the impact of HF-ASD on adults’ experiences of their sexual satisfaction with their partner.

Keywords

Sexual satisfaction Autism spectrum disorder Sexuality Asperger syndrome Canada United States 

Notes

Acknowledgment

The authors would like to thank Susan Voyer and Georgianna Reilly for their help with the study.

References

  1. 1.
    Byers, E.S., Nichols, S., Voyer, S.D., Reilly, G.: Sexual well-being of a community sample of high functioning adults on the autism spectrum who have been in a romantic relationship. Autism 17, 418–433 (2013)PubMedGoogle Scholar
  2. 2.
    Byers, E.S., Rehman, U.: Sexual well-being. In: Tolman, D., Diamond, L. (eds.) APA handbook of sexuality and psychology. APA Books, Washington (2013)Google Scholar
  3. 3.
    Byers, E.S.: Relationship satisfaction and sexual satisfaction: a longitudinal study of individuals in long-term relationships. J. Sex Res. 42, 113–118 (2005)PubMedGoogle Scholar
  4. 4.
    Christopher, F.S., Sprecher, S.: Sexuality in marriage, dating, and other relationships: a decade review. J. Marriage Fam. 62, 999–1017 (2000)Google Scholar
  5. 5.
    Karney, B.R., Bradbury, T.N.: The longitudinal course of marital quality and stability: a review of theory, method, and research. Psychol. Bull. 118, 3–34 (1995)PubMedGoogle Scholar
  6. 6.
    Laumann, E.O., Paik, A., Glasser, D.B., Kang, J.H., Wang, T., Levinson, B., Gingell, C.: A cross-national study of subjective sexual well-being among older women and men: findings from the global study of sexual attitudes and behaviors. Arch. Sex. Behav. 35, 145–161 (2006)PubMedGoogle Scholar
  7. 7.
    Lawrance, K., Byers, E.S.: Sexual satisfaction in long-term heterosexual relationship: the interpersonal exchange model of sexual satisfaction. Pers. Relatsh. 2, 267–285 (1995)Google Scholar
  8. 8.
    Hellemans, H., Colson, K., Verbraeken, C., Vermeiren, R., Deboutte, D.: Sexual behavior in high-functioning male adolescents and young adults with autism spectrum disorder. J. Autism Dev. Dis. 37, 260–269 (2007)Google Scholar
  9. 9.
    Hénault, I.: Sexual relationships. In: Welkowitz, L.A. (ed.) Asperger’s syndrome: intervening in schools, clinics, and communities, pp. 243–255. Lawrence Erlbaum, Mahwah (2005)Google Scholar
  10. 10.
    Renty, J., Roeyers, H.: Individual and marital adaptation in men with autism spectrum disorder and their spouses: the role of social support and coping strategies. J. Autism Dev. Dis. 37(7), 1247–1255 (2007)Google Scholar
  11. 11.
    Lawrance, K. Byers, E.S.: Development of the interpersonal model of sexual satisfaction in long term relationships. In: Proceedings of the meeting of the Canadian Sex Research Forum, Can. J. Hum. Sex. 3, 123–128 (1992)Google Scholar
  12. 12.
    Rehman, U., Fallis, E., Byers, E.S.: Sexual satisfaction in heterosexual women. In: Cataneda, D. (ed.) An essential handbook of women’s sexuality, vol. 1, pp. 25–45. Praeger, Westport (2013)Google Scholar
  13. 13.
    Thibaut, J.W., Kelly, H.H.: The social psychology of groups. Wiley, New York (1959)Google Scholar
  14. 14.
    Byers, E.S., Demmons, S., Lawrance, K.: Sexual satisfaction in dating relationships: a test of the interpersonal exchange model of sexual satisfaction. J. Soc. Pers. Relatsh. 15, 257–267 (1998)Google Scholar
  15. 15.
    Byers, E.S., MacNeil, S.: Further validation of the interpersonal exchange model of sexual satisfaction. J. Sex Marital Ther. 32, 53–69 (2006)PubMedGoogle Scholar
  16. 16.
    Byers, E.S., Wang, A.: Sexuality in close relationships from the exchange perspective. In: Harvey, J.H., Wenzel, A., Sprecher, S. (eds.) Handbook of sexuality in close relationships, pp. 203–234. Lawrence Erlbaum, Mahwah (2004)Google Scholar
  17. 17.
    Renaud, C., Byers, E.S., Pan, S.: Sexual and relationship satisfaction in Mainland China. J. Sex Res. 34, 399–410 (1997)Google Scholar
  18. 18.
    LaFrance, B.H.: Predicting sexual satisfaction in interpersonal relationship. South. Communi. J. 75, 195–214 (2010)Google Scholar
  19. 19.
    Peck, S.R., Shaffer, D.R., Williamson, G.M.: Sexual satisfaction and relationship satisfaction in dating couples: the contribution of relationship communality and favorability of sexual exchanges. J. Psychol. Hum. Sex. 16, 17–37 (2004)Google Scholar
  20. 20.
    Howlin, P., Mawhood, L., Rutter, M.: Autism and developmental receptive language disorder—a follow-up comparison in early adult life. II: social, behavioural, and psychiatric outcomes. J. Child Psychol. Psychiatry 41, 561–578 (2000)PubMedGoogle Scholar
  21. 21.
    Orsmond, G.I., Krauss, M.W., Seltzer, M.M.: Peer relationships and social and recreational activities among adolescents and adults with autism. J. Autism Dev. Dis. 34, 245–256 (2004)Google Scholar
  22. 22.
    Tarnai, B., Wolfe, P.S.: Social stories for sexuality education for persons with autism/pervasive developmental disorder. Sex. Disabil. 26, 29–36 (2008)Google Scholar
  23. 23.
    American Psychiatric Association: Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Association, Washington (2013)Google Scholar
  24. 24.
    Mehzabin, P., Stokes, M.A.: Self-assessed sexuality in young adults with high functioning autism. Res. Autism Spectr. Dis. 5, 614–621 (2011)Google Scholar
  25. 25.
    Stokes, M.A., Kaur, A.: High-functioning autism and sexuality: a parental perspective. Autism 9, 266–289 (2005)PubMedGoogle Scholar
  26. 26.
    Koller, R.A.: Sexuality and adolescents with autism. Sex. Disabil. 18, 125–135 (2000)Google Scholar
  27. 27.
    Konstantareas, M.M., Lunsky, Y.J.: Sociosexual knowledge, experience, attitudes, and interests of individuals with autistic disorder and developmental delay. J. Autism Dev. Dis. 27, 397–413 (1997)Google Scholar
  28. 28.
    Byers, E.S.: How well does the traditional sexual script explain sexual coercion? Review of a program of research. J. Psychol. Hum. Sex. 8, 7–25 (1996)Google Scholar
  29. 29.
    Woodbury-Smith, M., Robinson, J., Wheelwright, S., Baron-Cohen, S.: Screening adults for Asperger syndrome using the AQ: a preliminary study of its diagnostic validity in clinical practice. J. Autism Dev. Dis. 35, 331–335 (2005)Google Scholar
  30. 30.
    Barnhill, G.P.: Outcomes in adults with Asperger syndrome. Focus Autism Other Dev. Disabil. 22, 116–126 (2007)Google Scholar
  31. 31.
    Stoddard, K.P., Burke, L., King, R.: Asperger syndrome in adulthood. A comprehensive guide for clinicians. W.W. Norton & Company, New York (2012)Google Scholar
  32. 32.
    Baron-Cohen, S., Wheelwright, S., Skinner, R., Martin, J., Clubley, E.: The autism-spectrum quotient (AQ): evidence from Asperger syndrome/high-functioning autism, males and females, scientists and mathematicians. J. Autism Dev. Dis. 31, 5–17 (2001)Google Scholar
  33. 33.
    Sonié, S., Kassai, B., Pirat, E., Bain, P., Robinson, J., Gomot, M., Manificat, S.: The French version of the autism-spectrum quotient in adolescents: a cross-cultural validation study. J. Autism Dev. Dis. 43, 1178–1183 (2013)Google Scholar
  34. 34.
    Armstrong, K., Iarocci, G.: Brief report: the autism spectrum quotient has convergent validity with the Social Responsiveness Scale in a high-functioning sample. J. Autism Dev. Dis. 43, 2228–2232 (2013)Google Scholar
  35. 35.
    Hoekstra, R.A., Bartels, M., Cath, D.C., Boomsma, D.I.: Factor structure, reliability and criterion validity of the autism-spectrum quotient (AQ): a study in Dutch population and patient groups. J. Autism Dev. Dis. 38, 1555–1566 (2008)Google Scholar
  36. 36.
    Lepage, J., Lortie, M., Taschereau-Dumouchel, V., Théoret, H.: Validation of French-Canadian versions of the empathy quotient and autism spectrum quotient. Can. J. Behav. Sci. 41, 272–276 (2009)Google Scholar
  37. 37.
    Lawrance, K., Byers, E.S., Cohen, J.: Interpersonal Exchange Model of Sexual Satisfaction Questionnaire. In: Fisher, T.D., Davis, C.M., Yarber, W.L., Davis, S. (eds.) Handbook of sexuality-related measures, 2nd edn, pp. 525–530. Routledge, New York (2011)Google Scholar
  38. 38.
    Cohen, J.N., Byers, E.S., Walsh, L.P.: Factors influence the sexual relationships of lesbians and gay men. Int. J. Sex. Health 20, 162–176 (2008)Google Scholar
  39. 39.
    Tabachnik, B.G., Fidell, L.S.: Using multivariate statistics, 5th edn. Pearson, Boston (2007)Google Scholar
  40. 40.
    Pollmann, M.M.H., Finkenauer, C., Begeer, S.: Mediators of the link between autistic traits and relationship satisfaction in a non-clinical sample. J. Autism Dev. Dis. 40, 470–478 (2010)Google Scholar
  41. 41.
    Byers, E.S., Nichols, S., Voyer, S.: Challenging stereotypes: sexual functioning of single adults with high functioning autism spectrum disorder. J. Autism Dev. Dis. 43, 2617–2627 (2013)Google Scholar
  42. 42.
    MacNeil, S., Byers, E.S.: Dyadic assessment of sexual self-disclosure and sexual satisfaction in heterosexual dating couples. J. Soc. Pers. Relatsh. 22, 169–181 (2005)Google Scholar
  43. 43.
    MacNeil, S., Byers, E.S.: Role of sexual self-disclosure in the sexual satisfaction of long-term heterosexual couples. J. Sex Res. 46, 1–12 (2009)Google Scholar
  44. 44.
    Yucel, D., Gassanov, M.A.: Exploring actor and partner correlates of sexual satisfaction among married couples. Soc. Sci. Res. 39, 725–738 (2010)Google Scholar
  45. 45.
    Miller, S.A., Byers, E.S.: Actual and desired duration of foreplay and intercourse: discordance and misperceptions within heterosexual couples. J. Sex Res. 41, 301–309 (2004)PubMedGoogle Scholar
  46. 46.
    Fombonne, E.: Epidemiological surveys of autism and other pervasive developmental disorders: an update. J. Autism Dev. Dis. 33, 365–382 (2003)Google Scholar
  47. 47.
    Addis, M.E., Mahalik, J.R.: Men, masculinity, and the contexts of help seeking. Am. Psychol. 58(1), 5–14 (2003)PubMedGoogle Scholar
  48. 48.
    Santor, D.A., Poulin, C., LeBlanc, J.C., Kusumakar, V.: Online health promotion, early identification of difficulties, and help seeking in young people. J. Am. Acad. Child Adolesc. Psychiatry 46, 50–59 (2007)PubMedGoogle Scholar
  49. 49.
    Sax, L.J., Gilmartin, S.K., Bryant, A.N.: Assessing response rates and nonresponse bias in web and paper surveys. Res. High. Educ. 44, 409–432 (2003)Google Scholar
  50. 50.
    Weiser, E.B.: Gender differences in internet use patterns and Internet application preferences: a two-sample comparison. CyberPsychol. Behav. 3, 167–178 (2000)Google Scholar
  51. 51.
    Strassberg, D.S., Lowe, K.: Volunteer bias in sexuality research. Arch. Sex. Behav. 24, 369–382 (1995)PubMedGoogle Scholar
  52. 52.
    Wiederman, M.W., Weis, D.L., Allgeier, E.R.: The effect of question preface on response rates to a telephone survey of sexual experience. Arch. Sex. Behav. 23, 203–215 (1994)PubMedGoogle Scholar
  53. 53.
    Gilmour, L., Schalomon, M., Smith, V.: Sexuality in a community based sample of adults with autism spectrum disorder. Res. Autism Spectr. Dis. 6, 313–318 (2012)Google Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of PsychologyUniversity of New BrunswickFrederictonCanada
  2. 2.ASPIRE Center for Learning and DevelopmentMelvilleUSA

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