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Sex Roles

, Volume 61, Issue 1–2, pp 120–129 | Cite as

Sexual Desire and Depression Following Spinal Cord Injury: Masculine Sexual Prowess as a Moderator

  • Shaun Michael BurnsEmail author
  • Sigmund Hough
  • Briana L. Boyd
  • Justin Hill
Original Article

Abstract

Men’s adherence to masculine norms stressing sexual prowess may contribute to their adjustment to changes in sexual functioning following spinal cord injury. The authors test this hypothesis by examining the moderating role of men’s conformity to gender norms for sexual prowess on the relationship between sexual desire and depression. One hundred and sixteen male citizens of the United States with spinal cord injuries were recruited for participation in the internet-based survey. Results indicated that participants with strong sexual desire evinced higher rates of depression when they conformed to masculine norms emphasizing sexual prowess. Men with little reported sexual desire, by contrast, demonstrated lower rates of depression when they endorsed norms for prowess. Directions for future research and treatment interventions are offered.

Keywords

Gender roles Masculinity Mental health Sexual functioning Spinal cord injury 

References

  1. Alexander, C., Sipski, M. L., & Findley, T. W. (1993). Sexual activities, desire, and satisfaction in males pre— and post-spinal cord injury. Archives of Sexual Behavior, 22, 217–228.PubMedCrossRefGoogle Scholar
  2. Anderson, K. D., Borisoff, J. F., Johnson, R. D., Stiens, S. A., & Elliott, S. L. (2007). Long-term effects of spinal cord injury on sexual function in men: implications for neuroplasticity. Spinal Cord, 45, 338–348.PubMedGoogle Scholar
  3. Blumenthal, J. A., Burg, M. M., Barefoot, J., Williams, R. B., Haney, T., & Zimet, G. (1987). Social support, type A behavior, and coronary artery disease. Psychosomatic Medicine, 49, 331–340.PubMedGoogle Scholar
  4. Boekamp, J., Overholser, J., & Schubert, D. (1996). Depression following a spinal cord injury. International Journal of Psychiatry in Medicine, 26, 329–349.PubMedGoogle Scholar
  5. Burns, S. M., & Mahalik, J. R. (2006). Physical health, self-reliance, and emotional control as moderators of the relationship between locus of control and mental health among men treated for prostate cancer. Journal of Behavioral Medicine, 29, 561–572.PubMedCrossRefGoogle Scholar
  6. Burns, S. M., & Mahalik, J. R. (2007). Understanding how masculine gender scripts may contribute to men’s adjustment following treatment for prostate cancer. American Journal of Men’s Health, 1, 250–261.PubMedCrossRefGoogle Scholar
  7. Burns, S. M., & Mahalik, J. R. (2008a). Examining sexual functioning as a moderator of the relationship between masculinity and men’s adjustment following treatment for prostate cancer. American Journal of Men’s Health, 2, 6–16.PubMedCrossRefGoogle Scholar
  8. Burns, S. M., & Mahalik, J. R. (2008b). Treatment type and emotional control as predictors of men’s self-assessed physical well-being following treatment for prostate cancer. Psychology of Men & Masculinity, 2, 55–66.CrossRefGoogle Scholar
  9. Burns, S. M., Mahalik, J. R., Hough, S., & Greenwell, A. N. (2008). Adjustment to changes in sexual functioning following spinal cord injury: the contribution of men’s adherence to scripts for sexual potency. Sexuality and Disability, 26(4), 197–205.CrossRefGoogle Scholar
  10. Cappelleri, J. C., Althof, S. E., Siegel, R. L., Stecher, V. J., Tseng, L. J., & Duttagupta, S. (2005). Association between the erectile dysfunction inventory of treatment satisfaction and the self-esteem and relationship questionnaire following treatment with sildenafil citrate for men with erectile dysfunction. Value in Health, 8, S54–S60.PubMedCrossRefGoogle Scholar
  11. Centers for Disease Control and Prevention (2005). Injury fact book 2001–2003: Spinal cord injury. Retrieved January 2, 2008 from http://www.cdc.gov/ncipc/fact_book/25_Spinal-Cord_Injury.htm.
  12. Courtenay, W. H. (2001). Counseling men in medical settings: The six-point HEALTH plan. In G. R. Brooks & G. E. Good (Eds.), The new handbook of psychotherapy and counseling with men, pp. 59–91. San Francisco: Jossey-Bass.Google Scholar
  13. Craig Hospital Research Department (2001). Craig Hospital Inventory of Environmental Factors (CHIEF) Manual. Craig Hospital Inventory of Environmental Factors (CHIEF) Manual, 30.Google Scholar
  14. Dahlberg, A., Alaranta, H. T., Kautiainen, H., & Kotila, M. (2007). Sexual activity and satisfaction in men with traumatic spinal cord lesion. Journal of Rehabilitation Medicine, 39, 152–155.PubMedCrossRefGoogle Scholar
  15. Dowler, R., Richards, J. S., Putzke, J. D., Gordon, W., & Tate, D. (2001). Impact of demographic and medical factors on satisfaction with life after spinal cord injury: a normative study. The Journal of Spinal Cord Medicine, 24, 87–91.PubMedGoogle Scholar
  16. Edgar, D. (1997). Men, mateship, and marriage. Pymble, New South Wales, Australia: HarperCollins.Google Scholar
  17. Feldman, H. A., Goldstein, I., Hatzichristou, D. G., Krane, R. J., & McKinlay, J. B. (1994). Impotence and its medical and psychosocial correlates: results of the Massachusetts male aging study. The Journal of Urology, 151, 54–61.PubMedGoogle Scholar
  18. Fox, J. (1991). Regression diagnostics. Newbury Park, CA: Sage.Google Scholar
  19. Francher, J., & Kimmel, M. S. (1992). Hard issues and soft spots: counseling men about sexuality. In M. S. Kimmel & M. A. Messner (Eds.), Men’s lives (2nd ed.), pp. 428–450. New York: Macmillan.Google Scholar
  20. Frazier, P. A., Tix, A. P., & Barron, K. E. (2004). Testing moderator and mediator effects in counseling psychology research. Journal of Counseling Psychology, 51, 115–134.CrossRefGoogle Scholar
  21. Good, G. E., Schopp, L. H., Thomson, D., Hathaway, S., Mazurek, M. O., & Sanford-Martens, T. (2008). Men with serious injuries: relations among masculinity, age, and alcohol use. Rehabilitation Psychology, 53, 39–45.CrossRefGoogle Scholar
  22. Gray, R. E., Fitch, M. I., Fergus, K. D., Mykhalovskiy, E., & Church, K. (2002). Hegemonic masculinity and the experience of prostate cancer: a narrative approach. Journal of Aging and Identity, 7, 43–62.CrossRefGoogle Scholar
  23. Hatzichristou, D., Cuzin, B., Martin-Morales, A., Buvat, J., Porst, H., Laferriere, N., et al. (2005). Vardenafil improves satisfaction rates, depressive symptomatology, and self confidence in a broad population of men with erectile dysfunction. Journal of Sexual Medicine, 2, 109–116.PubMedCrossRefGoogle Scholar
  24. Helgeson, V. S., & Lepore, S. J. (1997). Men’s adjustment to prostate cancer: the role of agency and unmitigated agency. Sex Roles, 37, 251–266.CrossRefGoogle Scholar
  25. Helgeson, V. S., & Lepore, S. J. (2004). Quality of life following prostate cancer: the role of agency and unmitigated agency. Journal of Applied Social Psychology, 34, 2559–2585.CrossRefGoogle Scholar
  26. Jain, N. B., Sullivan, M., Kazis, L. E., Tun, C. G., & Garshick, E. (2007). Factors associated with health-related quality of life in chronic spinal cord injury. American Journal of Physical Medicine & Rehabilitation, 86, 387–396.CrossRefGoogle Scholar
  27. Kennedy, P., & Rogers, B. (2000). Reported quality of life of people with spinal cord injuries: a longitudinal analysis of the first 6 months post-discharge. Spinal Cord, 38, 498–503.PubMedCrossRefGoogle Scholar
  28. Kimmel, M. (1996). Manhood in America: A cultural history. New York: Free.Google Scholar
  29. Korenman, S. G. (1998). New insights into erectile dysfunction: a practical approach. The American Journal of Medicine, 105, 135–144.PubMedCrossRefGoogle Scholar
  30. Krause, J., Kemp, B. J., & Coker, J. (2000). Depression after spinal cord injury: relation to gender, ethnicity, aging, and socioeconomic indicators. Archives of Physical Medicine and Rehabilitation, 81, 1099–1109.PubMedCrossRefGoogle Scholar
  31. Kreuter, M., Sullivan, M., & Siosteen, A. (1996). Sexual adjustment and quality of relationships in spinal paraplegia: a controlled study. Archives of Physical Medicine and Rehabilitation, 77, 541–548.PubMedCrossRefGoogle Scholar
  32. Lee, C., & Owens, R. (2002). The psychology of men’s health series. Philadelphia: Open University Press.Google Scholar
  33. Lysack, C., Komanecky, M., Kabel, A., Cross, K., & Neufeld, S. (2007). Environmental factors and their role in community integration after spinal cord injury. Canadian Journal of Occupational Therapy, 74, 243–254.Google Scholar
  34. Mahalik, J. M., Good, G. E., & Englar-Carlson, M. (2003a). Masculinity scripts, presenting concerns, and help-seeking: implications for practice and training. Professional Psychology, 34, 123–131.CrossRefGoogle Scholar
  35. Mahalik, J. R., Locke, B., Ludlow, L., Diemer, M., Scott, R. P. J., Gottfried, M., et al. (2003b). Development of the conformity to masculine norms inventory. Psychology of Men & Masculinity, 4, 3–25.CrossRefGoogle Scholar
  36. Mahalik, J. R., Burns, S. M., & Syzdek, M. (2007). Masculinity and perceived normative health behaviors as predictors of men’s health behaviors. Social Science & Medicine, 64, 2201–2209.CrossRefGoogle Scholar
  37. Martino, W., & Pallotta-Chiarolli, M. (2003). “So what’s a boy?” Addressing issues of masculinity in schooling. London: Open University Press.Google Scholar
  38. National Spinal Cord Injury Association. (2007). More about spinal cord injury. Retrieved November 8, 2007 from http://spinalcord.org/news.php?dep=17&page=94&list=1191.
  39. Oliffe, J. L. (2004). Constructions of masculinity following prostatectomy-induced impotence. Social Science & Medicine, 60, 2249–2259.Google Scholar
  40. Phelps, J., Albo, M., Dunn, K., & Joseph, A. (2001). Spinal cord injury and sexuality in married or partnered men: activities, function, needs, and predictors of sexual adjustment. Archives of Sexual Behavior, 30, 591–602.PubMedCrossRefGoogle Scholar
  41. Radloff, L. S. (1977). The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRefGoogle Scholar
  42. Romeo, A. J., Wanlass, R., & Arenas, S. (1993). A profile of psychosexual functioning in males following spinal cord injury. Sexuality and Disability, 11, 269–276.CrossRefGoogle Scholar
  43. Rosen, R. C., Riley, A., Wagner, G., Osterloh, I. H., Kirkpatrck, J., & Mishra, A. (1997). The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology, 49, 822–830.PubMedCrossRefGoogle Scholar
  44. Sakellariou, D. (2006). If not the disability, then what? Barriers to reclaiming sexuality following spinal cord injury. Sexuality and Disability, 24, 100–111.CrossRefGoogle Scholar
  45. Schopp, L. H., Good, G. E., Mazurek, M. O., Barker, K. B., & Stucky, R. C. (2007). Masculine role adherence and outcomes among men with spinal cord injuries. Disability and Rehabilitation, 29, 625–633.PubMedCrossRefGoogle Scholar
  46. Schuetz-Mueller, D., Tiefer, L., & Melman, A. (1995). Follow-up of vacuum and nonvacuum constriction devices as treatments for erectile dysfunction. Journal of Sex & Marital Therapy, 21, 229–238.Google Scholar
  47. Sherman, J. E., DeVinney, D. J., & Sperling, K. B. (2004). Social support and adjustment after spinal cord injury: influence of past peer-mentoring experiences and current live-in partner. Rehabilitation Psychology, 49, 140–149.CrossRefGoogle Scholar
  48. Sipski, M. L. (1997). Sexuality and spinal cord injury: where we are and where we are going. American Rehabilitation, 23, 26.Google Scholar
  49. Sparkes, A. C. (2002). Sport, spinal cord injury, embodied masculinities, and the dilemmas of narrative identity. Men and Masculinities, 4, 258–285.CrossRefGoogle Scholar
  50. Steidle, C. P., Stecher, V. J., Pace, C., & Tseng, L. J. (2006). Correlation of improved erectile function and rate of successful intercourse with improved emotional well-being assessed with the self-esteem and relationship questionnaire in men treated with sildenafil for erectile dysfunction and stratified by age. Current Medical Research and Opinion, 22, 939–948.PubMedCrossRefGoogle Scholar
  51. Swindle, R., Cameron, A., & Rosen, R. (2006). A 15-item short form of the psychological and interpersonal relationship scales. International Journal of Impotence Research, 18, 82–88.PubMedCrossRefGoogle Scholar
  52. Tabachnick, B., & Fidell, L. (2001). Using multivariate statistics (4th ed.). New York: Allyn & Bacon.Google Scholar
  53. Taleporos, G., & McCabe, M. P. (2002). The impact of sexual esteem, body esteem, and sexual satisfaction on psychological well-being in people with physical disability. Sexuality and Disability, 20, 177–183.CrossRefGoogle Scholar
  54. Tepper, M. S. (1999). Letting go of restrictive notions of manhood: male sexuality, disability and chronic illness. Sexuality and Disability, 17, 37–52.CrossRefGoogle Scholar
  55. White, M. J., Rintala, D., Hart, K., Young, M. E., & Fuhrer, H. J. (1992). Sexual activities, concerns and interests of men with spinal cord injury. American Journal of Physical Medicine & Rehabilitation, 71, 225–231.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Shaun Michael Burns
    • 1
    Email author
  • Sigmund Hough
    • 1
  • Briana L. Boyd
    • 2
  • Justin Hill
    • 1
  1. 1.VA Boston Healthcare System, Harvard University Medical SchoolBoston University School of MedicineBostonUSA
  2. 2.Institute of LivingHartford HospitalHartfordUSA

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