Advertisement

Archives of Sexual Behavior

, Volume 45, Issue 2, pp 291–302 | Cite as

Women’s Endorsement of Models of Sexual Response: Correlates and Predictors

  • Krzysztof Nowosielski
  • Beata Wróbel
  • Robert Kowalczyk
Original Paper

Abstract

Few studies have investigated endorsement of female sexual response models, and no single model has been accepted as a normative description of women’s sexual response. The aim of the study was to establish how women from a population-based sample endorse current theoretical models of the female sexual response—the linear models and circular model (partial and composite Basson models)—as well as predictors of endorsement. Accordingly, 174 heterosexual women aged 18–55 years were included in a cross-sectional study: 74 women diagnosed with female sexual dysfunction (FSD) based on DSM-5 criteria and 100 non-dysfunctional women. The description of sexual response models was used to divide subjects into four subgroups: linear (Masters–Johnson and Kaplan models), circular (partial Basson model), mixed (linear and circular models in similar proportions, reflective of the composite Basson model), and a different model. Women were asked to choose which of the models best described their pattern of sexual response and how frequently they engaged in each model. Results showed that 28.7 % of women endorsed the linear models, 19.5 % the partial Basson model, 40.8 % the composite Basson model, and 10.9 % a different model. Women with FSD endorsed the partial Basson model and a different model more frequently than did non-dysfunctional controls. Individuals who were dissatisfied with a partner as a lover were more likely to endorse a different model. Based on the results, we concluded that the majority of women endorsed a mixed model combining the circular response with the possibility of an innate desire triggering a linear response. Further, relationship difficulties, not FSD, predicted model endorsement.

Keywords

Female Sexual response cycle Sexual dysfunction DSM-5 

References

  1. Adolfsson, B., Elofsson, S., Rössner, S., & Undén, A.-L. (2004). Are sexual dissatisfaction and sexual abuse associated with obesity? A population-based study. Obesity Research, 12, 1702–1709. doi: 10.1038/oby.2004.211.PubMedCrossRefGoogle Scholar
  2. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.Google Scholar
  3. Bajos, N., Wellings, K., Laborde, C., Moreau, C., & CSF Group. (2010). Sexuality and obesity, a gender perspective: Results from French national random probability survey of sexual behaviours. British Medical Journal, 15(340), c2573. doi: 10.1136/bmj.c2573.CrossRefGoogle Scholar
  4. Bancroft, J. (2002). Biological factors in human sexuality. Journal of Sex Research, 39, 15–21.PubMedCrossRefGoogle Scholar
  5. Basson, R. (2000). The female sexual response: A different model. Journal of Sex and Marital Therapy, 26, 51–65.PubMedCrossRefGoogle Scholar
  6. Basson, R. (2001a). Human sex-response cycles. Journal of Sex and Marital Therapy, 27(1), 33–43.PubMedCrossRefGoogle Scholar
  7. Basson, R. (2001b, December). Women’s sexual response and dysfunction: A reappraisal. The Canadian Journal of CME, 12, 131–137.Google Scholar
  8. Basson, R. (2005). Women’s sexual dysfunction: Revised and expanded definitions. Canadian Medical Association Journal, 172, 1327–1333.PubMedPubMedCentralCrossRefGoogle Scholar
  9. Basson, R. (2008). Women’s sexual desire and arousal disorders. Primary Psychiatry, 15(9), 72–81.Google Scholar
  10. Basson, R., Leiblum, S., Brotto, L., Derogatis, L., Fourcroy, J., Fugl-Meyer, K., … Schultz, W. W. (2004). Revised definitions of women’s sexual dysfunction. Journal of Sexual Medicine, 1(1), 40–48.PubMedCrossRefGoogle Scholar
  11. Basson, R., & Schultz, W. W. (2007). Sexual sequelae of general medical disorders. Lancet, 369(9559), 409–424.PubMedCrossRefGoogle Scholar
  12. Basson, R., Young, A., Brotto, L. A., Driscoll, M., Correia, S., & Labrie, F. (2015). Is there a correlation between androgens and sexual desire in women? [Letter to the Editor]. Journal of Sexual Medicine, 12(7), 1654–1655.PubMedCrossRefGoogle Scholar
  13. Bhasin, S., Enzlin, P., Coviello, A., & Basson, R. (2007). Sexual dysfunction in men and women with endocrine disorders. Lancet, 369, 597–611.PubMedCrossRefGoogle Scholar
  14. Both, S., Brauer, M., & Laan, E. (2011). Classical conditioning of sexual response in women: A replication study. Journal of Sexual Medicine, 8(11), 3116–3131.PubMedCrossRefGoogle Scholar
  15. Both, S., Laan, E., Spiering, M., Nilsson, T., Oomens, S., & Everaerd, W. (2008). Appetitive and aversive classical conditioning of female sexual response. Journal of Sexual Medicine, 5(6), 1386–1401.PubMedCrossRefGoogle Scholar
  16. Burri, A., Schweitzer, R., & O’Brien, J. (2014). Correlates of female sexual functioning: Adult attachment and differentiation of self. Journal of Sexual Medicine, 11, 2188–2195.PubMedCrossRefGoogle Scholar
  17. Damjanović, A., Duisin, D., & Barisić, J. (2013). The evolution of the female sexual response concept: Treatment implications. Srpski Arhiv za Celokupno Lekarstvo, 141(3–4), 268–274.PubMedCrossRefGoogle Scholar
  18. Drózdz, W., Wojnar, M., Araszkiewicz, A., Nawacka-Pawlaczyk, D., Urbanski, R., Cwiklińska-Jurkowska, M., & Rybakowski, J. (2007). The study of the prevalence of depressive disorders in primary care patients in Poland. Wiadomosci Lekarskie, 60, 109–113.PubMedGoogle Scholar
  19. Giles, K. R., & McCabe, M. P. (2009). Conceptualizing women’s sexual function: Linear vs. circular models of sexual response. Journal of Sexual Medicine, 6(10), 2761–2771.PubMedCrossRefGoogle Scholar
  20. Giraldi, A., Kristensen, E., & Sand, M. (2015). Endorsement of models describing sexual response of men and women with a sexual partner: An online survey in a population sample of Danish adults ages 20–65 years. Journal of Sexual Medicine, 12, 116–128.PubMedCrossRefGoogle Scholar
  21. Hayes, R. D., Dennerstein, L., Bennett, C. M., Sidat, M., Gurrin, L. C., & Fairley, C. K. (2008). Risk factors for female sexual dysfunction in the general population: Exploring factors associated with low sexual function and sexual distress. Journal of Sexual Medicine, 5, 1681–1693.PubMedCrossRefGoogle Scholar
  22. Jiann, B. P., Su, C. C., Yu, C. C., Wu, T. T., & Huang, J. K. (2009). Risk factors for individual domains of female sexual function. Journal of Sexual Medicine, 6, 3364–3375.PubMedCrossRefGoogle Scholar
  23. Kaplan, H. S. (1974). The new sex therapy. New York: Brunner/Mazel.Google Scholar
  24. Kolotkin, R. L., Zunker, C., & Østbye, T. (2012). Sexual functioning and obesity: A review. Obesity, 20(12), 2325–2333.PubMedCrossRefGoogle Scholar
  25. Masters, W. H., & Johnson, V. E. (1966). Human sexual response. Boston: Little, Brown Co.Google Scholar
  26. McCabe, M., Althof, S. E., Assalian, P., Chevret-Measson, M., Leiblum, S. R., Simonelli, C., & Wylie, K. (2010). Psychological and interpersonal dimensions of sexual function and dysfunction. Journal of Sexual Medicine, 7(1 Pt 2), 327–336.PubMedCrossRefGoogle Scholar
  27. McCall, K., & Meston, C. (2006). Cues resulting in desire for sexual activity in women. Journal of Sexual Medicine, 3, 838–852.PubMedPubMedCentralCrossRefGoogle Scholar
  28. Mitchell, K. R., Mercer, C. H., Ploubidis, G. B., Jones, K. G., Datta, J., Field, N., … Wellings, K. (2013). Sexual function in Britain: Findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3). Lancet, 30(382), 1817–1829.CrossRefGoogle Scholar
  29. Mozafari, M., Khajavikhan, J., Jaafarpour, M., Khani, A., Direkvand-Moghadam, A., & Najafi, F. (2015). Association of body weight and female sexual dysfunction: A case control study. Iranian Red Crescent Medical Journal, 17(1), e24685. doi: 10.5812/ircmj.24685.PubMedPubMedCentralCrossRefGoogle Scholar
  30. Nowosielski, K., Drosdzol, A., Sipiński, A., Kowalczyk, R., & Skrzypulec, V. (2010). Diabetes mellitus and sexuality—Does it really matters? Journal of Sexual Medicine, 7, 723–735.PubMedCrossRefGoogle Scholar
  31. Nowosielski, K., & Skrzypulec, V. (2009). Female sexual response cycle. Ginekologia Polska, 80(6), 440–444.PubMedGoogle Scholar
  32. Nowosielski, K., Wróbel, B., Sioma-Markowska, U., & Poreba, R. (2013). Development and validation of the Polish version of the Female Sexual Function Index in the Polish population of females. Journal of Sexual Medicine, 10, 386–395.PubMedCrossRefGoogle Scholar
  33. Sand, M., & Fisher, W. A. (2007). Women’s endorsement of models of female sexual response: The Nurses’ Sexuality study. Journal of Sexual Medicine, 4(3), 708–719.PubMedCrossRefGoogle Scholar
  34. Seen Heng, Y., Sidi, H., Nik Jaafar, N. R., Razali, R., & Ram, H. (2013). Phases of female sexual response cycle among Malaysian women with infertility: A factor analysis study. Asia-Pacific Psychiatry, 5(Suppl 1), 50–54.PubMedCrossRefGoogle Scholar
  35. Sidi, H., Naing, L., Midin, M., & Nik Jaafar, N. R. (2008). The female sexual response cycle: Do Malaysian women conform to the circular model? Journal of Sexual Medicine, 5(10), 2359–2366.PubMedCrossRefGoogle Scholar
  36. Sungur, M. Z., & Gündüz, A. (2014). A comparison of DSM-IV-TR and DSM-5 definitions for sexual dysfunctions: Critiques and challenges. Journal of Sexual Medicine, 11, 364–373.PubMedCrossRefGoogle Scholar
  37. West, S. L., Vinikoor, L. C., & Zolnoun, D. (2004). A systematic review of the literature on female sexual dysfunction prevalence and predictors. Annual Review of Sex Research, 15, 40–172.PubMedGoogle Scholar
  38. Whipple, B., & Brash-McGreer, K. (1997). Management of female sexual dysfunction. In M. L. Sipski & C. J. Alexander (Eds.), Sexual function in people with disability and chronic illness. A health professional’s guide (pp. 509–534). Gaithersburg, MD: Aspen Publishers Inc.Google Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Krzysztof Nowosielski
    • 1
    • 2
  • Beata Wróbel
    • 1
    • 3
  • Robert Kowalczyk
    • 4
  1. 1.Department of Gynecology and ObstetricsSpecialist Teaching Hospital in TychyTychyPoland
  2. 2.Department of Sexology and Family Planning, Faculty of Health ScienceMedical College in SosnowiecSosnowiecPoland
  3. 3.Center for Sexual MedicineDabrowa GorniczaPoland
  4. 4.Department of Sexology, Faculty of Psychology and ArtsAndrzej Frycz Modrzewski Krakow UniversityKrakówPoland

Personalised recommendations