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Archives of Sexual Behavior

, Volume 47, Issue 3, pp 651–660 | Cite as

Does Repeated Testing Impact Concordance Between Genital and Self-Reported Sexual Arousal in Women?

  • Julia Velten
  • Meredith L. Chivers
  • Lori A. BrottoEmail author
Original Paper

Abstract

Women show a substantial variability in their genital and subjective responses to sexual stimuli. The level of agreement between these two aspects of response is termed sexual concordance and has been increasingly investigated because of its implications for understanding models of sexual response and as a potential endpoint in clinical trials of treatments to improve women’s sexual dysfunction. However, interpreting changes in sexual concordance may be problematic because, to date, it still is unclear how repeated testing itself influences sexual concordance in women. We are aware of only one study that evaluated temporal stability of concordance in women, and it found no evidence of stability. However, time stability would be necessary for arguing that concordance is a stable individual difference. The main goal of this study was to investigate the test–retest reliability of sexual concordance in a sample of 30 women with sexual difficulties. Using hierarchical linear modeling, we found that sexual concordance was not influenced by repeated testing 12 weeks later, but showed test–retest reliability suggesting temporal stability. Our findings support the hypothesis that sexual concordance is a relatively stable individual difference and that changes in sexual concordance after treatment or experimental conditions could, therefore, be attributed to effects of those conditions.

Keywords

Sexual concordance Sexual response Test–retest reliability Low sexual desire Vaginal photoplethysmography 

Notes

Acknowledgements

Funding was provided by Women and Children’s Health Research Institute (CA) and Canadian Institutes of Health Research.

Compliance with Ethical Standards

Conflict of interest

All authors declare that they have no conflict of interest.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

References

  1. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: American Psychiatric Association.Google Scholar
  2. Basson, R. (2001). Human sex-response cycles. Journal of Sex and Marital Therapy, 27, 33–43. doi: 10.1080/00926230152035831.CrossRefPubMedGoogle Scholar
  3. Basson, R., & Brotto, L. A. (2003). Sexual psychophysiology and effects of sildenafil citrate in oestrogenised women with acquired genital arousal disorder and impaired orgasm: A randomised controlled trial. BJOG: An International Journal of Obstetrics & Gynaecology, 110, 1014–1024. doi: 10.1111/j.1471-0528.2003.02438.x.CrossRefGoogle Scholar
  4. Bouchard, K. N., Chivers, M. L., & Pukall, C. (2017). Effects of genital response measurement device and stimulus characteristics on sexual concordance in women. Journal of Sex Research. doi: 10.1080/00224499.2016.1265641.PubMedGoogle Scholar
  5. Boyer, S. C., Pukall, C. F., & Chamberlain, S. M. (2013). Sexual arousal in women with provoked vestibulodynia: The application of laser Doppler imaging to sexual pain. Journal of Sexual Medicine, 10, 1052–1064. doi: 10.1111/j.1743-6109.2012.02855.x.CrossRefPubMedGoogle Scholar
  6. Brody, S., Laan, E., & Van Lunsen, R. H. W. (2003). Concordance between women’s physiological and subjective sexual arousal is associated with consistency of orgasm during intercourse but not other sexual behavior. Journal of Sex and Marital Therapy, 29, 15–23.CrossRefPubMedGoogle Scholar
  7. Brotto, L. A., & Basson, R. (2014). Group mindfulness-based therapy significantly improves sexual desire in women. Behaviour Research and Therapy, 57, 43–54. doi: 10.1016/j.brat.2014.04.001.CrossRefPubMedGoogle Scholar
  8. Brotto, L. A., Chivers, M. L., Millman, R. D., & Albert, A. (2016). Mindfulness-based sex therapy improves genital-subjective arousal concordance in women with sexual desire/arousal difficulties. Archives of Sexual Behavior, 45, 1907–1921. doi: 10.1007/s10508-015-0689-8.CrossRefPubMedGoogle Scholar
  9. Brotto, L. A., Seal, B. N., & Rellini, A. (2012). Pilot study of a brief cognitive behavioral versus mindfulness-based intervention for women with sexual distress and a history of childhood sexual abuse. Journal of Sex and Marital Therapy, 38, 1–27. doi: 10.1080/0092623X.2011.569636.CrossRefPubMedGoogle Scholar
  10. Chivers, M. L., & Rosen, R. C. (2010). Phosphodiesterase type 5 inhibitors and female sexual response: Faulty protocols or paradigms? Journal of Sexual Medicine, 7, 858–872. doi: 10.1111/j.1743-6109.2009.01599.x.CrossRefPubMedGoogle Scholar
  11. Chivers, M. L., Seto, M. C., Teresa, L., Lalumie, M. L., Lalumière, M. L., Laan, E., & Grimbos, T. (2010). Agreement of self-reported and genital measures of sexual arousal in men and women: A meta-analysis. Archives of Sexual Behavior, 39, 5–56. doi: 10.1007/s10508-009-9556-9.CrossRefPubMedPubMedCentralGoogle Scholar
  12. Clifton, J., Seehuus, M., & Rellini, A. H. (2015). Testing cognitive predictors of individual differences in the sexual psychophysiological responses of sexually functional women. Psychophysiology, 52, 957–968. doi: 10.1111/psyp.12423.CrossRefPubMedGoogle Scholar
  13. Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2013). Applied multiple regression/correlation analysis for the behavioral sciences. London: Routledge.Google Scholar
  14. Gelman, A., & Hill, J. (2007). Data analysis using regression and hierarchical/multilevel models. Cambridge: Cambridge University Press.Google Scholar
  15. Heiman, J. R., & Rowland, D. L. (1983). Affective and physiological sexual response patterns: The effects of instructions on sexually functional and dysfunctional men. Journal of Psychosomatic Research, 27, 105–116. doi: 10.1016/0022-3999(83)90086-7.CrossRefPubMedGoogle Scholar
  16. Huberman, J. S., & Chivers, M. L. (2015). Examining gender specificity of sexual response with concurrent thermography and plethysmography. Psychophysiology, 52, 1382–1395. doi: 10.1111/psyp.12466.CrossRefPubMedGoogle Scholar
  17. Huberman, J. S., Dawson, S. J., & Chivers, M. L. (in press). Examining the time course of genital and subjective sexual responses in women and men with concurrent plethysmography and thermography. Biological Psychology.Google Scholar
  18. Huberman, J. S., Suschinsky, K. D., Lalumière, M. L., & Chivers, M. L. (2013). Relationship between impression management and three measures of women’s self-reported sexual arousal. Canadian Journal of Behavioural Science, 45, 259–273. doi: 10.1037/a0033397.CrossRefGoogle Scholar
  19. IBM. (2012). IBM SPSS statistics for Macintosh. Armonk, NY: Author.Google Scholar
  20. Kim, H.-Y. (2013). Statistical notes for clinical researchers: Assessing normal distribution (2) using skewness and kurtosis. Restorative Dentistry & Endodontics, 38, 52–54. doi: 10.5395/rde.2013.38.1.52.CrossRefGoogle Scholar
  21. Kukkonen, T. M. (2015). Devices and methods to measure female sexual arousal. Sexual Medicine Reviews, 3, 225–244. doi: 10.1002/smrj.58.CrossRefPubMedGoogle Scholar
  22. Kukkonen, T. M., Binik, Y. M., Amsel, R., & Carrier, S. (2007). Thermography as a physiological measure of sexual arousal in both men and women. Journal of Sexual Medicine, 4, 93–105. doi: 10.1111/j.1743-6109.2006.00399.x.CrossRefPubMedGoogle Scholar
  23. Kukkonen, T. M., Binik, Y. M., Amsel, R., & Carrier, S. (2010). An evaluation of the validity of thermography as a physiological measure of sexual arousal in a non-university adult sample. Archives of Sexual Behavior, 39, 861–873. doi: 10.1007/s10508-009-9496-4.CrossRefPubMedGoogle Scholar
  24. Laan, E., & Everaerd, W. (1995). Determinants of female sexual arousal: Psychophysiological theory and data. Annual Review of Sex Research, 6, 32–76.Google Scholar
  25. Levin, R. J., & Wylie, K. (2008). Vaginal vasomotion—Its appearance, measurement, and usefulness in assessing the mechanisms of vasodilatation. Journal of Sexual Medicine, 5, 377–386. doi: 10.1111/j.1743-6109.2007.00669.x.CrossRefPubMedGoogle Scholar
  26. Masters, W. H., & Johnson, V. E. (1970). Human sexual inadequacy. Boston: Little, Brown, and Company.Google Scholar
  27. Mehling, W. E., Price, C., Daubenmier, J. J., Acree, M., Bartmess, E., & Stewart, A. (2012). The Multidimensional Assessment of Interoceptive Awareness (MAIA). PLoS ONE, 7, e48230. doi: 10.1371/journal.pone.0048230.CrossRefPubMedPubMedCentralGoogle Scholar
  28. Meston, C. M., Rellini, A. H., & McCall, K. (2010). The sensitivity of continuous laboratory measures of physiological and subjective sexual arousal for diagnosing women with sexual arousal disorder. Journal of Sexual Medicine, 7, 938–950. doi: 10.1111/j.1743-6109.2009.01548.x.CrossRefPubMedGoogle Scholar
  29. Pinheiro, J., Bates, D., DebRoy, S., & Sarkar, D. (2015). nlme: Linear and nonlinear mixed effects models. Retrieved from http://cran.r-project.org/package=nlme.
  30. Prause, N., & Janssen, E. (2006). Blood flow: Vaginal photoplethysmography. In I. Goldstein, C. M. Meston, S. R. Davis, & A. M. Traish (Eds.), Women’s sexual function and dysfunction: Study, diagnosis and treatment (pp. 359–367). Boca Raton, FL: Taylor & Francis.Google Scholar
  31. R Development Core Team. (2010). R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing. Retrieved from http://www.r-project.org.
  32. Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods. Thousand Oaks, CA: Sage.Google Scholar
  33. Rellini, A. H., McCall, K. M., Randall, P. K., & Meston, C. M. (2005). The relationship between women’s subjective and physiological sexual arousal. Psychophysiology, 42, 116–124. doi: 10.1111/j.1469-8986.2005.00259.x.CrossRefPubMedGoogle Scholar
  34. Sarin, S., Amsel, R., & Binik, Y. M. (2016). A streetcar named “derousal”? A psychophysiological examination of the desire–arousal distinction in sexually functional and dysfunctional women. Journal of Sex Research, 53, 711–729. doi: 10.1080/00224499.2015.1052360.CrossRefPubMedGoogle Scholar
  35. Singer, J. D., & Willett, J. B. (2003). Applied longitudinal data analysis: Modeling change and event occurrence. Oxford: Oxford University Press.CrossRefGoogle Scholar
  36. Suschinsky, K. D., & Lalumière, M. L. (2011). Category-specificity and sexual concordance: The stability of sex differences in sexual arousal patterns. The Canadian Journal of Human Sexuality, 20, 93–109.Google Scholar
  37. Suschinsky, K. D., Lalumière, M. L., & Chivers, M. L. (2009). Sex differences in patterns of genital sexual arousal: Measurement artifacts or true phenomena? Archives of Sexual Behavior, 38, 559–573. doi: 10.1007/s10508-008-9339-8.CrossRefPubMedGoogle Scholar
  38. Traish, A. M., Botchevar, E., & Kim, N. N. (2010). Biochemical factors modulating female genital sexual arousal physiology. Journal of Sexual Medicine, 7, 2925–2946. doi: 10.1111/j.1743-6109.2010.01903.x.CrossRefPubMedGoogle Scholar
  39. Velten, J., Scholten, S., Graham, C. A., Adolph, D., & Margraf, J. (2016). Investigating female sexual concordance: Do sexual excitation and sexual inhibition moderate the agreement of genital and subjective sexual arousal in women? Archives of Sexual Behavior, 45, 1957–1971. doi: 10.1007/s10508-016-0774-7.CrossRefPubMedGoogle Scholar
  40. World Medical Association. (2013). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. Journal of the American Medical Association, 310, 2191–2194. doi: 10.1001/jama.2013.281053.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Julia Velten
    • 1
  • Meredith L. Chivers
    • 2
  • Lori A. Brotto
    • 3
    Email author
  1. 1.Mental Health Research and Treatment CenterRuhr-Universität BochumBochumGermany
  2. 2.Department of PsychologyQueen’s UniversityKingstonCanada
  3. 3.Department of Obstetrics and GynaecologyUniversity of British ColumbiaVancouverCanada

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