The Dual Control Model of Sexual Response: Relevance of Sexual Excitation and Sexual Inhibition for Sexual Function
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Purpose of Review
The dual control model of sexual response aims to explain sexual behavior and response through two factors, labeled sexual excitation and sexual inhibition. Sexual dysfunctions are common among women and men and pose a threat to the sexual health of both genders. The main objective of this paper was to review the latest findings concerning the predictive value of sexual excitation and sexual inhibition for sexual function and dysfunction in men and women.
Most relevant studies have been conducted in North America and Europe using non-clinical samples. Women and men with high sexual inhibition related to performance concerns and distractibility during sex report lower sexual function. In addition, high sexual excitation is associated with higher sexual function in both genders.
Sexual excitation and sexual inhibition are predictors of sexual function in women and men. More prospective and clinical studies are needed to evaluate the usefulness of both propensities as predictors or moderators of treatment success.
KeywordsDual control model of sexual response Sexual excitation Sexual inhibition Sexual dysfunction Sexual function
Compliance with Ethical Standards
Conflict of Interest
Julia Velten declares no potential conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by the author.
Papers of Particular Interest, Published Recently, Have Been Highlighted as: • Of Importance •• Of Major Importance
- 2.Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States. 1999;281(6):537–45.Google Scholar
- 14.•• Jozkowski KN, Sanders SA, Milhausen RR, Graham CA. Examining the psychometric properties of the sexual excitation/sexual inhibition inventory for women (SESII-W) in a sample of lesbian and bisexual women. J Sex Res. 2016;53(7):836–48. This study assesses the relevance of sexual excitation and sexual inhibition in homosexual and bisexual women CrossRefPubMedGoogle Scholar
- 20.Malavige LS, Wijesekara PN, Jayaratne SD, Kathriarachchi ST, Ranasinghe P, Sivayogan S, et al. Linguistic validation of the sexual inhibition and sexual excitation scales (SIS/SES) translated into five South Asian languages: Oxford sexual dysfunction study (OSDS). BMC Res Notes. 2013;6:550.CrossRefPubMedPubMedCentralGoogle Scholar
- 24.Carpenter D, Janssen E, Graham C, Vorst H, Wicherts J. Sexual inhibition/sexual excitation scales-short form. Handb Sex Relat Meas. 2011;3:236–8.Google Scholar
- 30.Association AP. Diagnostic and statistical manual of mental disorders-text revision (DSM-IV-TR). Washington: APA Press; 2000.Google Scholar
- 37.•• Velten J, Scholten S, Graham CA, Margraf J. Sexual excitation and sexual inhibition as predictors of sexual function in women: a cross sectional and longitudinal study. J Sex Marital Ther. 2017;43(2):95–109. This study is the first to assess the predictive value of sexual excitation and inhibition for future sexual function CrossRefPubMedGoogle Scholar
- 44.Janssen E, Bancroft J. The dual-control model: the role of sexual inhibition and excitation in sexual arousal and behavior. Psychophysiol sex. 2007;15:197–222.Google Scholar
- 49.Muise A, Milhausen RR, Cole SL, Graham C. Sexual compulsivity in heterosexual married adults: the role of sexual excitation and sexual inhibition in individuals not considered “high-risk.”. Sex Addict Compulsivity. 2013;20(3):192–209.Google Scholar
- 57.•• Velten J, Scholten S, Graham CA, Adolph D, Margraf J. Investigating female sexual concordance: do sexual excitation and sexual inhibition moderate the agreement of genital and subjective sexual arousal in women? Arch Bexual Behav. 2016;45(8):1957–71. This study describes how SE and SI affect women’s sexual response in an in-laboratory setting CrossRefGoogle Scholar