ABSTRACT

The sexuality of people with disabilities is still poorly understood. Research has shown the role of mindfulness and self-compassion in promoting resilience, but little is known on the influence of these variables on sexual functioning in people who may experience physical disability. This study explored how mindfulness, self-compassion, and acceptance may predict sexual functioning of people with and without physical disability. A sample of 377 participants answered a survey (189 with a physical disability). Results showed that, regardless of the physical condition, self-compassion and acceptance were significant predictors of sexual functioning, but only for the male subsample (ΔR² = .093 and .031, ps < .05). Particularly, lower levels of isolation were significantly associated with better sexual functioning in men, above and beyond the effects of the impairment (β = .413, p < .001). Findings also showed moderating effects of physical condition for the association between male sexual functioning and self-kindness (ΔR² = .021, p = .038). This study sheds light into psychological mechanisms that may be equally or differently involved in the sexual functioning of people with and without physical disability, particularly for men. Findings suggest the importance of Third-Wave cognitive-behavioural strategies for sexual functioning and overall sexual health.

摘要

残疾人的性取向仍然知之甚少。研究表明正念和自我同情在促进复原力方面的作用，但对于这些变量对可能经历身体残疾的人的性功能的影响知之甚少。这项研究探讨了正念、自我同情和接受如何预测有和没有身体残疾的人的性功能。377 名参与者的样本回答了一项调查（189 名身体残疾）。结果表明，无论身体状况如何，自我同情和接受都是性功能的重要预测因子，但仅适用于男性子样本（ΔR ² = .093 和 .031，ps< .05)。特别是，较低水平的隔离与男性更好的性功能显着相关，超出了损伤的影响（β = .413，p < .001）。研究结果还显示，身体状况对男性性功能和自我友善之间的关联有调节作用（ΔR ² = .021，p = .038）。这项研究揭示了可能与有和没有身体残疾的人，特别是男性的性功能相同或不同的心理机制。研究结果表明第三波认知行为策略对性功能和整体性健康的重要性。