ABSTRACT

Despite documented negative sexual health sequelae of unwanted sexual contact (USC), it is unclear why individuals who have experienced USC within the context of intoxication (intoxication-related USC) are at particular risk for poor sexual functioning. Intoxication-related USC may impact relational factors like relationship satisfaction, as trauma symptoms interfere with emotional closeness during sex. Additionally, although individual traits – such as sexual excitation and sensation seeking – affect the relationship between trauma and sexual functioning, it is unknown whether these factors differentially impact those who have experienced intoxication-related USC. Finally, because presence of a partner may evoke trauma-related symptoms during partnered (dyadic) sexual activity, mediators may differ across solitary versus dyadic sexual pleasure and desire. We tested relational and individual trait mediators of the association between intoxication-related USC and solitary and dyadic sexual pleasure and desire in a sample of heterosexual and sexual minority women. Trait factors consistently mediated the association between intoxication-related USC and both dyadic and solitary desire and pleasure, while relational factors such as emotional closeness were inconsistently related to sexual wellbeing. If replicated, these findings would suggest that trait factors may be useful targets for clinical sexual wellness interventions among sexuality-diverse women who have experienced intoxication-related USC.

摘要

尽管记录了不想要的性接触 (USC) 的负面性健康后遗症，但尚不清楚为什么在中毒的情况下经历过 USC 的人（与中毒有关的 USC）特别容易出现性功能不佳的风险。与中毒相关的 USC 可能会影响关系满意度等关系因素，因为创伤症状会干扰性行为期间的情感亲密。此外，尽管性兴奋和寻求感觉等个人特征会影响创伤与性功能之间的关系，但尚不清楚这些因素是否会对经历过与中毒相关的 USC 的人产生不同的影响。最后，由于伴侣的存在可能会在伴侣（二人）性活动中引起创伤相关症状，调解员可能在单独与二人性快感和欲望之间有所不同。我们在异性恋和性少数女性样本中测试了与醉酒相关的 USC 与孤独和二元性快感和欲望之间关联的关系和个人特质调解员。特质因素始终介导与中毒相关的 USC 与二元和孤独的欲望和快乐之间的关联，而情感亲密等关系因素与性健康的相关性不一致。如果被复制，这些发现将表明，特质因素可能是对经历过中毒相关 USC 的性多样化女性进行临床性健康干预的有用目标。我们在异性恋和性少数女性样本中测试了与醉酒相关的 USC 与孤独和二元性快感和欲望之间关联的关系和个人特质调解员。特质因素始终介导与中毒相关的 USC 与二元和孤独的欲望和快乐之间的关联，而情感亲密等关系因素与性健康的相关性不一致。如果被复制，这些发现将表明，特质因素可能是对经历过中毒相关 USC 的性多样化女性进行临床性健康干预的有用目标。我们在异性恋和性少数女性样本中测试了与醉酒相关的 USC 与孤独和二元性快感和欲望之间关联的关系和个人特质调解员。特质因素始终介导与中毒相关的 USC 与二元和孤独的欲望和快乐之间的关联，而情感亲密等关系因素与性健康的相关性不一致。如果被复制，这些发现将表明，特质因素可能是对经历过中毒相关 USC 的性多样化女性进行临床性健康干预的有用目标。特质因素始终介导与中毒相关的 USC 与二元和孤独的欲望和快乐之间的关联，而情感亲密等关系因素与性健康的相关性不一致。如果被复制，这些发现将表明，特质因素可能是对经历过中毒相关 USC 的性多样化女性进行临床性健康干预的有用目标。特质因素始终介导与中毒相关的 USC 与二元和孤独的欲望和快乐之间的关联，而情感亲密等关系因素与性健康的相关性不一致。如果被复制，这些发现将表明，特质因素可能是对经历过中毒相关 USC 的性多样化女性进行临床性健康干预的有用目标。