Abordagem transdiagnóstica do distress e do prazer sexuais : o papel da preocupação, ruminação e regulação emocional
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2022
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O distress sexual, e o seu contraponto positivo, o prazer sexual, são dimensões centrais
para a compreensão dos problemas sexuais e para o estabelecimento do diagnóstico
clínico de disfunção sexual (American Psychiatric Association [APA], 2014) e são
dimensões fundamentais dos direitos sexuais humanos (World Association for Sexual
Health, 2014). Contudo não existem modelos de compreensão destas dimensões ou um
corpo robusto de estudos empíricos que sustentem o desenvolvimento de intervenções
que permitam melhorar a saúde sexual, nomeadamente através da diminuição do distress
sexual e maximização do prazer sexual. Neste trabalho propomo-nos aplicar a abordagem
transdiagnóstica de compreensão da psicopatologia ao estudo do distress sexual devido à
adequação da utilização deste modelo na compreensão do desajustamento emocional
(Carlucci et al., 2021) e também dos indicadores de bem estar (Boettcher et al., 2019),
recorrendo a três processos transdiagnósticos amplamente estudados: a ruminação, a
preocupação e a regulação emocional. O presente estudo tem uma amostra de 412
participantes (77.9% mulheres e 20.9% homens), com uma média de idades de 30.59 anos
e uma duração média de relacionamento amoroso de 6.87 anos. Os participantes
responderam a um questionário na plataforma Qualtrics. Os dados foram analisados com
recurso ao software IBM.SPSS v.26. Primeiramente realizou-se as análises de correlação
de Pearson e em seguida foram realizadas duas regressões hierárquicas múltiplas,
controlando o efeito da ansiedade e da depressão. Os resultados apontaram que quanto
maiores os níveis de depressão e de reflexão mais elevado o nível de distress sexual e
quanto maior o nível de depressão menor o nível de prazer sexual. As associações atestam
que as cognições preserverativas têm um papel na compreensão do distress/prazer
sexuais. Não se verificou efeito da regulação emocional, havendo, contudo, a
possibilidade de obter resultados diferentes através de uma abordagem diferente da
regulação emocional.
Sexual distress, and its positive counterpart, sexual pleasure, are central dimensions for understanding sexual problems and for establishing the clinical diagnosis of sexual dysfunction ([APA], 204 C.E.) and are fundamental dimensions of human sexual rights (World Association for Sexual Health, 2014). However, there are no models for understanding these dimensions or a robust body of empirical studies that support the development of interventions to improve sexual health, namely by reducing sexual distress and maximizing sexual pleasure. In this work we propose to apply the transdiagnostic approach of understanding psychopathology to the study of sexual distress due to the adequacy of the use of this model in the understanding of emotional maladjustment (Carlucci et al., 2021) and also of well-being indicators (Boettcher et al., 2019), using three widely studied transdiagnostic processes: rumination, worry and emotion regulation. The present study has a sample of 412 participants (77.9% women and 20.9% men), with a mean age of 30.59 years and a mean duration of love relationship of 6.87 years. Participants answered a questionnaire on the Qualtrics platform. Data were analyzed using IBM.SPSS v.26 software. First, Pearson's correlation analysis was performed and then two multiple hierarchical regressions were performed, controlling the effect of anxiety and depression. The results showed that the higher the levels of depression and reflection, the higher the level of sexual distress and the higher the level of depression, the lower the level of sexual pleasure. The associations attest that preservative cognitions play a role in understanding sexual distress/pleasure. There was no effect of emotion regulation, although there is the possibility of obtaining different results through a different approach to emotion regulation.
Sexual distress, and its positive counterpart, sexual pleasure, are central dimensions for understanding sexual problems and for establishing the clinical diagnosis of sexual dysfunction ([APA], 204 C.E.) and are fundamental dimensions of human sexual rights (World Association for Sexual Health, 2014). However, there are no models for understanding these dimensions or a robust body of empirical studies that support the development of interventions to improve sexual health, namely by reducing sexual distress and maximizing sexual pleasure. In this work we propose to apply the transdiagnostic approach of understanding psychopathology to the study of sexual distress due to the adequacy of the use of this model in the understanding of emotional maladjustment (Carlucci et al., 2021) and also of well-being indicators (Boettcher et al., 2019), using three widely studied transdiagnostic processes: rumination, worry and emotion regulation. The present study has a sample of 412 participants (77.9% women and 20.9% men), with a mean age of 30.59 years and a mean duration of love relationship of 6.87 years. Participants answered a questionnaire on the Qualtrics platform. Data were analyzed using IBM.SPSS v.26 software. First, Pearson's correlation analysis was performed and then two multiple hierarchical regressions were performed, controlling the effect of anxiety and depression. The results showed that the higher the levels of depression and reflection, the higher the level of sexual distress and the higher the level of depression, the lower the level of sexual pleasure. The associations attest that preservative cognitions play a role in understanding sexual distress/pleasure. There was no effect of emotion regulation, although there is the possibility of obtaining different results through a different approach to emotion regulation.
Descrição
Orientação: Patrícia M. Pascoal
Palavras-chave
MESTRADO EM PSICOLOGIA CLÍNICA E DA SAÚDE, PSICOLOGIA, STRESS, SEXUALIDADE, AJUSTAMENTO EMOCIONAL, PSYCHOLOGY, STRESS, SEXUALITY, EMOTIONAL ADJUSTMENT