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      The Relevance of the SESII-W/M in Establishing a Relationship between Sexual Difficulties and Sexual Excitation/Inhibition Translated title: A Relevância da SESII-W / M no estabelecimento de uma relação entre dificuldades sexuais e excitação / inibição sexual


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          The main purpose of this study is to analyse the relationship between sexual difficulties and factors of sexual arousal, excitement, and sexual inhibition among men and women.


          A total of 1,878 participants, of whom 983 were men (52%) and 895 were women (48%), with a mean age of 35.9 years (SD = 11.9; range = 18-79), were recruited online. The study’s instruments included a socio-demographic questionnaire, a questionnaire about sexual difficulties, and the Sexual Excitation/Sexual Inhibition Inventory for Women and Men (SESII-W/M).


          Women with and without sexual difficulties differed significantly on all subscales of the SESII-W/M. Men with sexual difficulties scored significantly higher in the dimensions of Inhibitory Cognitions and the Dyadic Elements of the Sexual Interaction than men without difficulties. Inhibitory Cognitions was the strongest predictor of sexual difficulties for both men and women. Relationship Importance was also a strong predictor of sexual difficulties in women.


          Sexual inhibition serves as a predictor of sexual difficulties. The SESII-W/M seems to work better in determining the factors of sexual inhibition as predictors of sexual difficulties among women, than in identifying causes of sexual difficulties among men.

          Translated abstract


          O propósito deste estudo foi o de analisar a relação entre as dificuldades sexuais e os fatores de excitação sexual, excitação e inibição sexual em homens e mulheres.


          Foram recrutados online 1878 participantes, entre os quais 983 homens (52%) e 895 mulheres (48%), com idades médias de 35.9 anos ( Mín = 18, Máx = 79; DP = 11.9). Os instrumentos do estudo incluíram um questionário sociodemográfico, um questionário sobre dificuldades sexuais e o Inventário de Excitação Sexual /Inibição Sexual para Mulheres e Homens (the Sexual Excitation/Sexual Inhibition Inventory for Women and Men - SESII-W/M).


          Mulheres com e sem dificuldades sexuais diferem significativamente em todas as subescalas do SESII-W/M. Homens com dificuldades sexuais apresentaram valores significativamente mais elevados nas dimensões de Inibições Cognitivas e nos Elementos Diádicos da Interação Sexual, comparativamente aos homens sem dificuldades sexuais. As Cognições Inibitórias foram o preditor mais forte das dificuldades sexuais em mulheres.


          A inibição sexual poderá servir como um preditor das dificuldades sexuais. O SESII-W/M parece funcionar melhor na determinação dos fatores da inibição sexual como preditores das dificuldades nas mulheres, do que na identificação das causas das dificuldades sexuais entre nos homens.

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          Most cited references27

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          Adolescent sexual behavior, drug use, and violence: increased reporting with computer survey technology.

          Surveys of risk behaviors have been hobbled by their reliance on respondents to report accurately about engaging in behaviors that are highly sensitive and may be illegal. An audio computer-assisted self-interviewing (audio-CASI) technology for measuring those behaviors was tested with 1690 respondents in the 1995 National Survey of Adolescent Males. The respondents were randomly assigned to answer questions using either audio-CASI or a more traditional self-administered questionnaire. Estimates of the prevalence of male-male sex, injection drug use, and sexual contact with intravenous drug users were higher by factors of 3 or more when audio-CASI was used. Increased reporting was also found for several other risk behaviors.
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            Advantages and Disadvantages of Internet Research Surveys: Evidence from the Literature

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              Women's sexual dysfunction: revised and expanded definitions.

              Acceptance of an evidence-based conceptualization of women's sexual response combining interpersonal, contextual, personal psychological and biological factors has led to recently published recommendations for revision of definitions of women's sexual disorders found in the American Psychiatric Association's Diagnostic and Statistical Manual (DSM-IV-TR). DSM-IV definitions have focused on absence of sexual fantasies and sexual desire prior to sexual activity and arousal, even though the frequency of this type of desire is known to vary greatly among women without sexual complaints. DSM-IV definitions also focus on genital swelling and lubrication, entities known to correlate poorly with subjective sexual arousal and pleasure. The revised definitions consider the many reasons women agree to or instigate sexual activity, and reflect the importance of subjective sexual arousal. The underlying conceptualization of a circular sex-response cycle of overlapping phases in a variable order may facilitate not only the assessment but also the management of dysfunction, the principles of which are briefly recounted.

                Author and article information

                Psychol Community Health
                Psychology, Community & Health
                Psychol. Community Health
                11 June 2019
                : 8
                : 1
                : 27-44
                [a ]ISPA - Instituto Universitário de Ciências Psicológicas, Sociais e da Vida, Lisboa, Portugal
                [b ]ISPA – William James Center for Research, Instituto Universitário de Ciências Psicológicas, Sociais e da Vida, Lisboa, Portugal
                [4]Instituto Universitário de Lisboa (ISCTE-IUL), CIS-IUL, Lisbon, Portugal
                Author notes
                [* ]Rua António Francisco, Nº 43 - 1º Frente, Caparide, 2785-046 São Domingos de Rana, Portugal. victoria.psicologia@ 123456outlook.com
                Copyright @ 2019

                This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY) 4.0 License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                : 17 September 2017
                : 25 November 2018
                Empirical Articles

                dificuldades sexuais,excitação sexual e inibição sexual,excitação sexual,sexual inhibition,sexual excitation,sexual arousal,sexual difficulties


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