Sexual fantasies, subjective satisfaction and quality of sexual life in patients of sexual dysfunction: A comparative study
Introduction Exploring the ways in which sexual fantasies may affect sexual experience and satisfaction is of relavence in the clinical setting involving sexual dysfuntion. Objectives To observe how the sexual fantasy scores differ in their relationship with sexual satisfaction, experience and q...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2021-04-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821004508/type/journal_article |
| Summary: | Introduction
Exploring the ways in which sexual fantasies may affect sexual experience and satisfaction is of relavence in the clinical setting involving sexual dysfuntion.
Objectives
To observe how the sexual fantasy scores differ in their relationship with sexual satisfaction, experience and quality between sexual dysfunction cases and normal controls.
Methods
Scales included: Wilson’s sex fantasy questionnaire (WSFQ), Arizona Sexual Experience Scale (ASEX), Sexual Quality of life Questionnaire (SQoL), and a subjective sexual satisfaction meter. Differences in resposes of both groups on WSFQ (item-wise and domain-wise) were analysed using T-tests. Two-way ANOVA was applied to see how other scales affected sexual fantasy.
Results
Cases scored significantly higher on ASEX scale, and low on satisfaction, SQoL and WSFQ
Cases N=1OO
Controls N=100
t-test
Satisfaction Mean(sd)
4.27(1.85)
7.82(1.31)
t=3.052;df=198,p=0.0026
Asex
17.52(4.73)
8.28(1.34)
t=15.24;df=198,p<0.0001
SQoL
29.41(12.12)
49.5(6.67)
t=14.52;df=198,p<0.0001
WSFQ
26.80(17.61)
30.59(15.32)
t=1.62,df=98,p=0.106
Majority of WSFQ responses, both in cases and controls, fell in the intimate and impersonal domains. Sexual fantasy scores and sexual satisfaction had a strong positive and significant correlation in controls but no linear correlation in the case-subjects. sexual fantasy scores contributed to 5.7% of difference in the scores of SQoL between groups. Major variance in scores of satisfaction in our subjects depended on presence or absence of sexual dysfunction(46.5%)but sexual fantasies also contributed to 8.8% of the variance.
Conclusions
The study showed that fantasies contribute to positive sexual outcomes only in absence of sexual dysfunction. ANOVAanalysis revealed that in case-subjects sexual satisfaction briefly increases initially with increase in fantasy scores but starts to decline as fantasies increase.
Disclosure
No significant relationships.
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| ISSN: | 0924-9338 1778-3585 |