Preliminary evidence that acute and chronic daily psychological stress affect sexual arousal in sexually functional women

It is assumed that psychological stress may inhibit sexual arousal in women. Research on the effect of (acute and chronic) psychological stressors on genital and subjective sexual arousal, however, is scarce. To investigate whether psychological stressors indeed inhibit sexual responding, sexually functional women were randomly assigned to an experimental condition (n=30) in which acute psychological stress was induced by a frustrating computer task or a control condition (n=29). After the acute psychological stress or control induction women were exposed to an erotic stimulus. Genital sexual arousal was assessed using vaginal photoplethysmography. Self-report ratings of subjective sexual arousal were collected after the erotic stimulus. Furthermore, women were post hoc divided into a 'low' and a 'high' chronic stress group, based on their pre-assessment scores on a chronic daily stress questionnaire. As predicted, it was found that women in the acute stress condition responded with lower levels of genital and subjective sexual arousal to an erotic stimulus than women in the control condition. In addition, women with high levels of chronic stress responded with lower levels of genital sexual arousal to an erotic stimulus than women with low levels of chronic stress. Chronic stress did not affect the level of subjective sexual arousal.     

The effects of state and trait self-focused attention on sexual arousal in sexually functional and dysfunctional women

This study examined the effects of state self-focused attention on sexual arousal and trait self-consciousness on sexual arousal and function in sexually functional (n=16) and dysfunctional (n=16) women. Self-focused attention was induced using a 50% reflectant television screen in one of two counterbalanced sessions during which self-report and physiological sexual responses to erotic films were measured. Self-focused attention significantly decreased vaginal pulse amplitude (VPA) responses among sexually functional but not dysfunctional women, and substantially decreased correlations between self-report and VPA measures of sexual arousal. Self-focused attention did not significantly impact subjective sexual arousal in sexually functional or dysfunctional women. Trait private self-consciousness was positively related to sexual desire, orgasm, compatibility, contentment and sexual satisfaction. Public self-consciousness was correlated with sexual pain. The findings are discussed in terms of Masters and Johnson's [Masters, W. H. & Johnson, V. E. (1970). Human sexual inadequacy. Boston: Little, Brown) concepts of "spectatoring" and "sensate focus."     

The impact of anxiety on sexual arousal in women

This study examined the impact of state anxiety, trait anxiety, and anxiety sensitivity on physiological and self-report measures of sexual arousal and sexual function in a non-clinical sample of women. Physiological sexual responses to an erotic stimulus were assessed using vaginal photoplethysmography, and subjective reactions were measured using questionnaires. Results suggested a curvilinear relationship between state anxiety and physiological sexual arousal (vaginal pulse amplitude; VPA). Trait anxiety and anxiety sensitivity were correlated with self-reported sexual arousal outside the laboratory. The findings may be interpreted in light of sympathetic nervous system (SNS) influences on sexual arousal and potential cognitive interference mechanisms associated with anxiety.     

The effects of self-focused attention, performance demand, and dispositional sexual self-consciousness on sexual arousal of sexually functional and dysfunctional men

Sexually functional (N=26) and sexually dysfunctional heterosexual men with psychogenic erectile disorder (N=23) viewed two sexually explicit videos. Performance demand was manipulated through verbal instruction that a substantial genital response was to be expected from the videos. Self-focused attention was manipulated by introducing a camera pointed at the participant. Dispositional self-consciousness was assessed by questionnaire. Performance demand was found to independently inhibit the genital response. No main effect of self-focus was found. Self-focus inhibited genital response in men scoring high on general and sexual self-consciousness traits, whereas it enhanced penile tumescence in low self-conscious men. Inhibition effects were found in both volunteers and patients. No interaction effects of performance demand and self-focus were found. Subjective sexual arousal in sexually functional men was highest in the self-focus condition. In sexually dysfunctional men, subjective sexual response proved dependent on locus of attention as well as presentation order.     

The enhancing effects of anxiety on arousal in sexually dysfunctional and functional women

Effects of anxiety on sexual arousal were examined to determine if sexually dysfunctional and functional women exhibit different patterns of physiological and subjective response. Subjects viewed 2 videotape conditions: an anxiety-evoking and neutral-control preexposure stimulus, each paired with a sexual arousal-evoking stimulus. Anxiety preexposure enhanced the rate and magnitude of genital arousal for both dysfunctional and functional subjects in relation to the neutral condition. Despite increased genital responses, both groups reported less subjective sexual arousal after anxiety preexposure. Functional subjects exhibited greater physiological but not subjective arousal than dysfunctional subjects in both conditions. Results are discussed in terms of desynchronous patterns of sexual response, mechanisms by which sympathetic activation enhances sexual arousal, and implications for treatment of sexual dysfunction in women.     

Mood-induced self-focused attention.

The influence of mood on self-focused attention was explored in 2 experiments involving the induction of moods in the laboratory. Experiment 1 tested the hypothesis that mood states, whether pleasant or unpleasant, induce self-focused attention. This hypothesis was supported using a sentence completion task as the measure of self-focus. Experiment 2 replicated Experiment 1 results using a measure of self-complexity as an index of self-focus. These experiments provide support for a model of affect-action sequences the first step of which entails the turning of attention toward the self in response to the arousal of affect.     

Self-focused attention, gender, gender role, and vulnerability to negative affect

Research has independently shown that both gender and self-focused attention are linked to depression. In this article, we report a series of studies investigating the relation between these variables. Using a standard self-focusing manipulation, Study 1 suggested that women evidence a greater propensity to self-focus than men. We replicated these findings in Study 2. In Study 3, we conducted an experiment to determine if sex role in conjunction with experimentally increased self-focused attention would lead to more emotional distress after a negative event had occurred. Results suggested that feminine individuals who received a self-focusing manipulation responded with greater levels of self-focused attention and negative affect than did any other group. We interpreted findings in terms of a tendency to self-focus that might prime feminine people to experience depression, or alternately, as a lack of self-focusing that may insulate masculine individuals from the experience of depression.     

Self-focused attention, coping responses, and distressed mood in everyday life

Several questions concerning the relation between self-focused attention and depressed mood were examined: (a) Does the association involve global negative affect, rather than sadness per se? (b) is self-focus associated with specific negative affects other than sadness? and (c) does the association occur at the between-subjects or within-subject level? Also hypothesized was that self-focus is associated with coping responses that may perpetuate negative mood. In an idiographic/nomothetic design, 40 male community residents completed daily reports for 30 days. Results suggest that self-focus is linked with global negative mood as well as specific negative affects other than sadness and that the association occurs on a between-persons, rather than a day-to-day within-person, basis. In addition, highly self-focused men reported using passive and ruminative coping styles, which in turn were associated with distressed affect.     

Does affect induce self-focused attention?

Despite growing evidence that depression is linked with self-focused attention, little is known about how depressed individuals become self-focused or, more generally, about what arouses self-focus in everyday life. Two experiments examined the hypothesis that affect itself induces self-focused attention. In Experiment 1, moods were manipulated with an imagination mood-induction procedure. Sad-induction Ss became higher in self-focus than did neutral-induction Ss. Experiment 2 replicated this effect for sad moods by means of a musical mood-induction procedure and different measures of self-focus. However, Experiment 2 failed to support the hypothesis that happy moods induce self-focus. The results have implications for mood-induction research, self-focused attention, and recent models of depression.     

Effects of erotic stimuli on sexually functional and dysfunctional women: Multiple measures before and after sex therapy

A group of 11 women entering sex therapy for treatment of low arousal, and a comparison group of 11 women experiencing no arousal deficit, viewed an erotic film, listened to an erotic audiotape, and engaged in sexual fantasy during two experimental sessions. Session I occurred pre-treatment for the low arousal group. Session II occurred post-treatment. The adequate arousal group was tested at comparable points in time. Sexual arousal was measured subjectively by self-rating and physiologically by a vaginal photoplethysmograph. Contrary to expectation, the two groups showed equivalent significant increases in physiological response during the erotic stimuli in both sessions. However, the adequate arousal group rated subjective arousal significantly higher than the low arousal group in Session I, while no difference was found between the groups in Session II. Significant correlations were present between physiological response and ratings of several affective reactions to the audiotape, though few significant correlations were found between physiological and subjective sexual arousal measures. These data indicate a discrepancy between genital responses and ratings of sexual arousal for which several interpretations are offered.     

Effects of dispositional self-focus,appraisal and attention instructions on responses to a threatening stimulus

Abstract

Two studies are reported which explored the relationship between self-focused attention and anxiety. The first study tested the hypotheses that self-focused attention is associated with anxiety in threatening situations and that the relationship is mediated by negative appraisal processes. Study 1 showed no significant interaction between self-focus and negative appraisal on state-anxiety. However, self-focus was associated with increments in state-anxiety, high levels of worry and somatic symptom reports in a threatening situation. The relationship between self-focus and state-anxiety was mediated by somatic symptoms. Study 2 used cognitive and somatic self-attention instructions and external focus instructions to verify the hypothesis that self-focus on somatic arousal is associated with anxiety. It is concluded that specific self-focusing tendencies are associated with the elicitation and exacerbation of anxiety.     

Looking at me,appreciating you: Self-focused attention distinguishes between gratitude and indebtedness

We provide evidence that self-focused attention (both dispositional and situationally induced) affects the evaluation of a benefactor. Specifically, self-focused attention distinguishes between gratitude and indebtedness. In Study 1, gratitude correlated negatively with dispositional public self-focused attention and social anxiety, whereas indebtedness correlated positively with public self-focused attention and social anxiety. In Study 2, participants recalled a recent benefit under either high self-focused attention, induced via a mirror, or low self-focused attention. Highly self-focused individuals recalled increased indebtedness, but not gratitude, toward a benefactor, relative to those in the control condition. Self-focused individuals also felt less commitment and closeness to the benefactor. The implications for the link between self-focus and social emotions (and thus social life) are discussed.     

Adaptive and maladaptive ruminative self-focus during emotional processing

Ruminative self-focus on mood, problems and other aspects of self-experience can have both mal adaptive consequences, perpetuating depression, and, adaptive consequences, promoting recovery from upsetting events. Increasing evidence suggests that these contrasting effects may be explained by distinct varieties of ruminative self-focus, each with distinct functional properties. This study tested the prediction (Emotional processing, three modes of mind and the prevention of relapse in depression. Behav. Res. Therapy, 37 (1999) S53) that an experiential mode of self-focused attention would facilitate recovery from an upsetting event in comparison to a conceptual-evaluative mode of self-focused attention. To test these contrasting effects experimentally, 69 participants wrote about an induced failure experience in either a conceptual-evaluative condition (e.g. "Why did you feel this way?"), or an experiential condition ("How did you feel moment-by-moment?"). Consistent with the hypothesis, higher levels of trait disposition to ruminate were associated with relatively greater increases in negative mood 12 h after the failure in the conceptual-evaluative condition compared to the experiential condition. Furthermore, the conceptual-evaluative condition resulted in more intrusions about the failure than the experiential condition. These results support the differentiation of rumination into distinct modes of self-focused attention with distinct functional effects; a conceptual-evaluative mode that is maladaptive and an experiential mode that is adaptive.     

Study of Sexual Concordance in Men and Women with Different Typologies of Adherence to the Sexual Double Standard

Background/ObjectiveSexual concordance (i.e., relationship between genital response and subjective sexual arousal) is higher in men than in women. Among the factors that could explain this difference would be the sexual double standard (SDS). Sexual concordance is examined by SDS typologies of adherence (egalitarian, man-favorable, and woman-favorable).MethodDuring exposure to a film with sexual content, genital response (penile circumference/vaginal pulse amplitude) and self-reported sexual arousal were recorded in 104 young adults (42 men and 62 women), distributed into SDS typologies of adherence on the basis of their scores on the Sexual Double Standard Scale.ResultsSexual concordance was obtained in men and women with egalitarian and man-favorable typology. Subjective sexual arousal explained a significant percentage of the variance in genital response in the egalitarian typology (men: R² = .32, p < .01; women: R² = .19, p < .05) and man-favorable typology (men: R² = .21, p < .05; women: R² = .23, p < .05).ConclusionsAgreement between genital responsiveness and subjective sexual arousal depends on DES adherence typology.     

Excessive self-focused attention and defensiveness among psychiatric patients: a vicious cycle?

The contribution of defensive coping to the phenomenon of excessive self-focused attention was studied in 20 depressed or anxious psychiatric outpatients comprising the negative affect group, 20 patients with psychotic disorders, and a control group of 21 patients of an orthopaedic clinic. Self-focused attention was assessed using the Self-reflectiveness and Internal State Awareness subfactors of the Private Self-consciousness Scale. In accordance with other research on self-focused attention, the negative affect group obtained higher scores on the Self-reflectiveness scale than the control group (t39=2.40, p<.03). To examine the relationship between self-focus and defensiveness, Weinberger, Schwartz, and Davidson's approach was employed, using median splits of short forms of the Taylor Manifest Anxiety Scale and the Marlowe-Crowne scale to differentiate among four groups of subjects. The highest self-reflectiveness was found for those participants who were high in both defensiveness and anxiety. This group scored higher than the nondefensive high anxious group (t30= -2.31, p<.03). The heightened self-focused attention might result from automatically instigated states of self-focused attention and paradoxical effects of defensive efforts to avoid self-focus.     

Sex guilt,trait anxiety,and females' subjective sexual arousal to erotica

Subjective sexual arousal and affective reactions of 80 college women to explicit sex films were studied in a 2 (sex guilt) × 2 (trait anxiety) × 2 (films) design. There was a decline in sexual arousal to a film of oral-genital sex and a decline in sex guilt in the present sample in comparison to a similar sample from this laboratory 8 years ago. High-sex-guilt women reported fewer genital sensations and rated themselves lower on sexual arousal during and after the films than did their counterparts less disposed to guilt over sex. High-sex-guilt women reported more affective guilt, disgust, and anxiety-fear as a consequence of viewing an explicit sex film than women below the median on sex guilt. High-trait-anxiety women reported more intense genital sensations and rated their sexual arousal as higher following the films than low-trait-anxiety women. Women above the median on trait anxiety reported more subsequent anxiety-fear and depression-distress following the films than low-scoring women. These results were discussed from the perspective of Izard's differential emotions theory, which regards anxiety as a variable pattern of fundamental emotions rather than as a functional unity.This research was supported in part by a National Science Foundation Grant to the University of Connecticut Computer Center. The authors wish to thank Wendy Cunningham and Linda Wildes for serving as experimenters.     

Self-focused attention and negative affect: a meta-analysis

This meta-analysis synthesized 226 effect sizes reflecting the relation between self-focused attention and negative affect (depression, anxiety, negative mood). The results demonstrate the multifaceted nature of self-focused attention and elucidate major controversies in the field. Overall, self-focus was associated with negative affect. Several moderators qualified this relationship. Self-focus and negative affect were more strongly related in clinical and female-dominated samples. Rumination yielded stronger effect sizes than nonruminative self-focus. Self-focus on positive self-aspects and following a positive event were related to lower negative affect. Most important, an interaction between foci of self-attention and form of negative affect was found: Private self-focus was more strongly associated with depression and generalized anxiety, whereas public self-focus was more strongly associated with social anxiety.     

Gender and sexual orientation differences in sexual response to sexual activities versus gender of actors in sexual films

In this study, the authors investigated the hypothesis that women's sexual orientation and sexual responses in the laboratory correlate less highly than do men's because women respond primarily to the sexual activities performed by actors, whereas men respond primarily to the gender of the actors. The participants were 20 homosexual women, 27 heterosexual women, 17 homosexual men, and 27 heterosexual men. The videotaped stimuli included men and women engaging in same-sex intercourse, solitary masturbation, or nude exercise (no sexual activity); human male-female copulation; and animal (bonobo chimpanzee or Pan paniscus) copulation. Genital and subjective sexual arousal were continuously recorded. The genital responses of both sexes were weakest to nude exercise and strongest to intercourse. As predicted, however, actor gender was more important for men than for women, and the level of sexual activity was more important for women than for men. Consistent with this result, women responded genitally to bonobo copulation, whereas men did not. An unexpected result was that homosexual women responded more to nude female targets exercising and masturbating than to nude male targets, whereas heterosexual women responded about the same to both sexes at each activity level.     

A sex difference in the specificity of sexual arousal

Sexual arousal is category-specific in men; heterosexual men are more aroused by female than by male sexual stimuli, whereas homosexual men show the opposite pattern. There is reason to believe that female sexual arousal is organized differently. We assessed genital and subjective sexual arousal to male and female sexual stimuli in women, men, and postoperative male-to-female transsexuals. In contrast to men, women showed little category specificity on either the genital or the subjective measure. Both heterosexual and homosexual women experienced strong genital arousal to both male and female sexual stimuli. Transsexuals showed a category-specific pattern, demonstrating that category specificity can be detected in the neovagina using a photoplethysmographic measure of female genital sexual arousal. In a second study, we showed that our results for females are unlikely to be explained by ascertainment biases. These findings suggest that sexual arousal patterns play fundamentally different roles in male and female sexuality.     

Sexual arousal patterns of bisexual men

There has long been controversy about whether bisexual men are substantially sexually aroused by both sexes. We investigated genital and self-reported sexual arousal to male and female sexual stimuli in 30 heterosexual, 33 bisexual, and 38 homosexual men. In general, bisexual men did not have strong genital arousal to both male and female sexual stimuli. Rather, most bisexual men appeared homosexual with respect to genital arousal, although some appeared heterosexual. In contrast, their subjective sexual arousal did conform to a bisexual pattern. Male bisexuality appears primarily to represent a style of interpreting or reporting sexual arousal rather than a distinct pattern of genital sexual arousal.