title: The sensitivity of continuous laboratory measures of physiological and subjective sexual arousal for diagnosing women with sexual arousal disorder.
abstract: BACKGROUND
  Past findings on the diagnostic sensitivity of vaginal photoplethysmography are limited by testing among women with heterogeneous sexual dysfunctions and by the use of statistical techniques that are unable to assess how changes in subjective arousal are associated with changes in physiological arousal.
  
  
  OBJECTIVE
  The aims of this study were to: (i) test the sensitivity of vaginal photoplethysmography and continuous measures of subjective sexual arousal in differentiating between women with and without sexual arousal or orgasm dysfunction; and (ii) examine the diagnostic utility of measuring the synchrony between genital and subjective sexual responses.
  
  
  METHODS
  Sexual arousal was assessed in sexually healthy women (n = 12), women with orgasm disorder (OD; n = 12), and 38 women who met the criteria for the three subcategories of sexual arousal dysfunction described by Basson et al. (i.e., genital sexual arousal disorder [GAD; n = 9], subjective sexual arousal disorder [SAD; n = 13], and combined genital and subjective arousal disorder [CAD; n = 16]).
  
  
  METHODS
  Physiological sexual arousal was assessed using vaginal photoplethysmography, and subjective sexual arousal was measured continuously and using a Likert-scale in response to sexual videos.
  
  
  RESULTS
  Women with GAD showed the lowest and women with CAD showed the highest levels of vaginal pulse amplitude response to erotic stimuli. Women with sexual arousal disorder showed significantly lower levels of subjective sexual arousal to erotic stimuli than did sexually healthy women. Relations between subjective and physiological measures of sexual arousal were significantly weaker among women with sexual arousal disorder than sexually healthy women or women with OD.
  
  
  CONCLUSIONS
  Preliminary support was provided for the diagnostic utility of measuring the synchrony between subjective and genital arousal in women with sexual arousal disorder. Findings do not support the sensitivity of using vaginal photoplethysmography, or continuous or Likert-scale measures of subjective arousal for differentiating between subtypes of women with sexual arousal disorder.
authors.affiliation: Department of Psychology, The University of Texas at Austin, Austin, TX, USA. meston@psy.utexas.edu
authors.forename: Cindy M
authors.initials: CM
authors.lastname: Meston
authors.forename: Alessandra H
authors.initials: AH
authors.lastname: Rellini
authors.forename: Katie
authors.initials: K
authors.lastname: McCall
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D016022:Case-Control Studies; D004882:Erotica / Q000523:psychology; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D007989:Libido; D016014:Linear Models; D008875:Middle Aged; D017156:Photoplethysmography / Q000295:instrumentation; D011594:Psychometrics; D012307:Risk Factors; D012680:Sensitivity and Specificity; D020018:Sexual Dysfunctions, Psychological / Q000175:diagnosis* / Q000503:physiopathology / Q000523:psychology; D013315:Stress, Psychological; D014621:Vagina / Q000098:blood supply* / Q000473:pathology; D014741:Video Recording; D016387:Women's Health; D055815:Young Adult