title: Dyadic sexual communication in pre-menopausal women with self-reported dyspareunia and their partners: associations with sexual function, sexual distress and dyadic adjustment.
abstract: BACKGROUND
  While there is increasing interest in studying aspects of communication processes in sex research, the association between dyadic sexual communication and relationship and sexuality outcomes has not yet been examined in pre-menopausal women with dyspareunia.
  
  
  OBJECTIVE
  To examine the associations between dyadic sexual communication and pain, sexual distress, sexual function and dyadic adjustment in women with self-reported dyspareunia and their male partners.
  
  
  METHODS
  Pre-menopausal women (n=38; M age=24.92, SD=6.12) with self-reported dyspareunia from a community sample and their partners (n=38; M age=26.71, SD=6.59) completed an online survey. The Actor-Partner Interdependence Model was used in order to investigate both actor and partner effects.
  
  
  METHODS
  Both members of the couple completed: (i) the Dyadic Sexual Communication Scale and (ii) the Dyadic Adjustment Scale; women also completed (iii) the Female Sexual Function Index, (iv) the Female Sexual Distress Scale, and (v) a Visual Analogue Scale on pain during intercourse; and men also completed (vi) the International Index of Erectile Functioning.
  
  
  RESULTS
  Controlling for relationship duration, women's better dyadic sexual communication was significantly associated with their higher levels of sexual function (P=0.028), lower levels of sexual distress (P=0.003) and higher levels of dyadic adjustment (P=0.005), but not with their pain or men's sexual function or dyadic adjustment. Controlling for relationship duration, men's better dyadic sexual communication was associated with their higher levels of dyadic adjustment (P=0.027) but not with their sexual function, nor with women's sexual function or dyadic adjustment.
  
  
  CONCLUSIONS
  These findings contribute to the theoretical knowledge on interaction processes in couples with dyspareunia and suggest that it may be important to enhance open and direct communication about sexual matters in couples with dyspareunia.
authors.affiliation: Institute for Family and Sexuality Studies, Department of Neuroscience, KU Leuven, Leuven, Belgium.
authors.forename: Els
authors.initials: E
authors.lastname: Pazmany
authors.forename: Sophie
authors.initials: S
authors.lastname: Bergeron
authors.forename: Johan
authors.initials: J
authors.lastname: Verhaeghe
authors.forename: Lukas
authors.initials: L
authors.lastname: Van Oudenhove
authors.forename: Paul
authors.initials: P
authors.lastname: Enzlin
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D003075:Coitus / Q000523:psychology*; D003142:Communication; D004414:Dyspareunia / Q000150:complications / Q000523:psychology*; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D009426:Netherlands; D010147:Pain Measurement; D010549:Personal Satisfaction; D057566:Self Report; D012725:Sexual Behavior / Q000523:psychology*; D012747:Sexual Partners / Q000523:psychology*; D011795:Surveys and Questionnaires
keywords: Couples; Dyadic Sexual Communication; Dyspareunia; Pain; Partners; Sexual Distress; Sexual Functioning