title: Concordance of sexual dysfunction and dissatisfaction by self-report and those by partner's perception in young adult couples.
abstract: We evaluated concordance levels of young adult spouses (N=107 couples, total N=214) with regards to sexual satisfaction by using Golombock-Rust Inventory of Sexual Satisfaction (GRISS). Each spouse of the couples filled out both female and male forms of the GRISS. Self- and spouse-reported scores were analyzed in terms of inter-rater correlation and agreement. The prevalence of overall sexual dissatisfaction was 10.3% and 26.2% in wives and husbands, respectively. The correlation coefficient (r) between the self-reported overall sexual satisfaction scores and those assessed by the spouses was 0.25 (P=0.014) and 0.04 (P=0.680) for wives and husbands, respectively. The sensitivity for perception of partner's sexual problems ranged 11% to 47%, and the specificity was around 64% to 100%, except for vaginismus, which had a sensitivity of 83% and a specificity of 25%. The prevalance-adjusted and bias-adjusted kappa (PABAK) value for overall sexual dissatisfaction reported by themselves and that assessed by their spouses was 0.68 and 0.16 for the wives and husbands, respectively. For specific female sexual problems, the PABAK value was the highest in female dissatisfaction (0.81) followed by anorgasmia (0.78), female avoidance (0.44), vaginismus (0.44), infrequency (0.33), non-communication (0.14) and female nonsensuality (0.14). For specific male sexual problems, the PABAK value was the highest in male nonsensuality (1.00), followed by male dissatisfaction (0.78), infrequency (0.46), non-communication (0.42), male avoidance (0.36), impotence (0.27) and premature ejaculation (-0.04). Our findings suggested that in this clinical sample the partner's perception of sexual dysfunction and dissatisfaction did not correlate well with the subject's self-reported sexual problems, and generally male sexual problems were less correctly perceived by the partners than were female sexual problems. This result may provide helpful information for clinicians who take care of patients' sexual problems.
authors.affiliation: Department of Obstetrics and Gynaecology, Gulhane School Medicine, Ankara, Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Gungor
authors.affiliation: Department of Obstetrics and Gynaecology, Gulhane School Medicine, Ankara, Turkey.
authors.forename: U
authors.initials: U
authors.lastname: Keskin
authors.affiliation: Department of Psychiatry, Gulhane School Medicine, Ankara, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Gülsün
authors.affiliation: Department of Psychiatry, Gulhane School Medicine, Ankara, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Erdem
authors.affiliation: Department of Obstetrics and Gynaecology, Gulhane School Medicine, Ankara, Turkey.
authors.forename: S T
authors.initials: ST
authors.lastname: Ceyhan
authors.affiliation: Department of Obstetrics and Gynaecology, Gulhane School Medicine, Ankara, Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Ergün
mesh_terms: D000328:Adult; D007172:Erectile Dysfunction / Q000150:complications / Q000523:psychology; D005260:Female; D020010:Heterosexuality; D006801:Humans; D008297:Male; D009948:Orgasm; D010549:Personal Satisfaction; D061686:Premature Ejaculation / Q000150:complications / Q000523:psychology; D015995:Prevalence; D012649:Self Concept; D057566:Self Report; D012727:Sex Characteristics; D012735:Sexual Dysfunction, Physiological / Q000453:epidemiology / Q000523:psychology*; D020018:Sexual Dysfunctions, Psychological / Q000453:epidemiology / Q000523:psychology*; D012747:Sexual Partners / Q000523:psychology*; D019529:Sexuality / Q000523:psychology*; D012959:Socioeconomic Factors; D018454:Spouses; D011795:Surveys and Questionnaires; D052065:Vaginismus / Q000150:complications / Q000523:psychology; D055815:Young Adult