Sex vs affection and christian values. Biblical Dating: Principles for Drawing Boundaries.



Sex vs affection and christian values

Sex vs affection and christian values

The publisher's final edited version of this article is available at J Sex Med See other articles in PMC that cite the published article. Abstract Introduction Erectile dysfunction ED is one of the most frequent sources of distress after treatment for prostate cancer PCa , yet evidence suggests that men do not easily adjust to loss of sexual function over time. A hypothesized determinant of men's adaptation to ED is the degree to which they experience a loss of masculine identity in the aftermath of PCa treatment.

Aims The aims of this study were i to describe the prevalence of concerns related to diminished masculinity among men treated for localized PCa; ii to determine whether diminished masculinity is associated with sexual bother, after controlling for sexual functioning status; and iii to determine whether men's marital quality moderates the association between diminished masculinity and sexual bother.

Methods We analyzed cross-sectional data provided by 75 men with localized PCa who were treated at one of two cancer centers. Data for this study were provided at a baseline assessment as part of their enrollment in a pilot trial of a couple-based intervention. Results Approximately one-third of men felt they had lost a dimension of their masculinity following treatment. Diminished masculinity was the only significant, independent predictor of sexual bother, even after accounting for sexual functioning status.

The association between diminished masculinity and sexual bother was strongest for men whose spouses perceived low marital affection. Conclusions Diminished masculinity is a prominent, yet understudied concern for PCa survivors. Regardless of functional status, men who perceive a loss of masculinity following treatment may be more likely to be distressed by their ED.

Furthermore, its impact on adjustment in survivorship may rely on the quality of their intimate relationships. Men contend with a host of treatment-related complications, including declines in sexual, urinary, and bowel functioning [ 4 ]. Among the physical side effects that follow treatment, impaired sexual functioning is often ranked the most common long-term complaint [ 5 ].

These disruptions to sexual functioning are often distressing to men [ 7 — 10 ], and broadly undermine their perceptions of physical health and psychosocial well-being [ 11 ]. The degree to which sexual dysfunction causes men embarrassment and shame, contributes to life dissatisfaction or blocks intimacy is referred to as sexual bother [ 17 , 10 ].

Unfortunately, men who experience sexual bother post-prostatectomy do not easily adjust over time [ 18 ]. In a prospective study of men followed up to 5 years post-prostatectomy, only one-third returned to presurgical levels of sexual bother by 12 months after surgery, and a majority sustained high levels of bother at 5 years postsurgery [ 19 ].

When the authors explored contributing factors, none of the variables examined, including age, race, marital status, prostate-specific antigen PSA value, severity of erectile dysfunction ED , sexual desire, and intercourse satisfaction, predicted sexual bother postsurgery.

An understudied phenomenon experienced by PCa patients alongside sexual dysfunction is the perceived loss of masculine identity [ 20 ].

Masculine identity refers to the sense of coherence in one's identity as derived from valued male norms, which may include self-reliance and potency, competitiveness, control, capacity to be a provider, and restraint from showing dependence or vulnerability [ 8 , 21 — 23 ]. Outside of qualitative studies that have documented men's experiences following treatment for PCa [ 24 ], there has been little focused investigation of changes in masculine identity following treatment and its contribution to distress.

The quality of marital affection and intimacy in men's relationships has been postulated to impact significantly on masculine identity such that open communication, affection, and support from a partner may counter any sense of attack on male identity [ 16 , 22 , 25 , 26 ]. This would be consistent with recent evidence that relationship intimacy may play a critical role in facilitating psychosocial adaptation among men with localized PCa [ 26 ].

Identifying factors that contribute to the maintenance of sexual bother is an important step toward determining which men are most at risk for poor adaptation in following treatment. Given that a significant portion of men do not appear to adapt satisfactorily to the loss of sexual function, such data can inform efforts to optimize postoperative recovery. In this study, we examined the association between diminished masculinity and sexual bother in a cross-sectional sample of men treated for localized PCa.

We used a validated, PCa-specific questionnaire to capture a range of masculinity-related concerns. We further examined whether the association between diminished masculinity and sexual bother was moderated by the quality of affection in men's marital relationships. Research examining men's distress following treatment for PCa has given considerable attention to the perspective of the marital partner, who is seen as playing a key role in facilitating the patients' adaptation [ 16 , 27 - 29 ].

We included in our analysis the partners' perception of marital quality in addition to that of the patient because there is evidence that in couples coping with PCa, the partner's behavior in the relationship e. Our study aims are as follows: Methods Sample Participants were 75 men treated for localized PCa and their partners. Patients and their partners were recruited from one of two cancer centers: Data were provided during a baseline assessment that was completed as part of enrollment in a larger pilot trial testing the efficacy of a couple-based intervention for men with early stage PCa and their partners [ 30 ].

In order to be eligible for this larger trial, and therefore for the current study, men in all couples were required to have a past year diagnosis of localized PCa treated with surgery or radiation, be married or living with their partner of either gender, have an Eastern Cooperative Oncology Group performance status of 0 or 1 [ 31 ], and geographic proximity to the recruitment site. Eligible men and their partners had to be 18 or older, English speaking, and without hearing impairment.

Couples enrolled in the larger trial were randomized to receive either standard care no intervention , or an Intimacy-Enhancing Couples Therapy, designed to improve communication about cancer-related concerns with a particular focus on the impact of cancer on intimacy. Data presented in this article were collected from men and their partners prior to randomization to treatment arm. The most common reasons for study refusal were: Site was therefore controlled in subsequent analyses.

Procedure Eligible men and their partners were contacted by telephone, letter, or were approached after an outpatient visit by a research study assistant. Those interested were asked to provide informed consent and return a completed questionnaire battery by mail.

Participants signed an informed consent that was approved by the institutional review boards of each site. Participants were contacted weekly by telephone until questionnaires and consent forms were returned.

Main Outcome Measures International Index of Erectile Function IIEF [ 32 ] is a item questionnaire administered to patients only, and used to assess sexual functioning over the last month. We examined the following three domains: Responses were on five- and six-point Likert scales.

Sexual Bother was assessed using the three-item sexual bother subscale of the Prostate Health-Related Quality-of-Life questionnaire [ 17 ], administered to patients only. Men rate the degree to which, in the last 4 weeks, concerns about sexual functioning were a problem for them, led them to feel embarrassed or ashamed, or interfered with enjoyment of their life. Men rated the degree to which they feel a loss of masculinity on a five-point Likert scale e.

Responses were on a five-point Likert scale, and items were reverse-scored, with higher scores reflecting sustained intimacy and affection. Results Description of Sample Sample characteristics are presented in Table 1. The majority of patients and their partners in this study were Caucasian, had at least college-level education, and a mean age of

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Sex vs affection and christian values

The publisher's final edited version of this article is available at J Sex Med See other articles in PMC that cite the published article. Abstract Introduction Erectile dysfunction ED is one of the most frequent sources of distress after treatment for prostate cancer PCa , yet evidence suggests that men do not easily adjust to loss of sexual function over time.

A hypothesized determinant of men's adaptation to ED is the degree to which they experience a loss of masculine identity in the aftermath of PCa treatment. Aims The aims of this study were i to describe the prevalence of concerns related to diminished masculinity among men treated for localized PCa; ii to determine whether diminished masculinity is associated with sexual bother, after controlling for sexual functioning status; and iii to determine whether men's marital quality moderates the association between diminished masculinity and sexual bother.

Methods We analyzed cross-sectional data provided by 75 men with localized PCa who were treated at one of two cancer centers. Data for this study were provided at a baseline assessment as part of their enrollment in a pilot trial of a couple-based intervention.

Results Approximately one-third of men felt they had lost a dimension of their masculinity following treatment. Diminished masculinity was the only significant, independent predictor of sexual bother, even after accounting for sexual functioning status.

The association between diminished masculinity and sexual bother was strongest for men whose spouses perceived low marital affection.

Conclusions Diminished masculinity is a prominent, yet understudied concern for PCa survivors. Regardless of functional status, men who perceive a loss of masculinity following treatment may be more likely to be distressed by their ED. Furthermore, its impact on adjustment in survivorship may rely on the quality of their intimate relationships. Men contend with a host of treatment-related complications, including declines in sexual, urinary, and bowel functioning [ 4 ].

Among the physical side effects that follow treatment, impaired sexual functioning is often ranked the most common long-term complaint [ 5 ].

These disruptions to sexual functioning are often distressing to men [ 7 — 10 ], and broadly undermine their perceptions of physical health and psychosocial well-being [ 11 ]. The degree to which sexual dysfunction causes men embarrassment and shame, contributes to life dissatisfaction or blocks intimacy is referred to as sexual bother [ 17 , 10 ].

Unfortunately, men who experience sexual bother post-prostatectomy do not easily adjust over time [ 18 ]. In a prospective study of men followed up to 5 years post-prostatectomy, only one-third returned to presurgical levels of sexual bother by 12 months after surgery, and a majority sustained high levels of bother at 5 years postsurgery [ 19 ].

When the authors explored contributing factors, none of the variables examined, including age, race, marital status, prostate-specific antigen PSA value, severity of erectile dysfunction ED , sexual desire, and intercourse satisfaction, predicted sexual bother postsurgery. An understudied phenomenon experienced by PCa patients alongside sexual dysfunction is the perceived loss of masculine identity [ 20 ]. Masculine identity refers to the sense of coherence in one's identity as derived from valued male norms, which may include self-reliance and potency, competitiveness, control, capacity to be a provider, and restraint from showing dependence or vulnerability [ 8 , 21 — 23 ].

Outside of qualitative studies that have documented men's experiences following treatment for PCa [ 24 ], there has been little focused investigation of changes in masculine identity following treatment and its contribution to distress. The quality of marital affection and intimacy in men's relationships has been postulated to impact significantly on masculine identity such that open communication, affection, and support from a partner may counter any sense of attack on male identity [ 16 , 22 , 25 , 26 ].

This would be consistent with recent evidence that relationship intimacy may play a critical role in facilitating psychosocial adaptation among men with localized PCa [ 26 ]. Identifying factors that contribute to the maintenance of sexual bother is an important step toward determining which men are most at risk for poor adaptation in following treatment.

Given that a significant portion of men do not appear to adapt satisfactorily to the loss of sexual function, such data can inform efforts to optimize postoperative recovery.

In this study, we examined the association between diminished masculinity and sexual bother in a cross-sectional sample of men treated for localized PCa. We used a validated, PCa-specific questionnaire to capture a range of masculinity-related concerns. We further examined whether the association between diminished masculinity and sexual bother was moderated by the quality of affection in men's marital relationships.

Research examining men's distress following treatment for PCa has given considerable attention to the perspective of the marital partner, who is seen as playing a key role in facilitating the patients' adaptation [ 16 , 27 - 29 ]. We included in our analysis the partners' perception of marital quality in addition to that of the patient because there is evidence that in couples coping with PCa, the partner's behavior in the relationship e.

Our study aims are as follows: Methods Sample Participants were 75 men treated for localized PCa and their partners. Patients and their partners were recruited from one of two cancer centers: Data were provided during a baseline assessment that was completed as part of enrollment in a larger pilot trial testing the efficacy of a couple-based intervention for men with early stage PCa and their partners [ 30 ].

In order to be eligible for this larger trial, and therefore for the current study, men in all couples were required to have a past year diagnosis of localized PCa treated with surgery or radiation, be married or living with their partner of either gender, have an Eastern Cooperative Oncology Group performance status of 0 or 1 [ 31 ], and geographic proximity to the recruitment site.

Eligible men and their partners had to be 18 or older, English speaking, and without hearing impairment. Couples enrolled in the larger trial were randomized to receive either standard care no intervention , or an Intimacy-Enhancing Couples Therapy, designed to improve communication about cancer-related concerns with a particular focus on the impact of cancer on intimacy.

Data presented in this article were collected from men and their partners prior to randomization to treatment arm. The most common reasons for study refusal were: Site was therefore controlled in subsequent analyses.

Procedure Eligible men and their partners were contacted by telephone, letter, or were approached after an outpatient visit by a research study assistant. Those interested were asked to provide informed consent and return a completed questionnaire battery by mail. Participants signed an informed consent that was approved by the institutional review boards of each site.

Participants were contacted weekly by telephone until questionnaires and consent forms were returned. Main Outcome Measures International Index of Erectile Function IIEF [ 32 ] is a item questionnaire administered to patients only, and used to assess sexual functioning over the last month. We examined the following three domains: Responses were on five- and six-point Likert scales. Sexual Bother was assessed using the three-item sexual bother subscale of the Prostate Health-Related Quality-of-Life questionnaire [ 17 ], administered to patients only.

Men rate the degree to which, in the last 4 weeks, concerns about sexual functioning were a problem for them, led them to feel embarrassed or ashamed, or interfered with enjoyment of their life. Men rated the degree to which they feel a loss of masculinity on a five-point Likert scale e. Responses were on a five-point Likert scale, and items were reverse-scored, with higher scores reflecting sustained intimacy and affection.

Results Description of Sample Sample characteristics are presented in Table 1. The majority of patients and their partners in this study were Caucasian, had at least college-level education, and a mean age of

Sex vs affection and christian values

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1 Comments

  1. The first is the desire for union. Since the ordinary, universal magisterium has proposed the traditional teaching on adultery as a revealed truth, this norm certainly has been infallibly taught and should be accepted with the assent of faith see CMP, Methods We analyzed cross-sectional data provided by 75 men with localized PCa who were treated at one of two cancer centers.

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