Sexual Dysfunction

  • Catalina VechiuEmail author
  • William T. O’Donohue


Sexual dysfunction is a major health concern in the general population and is associated with impaired quality of life, diminished satisfaction with one’s sexual life, and personal and/or relationship difficulties. A multifaceted interplay of psychological, somatic, emotional, and relational factors contributes to the development and maintenance of sexual dysfunction in both women and men. An overwhelming number of studies aimed at understanding the etiology of sexual dysfunction have led to the development of pharmaceutical and psychological interventions for the treatment of male sexual dysfunction. Unfortunately, sexual dysfunction is poorly understood and rarely recognized by providers despite the high prevalence of sexual dysfunction among women of all ages (Laumann, Paik, & Rosen, 1999).


Sexual dysfunction Integrated care Behavioral health Sexual dysfunction treatment Sexual dysfunction assessment 


  1. Allahdadi, K. J., Tostes, R. C. A., & Webb, R. C. (2009). Female sexual dysfunction: Therapeutic options and experimental challenges. Cardiovascular & Hematological Agents in Medicinal Chemistry, 7(4), 260–269.CrossRefGoogle Scholar
  2. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., pp. 493–538). Washington, DC: American Psychiatric Association.Google Scholar
  3. American Psychiatric Association. (2013). DSM-5: Diagnostic and statistical manual for mental disorders (5th ed.). Arlington, VA: American Psychiatric Press.CrossRefGoogle Scholar
  4. Bachmann, G. (2006). Female sexuality and sexual dysfunction: Are we stuck on the learning curve? Journal of Sexual Medicine, 3(4), 639–645.CrossRefPubMedGoogle Scholar
  5. Basson, R. (2001). Are the complexities of women’s sexual function reflected in the new consensus definitions of dysfunction? Journal of Sex & Marital Therapy, 27, 105–112.CrossRefGoogle Scholar
  6. Clayton, A. H. (2003). Sexual function and dysfunction in women. Psychiatric Clinics of North America, 26(3), 673–682.CrossRefPubMedGoogle Scholar
  7. DeRogatis, L., Clayton, A., Lewis-D’Agostino, D., Wunderlich, G., & Fu, Y. (2008). Validation of the female sexual distress scale-revised for assessing distress in women with hypoactive sexual desire disorder. Journal of Sexual Medicine, 5(2), 357–364. CrossRefPubMedGoogle Scholar
  8. Farah, L. K. (2011). The effects of sexual skills training on marital satisfaction. Procedia-Social and Behavioral Sciences, 30, 2581–2585.CrossRefGoogle Scholar
  9. Frank, J. E., Mistretta, P., & Will, J. (2008). Diagnosis and treatment of female sexual dysfunction. American Family Physician, 77(5), 635–642.PubMedGoogle Scholar
  10. Fruhauf, S., Gerger, H., Schmidt, H. M., Munder, T., & Barth, J. (2013). Efficacy of psychological interventions for sexual dysfunction: A systematic review and meta-analysis. Archives of Sexual Behavior, 42, 915–933. CrossRefPubMedGoogle Scholar
  11. Gott, M., & Hinchliff, S. (2003). How important is sex in later life? The views of older people. Social Science and Medicine, 56(8), 1617–1628.CrossRefPubMedGoogle Scholar
  12. Hatzichristou, D., Rosen, R. C., Broderick, G., Clayton, A., Cuzin, B., Derogatis, L., … Seftel, A. (2004). Clinical evaluation and management strategy for sexual dysfunction in men and women. Journal of Sexual Medicine, 1(1), 49–57.CrossRefPubMedGoogle Scholar
  13. Hatzichristou, D., Rosen, R. C., Derogatis, L. R., Low, W. Y., Meuleman, E. J., Sadovsky, R., & Symonds, T. (2010). Recommendations for the clinical evaluation of men and women with sexual dysfunction. Journal of Sexual Medicine, 7(1), 337–348. CrossRefPubMedGoogle Scholar
  14. Holmes, S. (2000). Treatment of male sexual dysfunction. British Medical Bulletin, 56(3), 798–808.CrossRefPubMedGoogle Scholar
  15. Hughes, R. G. (2008). Tools and strategies for quality improvement and patient safety. In R. G. Hughes (Ed.), Patient safety and quality: An evidence-based handbook for nurses. Rockville, MD: Agency for Healthcare Research and Quality.Google Scholar
  16. Hurlbert, D. F., White, L. C., Powell, R. D., & Apt, C. (1993). Orgasm consistency training in the treatment of women reporting hypoactive sexual desire: An outcome comparison of women-only groups and couples-only groups. Journal of Behavior Therapy and Experimental Psychiatry, 24(1), 3–13.CrossRefPubMedGoogle Scholar
  17. Kammerer-Doak, D., & Rogers, R. G. (2008). Female sexual function and dysfunction. Obstetrics and Gynecology Clinics of North America, 35, 169–183.CrossRefPubMedGoogle Scholar
  18. Laumann, E. O., Paik, A., & Rosen, R. (1999). Sexual dysfunction in the United States: Prevalence and predictors. JAMA, 281, 537–544.CrossRefPubMedGoogle Scholar
  19. Leusink, P. M., & Aarts, E. (2006). Treating erectile dysfunction through electronic consultation: A pilot study. Journal of Sex and Marital Therapy, 32, 401–407.CrossRefPubMedGoogle Scholar
  20. Lewis, R. W., Fugl-Meyer, K. S., Bosch, R., Fugl-Meyer, A. R., Laumann, E. O., Lizza, E., & Martin-Morales, A. (2004). Epidemiology/risk factors of sexual dysfunction. The Journal of Sexual Medicine, 1, 35–39.CrossRefPubMedGoogle Scholar
  21. Lukens, E. P., & McFarlane, W. R. (2004). Psychoeducation and evidence-based practice: Considerations for practice, research and policy. Brief Treatment and Crisis Intervention, 4(3), 205–225.CrossRefGoogle Scholar
  22. Masters, W. H., & Johnson, V. E. (1966). Human sexual response. Boston: Little, Brown & Co.Google Scholar
  23. Masters, W. H., & Johnson, V. E. (1970). Human sexual inadequacy. New York: Bantam Books.Google Scholar
  24. McCabe, M. P., Price, E., Piterman, L., & Lording, D. (2008). Evaluation of an Internet-based psychological intervention for the treatment of erectile dysfunction. International Journal of Impotence Research, 20, 324–330.CrossRefPubMedGoogle Scholar
  25. McGahuey, C. A., Gelenberg, A. J., Laukes, C. A., Moreno, F. A., Delgado, P. L., McKnight, K. M., & Manber, R. (2000). The Arizona Sexual Experience Scale (ASEX): Reliability and validity. Journal of Sex & Marital Therapy, 26(1), 25–40. CrossRefGoogle Scholar
  26. Murtagh, J. (2010). Female sexual function, dysfunction, and pregnancy: Implications for practice. Journal of Midwifery & Women’s Health, 55(5), 438–446. 10.1016/j.jmwh.2009.12.006.
  27. O’Leary, M. P., Fowler, F. J., Lenderking, W. R., Barber, B., Sagnier, P. P., Guess, H. A., & Barry, M. J. (1995). A brief male sexual function inventory for urology. Urology, 46, 697–706.CrossRefPubMedGoogle Scholar
  28. Plouffe, L. (1985). Screening for sexual problems through a simple questionnaire. American Journal of Obstetrics & Gynecology, 151, 166–169.CrossRefGoogle Scholar
  29. Simons, J. S., & Carey, M. P. (2008). Prevalence of sexual dysfunctions: Results from a decade of research. Archives of Sexual Behavior, 30(2), 177–219.CrossRefGoogle Scholar
  30. Smith, W. J., Beadle, K., & Shuster, E. J. (2008). The impact of a group psychoeducational appointment on women with sexual dysfunction. American Journal of Obstetrics and Gynecology, 198(6), 687.e1–697.e7. CrossRefGoogle Scholar
  31. Taylor, B., & Davis, S. (2006). Using the extended PLISSIT model to address sexual healthcare needs. Nursing Standard, 21(11), 35–40.CrossRefPubMedGoogle Scholar
  32. van Lankveld, J. (2009). Self-help therapies for sexual dysfunction. The Journal of Sex Research, 46(2–3), 143–155. CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Clinical PsychologyUniversity of NevadaRenoUSA

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