Interoceptive awareness and female sexual functioning: systematic review

Main Article Content

Celina Ribeiro
Henrique Pereira

Abstract

The attention paid to internal signs seems to have an important influence on the sexual functioning of women, a greater interocective awareness seems to be related to better sexual functioning, in its various dimensions. In this sense, it was intended to identify, select, evaluate and synthesize the relevant scientific evidence available on the relationship of interocective awareness and sexual functioning in women, through a systematic review of the literature. For the review, the following research question was raised: Does interocective awareness have a relevant influence on female sexual functioning? Studies were considered eligible if they referred to the relationship between interoceptive awareness or mindfulness with aspects of female sexual functioning, if they were empirical studies, with a non-clinical sample. Scientific research was carried out in several databases, starting from keywords and certain concepts. Seven scientific articles were selected, which were analyzed and synthesized. All articles are in agreement on the importance of interocective awareness in the various aspects of sexual functioning evaluated, also affecting psychological factors such as anxiety, psychological limitations, sexual satisfaction. Increasing interocentive awareness can increase the sexual well-being of women who are not part of a clinical population, and may even protect them from future sexual dysfunctions.

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How to Cite
Ribeiro, C., & Pereira, H. (2021). Interoceptive awareness and female sexual functioning: systematic review. International Journal of Developmental and Educational Psychology. Revista INFAD De Psicología., 1(1), 165–178. https://doi.org/10.17060/ijodaep.2021.n1.v1.2053
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References

Barrett, L. F. (2017). The theory of constructed emotion: an active inference account of interoception and categorization. Social Cognitive and Affective Neuroscience, 12, 1-23. doi: http://dx.doi.org/10.1093/scan/nsw154.

Berenguer,C., Rebôlo, C., & Costa, R. M. (2019). Interoceptive awareness, alexithymia, and sexual function. Journal of Sex & Marital Therapy, 45, 729-738. doi: 10.1080/0092623X.2019.1610128

Brotto, L. A. (2016). Mindfulness-based Sex therapy improves genital-subjective arousal concordance in women with sexual desire/arousal difficulties. Archives of Sexual Behavior, 4, 1907–1921. doi: 10.1007/s10508-015-0689-8

Brotto, L. A. (2018). Better Sex Through Mindfulness – How Women Can Cultivate Desire. Canada: Greystone Book.

Brotto, L. A., Basson, R., & Luria, M. (2008). A mindfulness-based group psychoeducational intervention targeting sexual arousal disorder in women. The Journal of Sexual Medicine, 5 (7), 1646-1659. doi:10.1111/j.1743-6109.2008.00850.x

Brotto, L. A., Basson, R., Smith, K. B., Driscoll, M., & Sadownik, L. (2015). Mindfulness-based group therapy for women with provoked vestibulodynia. Mindfulness, 6(3), 417-432. doi: 10.1007/s12671-013-0273-z

Brotto, L., Erskine, Y., Carey, M., Ehlen, T., Finlayson, S.,…, Miller, D. (2012). A brief mindfulness-based cognitive behavioral intervention improves sexual functioning versus wait-list control in women treated for gynecologic cancer. Gynecologic Oncolology,, 125(2), 320-335. doi: 10.1016/j.ygyno.2012.01.035

Brotto, L. A., & Heiman, J. R. (2006). Mindfulness in sex therapy: Applications for women with sexual difficulties following gynecologic cancer. Sexual and Relationship Therapy, 22, 3 – 11. doi: 10.1080/14681990601153298

Brotto, L. A., Seal, B. N., & Rellini, A. (2012). Pilot study of a brief cognitive behavioralversus mindfulness-based intervention for women with sexual distress and a history of childhood sexual abuse. Journal of Sex and Marital Therapy, 38, 1–27. doi:10.1080/0092623X. 2011.569636

Brotto, L. A., Chivers, M. L., Millman, R. D., & Albert, A. (2016). Mindfulness-basedsex therapy improves genital-subjective arousal concordance in women with sexual desire/arousal difficulties. Archives of Sexual Behavior, 45, 1907–1921. doi:10.1007/s10508- 015-0689-8

Carvalheira, A., Price, C., & Neves, C. F. (2017). Body awareness and bodily dissociation among those with and without sexual difficulties: Differentiation using the Scale of Body Connection. Journal of Sex & Marital Therapy, 43(8), 801–810. doi:10.1080/0092623X.2017.1299823

Ceunen, E., Vlaeyen, J. W. S., & Diest, I. V. (2016). On the origin of interoception. Frontiers in Psychology, 7, 1– 17- doi: 10.3389/fpsyg.2016.00743

Craig, A. D. (2002). How do you feel? Interoception: The sense of the physiological condition of the body. Nature Reviews Neuroscience, 3 (8), 655-666. doi: 10.1038/Nrn894

Critchley, H. D. & Garfinkel, S. N. (2017). Interoception and emotion. Current Opinion in Psychology, 17, 7–14. doi: http://dx.doi.org/10.1016/j.copsyc.2017.04.020

Graham, C. A. (2010). The DSM Diagnostic criteria for female sexual arousal disorder. Archives of Sexual Behavior, 39, 240–255. doi: 10.1007/s10508-009-9535-1

Handy, A. B., & Meston, C. M. (2016). Interoceptive awareness moderates the relationship between perceived and physiological genital arousal in women. TheJournal of Sexual Medicine, 13, 1907 -1914. doi:10.1016/j.jsxm.2016.09.018

Handy, A. B., Stanton, A. M. & Meston, C. M. (2018). Understanding women’s subjective sexual arousal within the laboratory: definition, measurement, and manipulation. Sexual Medicine Reviews, 6, 201–216. doi:10.1016/j.sxmr.2017.11.001.

Mehling, W., Gopisetty, V., Daubenmier, J., Price, C., Hecht, F. & Stewart, A. (2009). Body awareness: construct and self-report measures. PLoS One, 4(5). doi:10.1371/journal.pone.0005614

Newcombe, B. C., & Weaver, A. D. (2016). Mindfulness, cognitive distraction, and sexual well-being in women. The Canadian Journal of Human Sexuality 25(2),99–108; doi:10.3138/cjhs.252-A3

Nobre, P. J., & Pinto-Gouveia, J. (2008). Differences in automatic thoughts presented during sexual activity between sexually functional and dysfunctional males and females. Journal of Cognitive Therapy and Research, 32, 37-49. doi: 10.1007/s10608-007-9165-7

Nummenmaa L, Glerean E, Hari R, Hietanen,J. K. (2014) Bodily maps of emotions. Proceedings of the National Academy of Sciences of América, 111, 646-651. doi: https://doi.org/10.1073/pnas.1321664111

Paterson, L. Q. P., Handy, A. B., & Brotto, L. A. (2016). A Pilotstudy ofeight-session mindfulness-based cognitive therapy adapted for women’s sexual interest/arousal disorder. The Journal of Sex Research, 54(7), 850–861.doi:10.1080/00224499.2016.1208800

Seal, B. N, Meston, C. M. (2007). The impact of body awareness on sexual arousal in women with sexual dysfunction. The Journal of Sexual Medicine, 4, 990-1000. doi: https://doi.org/10.1111/j.1743-6109.2010.02112_1.x

Silverstein, R. G., Brown, H. A., Roth, H. D., &PhD, Britton, W. B. (2011). Effects of Mindfulness Training on Body Awareness to Sexual Stimuli: Implications for Female Sexual Dysfunction. Psychosomatic Medicine, 73(9), 817-825. doi:10.1097/PSY.0b013e318234e628.

Suschinsky, K. D., & Lalumière, M. (2012). Is sexual concordance related to awareness of physiological states? Archives of Sexual Behavior. 41, 199–208. doi: 10.1007/s10508-012-9931-9

Suschinsky, K. D., & Lalumière, M. L. (2013). The relationship between Sexual concordance and interoception in anxious and nonanxious women. The Journal of Sexual Medicine, 11, 942–955. doi: 10.1111/jsm.12250

Velten, J., & Brotto, L. A. (2017). Interoception and sexual response in women with low sexual desire. PLoS ONE 12(10). doi: https://doi.org/10.1371/journal.pone.0203094

Velten, j., Brotto, L. A., Chivers, M. L., Hirschfeld, G., & Margraf, J.(2020). The power of the present: effects of three mindfulness tasks on women’s sexual response. Clinical Psychological Science, 8(1), 125–138. doi:10.1177/2167702619861394

Velten, j., Margraf, Chivers, M. L., J. P, & Brotto, L. A. (2018). Effects of a mindfulness task on women’s sexual response. The Journal of Sex Research, 55(6), 747–757. doi: https://doi.org/10.1080/00224499.2017.1408768