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. 2023 May;52(4):1513-1524.
doi: 10.1007/s10508-022-02463-9. Epub 2022 Nov 14.

Why Do Women with Disordered Eating Engage in Sex? The Mediating Role of Sexual Motivations in the Association Between Disordered Eating Behaviors and Attitudes and Sexual Dysfunction

Zohar Spivak-Lavi #  1 , Ateret Gewirtz-Meydan #  2
Affiliations

Why Do Women with Disordered Eating Engage in Sex? The Mediating Role of Sexual Motivations in the Association Between Disordered Eating Behaviors and Attitudes and Sexual Dysfunction

Zohar Spivak-Lavi et al. Arch Sex Behav. 2023 May.

Abstract

Although there is growing evidence of an association between disordered eating and sexual dysfunction, the mechanism underlying this association is still unclear. In the current study, we sought to examine the mediating role of sexual motivation between disordered eating and sexual dysfunction. We used a multi-path mediation model to examine the mediating role of sexual motivation between disordered eating and sexual functioning among a sample of 341 non-clinical women in a steady relationship. Analysis revealed two significant mediation paths associating disordered eating with sexual functioning: (1) a high level of disordered eating was significantly linked with higher motivation for partner approval via sex and sexuality which, in turn, was associated with lower sexual functioning and (2) a high level of disordered eating was significantly linked with lower enhancement sexual motivation which, in turn, was associated with lower sexual functioning. This study extends the existing knowledge by offering an explanation for the relation between disordered eating and sexual dysfunction via sexual motives. Findings from the current study suggest women with disordered eating utilized sex for self-affirmation, for coping with negative emotions, for partner approval, and to increase intimacy. Also, these women were not likely to engage in sex for enhancement reasons.

Keywords: Disordered eating; Sexual function; Sexual motives.

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References

    1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.) American Psychiatric Press. - DOI
    1. Banbury, S., Lusher, J., Snuggs, S., & Chandler, C. (2021). Mindfulness-based therapies for men and women with sexual dysfunction: A systematic review and meta-analysis. Sexual and Relationship Therapy. https://doi.org/10.1080/14681994.2021.1883578 - DOI
    1. Beccia, A. L., Dunlap, C., Hanes, D. A., Courneene, B. J., & Zwickey, H. L. (2018). Mindfulness-based eating disorder prevention programs: A systematic review and meta-analysis. Mental Health and Prevention, 9, 1–12. https://doi.org/10.1016/j.mhp.2017.11.001 - DOI
    1. Canetti, L., Kanyas, K., Lerer, B., Latzer, Y., & Bachar, E. (2008). Anorexia nervosa and parental bonding: The contribution of parent-grandparent relationships to eating disorder psychopathology. Journal of Clinical Psychology, 64(6), 703–716. https://doi.org/10.1002/jclp.20482 - DOI - PubMed
    1. Cassioli, E., Rossi, E., Castellini, G., Sensi, C., Mancini, M., Lelli, L., Monteleone, A. M., Ricca, V., & Stanghellini, G. (2020). Sexuality, embodiment and attachment style in anorexia nervosa. Eating and Weight Disorders, 25(6), 1671–1680. https://doi.org/10.1007/s40519-019-00805-6 - DOI - PubMed

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