Sexual Desire Discrepancy: A Position Statement of the European Society for Sexual Medicine

Scientific paper - Review paper

• Author: Marieke Dewitte
• Author: Joana Carvalho
• Author: Giovanni Corona
• Author: Erika Limoncin
• Author: Patricia Pascoal
• Author: Yacov Reisman
• Author: Aleksandar Štulhofer https://orcid.org/0000-0001-5138-3644
• Author's institution: University of Zagreb; Faculty of Humanities and Social Sciences; (Department of Sociology)
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences
• Scientific / art field, discipline and subdiscipline: SOCIAL SCIENCES; Sociology; Specific Sociologies

Abstract (english)

Introduction
There is a lack of theoretical and empirical knowledge on how sexual desire functions and interacts in a relationship.
Aim
To present an overview of the current conceptualization and operationalization of sexual desire discrepancy (SDD), providing clinical recommendations on behalf of the European Society of Sexual Medicine.
Methods
A comprehensive Pubmed, Web of Science, Medline, and Cochrane search was performed. Consensus was guided by a critical reflection on selected literature on SDD and by interactive discussions between expert psychologists, both clinicians and researchers.
Main Outcome Measure
Several aspects have been investigated including the definition and operationalization of SDD and the conditions under which treatment is required.
Results
Because the literature on SDD is scarce and complicated, it is precocious to make solid statements on SDD. Hence, no recommendations as per the Oxford 2011 Levels of Evidence criteria were possible. However, specific statements on this topic, summarizing the ESSM position, were provided. This resulted in an opnion-based rather than evidence-based position statement. Following suggestions were made on how to treat couples who are distressed by SDD: (i) normalize and depathologize variation in sexual desire; (ii) educate about the natural course of sexual desire; (iii) emphasize the dyadic, age-related, and relative nature of SDD; (iv) challenge the myth of spontaneous sexual desire; (v) promote open sexual communication; (vi) assist in developing joint sexual scripts that are mutually satisfying in addition to search for personal sexual needs; (vii) deal with relationship issues and unmet relationship needs; and (viii) stimulate self-differentiation.
Conclusion
More research is needed on the conceptualization and underlying mechanisms of SDD to develop clinical guidelines to treat couples with SDD.

• Keywords (english): Sexual Desire; Sex Therapy; Relationship; Couple
• Language: english
• Publication type: Scientific paper - Review paper
• Publication status: Published
• Peer review: Peer review - international
• Publication version: Published version
• Journal title: Sexual Medicine
• Numbering: vol. -, 10.1016/j.esxm.2020.02.008
• p-ISSN: 2050-1161
• DOI: https://doi.org/10.1016/j.esxm.2020.02.008
• URN:NBN: urn:nbn:hr:131:339790
• Online first: 2020-03-16
• Document URL: https://linkinghub.elsevier.com/retrieve/pii/S2050116120300337
• Type of resource: Text
• Access conditions: Open access
• Created on: 2020-04-22 18:00:42