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Analyses were guided by the actor-partner interdependence model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measure<\/jats:title><jats:p>The main outcome was sexual satisfaction, measured at the event-level on a 5-point Likert scale using a single-item question.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>On days of sexual activity, men and women\u2019s difficulties with subjective sexual arousal were associated with lower sexual satisfaction in both partners (actor and partner effects). This association was mediated by the range of couples\u2019 sexual behaviors, such that lower subjective arousal was associated with a more restricted range of sexual activities, which in turn was associated with lower sexual satisfaction. Men\u2019s and women\u2019s difficulties with physiological sexual arousal, and women\u2019s genito-pelvic pain, were each associated with their own lower sexual satisfaction. No partner effects were observed for these sexual difficulties, nor were they mediated by the range of couples\u2019 sexual activities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Implications<\/jats:title><jats:p>The study\u2019s results highlight how couples\u2019 sexual difficulties can interfere with same-day sexual satisfaction, and how for subjective sexual arousal, this interference is reflected by a more restricted range of sexual behaviors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Strength &amp; Limitations<\/jats:title><jats:p>Strengths of the study include the daily diary methodology, which allowed a focus on event-level sexual activities with minimal retrospective bias. Further, the dyadic analyses allowed both intra-individual and inter-individual effects to be assessed. Limitations include the lack of a more general measure of sexual desire and of a more diverse sample, in terms of age, race, and sexual orientation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These findings underscore the importance of treatments that include both partners, and that target the types as well as range of sexual activities in which couples engage.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.jsxm.2018.08.010","type":"journal-article","created":{"date-parts":[[2018,9,20]],"date-time":"2018-09-20T18:26:52Z","timestamp":1537468012000},"page":"1384-1392","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":9,"title":["The Mediating Role of Sexual Behavior in Event-Level Associations Between Sexual Difficulties and Sexual Satisfaction in Newlywed Mixed-Sex Couples"],"prefix":"10.1093","volume":"15","author":[{"given":"Jean-Fran\u00e7ois","family":"Jodouin","sequence":"first","affiliation":[{"name":"D\u00e9partement de Psychologie \u00a0 , Montreal, Quebec , Canada"},{"name":"Universit\u00e9 de Montr\u00e9al \u00a0 , Montreal, Quebec , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Bergeron","sequence":"additional","affiliation":[{"name":"D\u00e9partement de Psychologie \u00a0 , Montreal, Quebec , Canada"},{"name":"Universit\u00e9 de Montr\u00e9al \u00a0 , Montreal, Quebec , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erick","family":"Janssen","sequence":"additional","affiliation":[{"name":"Institute for Family and Sexuality Studies \u00a0 , Leuven , Belgium"},{"name":"University of Leuven \u00a0 , Leuven , Belgium"},{"name":"Kinsey Institute \u00a0 , Bloomington, IN , USA"},{"name":"Indiana University \u00a0 , Bloomington, IN , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2018,9,20]]},"reference":[{"key":"2023012309304233600_bib1","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1056\/NEJM197807202990302","article-title":"Frequency of sexual dysfunction in \u201cnormal\u201d couples","volume":"299","author":"Frank","year":"1978","journal-title":"N\u00a0Engl J Med"},{"key":"2023012309304233600_bib2","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1001\/jama.281.6.537","article-title":"Sexual dysfunction in the United States. 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