{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T01:02:59Z","timestamp":1775696579610,"version":"3.50.1"},"reference-count":69,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2023,4,6]],"date-time":"2023-04-06T00:00:00Z","timestamp":1680739200000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010052","name":"Northumbria University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010052","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,5,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Sexual dysfunction and sexual distress are common complaints for women with the autoimmune rheumatic disease Sj\u00f6gren\u2019s syndrome (SS); however, the role of psychosocial and interpersonal factors has not previously been explored in SS.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>This study investigated whether psychosocial variables, such as coping strategies, illness perceptions, and relationship dynamics, contributed to sexual function and sexual distress for women with SS.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Participants with SS completed an online cross-sectional survey that included prevalidated questionnaires assessing sexual function, sexual distress, disease-related symptom experiences, cognitive coping strategies, illness perceptions, relationship satisfaction, and partners\u2019 behavioral responses. Multiple linear regression was used to identify factors significantly associated with sexual function (total Female Sexual Function Index [FSFI] score) and sexual distress (total Female Sexual Distress Scale score) for women with SS.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Outcomes<\/jats:title>\n                  <jats:p>Study outcome measures were the FSFI, Female Sexual Distress Scale, EULAR Sj\u04e7gren\u2019s Syndrome Patient Reported Index, numeric rating scale for vaginal dryness (0-10), Profile of Fatigue and Discomfort, Cognitive Emotion Regulation Questionnaire (CERQ), Brief Illness Perceptions Questionnaire (B-IPQ), West Haven\u2013Yale Multidimensional Pain Inventory (WHYMPI), and Maudsley Marital Questionnaire.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 98 cisgender women with SS participated in the study (mean\u00a0age =\u200948.13 years, SD\u2009=\u200913.26). Vaginal dryness was reported by 92.9% of participants, and clinical levels of sexual dysfunction (total FSFI score &amp;lt;26.55) were observed in 85.2% (n\u2009=\u200969\/81) of cases. More vaginal dryness, lower CERQ positive reappraisal, and higher CERQ catastrophizing were significantly associated with poorer self-rated sexual function (R2\u2009=\u20090.420, F3,72\u2009=\u200917.394, P\u2009&amp;lt;\u2009.001). Higher CERQ rumination, lower CERQ perspective, lower WHYMPI distracting responses, and higher B-IPQ identity were significantly associated with higher sexual distress (R2\u2009=\u20090.631, F5,83\u2009=\u200928.376, P\u2009&amp;lt;\u2009.001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical Implications<\/jats:title>\n                  <jats:p>This study suggests that interpersonal and psychosocial factors are important contributors to sexual function and distress in women with SS and that the development of psychosocial interventions for this population is warranted.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Strengths and Limitations<\/jats:title>\n                  <jats:p>This study is one of the first to explore the impacts of coping strategies, illness perceptions, and relationship dynamics on sexual function and sexual distress for women with SS. Limitations of our study include its cross-sectional nature and narrow sample demographic, which limit the generalizability of our results to other population groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Women with SS who utilized adaptive coping strategies had better sexual function and lower levels of sexual distress than women who utilized maladaptive coping strategies.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jsxmed\/qdad044","type":"journal-article","created":{"date-parts":[[2023,4,5]],"date-time":"2023-04-05T20:52:26Z","timestamp":1680727946000},"page":"781-791","source":"Crossref","is-referenced-by-count":11,"title":["Coping strategies, illness perceptions, and relationship dynamics contribute to female sexual function and sexual distress in Sj\u00f6gren\u2019s syndrome"],"prefix":"10.1093","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9997-6956","authenticated-orcid":false,"given":"Jemma L","family":"McCready","sequence":"first","affiliation":[{"name":"Department of Social Work , Education and Community Wellbeing, Faculty of Health and Life Sciences, , Newcastle upon Tyne, NE7 7XA, United Kingdom"},{"name":"Northumbria University , Education and Community Wellbeing, Faculty of Health and Life Sciences, , Newcastle upon Tyne, NE7 7XA, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6115-9259","authenticated-orcid":false,"given":"Vincent","family":"Deary","sequence":"additional","affiliation":[{"name":"Department of Psychology , Faculty of Health and Life Sciences, , Newcastle upon Tyne, NE1 8ST, United Kingdom"},{"name":"Northumbria University , Faculty of Health and Life Sciences, , Newcastle upon Tyne, NE1 8ST, United Kingdom"},{"name":"Newcastle upon Tyne Hospitals NHS Foundation Trust , Newcastle upon Tyne, NE7 7DN, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9512-6241","authenticated-orcid":false,"given":"Tracy L","family":"Collins","sequence":"additional","affiliation":[{"name":"Department of Social Work , Education and Community Wellbeing, Faculty of Health and Life Sciences, , Newcastle upon Tyne, NE7 7XA, United Kingdom"},{"name":"Northumbria University , Education and Community Wellbeing, Faculty of Health and Life Sciences, , Newcastle upon Tyne, NE7 7XA, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6268-5509","authenticated-orcid":false,"given":"Dennis W","family":"Lendrem","sequence":"additional","affiliation":[{"name":"Translational and Clinical Research Institute, Newcastle University , Newcastle upon Tyne, NE1 7RU, United 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