{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T04:50:10Z","timestamp":1791521410180,"version":"4.3.4"},"reference-count":78,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T00:00:00Z","timestamp":1754524800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>While many women experience low levels of sexual desire and arousal, difficulty orgasming, or pain during intercourse, relatively few report distress about their sexual functioning. Distress about low sexual function is necessary for a sexual dysfunction to be diagnosed. However, it is not clear why some women report distress while others do not.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>The aim of the current study was to review systematically factors associated with distress about low sexual function among premenopausal women.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Six databases (CINAHL, Psychology and Behavioural Sciences Collection, PubMed, Web of Science, PsycNET, Scopus) were searched on January 1, 2025. The quality of each study was evaluated using the Mixed Methods Appraisal Tool.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Nineteen studies met the inclusion criteria. Most samples consisted of women in a heterosexual relationship, and the majority of articles focused on sexual pain disorders. Factors associated with distress about low sexual function were grouped into four factors: sexual, psychological, relationship, and partner-related. Sexual distress was positively associated with severity of low sexual function, depressive, or anxiety symptoms, sexual dissatisfaction, poor relationship communication, low partner support, and partner\u2019s sexual distress and dissatisfaction.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Sexual satisfaction and relational factors influence whether women experience low sexual function as problematic. However, more research is needed to investigate sexual distress among women who are not in a heterosexual relationship, and those reporting low sexual functioning in domains of sexual arousal, desire, and orgasm.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jsxmed\/qdaf192","type":"journal-article","created":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T19:34:29Z","timestamp":1755027269000},"page":"1827-1838","source":"Crossref","is-referenced-by-count":6,"title":["When is low sexual function problematic for women? A systematic review of factors associated with distress about low sexual function"],"prefix":"10.1093","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8297-7306","authenticated-orcid":false,"given":"Teagan","family":"Stotz","sequence":"first","affiliation":[{"name":"Department of Psychological Sciences, School of Health Sciences Swinburne, University of Technology , Melbourne, Victoria 3122 ,","place":["Australia"]},{"name":"School of Psychology, Faculty of Health, Deakin University , Waurn Ponds, Victoria 3216 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica L","family":"Mackelprang","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences, School of Health Sciences Swinburne, University of Technology , Melbourne, Victoria 3122 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Astrid","family":"Harkin","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences, School of Health Sciences Swinburne, University of Technology , Melbourne, Victoria 3122 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Hunt","sequence":"additional","affiliation":[{"name":"School of Psychology, Faculty of Health, Deakin University , Waurn Ponds, Victoria 3216 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Buzwell","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences, School of Health Sciences Swinburne, University of Technology , Melbourne, Victoria 3122 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,8,7]]},"reference":[{"issue":"12","key":"2025100504565933900_ref1","doi-asserted-by":"publisher","first-page":"2877","DOI":"10.7860\/JCDR\/2013\/6813.3822","article-title":"Female sexual dysfunction: prevalence and risk factors","volume":"7","author":"Jaafarpour","year":"2013","journal-title":"J Clin Diagn Res"},{"key":"2025100504565933900_ref2","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1016\/j.maturitas.2016.09.013","article-title":"Female sexual dysfunction (FSD): prevalence and impact on quality of life (QoL)","volume":"94","author":"Nappi","year":"2016","journal-title":"Maturitas"},{"issue":"5","key":"2025100504565933900_ref3","doi-asserted-by":"publisher","first-page":"970","DOI":"10.1097\/AOG.0b013e3181898cdb","article-title":"Sexual problems and distress in United States women: prevalence and correlates","volume":"112","author":"Shifren","year":"2008","journal-title":"Obstet Gynecol"},{"issue":"10","key":"2025100504565933900_ref4","doi-asserted-by":"publisher","first-page":"2690","DOI":"10.1111\/j.1743-6109.2009.01406.x","article-title":"The relationship between self-reported sexual satisfaction and general well-being in women","volume":"6","author":"Davison","year":"2009","journal-title":"J Sex Med"},{"issue":"11","key":"2025100504565933900_ref5","doi-asserted-by":"publisher","first-page":"1642","DOI":"10.1016\/j.jsxm.2016.08.011","article-title":"Sexual satisfaction and the importance of sexual health to quality of life throughout the life course of US adults","volume":"13","author":"Flynn","year":"2016","journal-title":"J Sex Med"},{"issue":"3","key":"2025100504565933900_ref6","doi-asserted-by":"publisher","first-page":"276","DOI":"10.1177\/0022146516661597","article-title":"Is sex good for your health? 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