{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T14:29:53Z","timestamp":1776090593977,"version":"3.50.1"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T00:00:00Z","timestamp":1697414400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,11,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Sexual distress, a determinant factor in diagnosing sexual dysfunction, plays a significant role in individuals\u2019 sexual well-being, yet it has been overlooked in research.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>This exploratory study adopted a transdiagnostic approach to sexual distress and sought to examine the association between emotional regulation difficulties and sexual and psychological distress, with repetitive negative thinking as a potential mediator.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We used a quantitative cross-sectional design with a sample of 509 partnered individuals.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Outcomes<\/jats:title>\n                  <jats:p>The survey included a sociodemographic questionnaire, the Difficulties in Emotion Regulation Scale\u2013Short Form, the Kessler Psychological Distress Scale, the Persistent and Intrusive Negative Thoughts Scale, and the Female Sexual Distress Scale\u2013Revised.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Correlational analysis revealed significant associations among emotional regulation difficulties, repetitive negative thinking, psychological distress, and sexual distress. Furthermore, a mediation model demonstrated that repetitive negative thinking significantly mediated emotion dysregulation and psychological and sexual distress.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical Implications<\/jats:title>\n                  <jats:p>These findings underscore the importance of considering emotion regulation difficulties and repetitive negative thinking as a maladaptive coping strategy when evaluating sexual distress and suggest that therapeutic interventions targeting such difficulties and thoughts may yield beneficial outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Strengths and Limitations<\/jats:title>\n                  <jats:p>These findings reinforce the importance of considering the role of emotional regulation difficulties and, consequently, repetitive negative thinking as a dysfunctional coping strategy, when studying and intervening in sexual distress. Future research with clinical samples should be developed to establish better the significance of considering these two dimensions in assessment and therapeutic intervention.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Future research should corroborate and expand upon these findings to advance our understanding of sexual distress and optimize interventions in this domain.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jsxmed\/qdad136","type":"journal-article","created":{"date-parts":[[2023,10,17]],"date-time":"2023-10-17T11:31:31Z","timestamp":1697542291000},"page":"1466-1469","source":"Crossref","is-referenced-by-count":10,"title":["The effect of emotional regulation difficulties on sexual and psychological distress using repetitive negative thinking as a mediator"],"prefix":"10.1093","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2810-4034","authenticated-orcid":false,"given":"Catarina F","family":"Raposo","sequence":"first","affiliation":[{"name":"Faculty of Psychology and Educational Sciences, University of Porto Center for Psychology at the University of Porto, , Rua Alfredo Allen, s\/n, 4200-135, Porto , Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5455-3047","authenticated-orcid":false,"given":"Patr\u00edcia M","family":"Pascoal","sequence":"additional","affiliation":[{"name":"HEI-Lab: Digital Human-Environment Interaction Lab, Lus\u00f3fona University , Campo Grande 376, Lisbon 1749-024 , Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7948-1622","authenticated-orcid":false,"given":"Bruno","family":"Faustino","sequence":"additional","affiliation":[{"name":"HEI-Lab: Digital Human-Environment Interaction Lab, Lus\u00f3fona University , Campo Grande 376, Lisbon 1749-024 , Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2571-6972","authenticated-orcid":false,"given":"Pedro J","family":"Nobre","sequence":"additional","affiliation":[{"name":"Faculty of Psychology and Educational Sciences, University of Porto Center for Psychology at the University of Porto, , Rua Alfredo Allen, s\/n, 4200-135, Porto , Portugal"}]}],"member":"286","published-online":{"date-parts":[[2023,10,16]]},"reference":[{"key":"2023120107113927600_ref1","first-page":"1","volume-title":"Encyclopedia of Sexuality and Gender","author":"Nobre","year":"2023"},{"key":"2023120107113927600_ref2","doi-asserted-by":"crossref","first-page":"2001","DOI":"10.1111\/j.1743-6109.2012.02779.x","article-title":"Trait-affect, depressed mood, and male sexual functioning: a preliminary study","volume":"9","author":"Peixoto","year":"2012","journal-title":"J Sex Med"},{"key":"2023120107113927600_ref3","doi-asserted-by":"crossref","first-page":"942","DOI":"10.1080\/00224499.2015.1063576","article-title":"A structural equation modeling analysis of the relationships between depression, anxiety, and sexual problems over time","volume":"53","author":"Forbes","year":"2016","journal-title":"J Sex Res"},{"key":"2023120107113927600_ref4","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1037\/ccp0000482","article-title":"Transdiagnostic approaches to mental health problems: current status and future directions","volume":"88","author":"Dalgleish","year":"2020","journal-title":"J Consult Clin Psychol"},{"key":"2023120107113927600_ref5","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1016\/j.beth.2016.09.004","article-title":"Current definitions of \u201ctransdiagnostic\u201d in treatment development: a search for consensus","volume":"48","author":"Sauer-Zavala","year":"2017","journal-title":"Behav Ther"},{"key":"2023120107113927600_ref6","doi-asserted-by":"crossref","first-page":"101999","DOI":"10.1016\/j.cpr.2021.101999","article-title":"On the efficacy of the unified protocol for transdiagnostic treatment of emotional disorders: a systematic review and meta-analysis","volume":"87","author":"Carlucci","year":"2021","journal-title":"Clin Psychol Rev"},{"key":"2023120107113927600_ref7","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/j.sxmr.2021.11.004","article-title":"The relationship between emotion regulation and sexual function and satisfaction: a scoping review","volume":"10","author":"Fischer","year":"2022","journal-title":"Sex Med Rev"},{"key":"2023120107113927600_ref8","doi-asserted-by":"crossref","first-page":"7864","DOI":"10.3390\/ijerph17217864","article-title":"A transdiagnostic approach to sexual distress and sexual pleasure: a preliminary mediation study with repetitive negative thinking","volume":"17","author":"Pascoal","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"2023120107113927600_ref9","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1007\/s12144-019-00602-5","article-title":"A bifactor analysis of the difficulties in emotion regulation scale - short form (DERS-SF) in a sample of adolescents and adults","volume":"41","author":"Moreira","year":"2022","journal-title":"Curr Psychol"},{"key":"2023120107113927600_ref10","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1590\/1413-81232018243.06322017","article-title":"Reliability and factor structure of the 10-item Kessler psychological distress scale (K10) among Portuguese adults","volume":"24","author":"Pereira","year":"2019","journal-title":"Cien Saude Colet"},{"key":"2023120107113927600_ref11","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1007\/s41811-021-00120-y","article-title":"Translation and validation for the Portuguese adult population of the persistent and intrusive negative thoughts scale: assessing measurement invariance","volume":"14","author":"Peixoto","year":"2021","journal-title":"Int J Cogn Ther"},{"key":"2023120107113927600_ref12","journal-title":"Encyclopedia of Sexuality and Gender"},{"key":"2023120107113927600_ref13","doi-asserted-by":"crossref","first-page":"102036","DOI":"10.1016\/j.cpr.2021.102036","article-title":"A systematic review of transdiagnostic risk and protective factors for general and specific psychopathology in young people","volume":"87","author":"Lynch","year":"2021","journal-title":"Clin Psychol Rev"}],"container-title":["The Journal of Sexual Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/20\/12\/1466\/53957113\/qdad136.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/20\/12\/1466\/53957113\/qdad136.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T08:23:08Z","timestamp":1701418988000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jsm\/article\/20\/12\/1466\/7319217"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,16]]},"references-count":13,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2023,10,16]]},"published-print":{"date-parts":[[2023,11,30]]}},"URL":"https:\/\/doi.org\/10.1093\/jsxmed\/qdad136","relation":{},"ISSN":["1743-6095","1743-6109"],"issn-type":[{"value":"1743-6095","type":"print"},{"value":"1743-6109","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,12]]},"published":{"date-parts":[[2023,10,16]]}}}