{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T13:46:56Z","timestamp":1772804816719,"version":"3.50.1"},"reference-count":40,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T00:00:00Z","timestamp":1649116800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Recent literature has extensively examined sexual behavior during lockdown due to COVID-19. However, there are no recent studies that have considered the relationship between body image quality, sexual arousability, and sexual anxiety. The present study has two main objectives: (1) to examine gender differences in bodily and sexual experience; and (2) the comparison of bodily and sexual experience, before and during the COVID-19 lockdown. A total of 301 adult subjects (161 women and 140 men) aged between 16 and 73 years (Mean = 37.4; S.D. = 10.3) participated in the study. Data on biographical information were collected via an online panel. The Body Uneasiness Test (BUT) and the Sexual Arousability Inventory (SAI) were used for the assessment. Univariate ANOVA showed worse scores for women, compared with men, in terms of body image avoidance, depersonalization, overall severity of body image quality, sexual arousability, and sexual anxiety dimensions. When compared against time, only women showed significant correlations between the function of sexual arousal and all parameters concerning body image alteration. Interestingly, these correlations were weak and sporadic before lockdown, but strong and numerous during lockdown. This finding suggests that the impact of COVID-19 restrictions affected the female population more, with a profound repercussion on self-image and sexual and mental well-being.<\/jats:p>","DOI":"10.3390\/ijerph19074351","type":"journal-article","created":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T06:01:34Z","timestamp":1649138494000},"page":"4351","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Sexual Desire and Body Image. Gender Differences and Correlations before and during COVID-19 Lockdown"],"prefix":"10.3390","volume":"19","author":[{"given":"Clemente","family":"Cedro","sequence":"first","affiliation":[{"name":"Department of Biomedical, Dental and Morphological and Functional Imaging Sciences, University Hospital \u201cG. Martino\u201d, 98124 Messina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4611-3740","authenticated-orcid":false,"given":"Carmela","family":"Mento","sequence":"additional","affiliation":[{"name":"Department of Biomedical, Dental and Morphological and Functional Imaging Sciences, University Hospital \u201cG. Martino\u201d, 98124 Messina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0025-5110","authenticated-orcid":false,"given":"Maria Cristina","family":"Piccolo","sequence":"additional","affiliation":[{"name":"Provincial Health Agency 5, 98123 Messina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8576-6560","authenticated-orcid":false,"given":"Fiammetta","family":"Iannuzzo","sequence":"additional","affiliation":[{"name":"Department of Biomedical, Dental and Morphological and Functional Imaging Sciences, University Hospital \u201cG. Martino\u201d, 98124 Messina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6229-6463","authenticated-orcid":false,"given":"Amelia","family":"Rizzo","sequence":"additional","affiliation":[{"name":"Psychiatry Unit, University Hospital \u201cG. Martino\u201d, 98124 Messina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Rosaria Anna","family":"Muscatello","sequence":"additional","affiliation":[{"name":"Department of Biomedical, Dental and Morphological and Functional Imaging Sciences, University Hospital \u201cG. Martino\u201d, 98124 Messina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianluca","family":"Pandolfo","sequence":"additional","affiliation":[{"name":"Department of Biomedical, Dental and Morphological and Functional Imaging Sciences, University Hospital \u201cG. Martino\u201d, 98124 Messina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,4,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"113050","DOI":"10.1016\/j.psychres.2020.113050","article-title":"Does COVID-19 pandemic affect sexual behaviour? A cross-sectional, cross-national online survey","volume":"289","author":"Arafat","year":"2020","journal-title":"Psychiatry Res."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1080\/01490400.2020.1774016","article-title":"Less sex, but more sexual diversity: Changes in sexual behavior during the COVID-19 coronavirus pandemic","volume":"43","author":"Lehmiller","year":"2021","journal-title":"Leis. Sci."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1136\/sextrans-2020-054688","article-title":"Love during lockdown: findings from an online survey examining the impact of COVID-19 on the sexual health of people living in Australia","volume":"97","author":"Coombe","year":"2021","journal-title":"Sexually Transm. Infect."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e20961","DOI":"10.2196\/20961","article-title":"Impact of the COVID-19 Pandemic on Partner Relationships and Sexual and Reproductive Health: Cross-Sectional, Online Survey Study","volume":"22","author":"Li","year":"2020","journal-title":"J. Med. Internet Res."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1229","DOI":"10.1016\/j.jsxm.2020.05.001","article-title":"Challenges in the Practice of Sexual Medicine in the Time of COVID-19 in the United Kingdom","volume":"17","author":"Jacob","year":"2020","journal-title":"J. Sex. Med."},{"key":"ref_6","first-page":"357","article-title":"Influencia de la imagen corporal y la autoestima en la experiencia sexual de estudiantes universitarias sin trastornos alimentarios","volume":"4","author":"Otero","year":"2004","journal-title":"Int. J. Clin. Health Psychol."},{"key":"ref_7","unstructured":"Smolak, L. (2011). Body Image: A Handbook of Science, Practice, and Prevention, Guilford Press."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/S1740-1445(03)00002-0","article-title":"Body image across the adult life span: Stability and change","volume":"1","author":"Tiggemann","year":"2004","journal-title":"Body Image"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1016\/j.bodyim.2015.04.001","article-title":"What is and what is not positive body image? Conceptual foundations and construct definition","volume":"14","author":"Tylka","year":"2015","journal-title":"Body Image"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1002\/erv.462","article-title":"Predictors of women's concern with body weight: The roles of perceived self-media ideal discrepancies and self-esteem","volume":"10","author":"Posavac","year":"2002","journal-title":"Eat. Disord."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1521\/jscp.2009.28.1.1","article-title":"How do \u201cbody perfect\u201d ideals in the media have a negative impact on body image and behaviors? Factors and processes related to self and identity","volume":"28","author":"Dittmar","year":"2009","journal-title":"J. Soc. Clin. Psychol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1471-2458-9-313","article-title":"Body satisfaction and body weight: Gender differences and sociodemographic determinants","volume":"9","author":"Austin","year":"2009","journal-title":"BMC Public Health"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"81","DOI":"10.3109\/09540261.2015.1089217","article-title":"Body dissatisfaction and disordered eating in trans people: A systematic review of the literature","volume":"28","author":"Jones","year":"2016","journal-title":"Int. Rev. Psychiatry"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1007\/s00737-014-0416-9","article-title":"Body image satisfaction and depression in midlife women: The Study of Women\u2019s Health Across the Nation (SWAN)","volume":"17","author":"Jackson","year":"2014","journal-title":"Arch. Women's Ment. Health"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1016\/j.bodyim.2009.09.004","article-title":"A preliminary investigation of the relationship between induced rumination and state body image dissatisfaction and anxiety","volume":"7","author":"Etu","year":"2010","journal-title":"Body Image"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1016\/j.jadohealth.2004.01.015","article-title":"Prevalence of eating disorders in Latina adolescents: Associations with substance use and other correlates","volume":"36","author":"Granillo","year":"2005","journal-title":"J. Adolesc. Health"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1080\/00223980209604820","article-title":"Body image dissatisfaction: Gender differences in eating attitudes, self-esteem, and reasons for exercise","volume":"136","author":"Furnham","year":"2002","journal-title":"J. Psychol."},{"key":"ref_18","first-page":"4","article-title":"Understanding body image dissatisfaction and disordered eating in midlife adults","volume":"45","author":"McGuinness","year":"2016","journal-title":"N. Z. J. Psychol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1007\/s10508-008-9378-1","article-title":"Body image satisfaction in heterosexual, gay, and lesbian adults","volume":"38","author":"Peplau","year":"2009","journal-title":"Arch. Sex. Behav."},{"key":"ref_20","first-page":"28","article-title":"Imagen corporal y satisfacci\u00f3n sexual","volume":"7","author":"Paredes","year":"2009","journal-title":"Ajayu \u00d3rgano De Difusi\u00f3n Cient\u00edfica Del Dep. De Psicol. UCBSP"},{"key":"ref_21","first-page":"25","article-title":"Relaci\u00f3n entre imagen corporal y autoconcepto f\u00edsico en mujeres adolescentes","volume":"47","author":"Contreras","year":"2015","journal-title":"Rev. Latinoam. De Psicol."},{"key":"ref_22","unstructured":"(2021, November 25). Body Image, Body Dissatisfaction and Disordered Eating in Relation to Gender and Gender Identity. Available online: http:\/\/www.doria.fi\/handle\/10024\/745462012."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"130","DOI":"10.24839\/1089-4136.JN15.3.130","article-title":"Body image perceptions: Do gender differences exist","volume":"15","author":"Brennan","year":"2010","journal-title":"Psi Chi J. Psychol. Res."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"21","DOI":"10.3138\/cjhs.2017-0025","article-title":"Sexual anxiety and sexual beliefs as mediators of the association between attachment orientation with sexual functioning and distress in university men and women","volume":"27","author":"Dang","year":"2018","journal-title":"Can. J. Hum. Sex."},{"key":"ref_25","first-page":"417","article-title":"BUT, Body Uneasiness Test: A new attitudinal body image scale","volume":"66","author":"Cuzzolaro","year":"1999","journal-title":"Psichiatr. Dell\u2019infanzia E Dell\u2019adolescenza"},{"key":"ref_26","unstructured":"Hoon, E.F., and Chambles, D.L. (1986). Sexual Arousability Inventory (SAI) and Sexual Aropusability Inventory-Expanded (SAI-E), Graphic Publishing Co."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1080\/07399332.2021.1963730","article-title":"Subthreshold psychiatric symptoms as potential predictors of postpartum depression","volume":"43","author":"Rizzo","year":"2021","journal-title":"Health Care Women Int."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1080\/01443615.2016.1250727","article-title":"BMI at early puerperium: Body image, eating attitudes and mood states","volume":"37","author":"Mento","year":"2017","journal-title":"J. Obstet. Gynaecol."},{"key":"ref_29","unstructured":"Rizzo, A. (2013). Temperament and generativity during the life span. Mediterr. J. Clin. Psychol., 1."},{"key":"ref_30","first-page":"307","article-title":"The relationship between personality and sexual motivation: an investigation based on Cloninger's model in nonclinical Italian subjects","volume":"48","author":"Scimeca","year":"2013","journal-title":"Riv. Di Psichiatr."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1007\/s10508-012-0006-8","article-title":"Alexithymia, negative emotions, and sexual behavior in heterosexual university students from Italy","volume":"42","author":"Scimeca","year":"2012","journal-title":"Arch. Sex. Behav."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1016\/j.neuroimage.2007.05.039","article-title":"I\u2019m not as slim as that girl: Neural bases of body shape self-comparison to media images","volume":"37","author":"Friederich","year":"2007","journal-title":"Neuroimage"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1080\/0092623X.2021.1898502","article-title":"Disordered Eating and Body Dissatisfaction Associated with Sexual Concerns in Undergraduate Women","volume":"47","author":"Dunkley","year":"2021","journal-title":"J. Sex Marital. Ther."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1037\/0003-066X.62.3.181","article-title":"Risk factors for eating disorders","volume":"62","author":"Bulik","year":"2007","journal-title":"Am. Psychol."},{"key":"ref_35","first-page":"77","article-title":"Diferencias de sexo en imagen corporal, control de peso e \u00cdndice de Masa Corporal de los adolescentes espa\u00f1oles","volume":"22","year":"2010","journal-title":"Psicothema"},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Mento, C., Silvestri, M.C., Muscatello, M.R.A., Rizzo, A., Celebre, L., Cedro, C., Zoccali, R.A., Navarra, G., and Bruno, A. (2021). The role of body image in obese identity changes post bariatric surgery. Eat. Weight Disord.-Stud. Anorex. Bulim. Obes., 1\u201310.","DOI":"10.1007\/s40519-021-01270-w"},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Mento, C., Silvestri, M., Muscatello, M., Rizzo, A., Celebre, L., Pratic\u00f2, M., Zoccali, R., and Bruno, A. (2021). Psychological Impact of Pro-Anorexia and Pro-Eating Disorder Websites on Adolescent Females: A Systematic Review. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18042186"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.bodyim.2009.01.001","article-title":"Potential implications of the objectification of women's bodies for women's sexual satisfaction","volume":"6","author":"Calogero","year":"2009","journal-title":"Body Image"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1016\/j.bodyim.2012.05.007","article-title":"The relationships between body surveillance, body shame, and contextual body concern during sexual activities in ethnically diverse female college students","volume":"9","author":"Claudat","year":"2012","journal-title":"Body Image"},{"key":"ref_40","unstructured":"(2021, November 25). Psychological Research Online: Opportunities and Challenges. Available online: https:\/\/www.apa.org\/science\/leadership\/bsa\/internet\/internet-report."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/7\/4351\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:49:54Z","timestamp":1760136594000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/7\/4351"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,5]]},"references-count":40,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2022,4]]}},"alternative-id":["ijerph19074351"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19074351","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,5]]}}}