A transdiagnostic approach to sexual distress and pleasure: The role of worry, rumination, and emotional regulation

Sexual distress, as well as sexual pleasure, are essential components of sexual health. Recently, associations between transdiagnostic factors such as worry and rumination and sexual distress and pleasure have been found. However, considering the adequacy of the transdiagnostic approach to explain and intervene in psychopathology and well-being, there is a need to address further sexual distress and pleasure and their relation to specific transdiagnostic factors. This paper aimed to explore a theory-driven model of sexual distress and sexual pleasure using multiple regression analysis with specific dimensions of repetitive negative thinking such as worry, rumination (brooding and reflection), and emotional regulation (emotion suppression and cognitive reappraisal) as predictors while controlling for emotional factors (anxiety and depression). The sample comprised 412 individuals in a monogamous relationship for at least a year. Results showed significant, positive, and moderate correlations between sexual distress and all emotional and transdiagnostic factors. For sexual pleasure, negative associations were found with depression and anxiety, worry, and brooding. Reflection was a significant predictor of sexual distress when emotional factors were controlled in the regression model. Depression was a significant predictor for both sexual distress and sexual pleasure. This study significantly contributes to our understanding of the complex relationship between transdiagnostic factors and sexual distress and pleasure, offering valuable insights that expand upon previous studies in this field and further advance our knowledge about sexual well-being.