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Sexual fantasies, subjective satisfaction and quality of sexual life in patients of sexual dysfunction: A comparative study

Published online by Cambridge University Press:  13 August 2021

N. Ohri ,
A. Dubey ,
G. Vankar ,
P. Rathi  and
A. Gill
N. Ohri*
Affiliation:
Psychiatry, New Life Hospital, Varanasi, India
A. Dubey
Affiliation:
Psychiatry, Sri Aurobindo Medical College and PGI, Indore, India
G. Vankar
Affiliation:
Psychiatry, Parul Institute of Medical Scieces, Vadodara, India
P. Rathi
Affiliation:
Psychiatry, Sri Aurobindo Medical College and PGI, Indore, India
A. Gill
Affiliation:
Psychiatry, New Life Hospital, Varanasi, India
*
*Corresponding author.

Abstract

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Introduction

Exploring the ways in which sexual fantasies may affect sexual experience and satisfaction is of relavence in the clinical setting involving sexual dysfuntion.

Objectives

To observe how the sexual fantasy scores differ in their relationship with sexual satisfaction, experience and quality between sexual dysfunction cases and normal controls.

Methods

Scales included: Wilson’s sex fantasy questionnaire (WSFQ), Arizona Sexual Experience Scale (ASEX), Sexual Quality of life Questionnaire (SQoL), and a subjective sexual satisfaction meter. Differences in resposes of both groups on WSFQ (item-wise and domain-wise) were analysed using T-tests. Two-way ANOVA was applied to see how other scales affected sexual fantasy.

Results

Cases scored significantly higher on ASEX scale, and low on satisfaction, SQoL and WSFQ

Cases N=1OOControls N=100t-test
Satisfaction Mean(sd)4.27(1.85)7.82(1.31)t=3.052;df=198,p=0.0026
Asex17.52(4.73)8.28(1.34)t=15.24;df=198,p<0.0001
SQoL29.41(12.12)49.5(6.67)t=14.52;df=198,p<0.0001
WSFQ26.80(17.61)30.59(15.32)t=1.62,df=98,p=0.106

Majority of WSFQ responses, both in cases and controls, fell in the intimate and impersonal domains. Sexual fantasy scores and sexual satisfaction had a strong positive and significant correlation in controls but no linear correlation in the case-subjects. sexual fantasy scores contributed to 5.7% of difference in the scores of SQoL between groups. Major variance in scores of satisfaction in our subjects depended on presence or absence of sexual dysfunction(46.5%)but sexual fantasies also contributed to 8.8% of the variance.

Conclusions

The study showed that fantasies contribute to positive sexual outcomes only in absence of sexual dysfunction. ANOVAanalysis revealed that in case-subjects sexual satisfaction briefly increases initially with increase in fantasy scores but starts to decline as fantasies increase.

Disclosure

No significant relationships.

Keywords

Sexual Dysfunctionsexual fantasySexual Quality of LifeSexual experience
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S169
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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