The etiological role of sleep disturbance in sexual
difficulties has been largely overlooked. Research suggests that short sleep
duration and poor sleep quality lead to poor female sexual response. However,
prior research consists of cross-sectional studies, and the influence of sleep
on sexual functioning and behavior has not been prospectively examined.
We sought to examine the influence of nightly sleep
duration, sleep quality, and sleep onset latency on daily female sexual
response and activity.
This study used a longitudinal design to study 171 women
free of antidepressants and with reliable Internet access who were recruited
from a university setting in the United States. Participants first completed baseline
measures in a laboratory, and then completed web-delivered surveys at their
habitual wake time for 14 consecutive days.
All outcome measures were modified for daily recall.
Participants completed the Profile of Female Sexual Function's desire,
subjective arousal, and orgasmic functioning scales and the Female Sexual
Function Index's genital arousal scale, and indicated whether they engaged in
partnered sexual activity or self-stimulation in response to dichotomous items.
Analyses revealed that longer sleep duration was related to
greater next-day sexual desire, and that a 1-hour increase
in sleep length corresponded to a 14% increase in odds of engaging in partnered
sexual activity. In contrast, sleeping longer
predicted poorer next-day genital arousal. However,
results showed that women with longer average sleep duration reported better
genital arousal than women with shorter average sleep length.
Obtaining sufficient sleep is important to the promotion of
healthy sexual desire and genital response, as well as the likelihood of
engaging in partnered sexual activity. These relationships were independent of
daytime affect and fatigue. Future directions may investigate sleep disorders
as risk factors for sexual dysfunction.
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By: Kalmbach DA1, Arnedt JT1, Pillai V2, Ciesla JA3.
- 1Sleep and Circadian Research Laboratory, Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA.
- 2Sleep Disorders & Research Center, Henry Ford Health System, Detroit, MI, USA.
- 3Department of Psychological Sciences, Kent State University, Kent, OH, USA.
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