Introduction. Although impaired sexual function is relatively common, not all sexual impairments are associated with distress. To date, most studies on protective and risk factors for sexual distress have asked about distress in a more general manner and have failed to distinguish between different dimensions of sexual distress.
Aim.To examine the association of several intra-and interpersonal factors with personal-, perceived partner-, and interpersonal distress due to an impairment in sexual functioning in women.
Methods.Cross-sectional representative population-based survey study with a two level random selection of Flemish women aged 14 to 80 years from the Belgian National Register. The data of 520 sexually active heterosexual women with a partner (weighted N) with an impairment in sexual desire (N=291) and/or in sexual arousal (N=273) were used for analysis. Results. Severity and number of sexual impairments were predictive of all types of sexual distress.Also, for both desire and arousal impairments, lower mental well-being predicted personal distress, and lower relationship satisfaction predicted perceived partner distress. For desire impairments, lower relationship satisfaction and less communication about sexual needs were predictive of interpersonal distress. For impairments in sexual arousal, lower mental well-being and lower relationship satisfaction were predictive of interpersonal distress.Conclusions. Personal-, perceived partner-and interpersonal distress due to sexual impairments have different types of predictors. Clinical assessment and treatment could benefit from differentiating between different types of distress, and between the intra-and interpersonal factors that are associated with them.