caa a22 4500 606231005 CHVBK 20210128101217.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s10508-014-0381-4 doi (NATIONALLICENCE)springer-10.1007/s10508-014-0381-4 The Transaction Between Depression and Anxiety Symptoms and Sexual Functioning: A Prospective Study of Premenopausal, Healthy Women [Elektronische Daten] [David Kalmbach, Vivek Pillai, Sheryl Kingsberg, Jeffrey Ciesla] A number of studies have called attention to the problematic interplay between depression and anxiety symptoms and sexual difficulties. However, despite the bidirectional conceptualization of the association between affective and sexual problems, few studies have adequately examined temporal precedence or state-level fluctuations between these two constructs. Using Clark and Watson's (1991) tripartite model of anxiety and depression, the current study employed a repeated measures design to examine how weekly changes in affective symptoms were related to weekly changes in sexual functioning in a non-clinical sample of premenopausal women. First, we examined how general distress, anxious arousal, and anhedonia were concurrently related to various indices of sexual functioning. Next, we examined lagged effects of mood and anxiety symptoms predicting later levels of sexual functioning. Finally, we tested sexual functioning's influence on later reports of affective symptoms. Hierarchical linear modeling analyses revealed that, of the three symptom types tested, anhedonic depression was the most consistently related to sexual problems, and that these relations were more proximal than distal. The preponderance of data suggested temporal precedence of mood on sexual symptoms. These findings emphasize the importance of prospective studies in the investigation of mental and sexual health. Springer Science+Business Media New York, 2014 Sexual desire nationallicence Sexual arousal nationallicence Orgasmic function nationallicence Vaginal pain nationallicence Depression nationallicence Anxiety nationallicence Kalmbach David Department of Psychology, Kent State University, Kent, OH, USA aut Pillai Vivek Sleep Disorders & Research Center, Henry Ford Hospital, Detroit, MI, USA aut Kingsberg Sheryl Departments of Reproductive Biology and Psychiatry, Case Western Reserve University School of Medicine, Cleveland, OH, USA aut Ciesla Jeffrey Department of Psychology, Kent State University, Kent, OH, USA aut Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/6(2015-08-01), 1635-1649 0004-0002 44:6<1635 2015 44 10508 https://doi.org/10.1007/s10508-014-0381-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10508-014-0381-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kalmbach David Department of Psychology, Kent State University, Kent, OH, USA aut NATIONALLICENCE 700 1- Pillai Vivek Sleep Disorders & Research Center, Henry Ford Hospital, Detroit, MI, USA aut NATIONALLICENCE 700 1- Kingsberg Sheryl Departments of Reproductive Biology and Psychiatry, Case Western Reserve University School of Medicine, Cleveland, OH, USA aut NATIONALLICENCE 700 1- Ciesla Jeffrey Department of Psychology, Kent State University, Kent, OH, USA aut NATIONALLICENCE 773 0- Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/6(2015-08-01), 1635-1649 0004-0002 44:6<1635 2015 44 10508