ArticleThe journal of sexual medicine2021
The Relationship Between COVID-19 Confinement, Psychological Adjustment, and Sexual Functioning, in a Sample of Portuguese Men and Women.
Article in The journal of sexual medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Exploring the adult sexual wellbeing and behavior during the COVID-19 pandemic. A systematic review and meta-analysis.Frontiers in psychiatry · 2022Pooled it
- Search traffic for inflatable penile prosthesis increased following the COVID-19 pandemic in the United States: a Google Trends analysis.International journal of impotence research · 2025Article
- The Multifaceted Impact of the SARS-CoV-2 Pandemic on Sexual Health, Function, and Behaviors: Implications for Public Health: A Scoping Review.Healthcare (Basel, Switzerland) · 2025Review
- The Influence of the COVID-19 Pandemic on the Sexual Lives of Polish Young Adults.Journal of clinical medicine · 2024Article
- (Un)forgotten Sex Lives During the COVID-19 Pandemic: Coping Strategies That Work and the Role of Experience.Archives of sexual behavior · 2023Article
- COVID-19 Pandemic and Its Impact on the Quality of Women's Sexual Life: A Systematic Review.Healthcare (Basel, Switzerland) · 2023Review
- Sexual Health During COVID-19: A Scoping Review.Sexual medicine reviews · 2022Article
- Development of off-the-shelf hematopoietic stem cell-engineered invariant natural killer T cells for COVID-19 therapeutic intervention.Stem cell research & therapy · 2022Article
- Tip of the iceberg: erectile dysfunction and COVID-19.International journal of impotence research · 2022Review
- Sexual Health and the Pandemic Crisis: Testing the Role of Psychological Vulnerability/Protective Factors on Sexual Functioning and Sexual Distress During a Critical Life Period in Portugal.Archives of sexual behavior · 2022Article
- Perceived Changes in Sexual Interest and Distress About Discrepant Sexual Interest During the First Phase of COVID-19 Pandemic: A Multi-Country Assessment in Cohabiting Partnered Individuals.Archives of sexual behavior · 2022Article
- Harmful Stress-Related Couple Processes During the COVID-19 Pandemic and Lockdown: A Longitudinal Dyadic Perspective.Frontiers in psychology · 2022Article
- Women's Sexual Health During the Pandemic of COVID-19: Declines in Sexual Function and Sexual Pleasure.Current sexual health reports · 2021Review
- Sexual and psychological health of couples with azoospermia in the context of the COVID-19 pandemic.PeerJ · 2021Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPast research has revealed the detrimental effects of social isolation and physical distancing measures in health related outcomes. However, only recently COVID-19 confinement measures provided a context to test whether such detrimental effects exist in the human sexuality domain.
aimThis study was aimed at testing the relationship between COVID-19 confinement levels and sexual functioning domains in men and women, while accounting for the mediating role of psychological adjustment during lockdown.
methodsTwo hundred and forty five men and 417 women completed a web survey on the effects of COVID-19 in sexual health. The reference period includes the first confinement in Portugal (March 19-June 1, 2020). Data were handled under Hays' procedures for simple mediation analysis. OUTCOMES: Measurement outcomes included self-reported levels of confinement, IIEF and FSFI scores, and psychological adjustment during lockdown.
resultsPsychological adjustment during lockdown mediated the relationship between confinement levels and most sexual functioning domains in men but not in women. Also, while confinement levels were not directly related with most sexual functioning domains, psychological adjustment during lockdown did predict lower sexual functioning in both genders. CLINICAL TRANSLATION: Findings support that human sexual functioning should be framed within a contextual perspective, emphasizing how psychological adjustment and situational life stressors, such as lockdown situations, shape individuals' sexuality. Such perspective should be considered in treatment protocols implemented during current pandemic. STRENGTHS & LIMITATIONS: Data add to the literature on the effects of lockdown in the sexuality domain. However, the study precludes inference of causality and targets only a little proportion of all the dynamics involved in sexuality during the current historical moment.
conclusionPsychological adjustment during COVID-19 seems to have a role on human sexual functioning, over the single effects of confinement. Carvalho J, Campos P, Carrito M, et al. The Relationship Between COVID-19 Confinement, Psychological Adjustment, and Sexual Functioning, in a Sample of Portuguese Men and Women. J Sex Med 2021;18:1191-1197.
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Registered trials
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