Evidence map›Paper›PMID 42698045›Full record

ArticleArchives of sexual behavior2026

Exploring How Christian Women with Sexual Pain and Difficulty Make Sense of Sexual Functioning in Marriage.

Arielle L Leonard Hodges, Joanna Sawatsky, Lori Mize, Keith Gregoire, Rebecca Lindenbach, Sheila Wray Gregoire

Abstract read
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In one paragraph

Article in Archives of sexual behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Arielle L Leonard HodgesDepartment of Communication Studies, George Fox University, 414 N Meridian St., Newberg, OR, 97132, USA. ahodges@georgefox.edu.ORCID http://orcid.org/0000-0001-5390-5370
Joanna SawatskyBare Marriage, Incorporated, Belleville, ON, Canada.ORCID http://orcid.org/0009-0004-5885-6263
Lori MizeDoctor of Physical Therapy Program, University of Utah, Salt Lake City, UT, USA.
Keith GregoireBare Marriage, Incorporated, Belleville, ON, Canada.ORCID http://orcid.org/0000-0003-1919-6392
Rebecca LindenbachBare Marriage, Incorporated, Belleville, ON, Canada.
Sheila Wray GregoireBare Marriage, Incorporated, Belleville, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Female sexual difficulties such as pain and dysfunction occur within a complex biopsychosocial ecosystem that evolves across the lifespan. This qualitative study explored how a large sample of Christian women (N = 629) who have experienced sexual difficulties in marriage construct meaning around key dimensions of their sexual functioning, including sexual satisfaction and desire. Reflexive thematic analysis of open-ended survey responses revealed the multifactorial attributions Christian women make when accounting for stability and change in their sexual functioning over time. Findings indicate that for married Christian women experiencing sexual pain and difficulty, attainment of desired sexual health is shaped by sociocultural, biological, psychological, relational, and situational factors that are frequently overlapping and interdependent. Changes in one partner's health, beliefs, or circumstances may disrupt this biopsychosocial-spiritual ecosystem, thereby enhancing or diminishing women's sexual functioning. Notably, emotionally and spiritually supportive relationships appeared to mitigate the negative effects of diminished functioning. We conclude with recommendations, such as refined assessment tools and timing of interventions, for researchers and practitioners working with women presenting with sexual pain or difficulty, particularly women affected by the Evangelical Purity Movement.

Indexed as

ChristianityDyspareuniaMarriageSexual BehaviorSexual Dysfunctions, PsychologicalAdultFemaleHumansMiddle AgedPersonal SatisfactionEvangelical purity movementHeterosexualityReligiositySexual desireSexual painSexual satisfaction

Identifiers

PMID42698045

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.