Bio-psycho-social factors affecting sexual self-concept
A systematic review
Keywords:
Sexual self-concept, Sexual self-perception, Systematic reviewAbstract
Background: Nowadays, it is believed that mental and emotional aspects of sexual well-being are the important aspects of sexual health. Sexual self-concept is a major component of sexual health and the core of sexuality. It is defined as the cognitive perspective concerning the sexual aspects of ‘self’ and refers to the individual’s self-perception as a sexual creature.
Objective: The aim of this study was to assess the different factors affecting sexual self-concept.
Methods: English electronic databases including PubMed, Scopus, Web of Science and Google Scholar as well as two Iranian databases including Scientific Information Database and Iranmedex were searched for English and Persian-language articles published between 1996 and 2016. Of 281 retrieved articles, 37 articles were finally included for writing this review article.
Results: Factors affecting sexual self-concept were categorized to biological, psychological and social factors. In the category of biological factors, age gender, marital status, race, disability and sexual transmitted infections are described. In the psychological category, the impact of body image, sexual abuse in childhood and mental health history are present. Lastly, in the social category, the roles of parents, peers and the media are discussed.
Conclusion: As the development of sexual self-concept is influenced by multiple events in individuals' lives, to promotion of sexual self-concept, an integrated implementation of health policies is recommended.
References
Deutsch AR, Hoffman L, Wilcox BL. Sexual self-concept: testing a hypothetical model for men and
women. J Sex Res. 2014; 51(8): 932-45. doi: 10.1080/00224499.2013.805315. PMID: 23998689.
Aubrey JS. Does television exposure influence college-aged women's sexual self-concept? Media
Psychology. 2007; 10(2): 157-81. doi: 10.1080/15213260701375561.
Vickberg SMJ, Deaux K. Measuring the dimensions of women's sexuality: The women's sexual self- concept scale. Sex Roles. 2005; 53(5): 361-9. doi: 10.1007/s11199-005-6759-y.
Andersen BL. Surviving cancer: the importance of sexual self-concept. Med Pediatr Oncol. 1999; 33(1):
-23. PMID: 10401492.
Ramezani MA, Ghaemmaghami A, Talakar M, Saadat SH, Zamani E, Shams J, et al. Reliability and
Validity Assessment of Multi-Dimensional Sexual Self-Concept Questionnaire in Iran. Iranian Journal of
Military Medicine. 2013; 14(4): 249-54.
Saadat SH, Ramezani A, Ahmadi K. Sexual Self-Concept and General Health in Rheumatoid Arthritis
Patients. Iran Red Crescent Med J. 2015; 17(10): e19005. doi: 10.5812/ircmj.19005. PMID: 26568849,
PMCID: PMC4640095.
Salehi M, Azarbayejani A, Shafiei K, Ziaei T, Shayegh B. Self-esteem, general and sexual self-concepts in
blind people. J Res Med Sci. 2015; 20(10): 930-6. doi: 10.4103/1735-995.172764. PMID: 26929756,
PMCID: PMC4746865.
Rostosky SS, Dekhtyar O, Cupp PK, Anderman EM. Sexual self-concept and sexual self-efficacy in
adolescents: a possible clue to promoting sexual health? J Sex Res. 2008; 45(3): 277-86. doi:
1080/00224490802204480. PMID: 18686156.
Pai HC, Lee S, Yen WJ. The effect of sexual self‐concept on sexual health behavioural intentions: a test
of moderating mechanisms in early adolescent girls. J Adv Nurs. 2012; 68(1): 47-55. doi: 10.1111/j.1365- 2648.2011. 05710.x. PMID: 21627681.
O'Sullivan LF, Meyer‐Bahlburg HF, McKeague IW. The Development of The Sexual Self‐Concept
Inventory For Early Adolesent Girls. Psychology of Women Quarterly. 2006; 30(2): 139-49. doi:
1111/j.1471-6402.2006.00277.x.
Ziaei T, Khoei EM, Salehi M, Farajzadegan Z. Psychometric properties of the Farsi version of modified
Multidimensional Sexual Self-concept Questionnaire. Iran J Nurs Midwifery Res. 2013; 18(6): 439-45.
PMID: 24554940, PMCID: PMC3917125.
Andersen BL, Cyranowski JM. Women's sexual self-schema. Journal of Personality and Social Psychology.
; 67(6): 1079-1100. doi: 10.1037/0022-3514.67.6.1079.
Cyranowski JM, Andersen BL. Schemas, sexuality, and romantic attachment. J Pers Soc Psychol. 1998;
(5): 1364-79. PMID: 9599449.
Snell Jr WE. New directions in the psychology of human sexuality: Research and theory. Cape Girardearu,
MO: Snell Publications; 2001.
Spencer JM, Zimet GD, Aalsma MC, Orr DP. Self-esteem as a predictor of initiation of coitus in early
adolescents. Pediatrics. 2002; 109(4): 581-4. doi: 10.1542/peds.109.4.581. PMID: 11927699.
Anderson RM. Positive sexuality and its impact on overall well-being. Bundesgesundheitsblatt
Gesundheitsforschung Gesundheitsschutz. 2013; 56(2): 208-14. doi: 10.1007/s00103-012-1607-z. PMID:
Hensel DJ, Fortenberry JD, O’Sullivan LF, Orr DP. The developmental association of sexual self-concept
with sexual behavior among adolescent women. J Adolesc. 2011; 34(4): 675-84. doi:
1016/j.adolescence.2010.09.005. PMID: 20970178, PMCID: PMC3753003.
Reissing ED, Binik YM, Khalife S, Cohen D, Amsel R. Etiological correlates of vaginismus: sexual and
physical abuse, sexual knowledge, sexual self-schema, and relationship adjustment. J Sex Marital Ther.
; 29(1): 47-59. doi: 10.1080/713847095. PMID: 12519667.
Garcia LT, Carrigan D. Individual and gender differences in sexual self-perceptions. Journal of Psychology
& Human Sexuality. 1998; 10(2): 59-70. doi: 10.1300/J056v10n0204.
Holmes MC. Mental Health and Sexual Self-Concept Discrepancies in a Sample of Young Black Women.
Journal of Black Psychology. 2002; 28(4): 347-70. doi: 10.1177/009579802237542.
Newton DC, McCabe M. Effects of sexually transmitted infection status, relationship status, and disclosure
status on sexual self-concept. J Sex Res. 2008; 45(2): 187-92. doi: 10.1080/00224490802012909. PMID:
Vucic-Peitl M, Peitl V, Pavlovic E. Sexual self-perception in schizophrenic and depressive patients. Nord J
Psychiatry. 2011; 65(5): 306-10. doi: 10.3109/08039488.2010.545144. PMID: 21171836.
Ward LM. Understanding the role of entertainment media in the sexual socialization of American youth: A
review of empirical researc. Developmental Review. 2002; 23(3): 347-88. doi: 10.1016/S0273- 2297(03)00013-3.
Breakwell GM, Millward LJ. Sexual self-concept and sexual risk-taking. J Adolesc. 1997; 20(1): 29-41.
doi: 10.1006/jado.1996.0062. PMID: 9063773.
Winter L. The role of sexual self-concept in the use of contraceptives. Fam Plann Perspect. 1988; 20(3):
-7. PMID: 3417002.
Talley AE, Brown SL, Cukrowicz K, Bagge CL. Sexual Self-Concept Ambiguity and the Interpersonal
Theory of Suicide Risk. Suicide Life Threat Behav. 2016; 46(2): 127-40. doi: 10.1111/sltb.12176. PMID:
, PMCID: PMC4720578.
Impett EA, Tolman DL. Late adolescent girls’ sexual experiences and sexual satisfaction. Journal of
Adolescent Research. 2006; 21(6): 628-46. doi: 10.1177/0743558406293964.
Andersen BL, Cyranowski JM, Espindle D. Men's sexual self-schema. J J Pers Soc Psychol. 1999; 76(4):
-61. PMID: 10234850.
Garcia LT. The certainty of the sexual self-concept. The Canadian Journal of Human Sexuality. 1999; 8(4):
-70.
World Health Organization. Disabilities and rehabilitation: WHO; 2014. Available from:
http://www.who.int/disabilities/world-report/2011/en
Salehi M, Kharaz Tavakol H, Shabani M, Ziaei T. The relationship between self-esteem and sexual self- concept in people with physical-motor disabilities. Iran Red Crescent Med J. 2015; 17(1): e25359. doi:
5812/ircmj.25359. PMID: 25763279, PMCID: PMC4341498.
Sabiston CM, Rusticus S, Brunet J, McDonough MH, Hadd V, Hubley AM, et al. Invariance test of the
Multidimensional Body Self-Relations Questionnaire: do women with breast cancer interpret this measure
differently? Quality of Life Research. 2010;19(8):1171-80. doi: 10.1007/s11136-010-9680-y. 33) Parry A. Sexual self-concept, stigma & shame following a chlamydia diagnosis: University of Hull; 2012.
Rezaei M, Eliyasi F, Janbabai G, Moosazadeh M, Hamzehgardeshi Z. Factors Influencing Body Image in
Women with Breast Cancer: A Comprehensive Literature Review. Iran Red Crescent Med J. 2016; 18(10):
e39465. doi: 10.5812/ircmj.39465. PMID: 28184329, PMCID: PMC5291938.
Donaghue N. Body satisfaction, sexual self-schemas and subjective well-being in women. Body Image.
; 6(1): 37-42. doi: 10.1016/j.bodyim.2008.08.002. PMID: 18996067.
Cash TF, Maikkula CL, Yamamiya Y. “Baring the Body in the Bedroom”: Body Image, Sexual Self- Schemas, and Sexual Functioning among College Women and Men. Electronic Journal of Human
Sexuality. 2004; 7: 1-9.
Meston CM, Rellini AH, Heiman JR. Women's history of sexual abuse, their sexuality, and sexual self- schemas. J Consult Clin Psychol. 2006; 74(2): 229-36. doi: 10.1037/0022-006X.74.2.229. PMID:
Rellini AH, Meston CM. Sexual self-schemas, sexual dysfunction, and the sexual responses of women with
a history of childhood sexual abuse. Arch Sex Behav. 2011; 40(2): 351-62. doi: 10.1007/s10508-010-9694- 0. PMID: 21140286, PMCID: PMC3047701.
Peitl MV, Peitl V, Pavlovic E. Influence of religion on sexual self-perception and sexual satisfaction in
patients suffering from schizophrenia and depression. Int J Psychiatry Med. 2009; 39(2): 155-67. doi:
2190/PM.39.2.d. PMID: 19860074.
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