An Exploration of Dyadic Relationship Approach-Avoidance Goals and Relationship and Sexual Satisfaction in Couples Coping with Endometriosis

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This study explored relationship goals in couples coping with endometriosis, finding that approach goals related to higher sexual satisfaction for women and partners, while avoidance goals related to higher relationship satisfaction for both.

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This cross-sectional online study examined whether approach-avoidance relationship goals are associated with sexual satisfaction and relationship satisfaction among 61 couples coping with endometriosis, with both women and their partners reporting their own and their partner’s goals. The authors found that higher relationship approach goals in women (for both women’s own and partner’s approach goals) were linked to higher women’s sexual satisfaction, while partners’ own approach goals were linked to partners’ own relationship satisfaction. They also reported that higher relationship avoidance goals in both women and partners were associated with higher relationship satisfaction. A key limitation is that the design is cross-sectional, preventing conclusions about directionality of effects; This paper is centrally about endometriosis — it specifically tests how dyadic approach-avoidance relationship goals relate to sexual and relationship satisfaction in couples coping with endometriosis.

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Abstract

Endometriosis affects women of reproductive age and is associated with higher levels of sexual and relational distress. Despite the relational context of endometriosis, the research pertaining to dyadic relationship goals is lacking. An exploration of the relationship goals of couples coping with endometriosis can facilitate the understanding of potential protective mechanisms that mitigate the relational components of the condition. Guided by the approach-avoidance theoretical framework, the current cross-sectional study aimed to examine the role relationship goals play in sexual and relationship satisfaction in couples coping with endometriosis. Approach goals relate to the pursuit of a positive outcomes, whereas avoidance goals relate to the avoidance of negative outcomes. Women with endometriosis and their partners (N = 61) completed an online survey measuring relationship goals and relationship and sexual satisfaction. The study results indicated that, for women, their own and their partner's higher relationship approach goals were linked to higher sexual satisfaction. For partners of women with endometriosis, their own higher relationship approach goals were associated with their own higher relationship satisfaction. Higher relationship avoidance goals in both women with endometriosis and partners were associated with higher relationship satisfaction. The study's findings highlight relationship goals as relevant to the relational and sexual experience of couples coping with endometriosis. When treating women with endometriosis, the inclusion of partners and consideration of factors beyond the physical illness are important for a holistic management approach.
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Abstract

Endometriosis affects women of reproductive age and is associated with higher levels of sexual and relational distress. Despite the relational context of endometriosis, the research pertaining to dyadic relationship goals is lacking. An exploration of the relationship goals of couples coping with endometriosis can facilitate the understanding of potential protective mechanisms that mitigate the relational components of the condition. Guided by the approach-avoidance theoretical framework, the current cross-sectional study aimed to examine the role relationship goals play in sexual and relationship satisfaction in couples coping with endometriosis. Approach goals relate to the pursuit of a positive outcomes, whereas avoidance goals relate to the avoidance of negative outcomes. Women with endometriosis and their partners (N = 61) completed an online survey measuring relationship goals and relationship and sexual satisfaction. The study results indicated that, for women, their own and their partner’s higher relationship approach goals were linked to higher sexual satisfaction. For partners of women with endometriosis, their own higher relationship approach goals were associated with their own higher relationship satisfaction. Higher relationship avoidance goals in both women with endometriosis and partners were associated with higher relationship satisfaction. The study’s findings highlight relationship goals as relevant to the relational and sexual experience of couples coping with endometriosis. When treating women with endometriosis, the inclusion of partners and consideration of factors beyond the physical illness are important for a holistic management approach. Similar content being viewed by others

References

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An Exploration of Dyadic Relationship Approach-Avoidance Goals and Relationship and Sexual Satisfaction in Couples Coping with Endometriosis. Arch Sex Behav 51, 1637–1646 (2022). https://doi.org/10.1007/s10508-021-02150-1 Received: Revised: Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s10508-021-02150-1

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endometriosis

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Endometriosis Orgasm Adaptation, Psychological Coitus Cross-Sectional Studies Female Goals Humans Personal Satisfaction Sexual Behavior Sexual Partners Surveys and Questionnaires

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