Hostname: page-component-8448b6f56d-t5pn6 Total loading time: 0 Render date: 2024-04-23T18:14:22.967Z Has data issue: false hasContentIssue false

Correlated genetic and non-shared environmental influences account for the co-morbidity between female sexual dysfunctions

Published online by Cambridge University Press:  26 March 2008

K. Witting*
Affiliation:
Centre of Excellence for Behaviour Genetics, Department of Psychology, Åbo Akademi University, Finland
P. Santtila
Affiliation:
Centre of Excellence for Behaviour Genetics, Department of Psychology, Åbo Akademi University, Finland
F. Rijsdijk
Affiliation:
MRC SGDP Centre, Institute of Psychiatry, King's College, London, UK
M. Varjonen
Affiliation:
Centre of Excellence for Behaviour Genetics, Department of Psychology, Åbo Akademi University, Finland
P. Jern
Affiliation:
Centre of Excellence for Behaviour Genetics, Department of Psychology, Åbo Akademi University, Finland
A. Johansson
Affiliation:
Centre of Excellence for Behaviour Genetics, Department of Psychology, Åbo Akademi University, Finland
B. von der Pahlen
Affiliation:
Centre of Excellence for Behaviour Genetics, Department of Psychology, Åbo Akademi University, Finland
K. Alanko
Affiliation:
Centre of Excellence for Behaviour Genetics, Department of Psychology, Åbo Akademi University, Finland
N. K. Sandnabba
Affiliation:
Centre of Excellence for Behaviour Genetics, Department of Psychology, Åbo Akademi University, Finland
*
*Address for correspondence: K. Witting, M.Sc., M.Psych., Centre of Excellence in Behaviour Genetics, Department of Psychology, Åbo Akademi University, 20500 Turku, Finland. (Email: katarina.witting@abo.fi)

Abstract

Background

Previous studies have shown moderate heritability for female orgasm. So far, however, no study has addressed the pattern of genetic and environmental influences on diverse sexual dysfunctions in women, nor how genetic and environmental factors contribute to the associations between them.

Method

The sample was drawn from the Genetics of Sex and Aggression (GSA) sample and consisted of 6446 female twins (aged 18–43 years) and 1994 female siblings (aged 18–49 years). The participants responded to the Female Sexual Function Index (FSFI), either by post or online.

Results

Model fitting analyses indicated that individual differences on all six subdomains of the FSFI (desire, arousal, lubrication, orgasm, satisfaction, and pain) were primarily due to non-shared (individual-specific) environmental influences. Genetic influences were modest but significant, whereas shared environmental influences were not significant. A correlated factors model including additive and non-additive genetic and non-shared environmental effects proved to have the best fit and suggested that both correlated additive and non-additive genetic factors and unique environmental factors underlie the co-occurrence of the sexual function problems.

Conclusions

The findings suggest that female sexual dysfunctions are separate entities with some shared aetiology. They also indicate that there is a genetic susceptibility for sexual dysfunctions. The unique experiences of each individual are, however, the main factors determining if, and which, dysfunction develops.

Type
Original Articles
Copyright
Copyright © 2008 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abdo, CHN, Oliviera, WM, Moreira, ED, Fittipaldi, JAS (2004). Prevalence of sexual dysfunctions and correlated conditions in a sample of Brazilian women: results of the Brazilian Study on Sexual Behavior (BSSB). International Journal of Impotence Research 16, 160166.CrossRefGoogle Scholar
Althof, SE, Rosen, RC, Derogatis, L, Corty, E, Quirk, F, Symonds, T (2005). Outcome measurement in female sexual dysfunction clinical trials: review and recommendations. Journal of Sex and Marital Therapy 31, 153166.CrossRefGoogle Scholar
Andrew, T, Hart, DJ, Snieder, H, de Lange, M, Spector, TD, MacGregor, AJ (2001). Are twins and singletons comparable? A study of disease-related and lifestyle characteristics in adult women. Twin Research 4, 464477.CrossRefGoogle ScholarPubMed
APA (2000). Diagnostic and Statistical Manual of Mental Disorders, 4th edn, text revision. American Psychiatric Association: Washington, DC.Google Scholar
Arbuckle, JL, Wothke, W (1999). Amos 4.0 User's Guide. SmallWaters Corporation: Chicago.Google Scholar
Bailey, JM, Dunne, MP, Martin, NG (2000). Genetic and environmental influences on sexual orientation and its correlates in an Australian twin sample. Journal of Personality and Social Psychology 78, 524536.CrossRefGoogle Scholar
Basson, R (2002). Are our definitions of women's desire, arousal and sexual pain disorders too broad and our definition of orgasmic disorder too narrow? Journal of Sex and Marital Therapy 28, 289300.CrossRefGoogle ScholarPubMed
Basson, R (2005). Women's sexual dysfunction: revised and expanded definitions. Canadian Medical Association Journal 172, 13271333.CrossRefGoogle ScholarPubMed
Basson, R, Brotto, LA, Laan, E, Redmond, G, Utian, WH (2005). Assessment and management of women's sexual dysfunctions: problematic desire and arousal. Journal of Sexual Medicine 2, 291300.CrossRefGoogle ScholarPubMed
Basson, R, Leiblum, S, Brotto, L, Derogatis, L, Fourcroy, J, Fugl-Meyer, K, Graziottin, A, Heiman, JR, Laan, E, Meston, C, Schover, L, van Lankveld, J, Schultz, WW (2003). Definitions of women's sexual dysfunction reconsidered: advocating expansion and revision. Journal of Psychosomatic Obstetrics and Gynecology 24, 221229.CrossRefGoogle ScholarPubMed
Ben Zion, IZ, Tessler, R, Cohen, L, Lerer, E, Raz, Y, Bachner-Melman, R, Gritsenko, I, Nemanov, L, Zohar, AH, Belmaker, RH, Benjamin, J, Ebstein, RP (2006). Polymorphisms in the dopamine D4 receptor gene (DRD4) contribute to individual differences in human sexual behavior: desire, arousal and sexual function. Molecular Psychiatry 11, 782786.CrossRefGoogle ScholarPubMed
Binik, YM (2005). Should dyspareunia be retained as a sexual dysfunction in DSM-V? A painful classification decision. Archives of Sexual Behavior 1, 1121.CrossRefGoogle Scholar
Binik, YM, Reissing, E, Pukall, C, Flory, N, Payne, KA, Khalifé, S (2002). The female sexual pain disorders: genital pain or sexual dysfunction? Archives of Sexual Behavior 31, 425429.CrossRefGoogle ScholarPubMed
Çayan, S, Bozlu, M, Canpolat, B, Akbay, E (2004). The assessment of sexual functions in women with male partners complaining of erectile dysfunction: does treatment of male sexual dysfunction improve female partner's sexual functions? Journal of Sex and Marital Therapy 30, 333341.CrossRefGoogle ScholarPubMed
Dawood, K, Kirk, KM, Bailey, JM, Andrews, PW, Martin, NG (2005). Genetic and environmental influences on the frequency of orgasm in women. Twin Research and Human Genetics 8, 2733.CrossRefGoogle ScholarPubMed
Dunn, KM, Cherkas, LF, Spector, TD (2005). Genetic influences on variation in female orgasmic function: a twin study. Biology Letters 1, 260263.CrossRefGoogle ScholarPubMed
Dunn, KM, Croft, PR, Hackett, G (1999). Association of sexual problems with social, psychological, and physical problems in men and women: a cross-sectional survey. Journal of Epidemiology and Community Health 53, 144148.CrossRefGoogle Scholar
Eisen, S, Neuman, R, Goldberg, J, Rice, J, True, W (1989). Determining zygosity in the Vietnam era twin registry: an approach using questionnaires. Clinical Genetics 35, 423432.CrossRefGoogle ScholarPubMed
Fisher, WA, Rosen, RC, Eardley, I, Sand, M, Goldstein, I (2005). Sexual experience of female partners of men with erectile dysfunction: the female experience of men's attitudes to life events and sexuality study. Journal of Sexual Medicine 2, 675684.CrossRefGoogle Scholar
Frohlich, P, Meston, C (2002). Sexual functioning and self-reported depressive symptoms among college women. Journal of Sex Research 39, 321325.CrossRefGoogle ScholarPubMed
Fugl-Meyer, KS, Fugl-Meyer, AR (2002). Sexual disabilities are not singularis. International Journal of Impotence Research 14, 487493.CrossRefGoogle ScholarPubMed
Fugl-Meyer, AR, Fugl-Meyer, KS (2006). Prevalence data in Europe. In Women's Sexual Function and Dysfunction: Study, Diagnosis and Treatment (ed. Goldstein, I., Meston, C. M., Davis, S. R. and Traish, A. M.), pp. 3441. Taylor & Francis: London.Google Scholar
Goldstein, I, Fisher, WA, Sand, M, Rosen, RC, Mollen, M, Brock, G, Gary, K, Pommerville, P, Bangerter, K, Bandel, T-J, Derogatis, LR (2005). Women's sexual function improves when partners are administered vardenafil for erectile dysfunction: a prospective, randomized, double-blind, placebo-controlled trial. Journal of Sexual Medicine 2, 819832.CrossRefGoogle ScholarPubMed
Guo, G, Tong, Y (2006). Age at first sexual intercourse, genes, and social and demographic context: evidence from twins and the dopamine D4 receptor gene. Demography 43, 747769.CrossRefGoogle ScholarPubMed
Haavio-Mannila, E, Kontula, O (2003). Single and double sexual standards in Finland, Estonia, and St. Petersburg. Journal of Sex Research 40, 3649.CrossRefGoogle ScholarPubMed
Halpern, CT, Kaestle, CE, Guo, G, Hallfors, DD (2007). Gene–environment contributions to young adult sexual partnering. Archives of Sexual Behavior 36, 543554.CrossRefGoogle ScholarPubMed
Hamer, DH (2005). Genetics of sexual behavior. In Molecular Genetics and the Human Personality (ed. Benjamin, J., Ebstein, R. P. and Belmaker, R. H.), pp. 257272. American Psychological Association: Washington DC.Google Scholar
Hayes, R, Dennerstein, L (2005). The impact of aging on sexual function and sexual dysfunction in women: a review of population-based studies. Journal of Sexual Medicine 2, 317330.CrossRefGoogle ScholarPubMed
Hayes, RD, Bennett, C, Dennerstein, L, Gurrin, L, Fairley, C (2007). Modeling response rates in surveys of female sexual difficulty and dysfunction. Journal of Sexual Medicine 4, 286295.CrossRefGoogle ScholarPubMed
Heiman, JR, Talley, DR, Bailen, JL, Oskin, TA, Rosenberg, SJ, Pace, CR, Creanga, DL, Bavendam, T (2007). Sexual function and satisfaction in heterosexual couples when men are administered sildenafil citrate (Viagra®) for erectile dysfunction: a multicentre, randomized, double-blind, placebo-controlled trial. BJOG: An International Journal of Obstetrics and Gynaecology 114, 437447.CrossRefGoogle Scholar
Helweg-Larsen, K, Bøving Larsen, H (2002). Unges trivsel år 2002. En undersøkelse med fokus på seksuelle overgreb i barndommen. Statens Institut for Folkesundhed: København.Google Scholar
Jang, KL (2005). The Behavioral Genetics of Psychopathology. A Clinical Guide. Lawrence Erlbaum: Mahwah, NJ.CrossRefGoogle Scholar
Johnson, W, Krueger, RF, Bouchard, J Jr., McGue, M (2002). The personalities of twins: just ordinary folks. Twin Research 5, 125131.CrossRefGoogle ScholarPubMed
Kadri, N, Alami, KHM, Tahiri, SM (2002). Sexual dysfunction in women: population based epidemiological study. Archives of Women's Mental Health 5, 5963.CrossRefGoogle ScholarPubMed
Kang, J, Laumann, EO, Glasser, DB, Paik, A (2006). Worldwide prevalence and correlates. In Women's Sexual Function and Dysfunction: Study, Diagnosis and Treatment (ed. Goldstein, I., Meston, C. M., Davis, S. R. and Traish, A. M.), pp. 4251. Taylor & Francis: London.Google Scholar
Kendler, KS, Martin, NG, Heath, AC, Eaves, LJ (1995). Self-report psychiatric symptoms in twins and their non-twin relatives: are twins different? American Journal of Medical Genetics 60, 588591.CrossRefGoogle Scholar
Långström, N, Zucker, KJ (2005). Transvestic fetishism in the general population: prevalence and correlates. Journal of Sex and Marital Therapy 31, 8795.CrossRefGoogle ScholarPubMed
Laumann, EO, Paik, A, Rosen, RC (1999). Sexual dysfunction in the United States: prevalence and predictors. Journal of the American Medical Association 281, 537544.CrossRefGoogle ScholarPubMed
Lewis, RW, Fugl-Meyer, KS, Bosch, R, Fugl-Meyer, AR, Laumann, EO, Lizza, E, Martin-Morales, A (2004). Epidemiology/risk factors of sexual dysfunction. Journal of Sexual Medicine 1, 3539.CrossRefGoogle ScholarPubMed
Loehlin, JC (1996). The Cholesky approach: a cautionary note. Behavior Genetics 26, 6569.CrossRefGoogle Scholar
Martin, NG, Eaves, LJ, Kearsey, MJ, Davies, P (1978). The power of the classical twin design. Heredity 40, 97116.CrossRefGoogle Scholar
Masheb, RM, Lozano-Blanco, C, Kohorn, EI, Minkin, MJ, Kerns, RD (2004). Assessing sexual function and dyspareunia with the Female Sexual Function Index (FSFI) in women with vulvodynia. Journal of Sex and Marital Therapy 30, 315324.CrossRefGoogle ScholarPubMed
McCabe, MP (2001). Do we need a new classification system for female sexual dysfunction? A comment on the 1999 consensus classification system. Journal of Sex and Marital Therapy 27, 175178.CrossRefGoogle Scholar
Meston, CM (2003). Validation of the Female Sexual Function Index (FSFI) in women with female orgasmic disorder and in women with hypoactive sexual desire disorder. Journal of Sex and Marital Therapy 29, 3946.CrossRefGoogle ScholarPubMed
Meston, CM, Bradford, A (2007). Sexual dysfunction in women. Annual Review of Clinical Psychology 3, 233256.CrossRefGoogle Scholar
Miller, WB, Pasta, DJ, Macmurray, J, Chiu, C, Wu, H, Comings, DE (1999). Dopamine receptors are associated with age at first sexual intercourse. Journal of Biosocial Science 31, 4354.CrossRefGoogle ScholarPubMed
Mulaik, SA, James, LR, Van Alstine, J, Bennett, N, Lind, S, Stilwell, CD (1989). Evaluation of goodness-of-fit indices for structural equation models. Psychological Bulletin 105, 430445.CrossRefGoogle Scholar
Mustanski, BS, Viken, R, Kaprio, J, Winter, T, Rose, RJ (2007). Sexual behavior in young adulthood: a population-based twin study. Health Psychology 26, 610617.CrossRefGoogle ScholarPubMed
Neale, MC, Boker, SM, Xie, G, Maes, H (2003). Mx: Statistical Modeling, 6th edn.Department of Psychiatry, : Richmond, VA.Google Scholar
Nobre, PJ, Pinto-Gouveia, J, Gomes, FA (2006). Prevalence and comorbidity of sexual dysfunctions in a Portuguese clinical sample. Journal of Sex and Marital Therapy 32, 73182.CrossRefGoogle Scholar
Ojanlatva, A, Helenius, H, Rautava, P, Ahvenainen, J, Koskenvuo, M (2003). Importance and satisfaction with sex life in a large Finnish population. Sex Roles 48, 543553.CrossRefGoogle Scholar
Paik, A, Laumann, EO (2006). Prevalence of women's sexual problems in the USA. In Women's Sexual Function and Dysfunction: Study, Diagnosis and Treatment (ed. Goldstein, I., Meston, C. M., Davis, S. R. and Traish, A. M.), pp. 2333. Taylor & Francis: London.Google Scholar
Plomin, R, DeFries, JC, Craig, IW, McGuffin, P (2001). Behavioral Genetics, 4th edn.Worth Publishers: New York.Google Scholar
Plomin, R, DeFries, JC, McClearn, G, McGuffin, P (2003). Behavioral genetics. In Behavioral Genetics in the Postgenomic Era (ed. Plomin, R., DeFries, J. C., McClearn, G. and McGuffin, P.), pp. 315. American Psychological Association: Washington, DC.CrossRefGoogle ScholarPubMed
Ponholzer, A, Roehlich, M, Racz, U, Temml, C, Madersbacher, S (2005). Female sexual dysfunction in a healthy Austrian cohort: prevalence and risk factors. European Urology 47, 366375.CrossRefGoogle Scholar
Posthuma, D, Beem, AL, de Geus, EJC, van Baal, GCM, von Hjelmborg, JB, Iachine, I, Boomsma, DI (2003). Theory and practice in quantitative genetics. Twin Research 6, 361376.CrossRefGoogle ScholarPubMed
Pulkkinen, L, Vaalamo, I, Hietala, R, Kaprio, J, Rose, RJ (2003). Peer reports of adaptive behavior in twins and singletons: is twinship a risk or an advantage? Twin Research 6, 106118.CrossRefGoogle ScholarPubMed
Rellini, AH, McCall, KM, Randall, PK, Meston, CM (2005). The relationship between women's subjective and physiological arousal. Psychophysiology 42, 116124.CrossRefGoogle Scholar
Rosen, R, Brown, C, Heiman, J, Leiblum, S, Meston, C, Shabsig, R, Ferguson, D, D'Agostino, R Jr (2000). The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex and Marital Therapy 26, 191208.CrossRefGoogle ScholarPubMed
Salonia, A, Briganti, A, Rigatti, P, Montorsi, F (2006). Medical conditions associated with female sexual dysfunction. In Women's Sexual Function and Dysfunction: Study, Diagnosis and Treatment (ed. Goldstein, I., Meston, C. M., Davis, S. R. and Traish, A. M.), pp. 263275. Taylor & Francis: London.Google Scholar
Salonia, A, Munarriz, RM, Naspro, R, Nappi, RE, Briganti, A, Chionna, R, Federghini, F, Mirone, V, Rigatti, P, Goldstein, I, Montorsi, F (2004). Women's sexual dysfunction: a pathophysiological review. British Journal of Urology International 93, 11561164.CrossRefGoogle ScholarPubMed
Sariola, H, Uutela, A (1994). The prevalence of child sexual abuse in Finland. Child Abuse and Neglect 18, 825833.CrossRefGoogle ScholarPubMed
Sarna, S, Kaprio, J, Sistonen, P, Koskenvuo, M (1978). Diagnosis of twin zygosity by mailed questionnaire. Human Heredity 28, 241254.CrossRefGoogle ScholarPubMed
Schultz, WW, Basson, R, Binik, Y, Eschenbach, D, Wesselmann, U, Van Lankveld, J (2005). Women's sexual pain and management. Journal of Sexual Medicine 2, 301316.CrossRefGoogle Scholar
Shokrollahi, P, Mirmohamadi, M, Mehrabi, F, Babaei, G (1999). Prevalence of sexual dysfunction in women seeking services at family planning centers in Tehran. Journal of Sex and Marital Therapy 25, 211215.CrossRefGoogle ScholarPubMed
Thompson, B (2004). Exploratory and Confirmatory Factor Analysis: Understanding Concepts and Applications. American Psychological Association: Washington, DC.CrossRefGoogle Scholar
Varjonen, M, Santtila, P, Höglund, M, Jern, P, Johansson, A, Wager, I, Witting, K, Ålgars, M, Sandnabba, NK (2007). Genetic and environmental effects on sexual excitation and sexual inhibition in men. Journal of Sex Research 44, 359369.CrossRefGoogle ScholarPubMed
Wiegel, M, Meston, C, Rosen, R (2005). The Female Sexual Function Index (FSFI): cross-validation and development of clinical cutoff scores. Journal of Sex and Marital Therapy 31, 120.CrossRefGoogle ScholarPubMed
Witting, K, Santtila, P, Alanko, K, Harlaar, N, Jern, P, Johansson, A, von der Pahlen, B, Varjonen, M, Ålgars, M, Sandnabba, KN (2008). Female sexual function and its associations with number of children, pregnancy, and relationship satisfaction. Journal of Sex and Marital Therapy 34, 89106.CrossRefGoogle ScholarPubMed
Witting, K, Santtila, P, Jern, P, Varjonen, M, Wager, I, Höglund, M, Johansson, A, Vikström, N, Sandnabba, KN (in press). Evaluation of the Female Sexual Function Index in a population based sample from Finland. Archives of Sexual Behavior.Google Scholar