(076) History of Sexual Coercion, PGAD Symptoms, and Sexual Function: Evidence for a Mediational Model

Abstract Introduction Past research on Persistent Genital Arousal Disorder (PGAD) has shown that a history of sexual abuse is common among women with PGAD (Leiblum et al., 2007; Pink 2014), higher rates those who are most symptomatic 2007). However, there need for replication and developing theoretical understanding the mechanisms developmental course this association. Moreover, although little known about relation between symptoms functioning (Jackowich 2016) suggested show FSFI scores low but within normal range & Seehuus, 2009), subthreshold associate positive feelings. Objective The goal present study was to test mediational model in which coercion directly associated symptoms, indirectly (desire, masturbation, lubrication), effects passing through symptoms. Methods A sample n = 138 female university students completed questionnaires measuring past experience coercion, desire, lubrication. Structural equation modeling used allowed predict all three function constructs, were constructs (see Figure 1). Results SEM fit data well (CFI .96; NFI .92; RMSEA .07). As presented 1, positively negatively had no direct association masturbation or increased desire decreased lubrication, In addition directs also demonstrated indirect (positive negative lubrication). Conclusions Based these results we propose arousal, pleasure, change across time symptom severity. Specifically, attention genital sensations expected result from coercion. Then, context heightened awareness, when persistent non-painful stimulation perceived, early stages development, combination them perceived pleasurable sensation thus increasing masturbation. This be limited whereas, during later stages, severe unrelenting, 2). overall level (consistent other non-clinical samples; Jackowich Pukall, 2020), cannot generalized live diagnosis PGAD. Disclosure No