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To cite this article: David Farley Hurlbert M.S.W., BCST, CSW-ACP , Carol Apt Ph.D., BCSE & Sarah
Meyers Rabehl Ph.D. (1993) Key variables to understanding female sexual satisfaction: An examination
of women in nondistressed marriages, Journal of Sex & Marital Therapy, 19:2, 154-165, DOI:
10.1080/00926239308404899
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Key Variables to Understanding Female
Sexual Satisfaction: An Examination of
Women in Nondistressed Marriages
DAVID FARLEY HURLBERT, CAROL APT,
and SARAH MEYERS RABEHL
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A satisfying sex life is a common goal for many married couples. Al-
though the feeling of satisfaction with one's sex life is a most personal
feeling,' when one attempts to understand just what constitutes sexual
satisfaction, conflicting reports emerge. One of the most frequent contra-
dictions is that males and females differ in what they consider to be
sexually satisfying.2 Often cited is the emphasis that men place on sexual
intercourse as a key component in sexual satisfaction,?' and the impor-
tance for women of the degree of emotional involvement4and satisfaction
in their relationships5 with their partners. For women, the closer the
T h e authors would like to pay special thanks to Dr. Mark Eddleson for coding the diaries and
scoring the instruments. This report reflects the authors' pcrsonal views and in no way represents the
official views of the United States Army, Department of Defense, or the United States Government.
Captain Hurlbert, M.S.W., BCST, CSW-ACP, is the Clinical Director of Marriage and Sex Therapy
at Darnall Army Community Hospital. Carol Apt, Ph.D., BCSE, is in private practice. Sarah Meyers
Rabehl, Ph.D., is with the Department of Psychology at the University of Minnesota. Address all
correspondence to the first author at 324 North Main, Belton, T X 76513.
Journal of Sex 8c Marital Therapy, Vol. 19, No. 2, Summer 1993 0 BrunnedMazel, Inc.
154
Female Sexual Satisfaction I55
emotional relationship with the partner, the greater the likelihood that
they will find their sex lives satisfying.68 T h e importance of such variables
have also been found for women in extramarital relationship^.^ Other
researchers have specifically identified the degree of commitment and
the quality of communication between the couple as having a significant
impact on women’s sexual satisfaction.
Although the quality of the relationship with one’s partner may be the
key to female sexual sati~faction,~,~ women tend to view sexual pleasure as
physiologically and psychologically more intricate than do men.6 Several
studies have ointed to various personality variables as contributing to
female sexua P Amon those mentioned are current ex-
pectations and long-term aspirations? sex role ideology and subsequent
behavior,* and overall purpose in life.13Still other researchers have exam-
ined the relationship between objective sexual variables, such as fre-
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METHOD
Subjects
A sample pool of 161 married women was obtained from a volunteer
sign-up roster soliciting participation in a confidential sexual survey. The
156 Iournal of Sex k? Marital Therupy, Vol. 19, No. 2 , Summer 1993
Controls
Some of the subjects were eliminated from the study in order to control
for three different nuisance variables. First, as a control for marital dis-
tress, the subjects were given the Dyadic Adjustment Scale (DAS).l9This
scale consists of 32 items that tap the four relationship dimensions of
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Sex Diary
Measures
When the women completed the sex diary and returned it to the primary
investigator, they were given a questionnaire battery which included de-
mographic data and the following five measures:
Relationship Closeness Inventory (RCI). This measure, developed by
Berscheid et defines and assesses relationship closeness as the combi-
nation of frequency, diversity, and strength as emphasized by Kelly et
al.25Closer relationships (those with higher scores) are thus characterized
by interacting with one's spouse frequently, in a diverse number of activi-
ties, and having a strong impact. Data on the validity and reliability of
this measure have been published.24
Index of Sexual Satisfaction (ISS). This scale was used to measure sexual
satisfaction,26with lower scores corresponding to greater sexual satisfac-
tion. It has been found not to be influenced by social desirabilityz3 and
has demonstrated a reliability of .90 or better, good face, discriminant,
content, and construct validity with various samples in 15 c o u n t r i e ~ . ~ ~ ~ ~ '
Hurlbert Index of Sexual Assertiveness (HISA). This instrument was em-
ployed to assess sexual assertiveness, with higher scores correspond-
ing to greater sexual assertiveness. This instrument has demonstrated
good construct and discriminate validity and produced an internal relia-
bility alpha of .91 for women." In addition, this index has been shown
not to be influenced by social desirability response sets.23
Sexuality Opinion Scale (SOS), developed by Fisher et al.,29was used to
measure the extent to which individuals affectively respond to sexual
cues along a negative (erotophobic) to positive (erotophilic) dimension.
158 Journal of Sex W Marital Therapy, Vol. 19, No. 2, Summer 1993
FIGURE 1
The Hurlbert Index of Sexual Excitability
1. I quickly become sexually excited during foreplay. (R)
2. I find sex with my partner to be exciting. (R)
3. When it comes to having sex with my partner, I experience orgasms. (R)
4. It is difficult for me to become sexually aroused.
5. During sex, I seem to lose my initial level of sexual excitement.
6. I feel I take too long to get sexually aroused.
7. It is hard for me to become sexually excited.
8. Sex is boring.
9. 1 quickly become sexually excited when my partner performs oral sex on me. (R)
10. Just thinking about sex turns me on. (R)
11. I find anal sex to be exciting. (R)
12. When it comes to sex, I am easily aroused by my partner touching me. (R)
13. I find masturbation to be sexually stimulating. (R)
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Note: (K)everse scored items. Scoring system responses: all of the time = 0 points; most of the time = + 1 point;
some of the time = + 2 points; rarely = + 3 points; never = + 4 points.
This scale has been found to have high levels of internal consistency
(alpha range 30-.go), good test-retest reliability (range 30-35 across
two months), and excellent convergent and discriminant validit in over
a decade of research with various samples and population^.^^^^ Hi h
g er
x
scores correspond to greater erotophilia.
Hurlbert Index of Sexual Excitability (HISE). This measure, shown in
Figure 1, was used to obtain a subjective measure of sexual excitability.
Although this measure has been used in a clinical setting since 1988, the
HISE is yet to be used as a research tool. Therefore, in an effort to
examine this index for research ur oses, the HISE and the Crowne-
P P
Marlowe Social Desirability Scale3 were given to 48 nurses (17 male and
3 1 females) enrolled in a hospital orientation program. The two measures
produced a nonsignificant correlational coefficient of .123, indicating
that the HISE seems not to be influenced by social desirability response
sets. Test-retest stability was excellent (r = .873, across a period of seven
days). In the final analysis, the HISE produced a Chronbach alpha coef-
ficient of .829, indicating good internal consistency."
Procedures
TABLE 1
Sexual Activities Experienced and Ranked in Descending
Order by Reported Levels of Female Satisfaction
Sexual Experience Reported Satisfaction Level
Activity Endorsed NS ss S vs
N % % % % %
Cunnilingus 92 93.9 - 5.4 11.9 82.6
Coitus 98 100 2.0 11.2 19.4 68.4
Self-stimulation = 1 28 28.6 3.6 - 82.1 14.3
Self-stimulation = 2 69 70.4 - 16.0 79.7 4.3
Partner-Stimulation 31 31.6 3.2 9.8 83.8 3.2
Fellatio = 1 93 94.9 17.2 53.8 20.4 8.6
Anal lntercourse 19 19.4 10.5 73.7 10.5 5.3
Fellatio = 2 43 43.9 65.1 13.9 20.9 -
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Nute: Ranking reported levels of satisfaction only included those women who had reportedly experienced the
sexual activity. NS = not satisfying; SS = somewhat satisfying; S = satisfying; VS = very satisfying; N = number;
dash = no cases reported in category; Self-Stimulation= 1 = masturbation to orgasm during partner related
sexual activities: Self-Stimulation= 2 = masturbation to orgasm alone; Partner-Stimulation = masturbation to
orgasm by partner; Fellatio= 1 = oral sex on male without male ejaculation; Fellatio = 2 = oral sex on male to
include male ejaculation.
RESULTS
'I'ABLE 2
Means, Standard Deviations, and Ranges for Measures
Measures M t SD Sample Ranges
Sex Diary*
Frequency of Sex 8.847 2 3.006 2 - 15
Number of Orgasms 4.429 ? 2.908 0 - 11
Sexual Desire 8.041 ? 1.421 5 - 10
Orgasm Consistency .504 2 315 0- 2
Measures
Relationship Closeness 16.633 t 6.840 14 - 21
Sexual Satisfaction 15.449 2 3.720 8 - 28
Sexual Assertiveness 68.316 +- 3.108 60 - 74
Erotophohia-Erotophilia 62.847 ? 3.759 51-71
Sexual Excitability 81.917 * 12.018 61 -93
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*Data entries per the 21 day period coded from the sex diaries
TABLE 3
Correlational Matrix for Measures
M- 1 M-2 M-3 M-4 M-5 M-6 M-7 M-8
M-2 .596' - - - - - -
M-3 .417' .625' - - - -
M-4 .335' .479' ,366' - - -
M-5 .500' .452' .383' .358' - -
M-6 -.032 .675' .456' .283b .148 -
M-7 .372' .404" .270h .344" .358' 244" -
M-8 ,221" .435' .293' .490' .403' .302" .320' -
M-9 - .442' - .508' - ,370' - 569' - .538' - .367' - ,584' .42 1
Note: Higher scores correspond to greater M - l frequency of sexual activity, M-2 nirniber of orgasms, M-9 sexual
desire, M-4 sexual assertiveness, M-5 erotophilia, M-6 orgasm consistency, M-7 relationship closeness, and M-8
sexual excitability and lower scores indicate greater M-9 sexual satisfaction.
"p <.05
"p <.Ol
'p <.0O1
Female Sexual Satafuction 161
TABLE 4
Variety and Frequency of Partner-Related Sexual Activities
with Orgasm Consistency for Females and Males
Sexual Activities Sexual Activity Female Male
(11 = 867)* Frequency Orgasm Orgasm
Occurrence Occurrence
TYPe N % B % B %
Coitus 854 98.50 216 25.29 827 96.83
Cunnilingus 279 32.17 227 81.36 0 0
Fellatio 401 46.25 0 0 92 23.44
Anal Intercourse 11 1.26 0 0 11 100
Male Masturbating Female 46 5.30 38 82.60 0 0
Female Masturbating Male 1 0.11 0 0 1 100
Male Masturbating Self 2 0.23 0 0 2 100
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*The total number of partner related sexual activities recorded by the women in the sex diaries per the 2 1 day
period.
Note: Genital stimulation and foreplay for the purpose of sexual arousal or preparation were nor assessed by the
sex diary and masturbation was operationalized as stimulation for the primary purpose of orgasm or ejaculation.
activity in which she engages and has an orgasm. All other things being
equal, one would expect that a woman who engages in sexual activity five
times and has five orgasms would be more sexually satisfied than a woman
who participates in sexual activity 20 times and has five orgasms. Thus
the above regression was repeated using orgasm consistency in place of
number of orgasms. All other variables in the analysis remained the same.
The total amount of variance in sexual satisfaction accounted for by
these seven variables (closeness, sexual assertiveness, erotophilia, sexual
excitability, sexual desire, frequency of sexual activity, and orgasm consis-
tency) was 58.93%, F{7,90} = 18.44, p < .0001. Closeness, t{90} =
-3.998, p < .0001, sexual assertiveness, t{90} = -3.350, p < .01, and
erotophilia, t{90} = -2.717, p < .01, each still aided in the prediction of
sexual satisfaction over and above the other six variables, but now orgasm
consistency was also found to aid in the prediction of sexual satisfaction,
t{90} = -2.497, p < .05.
CONCLUSION
TABLE 5
Reported versus Recorded Orgasm Consistency
Levels for Partner-Related Sexual Activities
Orgasm Reported frequency Recorded frequency
Frequency N % N %
> 90% of the time 35 35.7 1 7 7.14
Between 75 and 89% 46 46.93 29 29.59
Between 50 and 74% 16 16.32 47 47.95
Between 25 and 49% 1 1.02 14 14.28
Between 11 and 24% 0 1 1.02
< 10% of the time 0 0
Note: The reported frequency of orgasm came from the information checklist and the recorded frequency of
orgasm was obtained from the sex diaries.
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FIGURE 2
25.5%
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Orgasm Orgasm
16.3% 4,1%
A B
Note: A = What aspect of partner related sexual activities do you find to be the most sexuaily satisfying? and B
= What aspect of partner related sexual activities would you like your partner to pay more attention to in your
relationship?
satisfaction. This is less obvious, and thus more interesting, than the
finding that greater subjective closeness o r overall relationship satisfac-
tion is related to sexual satisfaction.
There are methodological limitations to this study. T h e sample was
small and nonrepresentative; therefore, all results and conclusions based
on those results should be considered with caution. Despite these limita-
tions, however, over half of the variability in the dependent variable was
explained. T h e controls employed in the study, both statistical and in the
design were important, and the success of these factors offsets, to some
extent, the limitations of the small sample.
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