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Journal of Sex Research


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Relationship satisfaction and sexual satisfaction: A longitudinal study of


individuals in long-term relationships
E. Sandra Byersa
a
Department of Psychology, University of New Brunswick, Fredericton, N.B., Canada

Online publication date: 11 January 2010

To cite this Article Byers, E. Sandra(2005) 'Relationship satisfaction and sexual satisfaction: A longitudinal study of
individuals in long-term relationships', Journal of Sex Research, 42: 2, 113 — 118
To link to this Article: DOI: 10.1080/00224490509552264
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Relationship Satisfaction and Sexual Satisfaction: A Longitudinal Study of
Individuals in Long-Term Relationships
E. Sandra Byers
University of New Brunswick

This study examined the association between relationship satisfaction and sexual satisfaction over time to provide evi-
dence about possible causal explanations for the association between the two variables. Eighty-seven individuals in long-
term relationships completed measures of sexual satisfaction and relationship satisfaction at 2 times 18 months apart. There
was only limited evidence, based on exploratory analyses, to support either the hypothesis that changes in relationship sat-
isfaction lead to changes in sexual satisfaction or the hypothesis that changes in sexual satisfaction lead to changes in rela-
tionship satisfaction. However, sexual satisfaction and relationship satisfaction were found to change concurrently. The qual-
ity of intimate communication accounted for part of the concurrent changes in relationship satisfaction and sexual satisfac-
tion. I discuss the results in terms of the need to develop more complex models depicting the longitudinal associations
between relationship satisfaction and sexual satisfaction.

Both therapists and the general public see the quality of a Alternately, it may be that the level of sexual satisfac-
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couple's romantic relationship and the quality of their sex tion impacts the affective evaluation of the overall rela-
life as linked (Sprecher, 1998; Wincze & Carey, 2001). In tionship (i.e., relationship satisfaction). For example, rela-
fact, researchers consistently have shown that there is a tionship enhancement programs include improvement of
strong positive association between relationship satisfaction the sexual relationship as a way to promote future rela-
and sexual satisfaction (e.g., Haavio-Mannila & Kontula, tionship adjustment (Floyd, Markman, Kelly, Blumberg, &
1997; Purnine & Carey, 1997). Authors often make implicit Stanley, 1995). This view also is inherent in measures of
assumptions about the direction of this relationship to relationship adjustment, such as the widely used Dyadic
inform theory and practice. However, there has been little Adjustment Scale (Spanier, 1976). That is, these measures
research investigating whether there is a causal relationship typically include items assessing the sexual relationship in
between the two variables and, if so, its direction. calculating a total relationship adjustment/satisfaction
The Interpersonal Exchange Model of Sexual score. In the current study, unidimensional, global mea-
Satisfaction proposes that relationship quality affects sex- sures were used to assess both sexual satisfaction and rela-
ual satisfaction (Lawrance & Byers, 1995). In keeping tionship satisfaction.
with this view, partners' experiences of unresolved con- It may also be that the association between sexual satis-
flicts, not feeling loved, and emotional distance have been faction and relationship satisfaction is bidirectional. Data
shown to be associated with lower sexual satisfaction from a 2-year longitudinal study of newly married couples
(Davidson & Darling, 1988; Schenk, Pfrang, & Rausche, supports this view (Henderson-King & Veroff, 1994).
1983). In addition, MacNeil and Byers (2005) found that However, Henderson-King and Veroff used cross-lag corre-
relationship satisfaction partially mediates the association lations to assess directionality. Cross-lag correlations do
between self-disclosure and sexual satisfaction. The not provide sound information about cause and effect
authors interpreted this finding as indicating that self-dis- because they fail to control for the association of the two
closure leads to greater relationship satisfaction, which in variables at Time 1 (Fincham, Beach, Harold, & Osborne,
turn leads to higher sexual satisfaction. Further, O'Leary 1997; Rogosa, 1980). In a longitudinal study of dating cou-
and Arias (1983) found that marital therapy that focused ples, Sprecher (2002) assessed the association between
on nonsexual relationship issues resulted in significant relationship satisfaction and sexual satisfaction using the
increases in sexual satisfaction. appropriate statistical controls. She found evidence that
change in relationship satisfaction is associated with
change in sexual satisfaction. However, consistent with the
I would like to thank Sheila MacNeil for her assistance with data preparation Henderson-King and Veroff study, she did not find evidence
and Barry Spinner for his suggestions regarding data analysis. Shannon to support either causal direction. This may be because
Archibald, Jacqueline Cohen, Andrea Miller, Heather Sears, and Angela Weaver Sprecher used a 2-item measure of sexual satisfaction with
provided valuable feedback on an earlier draft of this manuscript. Data at Time 1
were collected by Kelli-an Lawrance, now at Brock University in St. Catharines, unknown reliability and validity. Alternately, it may be
Ontario, for her doctoral dissertation. because her sample consisted of individuals in the early
Address correspondence to E. Sandra Byers, Ph.D., Department of stages of their relationships. Relationship satisfaction is
Psychology, University of New Brunswick, Fredericton, N.B. E3B 6E4, Canada;
e-mail: byers@unb.ca. more strongly associated with sexual satisfaction early in

The Journal of Sex Research Volume 42, Number 2, May 2005: pp. 113-118 113
114 Relationship and Sexual Satisfaction

relationships than it is in long-term relationships (Byers, changes in sexual and relationship satisfaction was also
1999), a phenomenon that may have obscured the longitu- explored.
dinal association between these two variables.
Finally, it may be that the association between sexual METHOD
satisfaction and relationship satisfaction reflects the influ- Participants and Procedure
ence of a third variable. There is indirect evidence to sug-
gest that the quality of intimate communication might Community members as well as staff, alumni, and students
account for concurrent changes in relationship satisfac- at a medium-sized co-ed university were recruited for a
tion and sexual satisfaction—that is, that poor communi- study of long-term sexual relationships. At Time 1, we
cation results in both decreased relationship satisfaction mailed questionnaires to randomly selected university
and deceased sexual satisfaction. Communication has alumni regardless of location (n = 790), all university staff
been shown to be associated with both relationship satis- (« = 763), and members of the community who responded
faction and sexual satisfaction (Byers & Demmons, 1999; to posters and newspaper advertisements (n = 103). We
Cupach & Comstock, 1990; Fowers & Olson, 1989). In sent only one questionnaire to any address to ensure that
addition, Markman (1979, 1981) found that for couples none of the participants were in relationships with each
planning marriage, although unrewarding communication other. Questionnaire packages included a cover letter
patterns were not associated with concurrent relationship detailing the nature of the study and requesting participa-
adjustment, these patterns were predictive of marital dis- tion by individuals in relationships of one year or longer,
tress 5 years later. If communication does account for as well as a questionnaire with its own preaddressed,
concurrent changes in sexual and relationship satisfaction, stamped return envelope.
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the association between changes in the two variables At Time 1,94 men and 150 women in opposite-sex rela-
would be reduced when communication is controlled. tionships (1 individual in a same-sex relationship was
It may be that the causal association between relation- dropped from the study to increase the homogeneity of the
ship satisfaction and sexual satisfaction differs for women sample) returned completed questionaires. No attempt was
and men. The traditional sexual script prescribes greater made to preselect individuals in long-term relationships,
interest in sexual activity for men than for women. For and thus the return rate from individuals who were eligible
women, satisfying sex is expected to occur only within the to participate could not be determined. However, the min-
context of a loving relationship. In contrast, men are imum return rate (assuming all individuals who received a
expected to be highly motivated to engage in sexual activ- questionnaire were in a long-term relationship) was 13%
ity both inside and outside of long-term relationships. for alumni, 6% for university staff, and 41% for communi-
Vohs, Catanese, and Baumeister (2004) concluded that, ty members.
consistent with the traditional sexual script, research has Participants who were willing to complete a follow-up
consistently shown that men have a stronger sexual moti- questionnaire provided their name and address on a post-
vation than do women. Further, Sprecher (2002) found card that was returned separately. We mailed follow-up
that relationship satisfaction (but not sexual satisfaction) questionnaires to these participants 18 months after the ini-
negatively predicted the likelihood of relationship break- tial mailing (Time 2). (Data from a 3-month follow-up were
up for women but not for men. In contrast, sexual satis- not used in the current study as 18 months provided a bet-
faction (but not relationship satisfaction) negatively pre- ter test of the longitudinal hypotheses.) We made no
dicted the likelihood of relationship dissolution for men attempt to find participants who had moved. Eighty-seven
but not for women. Thus, it may be that for men decreased Time 1 participants (34 men and 53 women; 36%) com-
sexual satisfaction leads to decreased relationship satis- pleted the Time 2 questionnaire and indicated that they
faction, whereas for women, the reverse is true. were with the same partner as at Time 1. To match the Time
The goal of this study was to explore the association 1 and Time 2 questionnaires while maintaining anonymity,
between relationship satisfaction and sexual satisfaction participants devised their own code number according to
over time in men and women in long-term relationships instructions provided on both questionnaires. Lawrance
in order to provide evidence about possible causal expla- and Byers (1995) reported Time 1 data.
nations for the association between the two variables. I conducted two separate MANOVAs to determine
Showing that one variable predicts change in the other whether respondents who completed the questionnaire at
variable over time is necessary for establishing causality Time 1 and Time 2 differed from those who only complet-
(Rosenthal & Rosnow, 1991; Ruvolo, 1998). For exam- ed the Time 1 questionnaire. The two groups did not differ
ple, a finding that relationship satisfaction predicts in their demographic characteristics (gender, age, length of
change in sexual satisfaction would be consistent with relationship, relationship status, having a child living at
the hypothesis that relationship quality affects sexual sat- home), F(5, 236) = 0.84, p = .521. They also did not differ
isfaction. A finding that relationship satisfaction does not in their Time 1 relationship satisfaction or sexual satisfac-
predict change in sexual satisfaction would be inconsis- tion scores, F(2, 236) = 0.62, p = .540. The 87 participants
tent with the hypothesized causal relationship. The who completed both questionnaires ranged in age from 23
hypothesis that communication accounts for concurrent to 61 (M = 37.7, SD = 10.0). At Time 1, respondents had
Byers 115

been with their present partner for between 1 and 35 years Items are rated on a 5-point scale ranging from never to
(M = 12.2, SD = 9.3); most were married (85%) and had very frequently. Navran (1967) found the PCI to have
children living at home (82%). Although ethnicity was not good validity. Internal consistency in the present study
assessed, in keeping with the ethnic composition of both was good (a = .81).
the province and the university, it is highly likely that the
sample was primarily Caucasian. Nine participants (10%) RESULTS
reported that they and/or their partners had been in thera- I used hierarchical multiple regression analyses to investi-
py during the 18 month follow-up period. Although 3 of gate the association between relationship satisfaction and
these individuals reported being in therapy for relationship sexual satisfaction over time. To control for extraneous
issues, they were retained in the sample because, at Time variance, I assessed the correlation between relationship
1, they reported being relationally satisfied. satisfaction at Time 1 and sexual satisfaction at Time 2
after controlling for sexual satisfaction at Time 1, and vice
Measures versa. As a result, the criterion being analyzed for other
Participants completed the Interpersonal Exchange Model predictors were residuals (or changes) in satisfaction from
of Sexual Satisfaction (IEMSS) Questionnaire (Lawrance Time 1 to Time 2. Thus, if relationship satisfaction influ-
& Byers, 1998) at Time 1 and Time 2, as well as some ences sexual satisfaction, relationship satisfaction at Time
additional items that differed at each administration. Only 1 would predict the change in sexual satisfaction from
the measures that are related to the goals of this study are Time 1 to Time 2. In contrast, if sexual satisfaction influ-
described here. ences relationship satisfaction, sexual satisfaction at Time
Background questionnaire. A background questionnaire 1 would predict the change in relationship satisfaction
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was used to collect demographic information such as gen- from Time 1 to Time 2.
der, age, type and length of current relationship, and num- In the first analysis, sexual satisfaction at Time 2 served
ber of children living in the home. as the dependent variable (see Table 1). I entered sexual
Global Measure of Relationship Satisfaction (GMREL; satisfaction at Time 1 on the first step to control the over-
Lawrance & Byers, 1998). The GMREL assessed satisfac- lap between sexual satisfaction at the two time periods. As
tion with the overall relationship. Respondents rated their a result, the criterion being analyzed for the other predic-
relationship with their partner on five 7-point bipolar scales: tors were changes in sexual satisfaction from Time 1 to
good-bad, pleasant-unpleasant, positive-negative, satisjy- Time 2. The addition of relationship satisfaction at Time 1
ing-unsatisfying, valuable-worthless. Possible scores on the on the second step did not add significantly to the multiple
GMREL range from 5 to 35, with higher scores indicating R, indicating that relationship satisfaction at Time 1 was
greater relationship satisfaction. Lawrance and Byers (1998) not associated with the change in sexual satisfaction
provided evidence for the reliability and validity of the between Time 1 and Time 2. Finally, I entered relationship
GMREL. Internal consistency of the GMREL was high for satisfaction at Time 2 on the third step, which added sig-
the present sample (a = .95 at Time 1 and .96 at Time 2). nificantly to the prediction of sexual satisfaction at Time 2.
Global Measure of Sexual Satisfaction (GMSEX; This indicates that changes in sexual satisfaction between
Lawrance & Byers, 1998). The GMSEX is identical to the Time 1 and Time 2 were accompanied by similar changes
GMREL except participants rate their sexual relationship in relationship satisfaction over the same period.
with their partners. Lawrance and Byers provided evidence I tested gender differences in the association between
for the reliability and validity of the GMSEX. Internal con- relationship satisfaction at Time 1 and sexual satisfaction
sistency was high for the present sample (a = .96 at both at Time 2 using partialled products based on centered vari-
time periods). ables (Cohen, Cohen, & West, 2003). After controlling for
Primary Communication Inventory (PCI; Navran, sexual satisfaction and relationship satisfaction at Time 1,
1967). The PCI is a 25-item measure that was used to neither gender nor the interaction between gender and rela-
assess the quality of verbal and nonverbal communica- tionship satisfaction at Time 1 added significantly to the
tion within the respondent's relationship at Time 2 only. prediction of sexual satisfaction at Time 2. This indicates

Table 1. Hierarchical Multiple Regression Analysis Predicting Sexual Satisfaction at Time 2


Model l a Model 2b
Predictor r P sr R2 change Fchange P sr R2 change Fchange
GMSEX Tl .74* .74 .74* .55 103.48* .74 .74* .55 103.48*
GMREL Tl .50* .07 .06 .00 0.60 .07 .06 .00 0.60
Communication .52* .32 .26* .07* 14.42*
GMREL T2 .65* .49 .38 .14 38.27* .43 .29* .08* 22.42*
Note. N = 87; F(3, 83) = 62.60, p = .000; GMSEX Tl = sexual satisfaction at Time 1;
GMREL Tl = relationship satisfaction at Time 1; GMREL T2 = relationship satisfaction at Time 2.
»R2 = .69, F(3, 83) = 62.60, p = .000. hR2 = .70, F(4, 82) = 38.13, p = .000.
*p<.001.
116 Relationship and Sexual Satisfaction

that relationship satisfaction was not associated with the the prediction of sexual satisfaction at Time 2. However,
change in sexual satisfaction between Time 1 and Time 2 the P for relationship satisfaction at Time 2 was reduced
for either the men or the women. from (3 = .49 to P = .43.
In the second analysis, relationship satisfaction at Time 2 A parallel analysis predicting relationship satisfaction at
served as the dependent variable (see Table 2). After I con- Time 2 yielded similar results (see Table 2). After I con-
trolled for relationship satisfaction at Time 1, entry of sexu- trolled for relationship satisfaction and sexual satisfaction
al satisfaction at Time 1 on the second step did not add sig- at Time 1, communication significantly added to the pre-
nificantly to the multiple R. This indicates that sexual satis- diction of relationship satisfaction at Time 2, indicating
faction at Time 1 was not related to the change in relation- that communication was associated with the change in
ship satisfaction between Time 1 and Time 2.1 entered sex- relationship satisfaction. The addition of sexual satisfac-
ual satisfaction at Time 2 on the third step, and it added sig- tion at Time 2 also significantly increased the prediction of
nificantly to the prediction of relationship satisfaction at relationship satisfaction at Time 2. Again, the P was
Time 2. This indicates that the changes in relationship satis- reduced from p = .64 to P = .50. These results indicate that
faction between Time 1 and Time 2 did predict the changes the quality of communication was associated with change
in sexual satisfaction between Time 1 and Time 2. After I in both relationship satisfaction and sexual satisfaction.
controlled for relationship satisfaction and sexual satisfac- Further, communication partially accounted for concurrent
tion at Time 1, neither gender nor the interaction between changes in relationship satisfaction and sexual satisfaction.
gender and sexual satisfaction at Time 1 added significantly
to the prediction of relationship satisfaction at Time 2. This Exploratory Analyses
indicates that sexual satisfaction at Time 1 was not associat- It may be that the causal relationship between relationship
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ed with change in relationship satisfaction between Time 1 satisfaction and sexual satisfaction differs for individuals
and Time 2 for either the men or the women. whose satisfaction is increasing compared to those whose
Together, these analyses indicate that relationship satis- satisfaction is decreasing. This would have obscured the
faction and sexual satisfaction changed concurrently from results in the previous analyses. Therefore, I used separate
Time 1 to Time 2. However, there was no evidence that exploratory multiple regression analyses to test the associ-
relationship satisfaction or sexual satisfaction at Time 1 ation between relationship satisfaction and change in sex-
was causally linked to the other form of satisfaction at ual satisfaction from Time 1 to Time 2 for (a) the 28 indi-
Time 2 for either men or women. viduals whose sexual satisfaction had increased, and (b)
the 35 individuals whose sexual satisfaction had
Communication Quality and Changes in Satisfaction decreased. (The sexual satisfaction of 21 individuals had
Next I examined whether a third variable, the quality of not changed.) As was the case for the complete sample,
intimate communication, accounted for the concurrent relationship satisfaction did not predict change in sexual
changes in sexual and relationship satisfaction using the satisfaction from Time 1 to Time 2 for individuals whose
procedures recommended by Baron and Kenny (1986). sexual satisfaction had decreased. However, for those indi-
Participants with better communication reported higher viduals whose sexual satisfaction had increased, after I
relationship satisfaction (r = .61 at Time 1 and r = .69 at controlled for sexual satisfaction at Time 1 (R2 = .78), rela-
Time 2, p = .000) and higher sexual satisfaction (r = .40 at tionship satisfaction at Time 1 added to the prediction of
Time 1 and r = .52 at Time 2, p = .000). The results of sexual satisfaction at Time 2 (R2 change = .05, F[l, 24] =
these analyses are presented as Model 2 in Tables 1 and 2. 4.29, p = .049). These results indicate that for this group,
Communication added significantly to the prediction of individuals with higher relationship satisfaction at Time 1
sexual satisfaction at Time 2 after controlling for sexual reported a greater increase in their sexual satisfaction from
satisfaction and relationship satisfaction at Time 1, indi- Time 1 to Time 2.
cating that communication was associated with the change Likewise, I used separate regression analyses to test
in sexual satisfaction (see Table 1). The addition of rela- whether sexual satisfaction predicted the change in rela-
tionship satisfaction at Time 2 also significantly increased tionship satisfaction from Time 1 to Time 2 for (a) the 27

Table 2. Hierarchical Multiple Regression Analysis Predicting Relationship Satisfaction at Time 2


Model l a Model 2b
1
Predictor r P sr R change Fchange P sr R2 change Fchange
GMREL Tl .64* .64 .64* .41 58.22* .64 .64* .41 58.22*
GMSEX Tl .45* .09 .07 .01 0.76 .09 .07 .01 0.76
Communication .69* .48 .38* .14 26.64*
GMSEX T2 .65* .64 .43 .19 38.27* .50 .31* .10 22.42*
Note. N = 87; F(3, 83) = 41.06, p = .000; GMSEX Tl = sexual satisfaction at Time 1;
GMSEX T2 = relationship satisfaction at Time 2; GMREL Tl = relationship satisfaction at Time 1.
°R2 = .60, F(3, 83) = 41.06, p = .000. bR2 = .65, F(4, 82) = 38.13, p = .000.
Byers 117

individuals whose relationship satisfaction had increased, relationship between relationship satisfaction and sexual
and (b) the 31 individuals whose relationship satisfaction satisfaction, but it occurs over a longer time frame than
had decreased from Time 1 to Time 2. (The relationship the 18 months examined in this study.
satisfaction of 28 individuals had not changed.) As was the The findings from the exploratory analyses suggest one
case for the complete sample, sexual satisfaction did not possible explanation for why the current study and past
predict change in relationship satisfaction for those indi- research have failed to find evidence for a causal relation-
viduals whose relationship satisfaction had increased. ship between relationship satisfaction and sexual satisfac-
However, for those individuals whose relationship satis- tion. That is, there may not be a single causal direction
faction had decreased, after I controlled for relationship between relationship satisfaction and sexual satisfaction.
satisfaction at Time 1 (R2 = .51), sexual satisfaction at Rather, it may be that in some situations or for some indi-
Time 1 added uniquely to the prediction of sexual satisfac- viduals, low sexual satisfaction causes a decrease in rela-
tion at Time 2 (R2 change = .13, F[l, 28] = 9.82,/? = .004). tionship satisfaction. In the current study, low sexual satis-
These results indicate that for this group, individuals with faction at Time 1 was associated with a greater decrease in
lower sexual satisfaction at Time 1 reported a greater relationship satisfaction only for individuals whose rela-
decrease in their relationship satisfaction from Time 1 to tionship satisfaction was decreasing. For these individuals
Time 2. it may be that low sexual satisfaction represented one more
problem area that added to the overall decline in relation-
DISCUSSION ship satisfaction. In other situations or for other individu-
This study examined the association between sexual satis- als, the causal direction might be reversed. In this study,
faction and relationship satisfaction over an 18-month higher relationship satisfaction was associated with a
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period. As one of only a handful of longitudinal studies in greater increase in sexual satisfaction only for individuals
the area, the results add to our understanding of the asso- whose sexual satisfaction was increasing.
ciation between relationship satisfaction and sexual satis- Past research has shown that intimate communication
faction over time. Before discussing the results, a number is associated with both sexual satisfaction and relation-
of limitations should be noted. The response rate was low ship satisfaction (Cupach & Comstock, 1990; Fowers &
at Time 1, and only 36% of the Time 1 sample completed Olson, 1989). Our results extend past research by demon-
the questionnaire 18 months later, raising the possibility strating that communication is also associated with
that the results were affected by selection bias. However, changes in both relationship satisfaction and sexual satis-
individuals who participated at both time periods did not faction over time. That is, poor communicators were like-
differ from the rest of the Time 1 sample in their demo- ly to report decreases in both relationship satisfaction and
graphic characteristics, relationship satisfaction, or sexual sexual satisfaction over the 18 months of the study,
satisfaction. In addition, the sample was fairly small and whereas good communicators were likely to report
homogeneous, consisting for the most part of highly edu- increases in satisfaction. Further, communication quali-
cated Caucasian individuals who reported being relational- ty accounted for some of the concurrent changes in the
ly and sexually satisfied. two variables. This suggests that poor communication
Consistent with past research, individuals with greater results in decreased satisfaction in a number of areas of
relationship satisfaction also reported greater sexual sat- relationship functioning, including sexual satisfaction
isfaction (Haavio-Mannila & Kontula, 1997; Purnine & and overall relationship satisfaction.
Carey, 1997). In addition, changes in sexual satisfaction In sum, the results suggest that past research and thera-
were associated with changes in relationship satisfaction peutic interventions based on implicit or explicit assump-
for these individuals in long-term relationships, as tions about the nature of the longitudinal association
Sprecher (2002) found in her study of dating couples. between relationship satisfaction and sexual satisfaction
However, there was only limited evidence based on have been too simplistic. Researchers need to develop and
exploratory analyses to support a causal connection in validate more complex models than they have used in the
either direction. That is, in the complete sample there was past that incorporate situational variables as well as indi-
no evidence to support either the view that low sexual vidual and relationship characteristics. That is, we need to
satisfaction leads to a decrease in relationship satisfac- ask for which individuals and in what situations low rela-
tion or the view that low relationship satisfaction leads to tionship satisfaction leads to decreased sexual satisfaction,
a decrease in sexual satisfaction for either men or and for whom and in what situations the reverse occurs.
women. Thus, it may be that very small increments or The results of this study suggest that communication qual-
decrements in relationship satisfaction cause equally ity is one such variable, although not the only factor since
small changes in relationship satisfaction (or vice versa) communication accounted for only part of the concurrent
over so short a time period that relationship satisfaction changes in relationship satisfaction and sexual satisfaction.
and sexual satisfaction change concurrently. Of course, The results do not, however, support propositions based on
given the correlational nature of this study, these results the traditional sexual script that the direction of the associ-
cannot be used to disprove either causal hypothesis. ation between relationship satisfaction and sexual satisfac-
Thus, for example, it also may be that there is a causal tion differs for men and women. Only by developing more
118 Relationship and Sexual Satisfaction

sophisticated models are we likely to gain insight into the Sexual Satisfaction Questionnaire. In C. M. Davis, W. L. Yarber, R.
Baureman, G. Schreer, & S. L. Davis (Eds.), Sexuality related measures:
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satisfaction. MacNeil, S., & Byers, E. S. (2005). Dyadic assessment of sexual self-dis-
closure and sexual satisfaction. Journal of Personal and Social
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