1. Objectifs

Intentions :
« Le deuxième volet consist[e] en l’étude des activités et attitudes à l’égard de la sexualité de femmes en couple présentant un TPL. » (p. 84)

Questions/Hypothèses:
« Women with BPD will evidence: 1) more frequent sexual activities in the last year, 2) stronger permissiveness and stronger ambivalence toward sexuality, 3) greater negative attitudes and aversion toward sexuality, 4) attachment representations are expected to mediate the association between meeting versus not meeting diagnostic criteria for BPD and attitudes toward sexuality. » (p. 67)

2. Méthode

Échantillon/Matériau :
L’étude se base sur un échantillon de 34 couples dont la femme présente un trouble de la personnalité limite (TPL). Le groupe contrôle est composé de 34 femmes (hétérosexuelles) en couple.

Instruments:
- Version française du Structured Clinical Interview for DSM-IV-TR, Axis II (SCID-II; First, Spitzer, Gibbon, Williams & Benjamin, 1997)
- Sexual Activities and Attitudes Questionnaire (SAAQ; Noll, Tricket & Putnam, 2003; adapté pour les adultes et traduit par Godbout, Bouchard & Sabourin, 2005)
- Experiences in Close Relationships (ECR; Brennan, Clark & Shaver, 1998; traduit et validé par Lafontaine & Lussier, 2003)
- Psychiatric Symptom Index (PSI-14; Ilfeld, 1978)
- Dyadic Adjustment Scale (DAS- 8; Spanier, 1976; traduit par Baillargeon, Dubois & Marineau, 1986)
- Childhood Sexual Experiences Questionnaire (QASE, Godbout, Lefebvre & Sabourin, 2002)

Type de traitement des données :
Analyse de contenu
Analyse statistique

3. Résumé

« Women with Borderline Personality Disorder are prone to have sexual relationship difficulties and dysfunctional attitudes toward sexuality. A sample of 34 heterosexual couples composed of women meeting BPD criteria was compared to a sample of dating or married women from the general population. A short form of the Sexual Activities and Attitudes Questionnaire (SAAQ) was used to measure six types of sexual attitudes. Women diagnosed with BPD did not differ from controls on frequency of three types of sexual activities in the last year but their subjective sexual experiences differed: they showed stronger negative attitudes, felt sexually pressured by their partners, and expressed ambivalence toward sexuality. Regression analyses suggest that anxious attachment mediates the association between BPD and feeling pressured to engage in sex. » (p. 64)