A cognitive interference model of sexual functioning for gay men: the relationship between internalized homophobia and erectile function
Bibliographic record
Abstract
Gay men more frequently report erectile difficulties than heterosexual men, possibly due to the additional stress gay men experience as a result of their sexual minority status. Internalized homophobia (IH), defined as the internalization of negative societal attitudes about being gay, is associated with adverse sexual outcomes. However, the mechanisms underlying this relationship remain unclear. According to Barlow’s model of sexual dysfunction, cognitive interference plays a key role in the development and maintenance of erectile dysfunction. The present study examined the cross-sectional and longitudinal relationships between IH, cognitive anxiety symptoms, and erectile function in a sample of 252 HIV-negative gay and bisexual men. Participants completed a battery of self-report questionnaires assessing internalized homophobia, cognitive anxiety symptoms, and erectile functioning at baseline, 3-month, and 6-month follow-ups. Cognitive anxiety symptoms did not mediate the relationship between IH and erectile function at baseline or across 6-months. Limitations and future directions are discussed.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.002 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.005 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".