A biopsychosocial examination of sexual functioning and disability among individuals with inflammatory bowel disease
Bibliographic record
Abstract
Background: Inflammatory bowel disease (IBD) has been linked to sexual difficulties that can impact wellbeing. Comprehensive biopsychosocial research in this area is lacking. Aims: This study tested biopsychosocial predictors of sexual dysfunction in IBD, including protective factors, and examined the mechanistic role of sexual dysfunction in the relationship between disease activity and disability cross-sectionally. Methods: A total of 470 participants completed an online longitudinal survey. Data were analysed using multiple regression and mediation models. Findings: Higher levels of disease activity and body image dissatisfaction predicted greater sexual dysfunction. Higher levels of sexual script flexibility, a theorised protective factor, predicted lower sexual dysfunction. Sexual dysfunction significantly mediated the relationship between disease activity and disability cross-sectionally. Mediation was present longitudinally but became non-significant when baseline levels of the mediator and outcome variable were controlled for. Conclusions: These findings support a biopsychosocial conceptualisation of sexual dysfunction and disability in IBD.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 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 teacher head, 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".