Graduate Studies
First Advisor
Tierney K. Lorenz
Degree Name
Doctor of Philosophy (Ph.D.)
Committee Members
Arthur Andrews III, Caron Clark, Michael Dodd
Department
Psychology
Date of this Version
8-2025
Document Type
Dissertation
Citation
A dissertation presented to the Graduate College of the University of Nebraska in partial fulfillment of requirements for the degree of Doctor of Philosophy
Major: Psychology
Under the supervision of
Lincoln, Nebraska, August 2025
Abstract
A history of sexual trauma places women at a high risk for sexual dysfunction and other health sequelae, yet the influence of ovarian hormones in this population is poorly understood. This dissertation tested the theory that the effects of ovarian hormones are mediated by cognitive approach-avoidance systems to shape sexual well-being, and that this process is moderated by sexual trauma history. This was investigated across three studies examining the menstrual cycle, hormonal contraceptive use, and menopause. Across each chapter, I present complementary evidence demonstrating that hormones interact with the interpretation of ambiguous internal and external cues with respect to sexual approach and avoidance outcomes, and a putative role of physical health factors. This research advances an integrated biopsychosocial model, pointing to the need for trauma-informed clinical care that targets cognitive appraisal and the drivers of sexual avoidance to improve women's sexual well-being across the lifespan.
Advisor: Tierney K. Lorenz
Recommended Citation
Sartin-Tarm, Anneliis Susan, "Hormonal Modulation of Sexual Approach and Avoidance Among Women with a History of Sexual Trauma" (2025). Dissertations and Doctoral Documents from University of Nebraska-Lincoln, 2023–. 373.
https://digitalcommons.unl.edu/dissunl/373
Included in
Biological Psychology Commons, Clinical Psychology Commons, Domestic and Intimate Partner Violence Commons, Gender and Sexuality Commons, Mental and Social Health Commons, Trauma Commons, Women's Studies Commons
Comments
Copyright 2025, Anneliis Susan Sartin-Tarm. Used by permission