Mindfulness-based interventions are effective at improving sexual dysfunctions in women, yet the mechanisms of action are less clear. Our objective was to investigate the impact of three mindfulness exercises on women’s sexual response. Forty-nine women participated in a laboratory session involving a series of 5-min exercises and erotic films. They completed three mindfulness-based exercises and a mental-imagery task. Genital and subjective arousal were measured continuously during erotic films, and genital arousal was measured during the exercises. A focus on the genitals led to greater genital arousal during the exercise. A focus on sensations in the body and on the genitals was associated with greater subjective sexual arousal during erotic films. Effects were small in size. Taken together, the focus of attention during a mindfulness practice may differentially affect genital and subjective sexual arousal and has implications for women experiencing difficulties in different aspects of sexual response.
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