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Negative emotional responses to sex such as anxiety, guilt and fear tend to inhibit sexual behavior. When they are not sufficient to inhibit sexual intercourse, however, they frequently interfere with the ability to plan for, or cope with the consequences of sexual activity. More specifically, these emotional responses to sex frequently interfere with the ability to apply thoughtful and careful logic to contraceptive decision making, and thereby inhibit the use of effective methods of birth control. The current article is a review of the empirical support for emotional inhibition of contraception, and an examination of the psychological mechanisms by which these responses to sex mediate birth control behavior.
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Gerrard et al. (1993) studied this question.
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