[案例研究——男性性功能障碍中羞怯、社交恐惧症及回避型人格障碍患病率之间的关系]

[Case study--relationship between prevalence of shyness, social phobia and avoidant personality in male sexual disorders].

作者信息

Tignol J, Martin C, Auriacombe M, Grabot D, Pujol H, de Grove H, Gorse F, Gouget J F

机构信息

Centre Hospitalo-Universitaire et Centre Hospitalier Charles Perrens, Bordeaux, Service Universitaire de Psychiatrie, Laboratoire de Psychiatrie, 146 bis, rue Léo-Saignat, 33076 Bordeaux.

出版信息

Encephale. 2001 Sep-Oct;27(5):418-22.

PMID:11762422

Abstract

UNLABELLED

Social phobia, avoidant personality disorder and shyness are very akin disorders, despite the fact that the first two are mental disorders, whereas the third is found mainly in lay or psychological literature. The relationship between these disorders and male sexual disorders can only be hypothesized from clinical studies and psychopathological theories. Social phobia, avoidant personality disorder, and shyness, share a probable indirect responsibility in sexual disorders because they impair the ability of subjects to meet partners. There are only a few direct studies of the negative impact of shyness on sexual behavior.

OBJECTIVE

The objective of this study was to compare males with sexual disorders to non-sexual disorder males on diagnosis of social phobia, avoidant personality disorder and shyness.

METHODS

We conducted a case-control study comparing a group of male patients seeking care for sexual disorders (n = 87) and a control group of male subjects without sexual disorder (n = 87), regarding the diagnosis of social phobia, avoidant personality disorder and shyness. Diagnoses were appreciated with a structured diagnostic interview (CIDI for the diagnosis of social phobia) or a list of criteria (DSM IV criteria for avoidant personality disorder) and through standardized scales (Fear Questionnaire, CBSHY, Cottraux male sexual problems questionnaire). Severity of shyness was evaluated through visual analog scales.

RESULTS

We found strong significant statistical differences between cases and controls regarding the percentage in each group of social phobia, avoidant personality disorder and shyness. For shyness, the mean score at CBSHY was 16.2 (+/- 12.63) for the cases and 6.07 (+/- 6.67) for the controls (p < 0.0001), whereas the percentage of cases with a score of > 19.5 was 41.4% vs 6.9% for the controls (p < 0.001); 27.6% of the cases had a CIDI diagnosis of social phobia vs 8% of the controls (p < 0.001); 31% of the cases implemented DSM IV criteria for the diagnosis of avoidant personality disorder vs 6.9% of the cases (p < 0.001).

CONCLUSION

Our results are in favor of one or several factors in common between social phobia, avoidant personality disorder and shyness, which would be strongly related to male sexual disorders.

摘要

未标注

社交恐惧症、回避型人格障碍和害羞是非常相似的病症，尽管前两者是精神障碍，而后者主要出现在通俗或心理学文献中。这些病症与男性性功能障碍之间的关系只能从临床研究和精神病理学理论中进行推测。社交恐惧症、回避型人格障碍和害羞可能在性功能障碍中负有间接责任，因为它们损害了个体结识伴侣的能力。关于害羞对性行为负面影响的直接研究仅有少数。

目的

本研究的目的是比较患有性功能障碍的男性与未患性功能障碍的男性在社交恐惧症、回避型人格障碍和害羞诊断方面的情况。

方法

我们进行了一项病例对照研究，比较了一组寻求性功能障碍治疗的男性患者（n = 87）和一组无性功能障碍的男性对照组（n = 87）在社交恐惧症、回避型人格障碍和害羞诊断方面的情况。诊断通过结构化诊断访谈（用于社交恐惧症诊断的复合性国际诊断交谈检查表）或标准列表（用于回避型人格障碍诊断的《精神疾病诊断与统计手册》第四版标准）以及标准化量表（恐惧问卷、CBSHY、科特罗男性性问题问卷）进行评估。害羞的严重程度通过视觉模拟量表进行评估。

结果

我们发现病例组和对照组在社交恐惧症、回避型人格障碍和害羞的每组百分比方面存在显著的统计学差异。对于害羞，病例组CBSHY的平均得分是16.2（±12.63），对照组是6.07（±6.67）（p < 0.0001），而得分> 19.5的病例组百分比为41.4%，对照组为6.9%（p < 0.001）；27.6%的病例有社交恐惧症的复合性国际诊断交谈检查表诊断，对照组为8%（p < 0.001）；31%的病例符合《精神疾病诊断与统计手册》第四版回避型人格障碍诊断标准，对照组为6.9%（p < 0.001）。