McCabe Marita P, Taleporos George
School of Psychology, Deakin University, Melbourne, Australia.
Arch Sex Behav. 2003 Aug;32(4):359-69. doi: 10.1023/a:1024047100251.
This study investigated the association between the severity and duration of physical disability and sexual esteem, sexual depression, sexual satisfaction, and the frequency of sexual behavior. A total of 1,196 participants completed the study. There were 748 participants (367 males, 381 females) who had a physical disability and 448 participants (171 males, 277 females) who were able-bodied. The age range of participants was 18-69 years, with a mean age of 36.39 years (SD = 10.41). The results demonstrated that people with more severe physical impairments experienced significantly lower levels of sexual esteem and sexual satisfaction and significantly higher levels of sexual depression than people who had mild impairments or who did not report having a physical impairment. The study also found that people with more severe physical disabilities engaged in mutual sexual activity significantly less frequently. Women with physical disabilities had significantly more positive feelings about their sexuality and significantly more frequent mutual sexual experiences than their male counterparts. For people with physical disabilities, the frequency of oral sex and nude cuddling were significant predictors of sexual satisfaction in men, while the frequency of deep kissing predicted sexual satisfaction in women. Furthermore, the viewing of erotica was significantly related to sexual dissatisfaction in men. Finally, it was found that people who had experienced their physical impairment for a longer period of time reported significantly more positive feelings about their sexuality. Implications of these findings are discussed and suggestions are made for future research.
本研究调查了身体残疾的严重程度和持续时间与性自尊、性抑郁、性满意度及性行为频率之间的关联。共有1196名参与者完成了该研究。其中有748名身体残疾的参与者（367名男性，381名女性）以及448名身体健全的参与者（171名男性，277名女性）。参与者的年龄范围为18至69岁，平均年龄为36.39岁（标准差 = 10.41）。结果表明，与轻度身体残疾者或未报告有身体残疾者相比，身体残疾更严重的人在性自尊和性满意度方面的水平显著更低，而性抑郁水平显著更高。该研究还发现，身体残疾更严重的人进行相互性行为的频率显著更低。与男性残疾者相比，女性残疾者对自己的性方面有更积极的感受，且相互性行为的经历更频繁。对于身体残疾者而言，口交和裸体拥抱的频率是男性性满意度的重要预测因素，而深吻的频率则是女性性满意度的预测因素。此外，观看色情内容与男性的性不满显著相关。最后，研究发现，身体残疾经历时间较长的人对自己的性方面报告了更积极的感受。文中讨论了这些发现的意义，并对未来研究提出了建议。
