Johnson Sharon D, Phelps Deborah L, Cottler Linda B
Department of Social Work, University of Missouri-St. Louis, St. Louis, Missouri, USA.
Arch Sex Behav. 2004 Feb;33(1):55-63. doi: 10.1023/B:ASEB.0000007462.97961.5a.
This study examines the prevalence of DSM-III sexual dysfunctions and their association with comorbid drug and alcohol use in a community epidemiologic sample. The data for these analyses are based on the Epidemiological Catchment Area Project, a multistage probability study of the incidence and prevalence of psychiatric disorders in the general population conducted in 1981-83. Only the sample of 3,004 adult community residents in the St. Louis area was queried on DSM-III sexual dysfunctions of inhibited orgasm, functional dyspareunia (painful sex), inhibited sexual excitement (i.e., lack of erection/arousal), and inhibited sexual desire. There was a prevalence rate of 11% for inhibited orgasm, 13% for painful sex, 5% for inhibited sexual excitement, 7% for inhibited sexual desire, and 26% for any of these sexual dysfunctions (14% for men and 33% for women). The prevalence of qualifying lifetime substance use among the population was 37%, with males meeting more drug and alcohol use criteria than females. After controlling for demographics, health status variables, and psychiatric comorbidity (depression disorder, generalized anxiety disorder, antisocial personality disorder, and residual disorders), inhibited orgasm was associated with marijuana and alcohol use. Painful sex was associated with illicit drug use and marijuana use. Inhibited sexual excitement was more likely among illicit drug users. Inhibited sexual desire was not associated with drug or alcohol use.
本研究调查了《精神疾病诊断与统计手册》第三版（DSM - III）中所定义的性功能障碍在社区流行病学样本中的患病率及其与药物和酒精共病使用的关联。这些分析的数据基于“流行病学集水区项目”，这是一项在1981 - 1983年进行的关于普通人群精神疾病发病率和患病率的多阶段概率研究。仅对圣路易斯地区3004名成年社区居民样本询问了DSM - III中关于性高潮抑制、功能性性交疼痛（性交疼痛）、性兴奋抑制（即勃起/性唤起缺乏）和性欲抑制的性功能障碍情况。性高潮抑制的患病率为11%，性交疼痛为13%，性兴奋抑制为5%，性欲抑制为7%，这些性功能障碍中任何一种的患病率为26%（男性为14%，女性为33%）。该人群中符合终生物质使用标准的患病率为37%，男性达到药物和酒精使用标准的人数多于女性。在控制了人口统计学、健康状况变量和精神疾病共病（抑郁症、广泛性焦虑症、反社会人格障碍和残留障碍）后，性高潮抑制与大麻和酒精使用有关。性交疼痛与非法药物使用和大麻使用有关。性兴奋抑制在非法药物使用者中更为常见。性欲抑制与药物或酒精使用无关。
