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男男性行为者性交疼痛障碍:患病率、预测因素、后果及《精神疾病诊断与统计手册》诊断标准的制定

Anodyspareunia in men who have sex with men: prevalence, predictors, consequences and the development of DSM diagnostic criteria.

作者信息

Damon Will, Rosser B R Simon

机构信息

Department of Family Practice and Community Health, Program in Human Sexuality, University of Minnesota Medical School, Minneapolis, Minnesota 55454, USA.

出版信息

J Sex Marital Ther. 2005 Mar-Apr;31(2):129-41. doi: 10.1080/00926230590477989.

DOI:10.1080/00926230590477989
PMID:15859372
Abstract

In a sample of men who have sex with men (N = 404), 55 (14%) experienced anodyspareunia, frequent and severe pain during receptive anal sex. Most men with anodyspareunia described their pain as life-long, experienced psychological distress as a result, and avoided anal sex for periods of time. Men with anodyspareunia reported that psychological factors were the primary contributing cause of their pain. The findings contradict the myth that pain is a necessary consequence of receptive anal sex and show that anodyspareunia is similar to dyspareunia in women in terms of prevalence, mental health consequences, and contributing factors. Clinical criteria were developed to assist clinicians in diagnosing anodyspareunia.

摘要

在一个与男性发生性行为的男性样本(N = 404)中,55人(14%)经历了性后肛门痛,即在接受肛交时频繁且剧烈的疼痛。大多数患有性后肛门痛的男性将他们的疼痛描述为终生性的,因此经历了心理困扰,并且在一段时间内避免肛交。患有性后肛门痛的男性报告称,心理因素是他们疼痛的主要促成原因。这些发现与肛交必然会导致疼痛这一错误观念相矛盾,并且表明性后肛门痛在患病率、对心理健康的影响以及促成因素方面与女性性交疼痛相似。制定了临床标准以协助临床医生诊断性后肛门痛。

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