Leiblum Sandra, Brown Candace, Wan Jim, Rawlinson Leslie
University Medical and Dental School of New Jersey-Psychiatry and Obstetrics and Gynecology, Newark, NJ, USA.
J Sex Med. 2005 May;2(3):331-7. doi: 10.1111/j.1743-6109.2005.20357.x.
Persistent sexual arousal disorder (PSAS) is a poorly documented condition characterized by persistent genital arousal in the absence of conscious feelings of sexual desire.
To determine whether there are replicable features associated with PSAS, to describe salient characteristics of women reporting this condition, and to determine predictors of distress.
A 46-item Internet survey containing demographic information, symptom description, triggers, exacerbation and relief measures, distress ratings, and life and sexual satisfaction was placed on a secure server.
Frequency analyses of descriptive data, and stepwise multiple regression analysis to identify independent predictors of level of distress.
Of the 103 respondents, most were in good health, well educated, and in long-term relationships. Ninety-eight percent of respondents met at least one criterion for PSAS and 53% met all five criteria. Involuntary genital and clitoral arousal persisting for extended time periods, genital arousal unrelated to subjective feelings of sexual desire, and genital arousal not relieved with orgasms were the most frequently endorsed features associated with this syndrome. Symptom triggers included sexual stimulation, masturbation, stress, and anxiety. Distress about the condition was low in 25%, moderate in 35%, and high in 40% of respondents. The strongest predictors of distress were intrusive and unwanted feelings of genital arousal (P < 0.0001), continuous symptoms (P < 0. 001), feelings of unhappiness (P < 0.03), shame (P = 0.0001) and worry (P = 0.01), reduced sexual satisfaction (P < 0.004), enjoyment of symptoms some of the time (P = 0.01), and relationship status (P < 0.004).
The results of this research support the description of a condition (persistent sexual arousal) involving involuntary genital and clitoral arousal unrelated to subjective feelings of sexual desire which persists despite one or more orgasms and which usually feels intrusive and unwanted. Varying levels of distress were identified with this condition as well as a variety of primarily negative emotional reactions.
持续性性唤起障碍（PSAS）是一种记录较少的病症，其特征为在没有性欲望的自觉感受时仍存在持续性生殖器唤起。
确定是否存在与PSAS相关的可重复特征，描述报告该病症的女性的显著特征，并确定困扰的预测因素。
一项包含人口统计学信息、症状描述、触发因素、加重及缓解措施、困扰评分以及生活和性满意度的46项互联网调查被置于一个安全服务器上。
描述性数据的频率分析，以及逐步多元回归分析以确定困扰程度的独立预测因素。
在103名受访者中，大多数身体健康、受过良好教育且处于长期关系中。98%的受访者至少符合一项PSAS标准，53%符合所有五项标准。非自愿的生殖器和阴蒂唤起持续较长时间、与性欲望主观感受无关的生殖器唤起以及性高潮后生殖器唤起未缓解是与该综合征相关的最常被认可的特征。症状触发因素包括性刺激、自慰、压力和焦虑。25%的受访者对该病症的困扰程度较低，35%为中度，40%为高度。困扰的最强预测因素是生殖器唤起的侵入性和不必要感（P < 0.0001）、持续症状（P < 0.001）、不幸福感（P < 0.03）、羞耻感（P = 0.0001）和担忧（P = 0.01）、性满意度降低（P < 0.004）、有时享受症状（P = 0.01）以及关系状况（P < 0.004）。
本研究结果支持对一种病症（持续性性唤起）的描述，该病症涉及与性欲望主观感受无关的非自愿生殖器和阴蒂唤起，尽管有一次或多次性高潮仍持续存在，且通常感觉具有侵入性和不必要。该病症存在不同程度的困扰以及各种主要为负面的情绪反应。
