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巴西强迫症和社交焦虑症患者的性功能与性功能障碍

Sexual function and dysfunction in Brazilian patients with obsessive-compulsive disorder and social anxiety disorder.

作者信息

Fontenelle Leonardo F, de Souza Wanderson F, de Menezes Gabriela B, Mendlowicz Mauro V, Miotto Roberto R, Falcão Rodrigo, Versiani Marcio, Figueira Ivan L

机构信息

Anxiety and Depression Research Program, Institute of Psychiatry, Universidade Federal of Rio de Janeiro, Rio de Janeiro, Brazil.

出版信息

J Nerv Ment Dis. 2007 Mar;195(3):254-7. doi: 10.1097/01.nmd.0000243823.94086.6f.

Abstract

We compared the history, the profile, and the severity of sexual symptoms of 31 patients with obsessive-compulsive disorder (OCD) to those of 26 patients with social anxiety disorder (SAD) by means of the Sexual Inventory of the Institute of Psychiatry of the Federal University of Rio de Janeiro, the Clinical Interview for the Diagnosis of DSM-IV Sexual Disorders, the Female Sexual Function Index, the International Index of Erectile Function, the Arizona Sexual Experience Scale, and the Sexual Behavior Inventory. Patients with OCD reported more difficulties to reach orgasm (p = 0.009), less frequent effective erections (p = 0.05), and a positive history of sexual abuse (p = 0.006) significantly more often than patients with SAD. Male patients with SAD reported not using contraceptive methods significantly more frequently than male patients with OCD (p = 0.007). Patients with OCD and patients with SAD exhibit different profiles of sexual behavior.

摘要

我们通过里约热内卢联邦大学精神病学研究所的性调查问卷、DSM-IV性障碍诊断临床访谈、女性性功能指数、国际勃起功能指数、亚利桑那性经历量表和性行为量表,比较了31例强迫症(OCD)患者与26例社交焦虑障碍(SAD)患者的性症状病史、特征和严重程度。与SAD患者相比,OCD患者报告达到性高潮困难更多(p = 0.009)、有效勃起频率更低(p = 0.05),且性虐待阳性史显著更常见(p = 0.006)。SAD男性患者报告未使用避孕方法的频率显著高于OCD男性患者(p = 0.007)。OCD患者和SAD患者表现出不同的性行为特征。

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