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归属和行动:持续患有精神疾病的人对性关系满意度的重要因素。

Belonging and doing: important factors for satisfaction with sexual relations as perceived by people with persistent mental illness.

机构信息

Faculty of Health and Society, Malmö University SE-20506, Malmö, Sweden.

出版信息

Int J Soc Psychiatry. 2010 Jul;56(4):336-47. doi: 10.1177/0020764008101635. Epub 2009 Jul 17.

DOI:10.1177/0020764008101635
PMID:19617283
Abstract

BACKGROUND

It is increasingly acknowledged that satisfaction with sexual relations forms an important aspect of people's lives, but little is known of factors associated with this phenomenon among people with mental illness.

AIM

This study aimed to investigate how demographic, social, clinical, and health-related factors were related to satisfaction with sexual relations.

METHODS

Patients with persistent mental illness (N = 103), recruited from an outpatient unit, were assessed regarding the target variables.

RESULTS

No clinical variable, and only one demographic factor, namely being a cohabitant, was found to be important to satisfaction with sexual relations. Several social factors, pertaining to how everyday occupations were valued and how the social network was perceived, were shown to be of importance. General quality of life, but not self-rated health or interviewer-assessed psychopathology, was also important for satisfaction with sexual relations. A multivariate analysis showed that the most significant factor for satisfaction with sexual relations was how everyday activities were valued, and being a cohabitant explained some additional variation.

CONCLUSION

Previous research indicates that the mental health care services largely neglect sexual problems among people with mental illness, and the findings may provide additional knowledge that may be used in the support of this target group.

摘要

背景

人们越来越认识到,性关系满意度是人们生活的一个重要方面,但人们对精神疾病患者中与这一现象相关的因素知之甚少。

目的

本研究旨在调查人口统计学、社会、临床和与健康相关的因素与性关系满意度之间的关系。

方法

从一个门诊单位招募了 103 名持续患有精神疾病的患者,对他们进行了目标变量的评估。

结果

没有发现任何临床变量,只有一个人口统计学因素,即同居,对性关系满意度很重要。一些社会因素,涉及到如何评价日常工作以及如何看待社交网络,被证明是很重要的。一般的生活质量,而不是自我评估的健康状况或访谈评估的精神病理学,对性关系满意度也很重要。多变量分析表明,对性关系满意度最重要的因素是如何评价日常活动,而同居则解释了一些额外的变化。

结论

先前的研究表明,精神卫生保健服务在很大程度上忽视了精神疾病患者的性问题,这些发现可能提供了一些额外的知识,可以用于支持这一目标群体。

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