Laurent Sean M, Simons Anne D
University of Oregon, 1227 University of Oregon, Eugene, OR 97403-1227, USA.
Clin Psychol Rev. 2009 Nov;29(7):573-85. doi: 10.1016/j.cpr.2009.06.007. Epub 2009 Jun 24.
Sexual dysfunction is often implicated in depression and anxiety disorders, but the current nosology of sexual dysfunction, depression, and anxiety (i.e., DSM-IV) does not adequately address these relationships. Because recent papers (Krueger, R. F., & Markon, K. E. (2006). Reinterpreting comorbidity: A model-based approach to understanding and classifying psychopathology. Annual Review of Clinical Psychology, 2, 111-133) have suggested and provided evidence for latent internalizing and externalizing dimensions that help explain high comorbidity between mental disorders, the current paper suggests that sexual dysfunction might conceptually belong to a latent internalizing factor. To address this, evidence is presented for the relationship among disorders of sexual desire, arousal, and orgasm comorbid with depression and anxiety. A review of sexual disorders is also presented along with a critical examination of the way the current DSM is organized with respect to sexual dysfunction, depression, and anxiety.
性功能障碍常与抑郁症和焦虑症相关，但目前性功能障碍、抑郁症和焦虑症的疾病分类法（即《精神疾病诊断与统计手册第四版》）并未充分阐述这些关系。由于近期的论文（克鲁格，R.F.，& 马尔科恩，K.E.（2006年）。重新解释共病现象：一种基于模型的理解和分类精神病理学的方法。《临床心理学年度评论》，2，111 - 133）提出并提供了潜在内化和外化维度的证据，这些维度有助于解释精神障碍之间的高共病率，因此本文认为性功能障碍在概念上可能属于一个潜在的内化因素。为解决这一问题，本文展示了性欲、性唤起和性高潮障碍与抑郁症和焦虑症共病关系的证据。同时还对性功能障碍、抑郁症和焦虑症相关的性障碍进行了综述，并对当前《精神疾病诊断与统计手册》关于性功能障碍、抑郁症和焦虑症的组织方式进行了批判性审视。
