Charité-University Medicine Berlin, Campus Benjamin Franklin, Department of Psychiatry and Psychotherapy, Berlin, Germany, EU.
J Sex Med. 2009 Dec;6(12):3356-63. doi: 10.1111/j.1743-6109.2009.01422.x. Epub 2009 Aug 4.
Patients suffering from a Borderline Personality Disorder (BPD) display altered sexual behavior, such as sexual avoidance or sexual impulsivity, which has repeatedly been linked to the sexual traumatization that occurs in a high percentage of BPD patients. Until now, no empirical data exists on whether these patients concomitantly suffer from sexual dysfunction.
This study investigates sexual function and the impact of sexual traumatization on this issue in women with BPD as compared to healthy women.
Sexual function was measured using the Female Sexual Function Index. Additionally, diagnoses were made with SCID II Interviews for Axis II and with the Mini International Neuropsychiatric Interview for Axis I disorders. The Post-traumatic Stress Diagnostic Scale for trauma evaluation was used. Sexual orientation was assessed by self-evaluation.
Forty-five women with BPD as diagnosed according to DSM-IV criteria and 30 healthy women completed questionnaires on sexual function and sexual abuse history, as well as interviews on axis I and II disorders and psychotropic medication.
The BPD group showed a significantly higher prevalence of sexual dysfunction. Subgroup analyses revealed that BPD with concomitant sexual traumatization, and not BPD alone, best explains impaired sexual function. Sexual inactivity was mainly related to current major depression or use of SSRI medication. In sexually active participants, medication and symptoms of depression had no significant impact on sexual function.
Not BPD alone, but concomitant sexual traumatization, predicts significantly impaired sexual function. This may have a therapeutic impact on BPD patients reporting sexual traumatization.
患有边缘型人格障碍（BPD）的患者表现出改变的性行为，例如性回避或性冲动，这与 BPD 患者中发生的性创伤有反复的关联。到目前为止，尚无关于这些患者是否同时患有性功能障碍的实证数据。
本研究旨在调查 BPD 女性的性功能以及性创伤对这一问题的影响，并与健康女性进行比较。
性功能使用女性性功能指数进行测量。此外，通过 SCID II 访谈对轴 II 进行诊断，通过 Mini International Neuropsychiatric Interview 对轴 I 障碍进行诊断。使用创伤后应激诊断量表进行创伤评估。性取向通过自我评估进行评估。
45 名符合 DSM-IV 标准的 BPD 女性和 30 名健康女性完成了性功能和性虐待史问卷，以及轴 I 和 II 障碍访谈和精神药物使用情况。
BPD 组性功能障碍的患病率明显更高。亚组分析显示，伴有性创伤的 BPD，而不是单纯的 BPD，最能解释性功能受损。性行为不活跃主要与当前的重度抑郁症或 SSRI 药物使用有关。在有性行为的参与者中，药物和抑郁症状对性功能没有显著影响。
不是单纯的 BPD，而是伴有性创伤，可显著预测性功能受损。这可能对报告性创伤的 BPD 患者具有治疗意义。
