Department of Obstetrics and Gynaecology, University of British Columbia, 2775 Laurel Street, Vancouver, BC V5Z 1M9, Canada.
Arch Sex Behav. 2010 Apr;39(2):271-7. doi: 10.1007/s10508-009-9534-2.
Sexual Aversion Disorder (SAD) is one of two Sexual Desire Disorders in the Diagnostic and Statistical Manual of Mental Disorders (DSM) and is defined as a "persistent or recurrent extreme aversion to, and avoidance of, all or almost all, genital sexual contact with a sexual partner" which causes distress or interpersonal difficulty. This paper reviews the short history of the diagnosis of SAD as well as the existing literature on its prevalence and etiology. Kaplan (1987) emphasized the phobic qualities of individuals with SAD who are highly avoidant of all forms of sexual contact. Much has also been written about the overlap between SAD and panic states, and the more obvious similarities between SAD and anxiety as opposed to sexual desire are described. There has been very little new published data on SAD since the publication of DSM-IV and the precise prevalence remains unknown. This paper critiques the placement of SAD as a Sexual Dysfunction and argues that it might more appropriately be placed within the Specific Phobia grouping as an Anxiety Disorder.
性厌恶障碍（SAD）是《精神障碍诊断与统计手册》（DSM）中两种性欲望障碍之一，其定义为“持续或反复强烈厌恶和回避与性伴侣进行所有或几乎所有生殖器性接触”，并导致痛苦或人际困难。本文回顾了 SAD 诊断的短暂历史，以及关于其流行率和病因的现有文献。卡普兰（Kaplan）（1987）强调了 SAD 患者的恐惧症特征，他们非常回避所有形式的性接触。也有很多关于 SAD 与惊恐状态之间的重叠，以及 SAD 与焦虑之间的更明显相似性（而不是性欲望）的描述。自 DSM-IV 出版以来，关于 SAD 的新数据很少，确切的流行率仍然未知。本文批评了将 SAD 作为性功能障碍的定位，并认为它更适合作为焦虑障碍放置在特定恐惧症分组中。
