Institute of Sexology and Sexual Medicine, Charité University Medical Center, Freie und Humboldt-Universität zu Berlin, Berlin, Germany.
J Sex Med. 2011 May;8(5):1362-70. doi: 10.1111/j.1743-6109.2009.01597.x.
This is a report of a cross-sectional study on paraphilia-associated sexual arousal patterns (PASAP) among men in a metropolitan city in Germany, EU.
To determine the prevalence of PASAP during sexual fantasies, fantasies accompanying masturbation, and real-life sociosexual behavior.
In a cross-sectional study, self-reported sexual history data were collected by questionnaire from 367 volunteers recruited from a community sample of 1,915 men aged 40-79 years.
The Derogatis Symptom Checklist-Revised (SCL-90-R) and the Life Satisfaction Questionnaire (LSQ; German original, Fragebogen zur Lebenszufriedenheit, [FLZ]) were administered to obtain a general subjective health measure and a measure of general as well as sex life satisfaction. The Questionnaire on Sexual Experiences and Behaviour was administered to comprehensively assess all relevant sexo-medical data. Results. The percent of men that reported at least one PASAP was 62.4%. In 1.7% of cases, PASAP were reported to have caused distress. The presence of PASAP was associated with a higher likelihood of being single (odds ratio [OR] 2.6; 95%; confidence interval [CI] 1.047-6.640), masturbating at least once per week (OR 4.4; 95%; CI 1.773-10.914), or having a low general subjective health score (OR 11.9; 95%; CI 2.601-54.553). Pedophilic PASAP in sexual fantasies and in real-life sociosexual behavior was reported by 9.5% and 3.8% of participants, respectively.
The findings suggest that paraphilia-related experience can not be regarded as unusual from a normative perspective. At the same time, many men experience PASAP without accompanying problem awareness or distress, even when PASAP contents are associated with potentially causing harm to others. In view of the relevance for sex life and relationship satisfaction, presence of PASAP should be assessed in all sexual medicine consultations. Future research should focus on conditions in which PASAP reach clinical significance in the sense of mental disorders.
这是一项关于德国大都市男性性癖相关性唤起模式（PASAP）的横断面研究报告。
确定性幻想、自慰伴随的幻想和现实社会性行为中 PASAP 的流行率。
在一项横断面研究中，从招募的 1915 名年龄在 40-79 岁的社区男性样本中，通过问卷收集了自我报告的性史数据。
使用 Derogatis 症状清单修订版（SCL-90-R）和生活满意度问卷（LSQ；德文原版，Fragebogen zur Lebenszufriedenheit，[FLZ]）获得一般主观健康指标和一般及性生活满意度指标。性经验和行为问卷用于全面评估所有相关性医学数据。结果：报告至少有一种 PASAP 的男性比例为 62.4%。在 1.7%的病例中，PASAP 被报告为引起困扰。存在 PASAP 与单身的可能性更高相关（优势比[OR]2.6；95%置信区间[CI]1.047-6.640），每周自慰至少一次（OR 4.4；95%CI1.773-10.914），或一般主观健康评分较低（OR 11.9；95%CI2.601-54.553）。在性幻想和现实社会性行为中报告恋童癖 PASAP 的参与者分别为 9.5%和 3.8%。
研究结果表明，从规范的角度来看，与性癖相关的经历不能被视为异常。同时，许多男性在没有伴随问题意识或困扰的情况下经历 PASAP，即使 PASAP 内容与可能对他人造成伤害有关。鉴于与性生活和关系满意度相关，应在所有性医学咨询中评估 PASAP 的存在。未来的研究应集中在 PASAP 在精神障碍意义上达到临床显著程度的情况下。
