Department of Psychiatry and Behavioral Neurosciences, Wayne State University, Detroit, Michigan 48207, USA.
J Sex Marital Ther. 2010;36(1):1-5. doi: 10.1080/00926230903375529.
This article presents a proposal for a new diagnostic concept of adjustment disorder with disturbed sexual functioning. This concept would allow one to confer a diagnosis on sexual dysfunctions in response to an identifiable stressor within 1 or 3 months. The disturbance would have to be clinically significant as evidenced by either distress in excess of what one would expect from the exposure, or by significant impairment in social, occupational or interpersonal functioning. The disturbance would not meet the criteria for another axis I disorder and would not be merely an exacerbation of a pre-existing axis I disorder. Finally, the disturbance should not persist for more than an additional 6 months once the stressor or its consequences have terminated.
本文提出了一个新的诊断概念，即适应障碍伴性功能障碍。该概念可用于在 1 至 3 个月内对因明确应激源而出现的性功能障碍进行诊断。其障碍必须具有临床显著性，表现为过度的痛苦，超过了因暴露于应激源而可能产生的痛苦，或在社会、职业或人际关系功能方面存在显著损害。该障碍不符合另一轴 I 障碍的标准，也不仅仅是轴 I 障碍的恶化。最后，一旦应激源或其后果结束，该障碍的持续时间不应超过 6 个月。
