Departamento de Educação e Psicologia, Universidade de Trás-os-Montes e Alto Douro, Vila Real, Portugal.
J Sex Med. 2010 May;7(5):1807-15. doi: 10.1111/j.1743-6109.2010.01716.x. Epub 2010 Feb 25.
Sexual desire depends on the balance between biologic, psychological, and cultural values. Therefore, conceptualizations of female sexual desire difficulties should consider the interrelated role of those factors.
The aim of this study was to test a conceptual model regarding factors often implicated on female sexual desire, in order to understand the way those factors interact in sexual interest. Moreover, we intended to evaluate the mediation role of cognitive-emotional factors between sexual desire and other dimensions such as age, medical problems, psychopathology, or dyadic adjustment.
Two hundred and thirty-seven women from the general population participated in the study. We evaluated psychopathology, dysfunctional sexual beliefs, automatic thoughts and emotions during sexual activity, dyadic adjustment, and presence of medical problems.
Psychopathology measured by the Brief Symptom Inventory, dysfunctional sexual beliefs measured by the Sexual Dysfunctional Beliefs Questionnaire, thoughts and emotions in sexual context measured by the Sexual Modes Questionnaire, dyadic adjustment measured by the Dyadic Adjustment Scale, medical condition measured by the Medical History Formulation, and sexual desire measured by the Sexual Desire subscale of the Female Sexual Function Index.
Results from the proposed conceptual model suggest that cognitive factors (mainly automatic thoughts during sexual activity) were the best predictors of sexual desire. In a more specific way, age, failure/disengagement thoughts, and lack of erotic thoughts during sexual activity, showed a significant direct effect on reduced sexual desire. Furthermore, sexual conservatism beliefs, and medical factors showed indirect effects, acting on sexual desire via the presence of lack of erotic thoughts, and failure/disengagement sexual thoughts, respectively.
Results from this integrative approach support the need to include cognitive dimensions in the assessment and treatment of sexual desire problems, considering their implication as vulnerability or resilient factors regarding deficient sexual interest in women.
性欲望取决于生物、心理和文化价值观之间的平衡。因此，女性性欲望障碍的概念化应考虑这些因素的相互作用。
本研究旨在测试一个关于女性性欲望相关因素的概念模型，以了解这些因素在性兴趣中的相互作用方式。此外，我们还旨在评估认知-情绪因素在性欲望与其他维度（如年龄、医疗问题、精神病理学或夫妻关系调整）之间的中介作用。
共有 237 名来自普通人群的女性参与了这项研究。我们评估了精神病理学、性功能障碍信念、性活动期间的自动思维和情绪、夫妻关系调整以及医疗问题的存在。
用简明症状量表评估精神病理学，用性功能障碍信念问卷评估性功能障碍信念，用性模式问卷评估性情境下的思维和情绪，用夫妻关系调整量表评估夫妻关系调整，用医疗病史制定表评估医疗状况，用女性性功能指数的性欲望子量表评估性欲望。
所提出的概念模型的结果表明，认知因素（主要是性活动期间的自动思维）是性欲望的最佳预测因素。更具体地说，年龄、失败/脱离思维以及性活动期间缺乏色情思维，对降低性欲望有显著的直接影响。此外，性保守信念和医疗因素通过缺乏色情思维和失败/脱离性思维的存在，分别对性欲望产生间接影响。
这种综合方法的结果支持在评估和治疗性欲望问题时纳入认知维度的必要性，考虑到它们作为女性性兴趣不足的脆弱或弹性因素的意义。
