Marsh Patrick J, Odlaug Brian L, Thomarios Nick, Davis Andrew A, Buchanan Stephanie N, Meyer Craig S, Grant Jon E
Department of Psychiatry, University of South Florida, Tampa, FL 33613, USA.
Ann Clin Psychiatry. 2010 May;22(2):129-34.
The goal of the present study was to examine the prevalence of paraphilias in an adult inpatient psychiatric population.
One hundred twelve consecutive, voluntarily admitted, adult male psychiatric inpatients were administered the Structured Clinical Interview for DSM-IV, Sexual Disorders Module, Male Version, to assess the rates of DSM-IV paraphilias.
Fifteen patients (13.4%) reported symptoms consistent with at least one lifetime DSM-IV paraphilia. The most common paraphilias were voyeurism (n = 9 [8.0%]), exhibitionism (n = 6 [5.4%]), and sexual masochism (n = 3 [2.7%]). Patients who screened positive for a paraphilia had significantly more psychiatric hospitalizations (P = .006) and, on a trend level, were more likely to have attempted suicide. In addition, patients with paraphilias were significantly more likely to report having been sexually abused than patients without a paraphilia (P = <.001). Only 2 of the 15 paraphilic patients (13.3%) carried an admission diagnosis of a paraphilia.
Paraphilias appear to be more common in adult male psychiatric inpatients than previously estimated. The study also demonstrated that these disorders were not screened for by the treating physician and thus may go untreated. Further, larger-scale studies are necessary in order to further examine the rates of these disorders in the general population.
本研究的目的是调查成年住院精神科患者中恋物癖的患病率。
对112名连续自愿入院的成年男性精神科住院患者进行《精神疾病诊断与统计手册》第四版（DSM-IV）性障碍模块男性版的结构化临床访谈，以评估DSM-IV恋物癖的发生率。
15名患者（13.4%）报告的症状符合至少一种终生DSM-IV恋物癖。最常见的恋物癖是窥阴癖（n = 9 [8.0%]）、露阴癖（n = 6 [5.4%]）和性受虐癖（n = 3 [2.7%]）。筛查出恋物癖阳性的患者有更多的精神科住院史（P = .006），并且在趋势水平上，更有可能尝试过自杀。此外，有恋物癖的患者比没有恋物癖的患者报告遭受性虐待的可能性显著更高（P = <.001）。15名恋物癖患者中只有2名（13.3%）入院诊断为恋物癖。
恋物癖在成年男性精神科住院患者中似乎比先前估计的更为常见。该研究还表明，这些疾病未被主治医生筛查，因此可能得不到治疗。此外，需要进行更大规模的研究，以便进一步调查这些疾病在普通人群中的发生率。
