School of Psychology, Università Europea di Roma, Rome, Italy.
J Trauma Dissociation. 2011;12(5):526-34. doi: 10.1080/15299732.2011.598124.
Since the 20th century, psychogenic female sexual dysfunctions (FSD), like some somatoform and conversion disorders, have been considered an expression of somatoform dissociation. Several studies have reported dissociative symptoms in different somatoform and conversion disorders, but limited data are available on dissociation among patients with FSD. The aim of this study was to assess somatoform and psychoform dissociation among patients with women's orgasmic disorder, dyspareunia, and vaginismus. A battery of self-administered questionnaires (Somatoform Dissociation Questionnaire, Dissociative Experiences Scale, Hospital Anxiety and Depression Scale, Impact of Event Scale-Revised) was given to 200 gynecological outpatients to assess psychoform and somatoform dissociation and their association with FSD. A strong association between somatoform dissociation and FSD was observed (adjusted odds ratio [OR] = 5.39, 95% confidence interval [CI] = 1.15-25.32), the association between somatoform and psychoform dissociation being estimated by an adjusted OR of 4.83 (95% CI = 1.17-19.91). Our results are compatible with the idea that some forms of FSD could be regarded as somatoform dissociative disorders.
自 20 世纪以来,心因性女性性功能障碍(FSD),如某些躯体形式障碍和转换障碍,被认为是躯体分离的表现。一些研究报告了不同躯体形式障碍和转换障碍中的分离症状,但关于 FSD 患者中分离的资料有限。本研究旨在评估女性性高潮障碍、性交困难和阴道痉挛患者的躯体形式和心理形式的分离。我们对 200 名妇科门诊患者进行了一系列自我管理问卷(躯体分离问卷、分离体验量表、医院焦虑和抑郁量表、修订后的事件影响量表)评估,以评估心理形式和躯体形式的分离及其与 FSD 的关系。我们观察到躯体分离与 FSD 之间存在强烈关联(调整后的优势比[OR] = 5.39,95%置信区间[CI] = 1.15-25.32),躯体与心理分离之间的关联通过调整后的 OR 为 4.83(95%CI = 1.17-19.91)进行评估。我们的结果与某些形式的 FSD 可能被视为躯体分离障碍的观点一致。
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