Department of Psychology, Kent State University in Kent, OH 44242, USA.
J Sex Med. 2012 Feb;9(2):505-13. doi: 10.1111/j.1743-6109.2011.02533.x. Epub 2011 Oct 24.
Past research has suggested that depression and anxiety are similarly associated with sexual problems. However, methodological limitations may have hindered the ability of prior studies to detect potential specificity between depression and anxiety with distinct sexual problems. Specifically, previous studies have frequently used measures that confound depression and anxiety, focused exclusively on populations with medical complications, and failed to account for the iatrogenic effects of antidepressants.
Clark and Watson's tripartite model was used to differentiate anxious and depressive symptoms and examine their associations with indices of sexual functioning. Specifically, we examined how general distress, anxious arousal, and anhedonia are differentially related to sexual desire, arousal, erection and lubrication difficulties, orgasm achievement, pain, satisfaction, avoidance, pleasure, concerns, and sexual self-image.
In a cross-sectional study, 1,258 young men and women completed the Female Sexual Function Index, Male Sexual Function Index (adapted for the current investigation), Profile of Female Sexual Function, and Mood and Anxiety Symptom Questionnaire.
Zero-order correlations revealed some specificity between the three affective constructs, as they were associated with sexual problems. However, multiple regression analyses revealed clearer patterns, showing that anhedonic depression was more uniquely related to most sexual problems among women, whereas the relations of anxiety and depression with male sexual problems were more mixed.
This study of young subjects not identified to have affective or sexual disorders suggests that specificity exists between depression and anxiety as they relate to sexual functioning, and that this specificity varies between genders. Such findings highlight the importance of considering the unique influences of anxiety and depression in the conceptualization and treatment of sexual dysfunction.
过去的研究表明，抑郁和焦虑与性问题同样相关。然而，方法学上的限制可能阻碍了先前研究发现抑郁和焦虑与特定性问题之间潜在特异性的能力。具体来说，先前的研究经常使用混淆抑郁和焦虑的措施，仅关注有医疗并发症的人群，并且没有考虑抗抑郁药的治疗作用。
使用克拉克和沃森的三分模型来区分焦虑和抑郁症状，并研究它们与性功能指数的关系。具体来说，我们研究了一般困扰、焦虑唤醒和快感缺失如何与性欲、唤起、勃起和润滑困难、达到性高潮、疼痛、满意度、回避、愉悦、担忧和性自我形象指数相关。
在一项横断面研究中，1258 名年轻男性和女性完成了女性性功能指数、男性性功能指数（为当前研究改编）、女性性功能特征图和情绪和焦虑症状问卷。
零阶相关显示了三种情感结构之间的一些特异性，因为它们与性问题相关。然而，多元回归分析显示出更清晰的模式，表明快感缺失性抑郁与女性的大多数性问题更具独特相关性，而焦虑和抑郁与男性性问题的关系则更为复杂。
这项对未被确定为有情感或性障碍的年轻受试者的研究表明，抑郁和焦虑在与性功能相关方面存在特异性，并且这种特异性在性别之间存在差异。这些发现强调了在性功能障碍的概念化和治疗中考虑焦虑和抑郁的独特影响的重要性。
