Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, NSW, 2109, Australia.
Arch Sex Behav. 2013 Jan;42(1):23-34. doi: 10.1007/s10508-012-9948-0. Epub 2012 May 5.
Sexual dysfunctions, depression, and anxiety disorders have high rates of comorbidity. The aim of this study was to empirically evaluate an expanded model of internalizing psychopathology (Krueger, 1999) that includes sexual problems, based on these patterns of comorbidity. Responses to an online survey from a sexually active community sample (n = 563) were analyzed using structural equation modeling to compare the fit of four alternative models for males and females. An expanded model of the internalizing spectrum that included sexual problems was a good fit for the pattern of interrelationships in the female data. However, the weak relationships between the observed variables in the male data meant that none of the models provided an adequate fit for men. This study offers preliminary evidence for the utility of a model of the internalizing spectrum that includes sexual problems for women, which could facilitate a better understanding of the role of common underlying psychopathological processes between disorders and offer a first step towards effective diagnosis and treatment. Future research should focus on clinical and representative samples, using other measurement methods.
性功能障碍、抑郁和焦虑障碍的合并症发病率很高。本研究的目的是根据这些共病模式，实证评估一个包含性问题的内化精神病理学扩展模型（Krueger，1999）。对来自活跃性社区样本（n=563）的在线调查的回应使用结构方程建模进行了分析，以比较四种替代模型在男性和女性中的拟合程度。一个包含性问题的内化谱的扩展模型很好地符合女性数据中相互关系的模式。然而，男性数据中观察变量之间的弱关系意味着没有一个模型为男性提供了足够的拟合度。本研究为一个包含性问题的内化谱模型在女性中的实用性提供了初步证据，这可以帮助更好地理解障碍之间常见潜在精神病理过程的作用，并为有效诊断和治疗提供了第一步。未来的研究应集中在临床和代表性样本上，并使用其他测量方法。
