Case Western Reserve University School of Medicine, Cleveland, OH, USA.
J Sex Med. 2013 Sep;10(9):2242-50. doi: 10.1111/jsm.12224. Epub 2013 Jun 26.
Female orgasmic disorder (FOD) is the second most prevalent sexual disorder in women. According to the most recent revision of the Diagnostic and Statistical Manual of Mental Disorders, Fourth edition (DSM-IV-TR), the term "marked distress" is central to the diagnosis of FOD. In practice, the term "distress" for use as a criterion for a clinical diagnosis is a medical construct and may not correlate with the language used by women with FOD to describe what they are experiencing.
The objective of this study was to explore the terminology used by women to describe their feeling associated with difficulties in achieving orgasm.
Women experiencing difficulties in achieving orgasm were invited to participate in a focus group. The focus groups included a characterization, picture sort and language exploration exercise and completing the Female Sexual Distress Scale-Desire, Arousal, Orgasm (FSDS-DAO) to determine the impact and emotional associations of decreased/lack of orgasms.
Patient reported terminology for characterization of their FOD, and validity of question 15 of FSDS-DAO.
Sixty-seven percent (44/66) of the women used the word "frustrated" when asked, "What one word would you use to describe your orgasm difficulties?" In the language exploration exercise, the most common term used to describe emotions associated with decreased orgasm was "frustration." Responses (0 = never to 4 = always) to question 15 (frustrated by problems with orgasm) of the FSDS-DAO, ranged from 1 to 4 (mean 3.0) indicating that women were very frustrated.
The term "frustrated" was the most relevant and common emotion women feel when they have difficulties in achieving orgasm. Additionally, the women consistently supported the content validity of question 15 of the FSDS-DAO. Despite the use of the term "distress" in the DSM-IV-TR criteria for FOD, the term reflects the medical construct required to become a sexual dysfunction and does not appear to be an accurate representation of most women's feelings of orgasm difficulties.
女性性高潮障碍（FOD）是女性第二常见的性障碍。根据精神障碍诊断与统计手册第四版修订版（DSM-IV-TR），“明显痛苦”是 FOD 诊断的核心。实际上，“痛苦”一词被用作临床诊断标准是一种医学概念，可能与 FOD 女性用来描述自身体验的语言并不相关。
本研究旨在探讨女性用来描述与达到性高潮困难相关的感受的术语。
邀请经历性高潮困难的女性参加焦点小组。焦点小组包括特征描述、图片分类和语言探索练习，并完成女性性困扰量表-欲望、唤起、高潮（FSDS-DAO），以确定性高潮减少/缺乏的影响和情绪关联。
患者报告 FOD 特征的术语，以及 FSDS-DAO 问题 15 的有效性。
当被问及“用一个词来描述你的性高潮困难”时，67%（44/66）的女性使用“沮丧”这个词。在语言探索练习中，描述与性高潮减少相关的情绪时，最常用的术语是“沮丧”。FSDS-DAO 问题 15（对性高潮问题感到沮丧）的回答（0=从未到 4=总是）范围为 1 到 4（平均 3.0），表明女性非常沮丧。
“沮丧”是女性在达到性高潮困难时最相关和常见的情绪。此外，女性一致支持 FSDS-DAO 问题 15 的内容有效性。尽管 DSM-IV-TR 中 FOD 的标准使用了“痛苦”一词，但该术语反映了成为性功能障碍所需的医学概念，似乎并不能准确代表大多数女性对性高潮困难的感受。
