Hamilton Lisa Dawn, Julian Amanda M
a Psychology Department , Mount Allison University , Sackville , Canada.
J Sex Marital Ther. 2014;40(5):379-95. doi: 10.1080/0092623X.2013.864364. Epub 2014 Mar 20.
Psychological stressors can interfere with sexual function through psychological and physiological mechanisms. Chronic stress, in particular, seems to have a negative effect on sexual functioning for men and women. The present study was designed to identify categories of stressors that contribute to sexual difficulties as well as assess the role of anxiety and depression in the relationship between stress and sexual function. Participants were recruited for an online survey in which they completed questionnaires on daily stressors, anxiety, depression, and sexual function. Results indicated that daily stressors predicted lower scores on sexual satisfaction for men and women and sexual activity for women. These effects were mediated by scores on the depression scale. Daily stressors, depression, and anxiety were highly correlated. A factor analysis of stressors resulted in 5 distinct categories of stressors. Of these, financial stressors and stressors related to low socioeconomic status were related to lower scores on all aspects of sexual functioning for women but not for men. Women's sexual functioning scores were more strongly related to stress and depression than men's scores. Results suggest that contextual factors (e.g., daily stressors, depression) are important considerations when assessing problems with sexual functioning.
心理压力源可通过心理和生理机制干扰性功能。尤其是慢性压力，似乎对男性和女性的性功能都有负面影响。本研究旨在确定导致性困难的压力源类别，并评估焦虑和抑郁在压力与性功能关系中的作用。参与者被招募参加一项在线调查，他们在调查中完成了关于日常压力源、焦虑、抑郁和性功能的问卷。结果表明，日常压力源预示着男性和女性的性满意度得分较低，以及女性的性活动得分较低。这些影响是由抑郁量表得分介导的。日常压力源、抑郁和焦虑高度相关。对压力源进行因素分析得出了5个不同的压力源类别。其中，经济压力源和与社会经济地位低相关的压力源与女性性功能各方面得分较低有关，但与男性无关。女性的性功能得分比男性得分与压力和抑郁的关系更密切。结果表明，在评估性功能问题时，情境因素（如日常压力源、抑郁）是重要的考虑因素。
