Leeners Brigitte, Hengartner Michael P, Rössler Wulf, Ajdacic-Gross Vladeta, Angst Jules
Division of Reproductive Endocrinology, University Hospital Zurich, Zurich, Switzerland.
J Sex Med. 2014 Dec;11(12):2928-37. doi: 10.1111/jsm.12709. Epub 2014 Oct 31.
There are little published data on the prevalence of orgasmic difficulties in representative samples and no longitudinal data on the subject. In addition, our knowledge of the factors, which increase or protect against the risk of orgasmic difficulties, is still rudimentary.
The aim of this study was to evaluate the cumulative incidence rate and longitudinal course of orgasmic difficulties from age 30 to age 50, and the role of psychopathological and personality covariates in a representative population cohort of women.
Semi-structured interviews with single-item questions on sexual problems in general as well as on orgasmic difficulties were conducted. Psychopathological covariates were from the Symptom Checklist 90 Revised and personality characteristics from the Freiburg Personality Inventory. Coping resources were measured by the scales of mastery and self-esteem.
One-year prevalences of orgasmic difficulties, associations with psychopathological and personality covariates as well as coping resources were the main outcome measures.
Orgasmic difficulties were reported annually by 7.4% to 13.5% of the women with a mean of 10.0% and a cumulative risk of 27.3% from age 30 to 50. No relation between age and the prevalence of orgasmic difficulties could be demonstrated. Psychopathological covariates such as depression, psychoticism, interpersonal sensitivity, obsessive-compulsive symptoms, and somatization were moderately associated with orgasmic difficulties. Also, personality traits, i.e., nervousness, aggressiveness, depressiveness, irritability, sociability, and openness, were related to orgasmic difficulties.
With a cumulative risk of 27.3%, orgasmic difficulties represent a frequent sexual problem. Annual prevalence rates are particularly high in women with psychopathological characteristics and modestly related to various personality traits. Our findings support the relevance of psychosocial factors in the regulation of female orgasm. More basic research is needed to better understand underlying pathophysiological mechanisms and to improve diagnostic as well as therapeutic tools for women suffering from orgasmic difficulties.
关于代表性样本中性高潮困难患病率的公开数据很少，且缺乏关于该主题的纵向数据。此外，我们对增加或预防性高潮困难风险的因素的了解仍然很基础。
本研究的目的是评估30岁至50岁女性性高潮困难的累积发病率和纵向病程，以及心理病理学和人格协变量在具有代表性的女性人群队列中的作用。
进行了半结构化访谈，其中包含关于一般性性问题以及性高潮困难的单项问题。心理病理学协变量来自症状自评量表90修订版，人格特征来自弗莱堡人格量表。应对资源通过掌控感和自尊量表进行测量。
性高潮困难的年度患病率、与心理病理学和人格协变量以及应对资源的关联是主要观察指标。
30岁至50岁的女性中，每年有7.4%至13.5%的人报告存在性高潮困难，平均为10.0%，累积风险为27.3%。未发现年龄与性高潮困难患病率之间存在关联。抑郁、精神质、人际敏感、强迫症状和躯体化等心理病理学协变量与性高潮困难中度相关。此外，神经质、攻击性、抑郁性、易怒性、社交性和开放性等人格特质也与性高潮困难有关。
性高潮困难的累积风险为27.3%，是一个常见的性问题。心理病理学特征的女性年度患病率特别高，且与各种人格特质有一定关联。我们的研究结果支持心理社会因素在女性性高潮调节中的相关性。需要更多基础研究来更好地理解潜在的病理生理机制，并改善对性高潮困难女性的诊断和治疗工具。
