Crisp Catrina, Vaccaro Christine, Fellner Angela, Kleeman Steven, Pauls Rachel
Division of Urogynecology and Reconstructive Pelvic Surgery, TriHealth Good Samaritan Hospital, Cincinnati, OH, USA.
J Sex Med. 2015 Jan;12(1):109-15. doi: 10.1111/jsm.12735. Epub 2014 Nov 4.
Female sexual dysfunction (FSD) is a common disorder with limited data investigating relationships with psychological influences, such as personality traits and coping mechanisms.
To investigate the relationship and impact of personality traits and coping strategies on female sexual function.
A web-based survey was distributed to a sample of women representative of the area's demographic distribution.
Participants completed the Female Sexual Function Index (FSFI), the Ten Item Personality Index (TIPI), and the Brief COPE.
Five hundred twenty-six females responded. The mean total FSFI score was 24.56 (SD 6.77) with lowest scores in the desire domain. Personality scores were similar to published normative values. Subjects displaying stronger tendencies for introversion (r = 0.246, P < 0.001), not being open to new experiences (r = 0.159, P = 0.008), and emotional instability (r = 0.244, P < 0.001) were found to have significantly worse sexual function. Conscientiousness was significantly associated with better desire, orgasm, satisfaction, and total FSFI score (P = 0.029, P = 0.002, P = 0.005, P = 0.003). Moreover, the utilization of negative coping strategies such as self-blame, self-distraction, and behavioral disengagement, significantly correlated with poor sexual function (r = -0.298, P < 0.001, r = -0.360, P < 0.001, r = -0.398, P < 0.001, respectively).
Personality and coping are linked to sexual function with introversion, not being open to new experiences, emotional instability, and the utilization of negative coping strategies being significantly associated with poor sexual function. Women presenting with sexual function complaints may need further evaluation of their personality and coping strategies in order to mitigate any negative impact of these tendencies.
女性性功能障碍（FSD）是一种常见疾病，但关于其与心理影响因素（如人格特质和应对机制）之间关系的研究数据有限。
探讨人格特质和应对策略与女性性功能之间的关系及影响。
通过网络调查的方式，对该地区具有人口统计学代表性的女性样本进行了调查。
参与者完成了女性性功能指数（FSFI）、十项人格指数（TIPI）和简易应对方式问卷（Brief COPE）。
526名女性做出了回应。FSFI总得分的平均值为24.56（标准差6.77），其中欲望领域得分最低。人格得分与已发表的常模值相似。研究发现，表现出较强内向倾向（r = 0.246，P < 0.001）、对新体验不开放（r = 0.159，P = 0.008）以及情绪不稳定（r = 0.244，P < 0.001）的受试者性功能明显较差。尽责性与更好的欲望、性高潮、满意度以及FSFI总得分显著相关（P = 0.029，P = 0.002，P = 0.005，P = 0.003）。此外，自责、自我分心和行为脱离等消极应对策略的使用与性功能差显著相关（分别为r = -0.298，P < 0.001；r = -0.360，P < 0.001；r = -0.398，P < 0.001）。
人格和应对方式与性功能相关，内向、对新体验不开放、情绪不稳定以及消极应对策略的使用与性功能差显著相关。出现性功能问题的女性可能需要进一步评估其人格和应对策略，以减轻这些倾向的负面影响。
