Pascoal Patrícia Monteiro, Cardoso Daniel, Henriques Rui
Faculty of Psychology and Educational Sciences, University of Porto, Porto, Portugal; Faculty of Psychology, University of Lisbon, Lisbon, Portugal; iSex, Lusófona University, Lisbon, Portugal.
J Sex Med. 2015 Apr;12(4):1052-61. doi: 10.1111/jsm.12835. Epub 2015 Feb 16.
Little attention has been paid to distress in sexual functioning or the sexual satisfaction of people who practice BDSM (Bondage and Discipline, Domination and Submission, Sadism and Masochism).
The purpose of this study was to describe sociodemographic characteristics and BDSM practices and compare BDSM practitioners' sexual outcomes (in BDSM and non-BDSM contexts).
A convenience sample of 68 respondents completed an online survey that used a participatory research framework. Cronbach's alpha and average inter-item correlations assessed scale reliability, and the Wilcoxon paired samples test compared the total scores between BDSM and non-BDSM contexts separately for men and women. Open-ended questions about BDSM sexual practices were coded using a preexisting thematic tree.
We used self-reported demographic factors, including age at the onset of BDSM interest, age at first BDSM experience, and favorite and most frequent BDSM practices. The Global Measure of Sexual Satisfaction measured the amount of sexual distress, including low desire, arousal, maintaining arousal, premature orgasm, and anorgasmia.
The participants had an average age of 33.15 years old and were highly educated and waited 6 years after becoming interested in BDSM to act on their interests. The practices in which the participants most frequently engaged did not coincide with the practices in which they were most interested and were overwhelmingly conducted at home. Comparisons between genders in terms of distress in sexual functioning in BDSM and non-BDSM contexts demonstrate that, with the exception of maintaining arousal, we found distress in sexual functioning to be statistically the same in BDSM and non-BDSM contexts for women. For men, we found that distress in sexual functioning, with the exception of premature orgasm and anorgasmia, was statistically significantly lower in the BDSM context. There were no differences in sexual satisfaction between BDSM and non-BDSM contexts for men or women.
Our findings suggest that BDSM sexual activity should be addressed in clinical settings that account for BDSM identities, practices, relationships, preferences, sexual satisfaction, and distress in sexual function for men and women. Additional research needs are identified, such as the need to define distressful sexual functioning experiences and expand our understanding of the development of BDSM sexual identities.
人们对性功能障碍或从事BDSM（绑缚与调教、支配与臣服、施虐与受虐）者的性满意度关注甚少。
本研究旨在描述社会人口学特征和BDSM行为，并比较BDSM从业者在BDSM情境和非BDSM情境下的性结果。
68名受访者的便利样本完成了一项采用参与式研究框架的在线调查。克朗巴哈系数和平均项目间相关性评估量表信度，威尔科克森配对样本检验分别比较男性和女性在BDSM情境和非BDSM情境下的总分。关于BDSM性行为的开放式问题使用预先存在的主题树进行编码。
我们使用自我报告的人口统计学因素，包括对BDSM产生兴趣的年龄、首次BDSM经历的年龄以及最喜欢和最频繁进行的BDSM行为。性满意度全球量表测量性困扰程度，包括性欲低下、性唤起、维持性唤起、早泄和性高潮缺失。
参与者的平均年龄为33.15岁，受教育程度高，对BDSM产生兴趣后等待6年才付诸行动。参与者最常进行的行为与他们最感兴趣的行为不一致，且绝大多数是在家中进行。在BDSM情境和非BDSM情境下性功能障碍方面的性别比较表明，除维持性唤起外，我们发现女性在BDSM情境和非BDSM情境下性功能障碍在统计学上相同。对于男性，我们发现除早泄和性高潮缺失外，BDSM情境下性功能障碍在统计学上显著更低。男性和女性在BDSM情境和非BDSM情境下的性满意度没有差异。
我们的研究结果表明，在临床环境中应考虑BDSM身份、行为、关系、偏好、性满意度以及男性和女性的性功能障碍，对BDSM性行为进行探讨。确定了其他研究需求，例如需要定义性功能障碍经历，并扩大我们对BDSM性身份发展的理解。
