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医学生的性恐惧与回避性性行为

Sexual Fears and Avoidant Sexual Behavior in Medical Students.

作者信息

Popov Stefan P, Mateva Nonka G, Iliev Yanko T, Dechev Ivan D, Karalilova Rositsa V

机构信息

Department of Psychiatry and Medical Psychology

Department of Medical informatics, Biostatistics and e-Learning, Faculty of Public Health

出版信息

Folia Med (Plovdiv). 2015 Apr-Jun;57(2):144-8. doi: 10.1515/folmed-2015-0034.

DOI:10.1515/folmed-2015-0034
PMID:26933786
Abstract

UNLABELLED

Sexual fears, sometimes in the form of phobias, lead to aversive or sexually avoidant behavior blocking sexual closeness and resulting in deep personal and interpersonal distress.

OBJECTIVE

To determine the types of sexual fears and aversive behavior in young people of reproductive age (students) and their degree of markedness as to encourage a further implementation of prevention programs and interventions.

MATERIALS AND METHODS

The study included 116 fifth-year medical students in Plovdiv Medical University. Of these, 55 men and 61 women were assessed with the Sexual Aversion Scale, a 30-item self-rating questionnaire. The Diagnostic and Statistical Manual of Mental Disorders criteria of sexual aversion were used. The statistical analyses used were descriptive statistics and independent samples t-test.

RESULTS

Sexual fears and aversive or blocking behavior are mild to moderate, mean score of 1.54 ± 0.04, without statistically significant gender differences. Both sexes have established fear-related sexual aversive motives of sexual behavior related to the risk of unwanted pregnancy and HIV infection. Women have significantly higher average scores for the following statements: fear of sexual intercourse (1.61 vs 1.25), avoidance of situations in which they may be involved sexually (1.95 vs 1.51), avoidance of genital sexual contact (1.44 vs 1.16), fear of catching a sexually transmitted disease (2.46 vs 2.09 ), fear of pregnancy (2.61 vs 2.15) and concerns what other people think of them (2.34 vs 1.93 ).

CONCLUSIONS

Sexual fears and aversive or blocking behavior were mild to moderate. In both sexes similar fears--aversive or blocking patterns of sexual behavior were found, mainly associated with the fear of unwanted pregnancy and the risk of HIV infection, more expressed in women.

摘要

未标注

性恐惧,有时以恐惧症的形式出现,会导致厌恶或性回避行为,阻碍性亲密关系,并导致深刻的个人和人际困扰。

目的

确定育龄青年(学生)中的性恐惧和厌恶行为类型及其显著程度,以促进预防计划和干预措施的进一步实施。

材料与方法

该研究纳入了普罗夫迪夫医科大学的116名五年级医学生。其中,55名男性和61名女性使用30项自评问卷《性厌恶量表》进行评估。采用了《精神疾病诊断与统计手册》中性厌恶的标准。所使用的统计分析方法为描述性统计和独立样本t检验。

结果

性恐惧和厌恶或阻碍行为为轻度至中度,平均得分为1.54±0.04,无统计学上的显著性别差异。两性都确立了与意外怀孕和艾滋病毒感染风险相关的恐惧相关性行为厌恶动机。对于以下陈述,女性的平均得分显著更高:害怕性交(1.61对1.25)、避免可能涉及性行为的情况(1.95对1.51)、避免生殖器性接触(1.44对1.16)、害怕感染性传播疾病(2.46对2.09)、害怕怀孕(2.61对2.15)以及担心他人对自己的看法(2.34对1.93)。

结论

性恐惧和厌恶或阻碍行为为轻度至中度。在两性中都发现了类似的恐惧——性行为的厌恶或阻碍模式,主要与意外怀孕的恐惧和艾滋病毒感染风险相关,在女性中表现得更为明显。

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