a Department of Counselling Psychology , University of British Columbia.
b Department of Psychiatry , University of British Columbia.
J Sex Res. 2018 Jul-Aug;55(6):734-746. doi: 10.1080/00224499.2017.1386764. Epub 2017 Nov 2.
In 2013, the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was published with a major revision to the sexual dysfunction categories, and the diagnosis of female hypoactive sexual desire disorder (HSDD) was replaced with female sexual interest/arousal disorder (SIAD). Since being introduced, concern has been expressed that SIAD inappropriately "raises the bar" for diagnosis. To address these concerns, we sought to evaluate the number of women with a diagnosis of HSDD who also met criteria for SIAD. In a sample of 151 women, we found that 73.5% of women with a diagnosis of HSDD met criteria for SIAD. The two groups were compared on the Sexual Interest/Desire Inventory, and women who met criteria for both HSDD and SIAD consistently scored lower on sexual desire frequency and satisfaction, satisfaction with sex, receptivity, positive sexual thoughts, reactions to erotica, arousal frequency, ease, continuation, and orgasm ease/achievement, and higher on distress. In addition, women meeting criteria for HSDD only tended to have mild symptoms across the six SIAD criteria compared to those meeting criteria for both HSDD and SIAD. These findings suggest that the SIAD criteria does not unduly raise the bar for diagnosis.
2013 年，《精神障碍诊断与统计手册》（第五版）出版，对性功能障碍类别进行了重大修订，将女性性欲低下障碍（HSDD）的诊断改为女性性兴趣/唤起障碍（SIAD）。自引入以来，人们一直担心 SIAD 不恰当地“提高了诊断标准”。为了解决这些担忧，我们试图评估符合 SIAD 诊断标准的 HSDD 患者人数。在 151 名女性的样本中，我们发现 73.5%的 HSDD 诊断患者符合 SIAD 的标准。对性兴趣/欲望量表进行比较后发现，同时符合 HSDD 和 SIAD 诊断标准的女性在性欲频率和满意度、性满意度、接受度、积极的性想法、对色情作品的反应、唤起频率、轻松程度、持续时间和性高潮的轻松/实现度上的得分较低，而在困扰方面的得分较高。此外，与同时符合 HSDD 和 SIAD 诊断标准的女性相比，仅符合 HSDD 诊断标准的女性在六个 SIAD 标准中倾向于具有轻度症状。这些发现表明，SIAD 标准并没有不恰当地提高诊断标准。
