a Department of Psychology, University of New Brunswick.
b Faculty of Nursing, University of New Brunswick.
J Sex Res. 2019 Mar-Apr;56(3):327-336. doi: 10.1080/00224499.2017.1416451. Epub 2018 Jan 15.
Although there are high rates of sexual problems and sexual dysfunction in adulthood (Mitchell et al., 2013), little is known about the circumstances under which problems are first experienced. A growing body of research addresses prevalence of problems in sexual functioning among adolescents and young adults, yet little is known about the meanings that young people give to these experiences or how they deal with them. We used content analysis of qualitative interviews with 53 heterosexual, sexually active Canadian adolescents (ages 18 to 21) to explore their perceptions of the sexual problems in functioning they had experienced and the strategies (if any) they used to address them over time. Problems among most young people originated early in their partnered sexual life. Figuring it out emerged as an intentional process directed toward improving sexual experiences, although certainly not all young people were successful. Strategies for figuring it out included informational or material help seeking, experimentation to inform future actions, mutual sharing and problem solving, and building emotional connection to improve sexual functioning. Implications for understanding the development of sexual dysfunctions in adulthood are discussed.
尽管成年人中存在较高的性问题和性功能障碍发生率（Mitchell 等人，2013），但对于问题首次出现的情况知之甚少。越来越多的研究关注青少年和年轻人性功能障碍的流行情况，但对于年轻人对这些经历的看法以及他们如何应对这些经历知之甚少。我们使用了对 53 名异性恋、有性活跃的加拿大青少年（18 至 21 岁）的定性访谈的内容分析，探讨了他们对自己经历的性功能问题的看法，以及他们随着时间的推移解决这些问题的策略（如果有的话）。大多数年轻人的问题最早出现在他们的伴侣性关系中。弄清楚问题成为一个有目的的过程，旨在改善性体验，尽管并非所有年轻人都能成功。弄清楚问题的策略包括寻求信息或物质帮助、为未来行动提供信息的实验、相互分享和解决问题，以及建立情感联系以改善性功能。讨论了对理解成年人性功能障碍发展的影响。
