a Institute for Family and Sexuality Studies, Department of Neurosciences , KU Leuven.
b Center for Clinical Sexology and Sex Therapy , University Psychiatric Centre, KU Leuven.
J Sex Res. 2019 Mar-Apr;56(3):300-313. doi: 10.1080/00224499.2018.1493570. Epub 2018 Jul 20.
While not all sexual difficulties cause distress, research and clinical experience suggest that, apart from personal distress, partner and relational sexual distress are also often an important reason to seek professional help. The current study explored the associations between personal, perceived partner, and relational distress that men and women experience as a result of sexual difficulties. Data from heterosexual Flemish individuals ages 16 to 74 who were in a relationship (13,800 men and 13,242 women, mean age of 43.69, SD = 14.94) were collected via an online survey. Presence and severity of sexual difficulties and associated personal, perceived partner, and relational sexual distress were assessed. Among men and women with desire difficulties, either the three types of sexual distress were almost equally common or partner distress was most common. Arousal, orgasm, and sexual pain difficulties were most often associated with personal distress, particularly in men. Both men and women, however, most commonly reported that they experienced all three types of distress. These results are discussed in relation to Western gender-specific sexual scripts. Clinical implications and the importance of couples therapy and suggestions for clinically useful diagnostic criteria are presented.
虽然并非所有的性困难都会引起困扰，但研究和临床经验表明，除了个人困扰外，伴侣和性关系中的性困扰也是寻求专业帮助的一个重要原因。本研究探讨了男性和女性因性困难而经历的个人、感知伴侣和关系困扰之间的关联。数据来自于年龄在 16 至 74 岁之间、处于恋爱关系中的佛兰芒异性恋个体（男性 13800 名，女性 13242 名，平均年龄 43.69，标准差=14.94），通过在线调查收集。评估了性困难的存在和严重程度以及相关的个人、感知伴侣和关系性困扰。在有欲望困难的男性和女性中，三种性困扰几乎同样常见，或者伴侣困扰最常见。性唤起、性高潮和性疼痛困难最常与个人困扰相关，尤其是在男性中。然而，男性和女性最常报告他们经历了所有三种困扰。这些结果与西方特定性别的性脚本有关。本文还讨论了临床意义以及夫妻治疗的重要性，并提出了临床有用的诊断标准建议。
