Department of Psychology and Education, Eötvös Lorand University, Budapest, Hungary.
Department of Mathematics and Statistics, Valparaiso University, Valparaiso, IN, USA.
J Psychosom Obstet Gynaecol. 2020 Jun;41(2):106-115. doi: 10.1080/0167482X.2019.1599857. Epub 2019 May 29.
This study investigated women's perceived causes for orgasmic difficulty during partnered sex and their relation to orgasmic pleasure. From a community sample of 1843 women, we investigated 814 women's attributions for their orgasmic difficulty during partnered sex. Frequencies of 18 attributions were generated and subsequently reduced to eight principal variables through dimension reduction. Women with and without distress were compared across these eight principal variables. These variables, along with relevant covariates, were then used to predict orgasmic pleasure through regression analysis. The most frequently endorsed reasons for orgasmic difficulty were, in descending order, general stress/anxiety, arousal difficulty, sex-specific anxiety and issues with the partner. Women reporting high distress were more likely to cite partner issues and less likely to report general stress/anxiety as reasons for their difficulty. Regression analysis, however, indicated that the reasons most frequently endorsed by women were not necessarily those accounting for the greater variance in orgasmic pleasure, such reasons including inhibition/lack of interest, insufficient experience and partner-related issues. Difficulty reaching orgasm during masturbation as well as relationship satisfaction also explained differences in orgasmic pleasure. Women cite various reasons for orgasmic difficulty, most commonly general anxiety/stress, inadequate arousal, sex-specific stress and partner issues. Women who were distressed by their condition more frequently cited partner issues. Variance in orgasmic pleasure was most related to partner issues, sexual inhibition/lack of interest and insufficient experience. Overall, partner issues and relationship satisfaction played important roles in attributions for both orgasmic difficulty and orgasmic pleasure.
本研究调查了女性在伴侣性行为中出现性高潮困难的感知原因及其与性高潮愉悦感的关系。我们从一个由 1843 名女性组成的社区样本中调查了 814 名女性在伴侣性行为中出现性高潮困难的归因。生成了 18 种归因的频率，然后通过降维将其简化为八个主要变量。我们比较了有和没有困扰的女性在这八个主要变量上的差异。然后，将这些变量以及相关协变量用于通过回归分析预测性高潮愉悦感。最常被认可的性高潮困难原因依次为一般性压力/焦虑、唤起困难、性特定焦虑和与伴侣相关的问题。报告高困扰的女性更有可能引用伴侣问题，而不太可能将一般性压力/焦虑作为其困难的原因。然而，回归分析表明，女性最常认可的原因不一定是那些导致性高潮愉悦感更大差异的原因，例如抑制/缺乏兴趣、经验不足和与伴侣相关的问题。在自慰过程中难以达到性高潮以及关系满意度也解释了性高潮愉悦感的差异。女性引用了各种性高潮困难的原因，最常见的是一般性焦虑/压力、唤起不足、性特定压力和伴侣问题。对自己状况感到困扰的女性更频繁地提到伴侣问题。性高潮愉悦感的差异与伴侣问题、性抑制/缺乏兴趣和经验不足最相关。总体而言，伴侣问题和关系满意度在性高潮困难和性高潮愉悦感的归因中都起着重要作用。
