Kaplan H S
Human Sexuality Program, New York Hospital-Cornell Medical Center, NY 10021.
J Clin Psychiatry. 1988 Oct;49 Suppl:21-5.
Anxiety is a major factor in the etiology of sexual dysfunction. Anxiety concerning sexual performance or relationship issues, such as intimacy and partner rejection, is also the critical element in sexual avoidance patterns. In susceptible patients the intensity of sexual anxiety can reach panic proportions. When those patients seek sexual therapy, their underlying panic disorder often goes undiagnosed and untreated. Many treatment failures with sexaphobic patients can be attributed to the failure on the part of the clinician to detect and treat underlying panic disorders. The prognosis for patients with the dual diagnosis of sexual dysfunction and panic disorder improves significantly with the combined use of psychosexual therapy and antipanic drugs that allow highly anxious patients to cooperate with and to benefit from treatment.
焦虑是性功能障碍病因中的一个主要因素。对性表现或关系问题（如亲密感和伴侣拒绝）的焦虑，也是性回避模式中的关键因素。在易感患者中，性焦虑的强度可达到恐慌程度。当这些患者寻求性治疗时，其潜在的惊恐障碍往往未被诊断和治疗。许多恐性症患者治疗失败可归因于临床医生未能检测和治疗潜在的惊恐障碍。性功能障碍和惊恐障碍双重诊断患者的预后，通过性心理治疗和抗惊恐药物的联合使用显著改善，这使得高度焦虑的患者能够配合治疗并从中受益。
