Marieke Dewitte, Joana Carvalho, Giovanni Corona, Erika Limoncin, Patricia Pascoal, Yacov Reisman, Aleksandar Štulhofer
Department of Clinical Psychological Science, Maastricht University, Maastricht, the Netherlands.
Escola de Psicologia e Ciências da Vida, Universidade Lusófona de Humanidades e Tecnologias, Lisbon, Portugal.
Sex Med. 2020 Jun;8(2):121-131. doi: 10.1016/j.esxm.2020.02.008. Epub 2020 Mar 16.
There is a lack of theoretical and empirical knowledge on how sexual desire functions and interacts in a relationship.
To present an overview of the current conceptualization and operationalization of sexual desire discrepancy (SDD), providing clinical recommendations on behalf of the European Society of Sexual Medicine.
A comprehensive Pubmed, Web of Science, Medline, and Cochrane search was performed. Consensus was guided by a critical reflection on selected literature on SDD and by interactive discussions between expert psychologists, both clinicians and researchers.
Several aspects have been investigated including the definition and operationalization of SDD and the conditions under which treatment is required.
Because the literature on SDD is scarce and complicated, it is precocious to make solid statements on SDD. Hence, no recommendations as per the Oxford 2011 Levels of Evidence criteria were possible. However, specific statements on this topic, summarizing the ESSM position, were provided. This resulted in an opnion-based rather than evidence-based position statement. Following suggestions were made on how to treat couples who are distressed by SDD: (i) normalize and depathologize variation in sexual desire; (ii) educate about the natural course of sexual desire; (iii) emphasize the dyadic, age-related, and relative nature of SDD; (iv) challenge the myth of spontaneous sexual desire; (v) promote open sexual communication; (vi) assist in developing joint sexual scripts that are mutually satisfying in addition to search for personal sexual needs; (vii) deal with relationship issues and unmet relationship needs; and (viii) stimulate self-differentiation.
More research is needed on the conceptualization and underlying mechanisms of SDD to develop clinical guidelines to treat couples with SDD. Marieke D, Joana G, Giovanni C, et al. Sexual Desire Discrepancy: A Position Statement of the European Society for Sexual Medicine. J Sex Med 2020;8:121-131.
关于性欲在一段关系中如何发挥作用以及相互影响，缺乏理论和实证知识。
概述当前性欲差异（SDD）的概念化和操作化情况，代表欧洲性医学学会提供临床建议。
对PubMed、科学网、Medline和考科蓝图书馆进行了全面检索。通过对关于SDD的选定文献进行批判性反思以及临床心理学家和研究人员之间的互动讨论来达成共识。
研究了几个方面，包括SDD的定义和操作化以及需要治疗的条件。
由于关于SDD的文献稀缺且复杂，就SDD做出确凿的陈述为时过早。因此，无法按照2011年牛津证据水平标准给出建议。然而，提供了关于该主题的具体陈述，总结了欧洲性医学学会的立场。这导致了一个基于观点而非证据的立场声明。针对如何治疗因SDD而苦恼的伴侣提出了以下建议：（i）使性欲差异正常化并消除其病态化；（ii）进行关于性欲自然过程的教育；（iii）强调SDD的二元性、与年龄相关的性质以及相对性；（iv）挑战自发性欲的神话；（v）促进开放性的性交流；（vi）除了寻找个人性需求外，协助制定双方都满意的联合性脚本；（vii）处理关系问题和未满足的关系需求；（viii）促进自我分化。
需要对SDD的概念化和潜在机制进行更多研究，以制定治疗患有SDD的伴侣的临床指南。玛丽克·D、乔安娜·G、乔瓦尼·C等。性欲差异：欧洲性医学学会的立场声明。《性医学杂志》2020年；8：121 - 131。
