性高潮障碍女性的类型及其与性困扰的关系。
Typologies of Women With Orgasmic Difficulty and Their Relationship to Sexual Distress.
机构信息
Department of Pedagogy and Psychology, Eotvos Lorand University, Budapest, Hungary.
Department of Pedagogy and Psychology, Eotvos Lorand University, Budapest, Hungary; Department of Psychology, Valparaiso University, Valparaiso, IN USA.
出版信息
J Sex Med. 2020 Jun;17(6):1144-1155. doi: 10.1016/j.jsxm.2020.02.008. Epub 2020 Mar 17.
BACKGROUND
About 50% of women who report orgasmic difficulty (OD) during partnered sex are distressed by their condition, yet why some women are distressed and others are not is unclear.
AIM
To determine whether sexual distress is related to women's perceived causes of their OD during partnered sex.
METHODS
We established homogenous subgroups of women based on their attributions for OD during partnered sex, and these groups were validated by comparing them on variables relevant to sexual response. We then predicted OD-related distress from subgroup memberships as well as from a number of sociodemographic, control, and empirically supported sexual response variables.
RESULTS
3 distinct OD subgroups emerged: type 1-high psychological-high somatic reasons; type 2-partner-related reasons; and type 3-moderate psychological-low somatic reasons. These groups also differed on independent parameters related to sexual frequency and arousal. Subgroup membership, along with age, sexual relationship satisfaction, and frequency of partnered sex predicted sexual distress related to OD.
CLINICAL IMPLICATION
Particular perceptions regarding the causes for OD help predict women's sexual distress, and such factors might be considered in identifying sexual issues and managing them within the context of a sexual relationship.
STRENGTHS & LIMITATIONS: A large sample size drawn from a multinational population powered the study, while the cross-sectional nature of the sample could not rule out bidirectional associations between predictor covariates (including OD subgroup) and the outcome measure (sexual distress).
CONCLUSION
Type 1 membership (high levels of psychological and somatic attributions) predicted greater levels of OD-related distress than type 2 (partner-related attributions) or type 3 (moderate psychological and low somatic attributions) membership, with type 1 women having a greater likelihood of internalizing (accepting responsibility/blame for) OD attributions. Hevesi K, Miklós E, Horváth Z, et al. Typologies of Women With Orgasmic Difficulty and Their Relationship to Sexual Distress. J Sex Med 2020;17:1144-1155.
背景
大约 50%报告在伴侣性行为中出现性高潮困难（OD）的女性对自己的状况感到苦恼，但为什么有些女性感到苦恼，而有些女性则没有，目前尚不清楚。
目的
确定性苦恼是否与女性对伴侣性行为中 OD 的感知原因有关。
方法
我们根据女性对伴侣性行为中 OD 的归因，建立了同质的女性亚组，并通过比较与性反应相关的变量来验证这些亚组。然后，我们根据亚组成员以及一些社会人口学、对照和经验支持的性反应变量来预测与 OD 相关的苦恼。
结果
出现了 3 个不同的 OD 亚组：1 型-高心理-高躯体原因；2 型-与伴侣相关的原因；和 3 型-中度心理-低躯体原因。这些组在与性频率和唤起相关的独立参数上也存在差异。亚组成员、年龄、性关系满意度和伴侣性行为频率预测了与 OD 相关的性苦恼。
临床意义
对 OD 原因的特定看法有助于预测女性的性苦恼，并且在性关系的背景下，可以考虑这些因素来识别和处理性问题。
局限性
从多国人口中抽取的大量样本为研究提供了动力，而样本的横断面性质不能排除预测变量（包括 OD 亚组）和结果测量（性苦恼）之间的双向关联。
结论
1 型（高心理和躯体归因）的成员比 2 型（与伴侣相关的归因）或 3 型（中度心理和低躯体归因）的成员更容易出现与 OD 相关的更大程度的苦恼，1 型女性更有可能将 OD 归因内化（为自己的责任/过错负责）。Hevesi K、Miklós E、Horváth Z 等人。具有性高潮困难的女性类型及其与性苦恼的关系。J 性医学 2020；17:1144-1155。
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