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新生儿男性包皮环切术与成人社会情感加工的改变有关。

Neonatal male circumcision is associated with altered adult socio-affective processing.

作者信息

Miani Alessandro, Di Bernardo Gian Antonio, Højgaard Astrid Ditte, Earp Brian D, Zak Paul J, Landau Anne M, Hoppe Jørgen, Winterdahl Michael

机构信息

Department of Nuclear Medicine and PET, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.

Institute of Work and Organizational Psychology, University of Neuchâtel, Switzerland.

出版信息

Heliyon. 2020 Nov 26;6(11):e05566. doi: 10.1016/j.heliyon.2020.e05566. eCollection 2020 Nov.

DOI:10.1016/j.heliyon.2020.e05566
PMID:33299934
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7702013/
Abstract

BACKGROUND

Neonatal male circumcision is a painful skin-breaking procedure that may affect infant physiological and behavioral stress responses as well as mother-infant interaction. Due to the plasticity of the developing nociceptive system, neonatal pain might carry long-term consequences on adult behavior. In this study, we examined whether infant male circumcision is associated with long-term psychological effects on adult socio-affective processing.

METHODS

We recruited 408 men circumcised within the first month of life and 211 non-circumcised men and measured socio-affective behaviors and stress via a battery of validated psychometric scales.

RESULTS

Early-circumcised men reported lower attachment security and lower emotional stability while no differences in empathy or trust were found. Early circumcision was also associated with stronger sexual drive and less restricted socio-sexuality along with higher perceived stress and sensation seeking.

LIMITATIONS

This is a cross-sectional study relying on self-reported measures from a US population.

CONCLUSIONS

Our findings resonate with the existing literature suggesting links between altered emotional processing in circumcised men and neonatal stress. Consistent with longitudinal studies on infant attachment, early circumcision might have an impact on adult socio-affective traits or behavior.

摘要

背景

新生儿男性包皮环切术是一种会造成皮肤破损的疼痛手术,可能会影响婴儿的生理和行为应激反应以及母婴互动。由于发育中的伤害感受系统具有可塑性,新生儿疼痛可能会对成人行为产生长期影响。在本研究中,我们调查了婴儿男性包皮环切术是否与对成人社会情感加工的长期心理影响有关。

方法

我们招募了408名在出生后第一个月内接受包皮环切术的男性和211名未接受包皮环切术的男性,并通过一系列经过验证的心理测量量表测量社会情感行为和应激情况。

结果

早期接受包皮环切术的男性报告的依恋安全性较低,情绪稳定性也较低,而在同理心或信任方面未发现差异。早期包皮环切术还与更强的性欲、更少受限的社会性行为以及更高的感知应激和感觉寻求有关。

局限性

这是一项横断面研究,依赖于来自美国人群的自我报告测量。

结论

我们的研究结果与现有文献一致,表明接受包皮环切术的男性情绪加工改变与新生儿应激之间存在联系。与关于婴儿依恋的纵向研究一致,早期包皮环切术可能会对成人的社会情感特征或行为产生影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc72/7702013/410263c5ba0e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc72/7702013/a7df44a3a8c1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc72/7702013/410263c5ba0e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc72/7702013/a7df44a3a8c1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc72/7702013/410263c5ba0e/gr2.jpg

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本文引用的文献

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What is the best age to circumcise? A medical and ethical analysis.包皮环切术的最佳年龄是多少?医学与伦理分析。
Bioethics. 2020 Sep;34(7):645-663. doi: 10.1111/bioe.12714. Epub 2020 Feb 18.
2
Medically Unnecessary Genital Cutting and the Rights of the Child: Moving Toward Consensus.医学上不必要的生殖器切割与儿童权利:迈向共识
Am J Bioeth. 2019 Oct;19(10):17-28. doi: 10.1080/15265161.2019.1643945.
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Long-term effects of neonatal pain.新生儿疼痛的长期影响。
新生儿男性包皮环切术:对公共卫生明显有益还是一个伦理困境?一项系统评价。
Cureus. 2024 Feb 23;16(2):e54772. doi: 10.7759/cureus.54772. eCollection 2024 Feb.
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Newspaper Coverage of Violence Related to Initiation and Traditional Male Circumcision in South Africa.南非与割礼仪式和传统男性割礼有关的暴力行为的新闻报道
Arch Sex Behav. 2023 Oct;52(7):2835-2844. doi: 10.1007/s10508-023-02718-z. Epub 2023 Nov 10.
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Foreskin restorers: insights into motivations, successes, challenges, and experiences with medical and mental health professionals - An abridged summary of key findings.包皮修复者:与医疗和心理健康专业人士的动机、成功、挑战和经验见解——关键发现摘要。
Int J Impot Res. 2023 May;35(3):309-322. doi: 10.1038/s41443-023-00686-5. Epub 2023 Mar 30.
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Potentially under-recognized late-stage physical and psychosexual complications of non-therapeutic neonatal penile circumcision: a qualitative and quantitative analysis of self-reports from an online community forum.非治疗性新生儿阴茎环切术潜在的被低估的晚期身体和心理性传播疾病并发症:对在线社区论坛自我报告的定性和定量分析。
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Is it time for a time-out? Progress versus politics in studying the psychosexual implications of penile circumcision.是时候暂停一下了吗?研究阴茎环切术的性心理影响时,是重视进展还是重视政治?
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