School of Medicine and Health Sciences, Universidad del Rosario, Bogotá 111221, Colombia.
Facultad de Ciencias de la Salud, Universidad de Granada, 18016 Granada, Spain.
Int J Environ Res Public Health. 2021 Mar 30;18(7):3584. doi: 10.3390/ijerph18073584.
Psychological-psychiatric factors have a different effect on sexual functioning in men and women. This research aimed to examine the association between psychopathological dimensions and dimensions of sexual functioning in Spanish young adults in two studies. Study 1 examined sexual functioning and psychopathological dimensions in 700 women and 516 men. Study 2 conducted an experimental laboratory task to evaluate subjective sexual arousal and genital sensations when watching visual sexual stimuli in a subsample of participants from Study 1 (143 women and 123 men). As a result, the first study showed that depression and anxiety-related symptoms had a negative effect, both in men and women, and having a partner had a positive influence on the dimensions of sexual functioning. The second study showed that anxiety symptoms were positively associated with subjective sexual arousal in both men and women, and anxiety was associated with the assessment of genital sensations in men. The differences between the results of anxiety may be explained because sexual arousal was evaluated in general terms in Study 1, whereas it was evaluated as a state in Study 2. These findings confirm that the presence of psychopathological symptoms contributes to sexual functioning, as well as the necessity of strengthening mental illness prevention programs that include sexual health components.
心理-精神因素对男性和女性的性功能有不同的影响。本研究旨在通过两项研究检验西班牙年轻成年人的心理病理维度与性功能维度之间的关联。研究 1 调查了 700 名女性和 516 名男性的性功能和心理病理维度。研究 2 在研究 1 的参与者亚样本（143 名女性和 123 名男性）中进行了一项实验性实验室任务，以评估观看视觉性刺激时的主观性唤起和生殖器感觉。结果表明，抑郁和焦虑相关症状对男性和女性的性功能都有负面影响，而有伴侣对性功能维度有积极影响。第二项研究表明，焦虑症状与男性和女性的主观性唤起呈正相关，而焦虑与男性生殖器感觉的评估有关。焦虑结果之间的差异可能是因为研究 1 中一般评估了性唤起，而研究 2 中则评估了性唤起状态。这些发现证实，心理病理症状的存在会影响性功能，因此有必要加强包括性健康内容的精神疾病预防计划。
