Department of Sexology, Université du Québec à Montréal, Québec, Canada.
PLoS One. 2023 Mar 6;18(3):e0282618. doi: 10.1371/journal.pone.0282618. eCollection 2023.
Sexual dysfunctions (SD; e.g., female sexual interest/arousal disorder, erectile disorder, female orgasmic disorder, delayed ejaculation, genito-pelvic pain/penetration disorder, etc.) affect up to a third of individuals, impairing sexuality, intimate relationships, and mental health. This study aimed to compare the prevalence of SDs and their sexual, relational, and psychological correlates between a sample of adults consulting in sex therapy (n = 963) and a community-based sample (n = 1,891), as well as examine barriers to sexual health services for SD and the characteristics of individuals seeking such services. Participants completed an online survey. Analyses showed that participants in the clinical sample reported lower levels of sexual functioning and sexual satisfaction and higher levels of psychological distress than participants in the community-based sample. Moreover, higher SD rates were related to lower relational satisfaction and higher psychological distress in the community sample, and to lower sexual satisfaction in both samples. Among participants in the community sample who sought professional services for SD, 39.6% reported that they were unable to access services, and 58.7% reported at least one barrier to receiving help. This study provides important data regarding the prevalence of SD and the link between SD and psychosexual health in clinical and nonclinical samples, as well as barriers to treatment access.
性功能障碍（SD；例如，女性性兴趣/唤起障碍、勃起功能障碍、女性性高潮障碍、延迟射精、生殖器-骨盆疼痛/插入障碍等）影响高达三分之一的个体，损害性健康、亲密关系和心理健康。本研究旨在比较性治疗门诊（n = 963）和社区样本（n = 1891）中成年人的 SD 患病率及其性、关系和心理相关因素，以及检查 SD 性健康服务的障碍和寻求此类服务的个体特征。参与者完成了在线调查。分析表明，与社区样本相比，临床样本中的参与者报告的性功能和性满意度较低，心理困扰水平较高。此外，社区样本中更高的 SD 率与较低的关系满意度和较高的心理困扰相关，而在两个样本中均与较低的性满意度相关。在因 SD 而寻求专业服务的社区样本参与者中，39.6%报告无法获得服务，58.7%报告至少存在一个接受帮助的障碍。本研究提供了有关 SD 患病率以及 SD 与临床和非临床样本中性心理健康之间联系的重要数据，以及治疗途径的障碍。
