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一项关于顺性别男性和女性性交疼痛障碍的系统评价。

A Systematic Review Looking at Anodyspareunia Among Cisgender Men and Women.

作者信息

Nercessian Tiga-Rose, Banbury Samantha, Chandler Chris

机构信息

Intimata, Oxford, UK.

Department of Psychology, School of Social Sciences and Professions, London Metropolitan University, London, UK.

出版信息

J Sex Marital Ther. 2023;49(7):829-841. doi: 10.1080/0092623X.2023.2196265. Epub 2023 Apr 23.

Abstract

This systematic review aims to provide an up-to-date evaluation of the available literature on anodyspareunia and treatment interventions. It aims to identify research gaps and to evaluate treatment methods in psychosexual healthcare services. Electronic searches including PubMed, PsycINFO, Web of Science, and registered clinical trials yielded 8 studies. Research centered on men who have sex with men (MSM) and cisgender women with a 3:1 ratio. In terms of causes of anodyspareunia, correlates among both MSM and cisgender women included generalized anxiety, performance anxiety, compromised well-being, lack of stimulation, lack of lubrication, and lack of sexual arousal. While research has focused on anodyspareunia among cisgender gay men, limited research has targeted other genders or sexualities including heterosexual men and lesbian and bisexual women. No research was found on intersex, transgender, and gender nonconforming people. Similarly, there were no articles that discussed or evaluated treatment strategies. The findings of this review demonstrate the paucity of research on both the condition of anodyspareunia and its treatment across genders and sexually diverse groups. Both quantitative and qualitative research would not only develop our understanding of anodyspareunia but also contribute to public health through the development of suitable treatment interventions.

摘要

本系统综述旨在对有关性交疼痛障碍及治疗干预的现有文献进行最新评估。其目的是找出研究空白,并评估性健康医疗服务中的治疗方法。通过包括PubMed、PsycINFO、科学网和注册临床试验在内的电子检索,共获得8项研究。研究主要集中在男男性行为者(MSM)和顺性别女性,比例为3:1。关于性交疼痛障碍的原因,MSM和顺性别女性的相关因素包括广泛性焦虑、表现焦虑、幸福感受损、缺乏刺激、缺乏润滑和缺乏性唤起。虽然研究主要集中在顺性别男同性恋者的性交疼痛障碍,但针对其他性别或性取向(包括异性恋男性以及女同性恋和双性恋女性)的研究有限。未发现有关双性人、跨性别者和性别不一致者的研究。同样,也没有文章讨论或评估治疗策略。本综述的结果表明,关于性交疼痛障碍及其在不同性别和性取向群体中的治疗的研究非常匮乏。定量和定性研究不仅有助于我们对性交疼痛障碍的理解,还能通过开发合适的治疗干预措施为公共卫生做出贡献。

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