Newman A S, Bertelson A D
J Behav Med. 1986 Jun;9(3):261-70. doi: 10.1007/BF00844773.
This study examined sexual dysfunction in diabetic women. Eighty-one insulin-treated diabetic women were interviewed and administered standardized questionnaires. Using criteria derived from the Diagnostic and Statistical Manual of Mental Disorders (3rd ed.) (DSM-III; American Psychiatric Association, Washington, D.C., 1980), 38 (47%) of the women were diagnosed with sexual dysfunction and 43 (53%) did not report sexual problems. The more frequently reported sexual problems were inhibited sexual excitement, inhibited sexual desire, and dyspareunia. Diabetic women with sexual dysfunction were more depressed, more stereotyped in their sex-role definitions, and less satisfied in their sexual relationships than those without sexual dysfunction. The two groups did not differ in metabolic control, insulin dose, duration of diabetes, or frequency of diabetic complications (e.g., neuropathy, etc.). Results suggest that diabetes may be associated with inhibited sexual excitement and dyspareunia in women. Both psychological and physiological concomitants of sexual dysfunction in diabetic women should be considered in diagnostic and treatment programs.
本研究调查了糖尿病女性的性功能障碍情况。对81名接受胰岛素治疗的糖尿病女性进行了访谈并发放了标准化问卷。根据《精神疾病诊断与统计手册》（第3版）（DSM-III；美国精神病学协会，华盛顿特区，1980年）中的标准，38名（47%）女性被诊断为性功能障碍，43名（53%）未报告有性问题。报告频率较高的性问题有性兴奋抑制、性欲抑制和性交困难。与没有性功能障碍的糖尿病女性相比，患有性功能障碍的糖尿病女性更抑郁，其性别角色定义更刻板，对性关系的满意度更低。两组在代谢控制、胰岛素剂量、糖尿病病程或糖尿病并发症（如神经病变等）的发生频率方面没有差异。结果表明，糖尿病可能与女性的性兴奋抑制和性交困难有关。在诊断和治疗方案中应考虑糖尿病女性性功能障碍的心理和生理伴随因素。
