Derogatis L R, Fagan P J, Schmidt C W, Wise T N, Gilden K S
J Sex Marital Ther. 1986 Fall;12(3):197-210. doi: 10.1080/00926238608415406.
Seventy-six women who presented with a principal complaint of anorgasmia were compared with a matched cohort of sexually functional controls on the domains of the Derogatis Sexual Functioning Inventory (DSFI). Patients were case matched with controls on age, race, marital status, and social class. Initial comparisons revealed significant differences between patient and control groups on a number of psychosexual characteristics, consistent with prior research. Based on evidence of heterogeneity within the patient sample and earlier research by our group, the anorgasmic cohort was partitioned by a "marker variable" approach into two anorgasmic subtypes. The marker variable used to create the subtypes was the presence of homosexual fantasies. Subsequent contrasts, both between the two anorgasmic subgroups, and with functional controls, revealed highly significant differences, and provided strong evidence for at least two psychologically distinct subtypes of anorgasmia.
76名以性高潮障碍为主诉的女性与一组在德罗加蒂斯性功能量表（DSFI）各领域相匹配的性功能正常对照组进行了比较。患者与对照组在年龄、种族、婚姻状况和社会阶层方面进行了病例匹配。最初的比较显示，患者组和对照组在一些性心理特征上存在显著差异，这与先前的研究一致。基于患者样本中的异质性证据以及我们团队早期的研究，性高潮障碍队列通过“标记变量”方法被分为两种性高潮障碍亚型。用于创建亚型的标记变量是同性恋幻想的存在。随后在两个性高潮障碍亚组之间以及与功能正常对照组之间的对比显示出高度显著的差异，并为至少两种心理上不同的性高潮障碍亚型提供了有力证据。
