Raposo Catarina F, Nobre Pedro J, Manão Andreia A, Pascoal Patrícia M
Center for Psychology at the University of Porto, Faculty of Psychology and Educational Sciences of the University of Porto, Portugal.
Lusófona University, HEI-Lab: Digital Human-Environment Interaction Labs, Portugal.
Int J Clin Health Psychol. 2024 Jul-Sep;24(3):100473. doi: 10.1016/j.ijchp.2024.100473. Epub 2024 Jun 24.
Sexual distress related to sexual function (SDRSF) is pivotal in diagnosing sexual dysfunction. However, there is a lack of theoretical models for its comprehension and of knowledge concerning how to address it in clinical practice.
To contribute to theory building and clinical practice about SDRSF by collecting clinicians' accounts, aiming to inform a preliminary framework to study and intervene in SDRSF.
Reflexive thematic analysis was used to analyze the data from 16 semi-structured interviews with clinical sexologists. Three main themes were created: (1) Burning from the inside, (2) Wicked games, and (3) Running up that hill. Participants revealed a multidimensional understanding of SDRSF in clinical settings that integrates individual, sociocultural, interpersonal and situational factors. This underscores the interconnected nature of SDRSF, revealing its links to different facets of overall distress in clinical settings. We present a preliminary framework that may be analytically generalized to enhance the comprehension of the specificities of SDRSF.
These insights frame a comprehensive conceptualization of SDRSF in clinical settings that goes beyond sexual activity and implies that interpersonal and societal factors need to be considered in research and intervention in this field.
与性功能相关的性困扰（SDRSF）在性功能障碍的诊断中至关重要。然而，目前缺乏用于理解它的理论模型，也缺乏关于如何在临床实践中解决这一问题的知识。
通过收集临床医生的叙述，为有关SDRSF的理论构建和临床实践做出贡献，旨在为研究和干预SDRSF提供一个初步框架。
采用反思性主题分析来分析对16位临床性学家进行半结构化访谈的数据。创建了三个主要主题：（1）内心燃烧，（2）邪恶游戏，（3）向山上奔跑。参与者揭示了在临床环境中对SDRSF的多维理解，这种理解整合了个体、社会文化、人际和情境因素。这强调了SDRSF的相互联系性质，揭示了其在临床环境中与整体困扰不同方面的联系。我们提出了一个初步框架，该框架可进行分析性推广，以增强对SDRSF特殊性的理解。
这些见解构建了临床环境中SDRSF的全面概念化，超越了性活动本身，意味着在该领域的研究和干预中需要考虑人际和社会因素。
