Wehrli Fabienne S V, Bodenmann Guy J, Clemen Joëlle, Weitkamp Katharina
Clinical Psychology for Childern/Adolescents and Couples/Families, Department of Psychology, University of Zurich, Zurich, Switzerland.
Int J Sex Health. 2024 Apr 29;36(3):237-256. doi: 10.1080/19317611.2024.2344812. eCollection 2024.
Recent findings suggest that individuals tend to engage in masturbation more frequently when experiencing elevated levels of psychological stress, and there appears to be distinguishable effects on stress response based on clitoral and vaginal stimulation. In this concurrent mixed-method study, we aimed to investigate this association in more detail using a convenience sample of 370 women.
Quantitative data were used to examine whether higher psychological distress was associated with higher levels of masturbation frequency depending on the mode of stimulation, while qualitative data gave further insight into this association.
In regression analysis, higher levels of general and subscale-specific psychological distress were significantly associated with higher clitoral, but not combined clitoral and vaginal masturbation frequency. Qualitative content analysis showed that masturbation was used as a reliable coping strategy and self-care strategy which induced positive affective states, such as happiness and relaxation. Very few women reported negative feelings associated with masturbation. Mixed-method analysis revealed that women who indicated to use of masturbation for coping or self-care or who reported negative feelings did not differ in their level of psychological distress from women who did not report using it. The positive effects of masturbation were not related to the mode of stimulation.
Results showed the complexity of how psychological distress is related to sexual activity and point to the potential benefits of masturbation for dealing with psychological distress and for enhancing general well-being. Our results have various implications for researchers, clinicians, and society.
最近的研究结果表明，个体在心理压力水平升高时往往更频繁地进行自慰，并且基于阴蒂刺激和阴道刺激，对压力反应似乎存在明显的影响。在这项同期混合方法研究中，我们旨在使用370名女性的便利样本更详细地调查这种关联。
定量数据用于检验更高的心理困扰是否与根据刺激方式不同而更高的自慰频率相关，而定性数据则进一步深入了解这种关联。
在回归分析中，更高水平的总体心理困扰和特定子量表心理困扰与更高的阴蒂自慰频率显著相关，但与阴蒂和阴道联合自慰频率无关。定性内容分析表明，自慰被用作一种可靠的应对策略和自我护理策略，可诱发积极的情感状态，如快乐和放松。很少有女性报告与自慰相关的负面情绪。混合方法分析显示，表明使用自慰进行应对或自我护理或报告有负面情绪的女性，其心理困扰水平与未报告使用自慰的女性没有差异。自慰的积极效果与刺激方式无关。
结果显示了心理困扰与性活动之间关系的复杂性，并指出自慰在应对心理困扰和提高总体幸福感方面的潜在益处。我们的结果对研究人员、临床医生和社会有多种启示。
