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性功能障碍个体的精神病理学

Psychopathology in individuals with sexual dysfunction.

作者信息

Derogatis L R, Meyer J K, King K M

出版信息

Am J Psychiatry. 1981 Jun;138(6):757-63. doi: 10.1176/ajp.138.6.757.

Abstract

The literature contains contradictory reports on the psychiatric status of individuals with sexual dysfunction. As a step toward resolving the controversy the authors administered the SCL-90-R to a large series of patients who sought treatment for sexual disorders (N = 325). Psychiatric evaluations were also done for each patient. Results showed disproportionate levels of psychological distress, reflected in SCL-90-R symptom profiles; approximately one-third of the 199 men and one-half of the 126 women in the series were also assigned psychiatric diagnoses. Findings provided evidence suggesting that the various sexual dysfunctions have characteristic symptom profiles; however, interpretation should be cautious because the cause-and-effect relationship between psychological distress and sexual dysfunctions remains complex and uncharted.

摘要

文献中关于性功能障碍患者的精神状态存在相互矛盾的报道。为了解决这一争议,作者对大量寻求性功能障碍治疗的患者(N = 325)进行了90项症状自评量表(SCL - 90 - R)测试。还对每位患者进行了精神评估。结果显示,SCL - 90 - R症状剖面图反映出心理困扰程度不成比例;该系列中的199名男性中约三分之一以及126名女性中约一半也被诊断患有精神疾病。研究结果提供了证据,表明各种性功能障碍具有特征性的症状剖面图;然而,由于心理困扰与性功能障碍之间的因果关系仍然复杂且不明,所以解释时应谨慎。

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