Schiavi R C, Mandeli J, Schreiner-Engel P
Department of Psychiatry, Mount Sinai School of Medicine, New York City, NY 10029-6574.
J Sex Marital Ther. 1994 Spring;20(1):3-13. doi: 10.1080/00926239408403412.
Systematic information on the contributing factors to sexual satisfaction in healthy older men is lacking. The central aim of the study was to explore the predictive significance of psychological, marital, and behavioral variables and their interaction on the satisfaction of healthy married volunteers aged 45 to 74. All subjects had an extensive psychosexual and medical evaluation and completed a battery of psychological tests which included the Derogatis Sexual Functioning Inventory (DSFI), the Locke-Wallace Marital Adjustment Test (L-W) and the Dyadic Adjustment Scale (DAS). Step-wise regression analysis demonstrated that the subjects' perception of erectile difficulties, sexual information, affect, and marital adjustment had a differential correlation pattern with three measures of sexual satisfaction explaining a substantial amount of the variance. There is a need to move beyond an exclusive focus on performance to the determinants of sexual enjoyment and satisfaction in the later years.
目前缺乏关于健康老年男性性满意度影响因素的系统性信息。该研究的核心目的是探讨心理、婚姻和行为变量及其相互作用对45至74岁健康已婚志愿者性满意度的预测意义。所有受试者都接受了广泛的性心理和医学评估，并完成了一系列心理测试，包括德罗加蒂斯性功能量表（DSFI）、洛克-华莱士婚姻调适测试（L-W）和二元调适量表（DAS）。逐步回归分析表明，受试者对勃起功能障碍的认知、性信息、情感和婚姻调适与三种性满意度测量指标存在不同的相关模式，解释了相当一部分方差。有必要超越单纯关注性表现，转而关注晚年性愉悦和性满意度的决定因素。
