Rosen R C, Leiblum S R
Department of Psychiatry, University of Medicine and Dentistry of New Jersey (UMDNJ)-Robert Wood Johnson Medical School, Piscataway 08854, USA.
J Consult Clin Psychol. 1995 Dec;63(6):877-90. doi: 10.1037//0022-006x.63.6.877.
Marked changes have occurred in the formulation and treatment of sexual disorders in the past 2 decades. Emphasis has shifted to the role of biomedical and organic factors in the etiology of sexual dysfunction, along with the growing use of medical and surgical treatment interventions. Multidimensional assessment models are widely used, particularly in the evaluation of male erectile dysfunction and sexual pain disorders. Integrated treatment approaches have also been developed, as cognitive-behavioral and couples' therapy procedures are increasingly combined with traditional sex therapy techniques. This article reviews existing data regarding the etiology and treatment of male and female sexual dysfunctions. Despite the conceptual and technological sophistication of current approaches, treatment outcome is less than satisfactory in several areas. Further research is needed on the etiology and treatment of sexual disorders.
在过去20年里，性功能障碍的诊断和治疗方法发生了显著变化。重点已转向生物医学和器质性因素在性功能障碍病因学中的作用，同时药物和手术治疗干预措施的使用也越来越多。多维评估模型被广泛应用，尤其是在评估男性勃起功能障碍和性交疼痛障碍方面。随着认知行为疗法和夫妻治疗程序越来越多地与传统性治疗技术相结合，综合治疗方法也得到了发展。本文回顾了有关男性和女性性功能障碍病因及治疗的现有数据。尽管当前方法在概念和技术上很先进，但在几个方面治疗效果仍不尽人意。性功能障碍的病因和治疗仍需进一步研究。
