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童年期性虐待与成年男性性功能障碍之间的关系。

The relationship between childhood sexual abuse and adult male sexual dysfunction.

作者信息

Sarwer D B, Crawford I, Durlak J A

机构信息

University of Pennsylvania School of Medicine, Edwin and Fannie Gray Hall Center for Human Appearance, Philadelphia 19104, USA.

出版信息

Child Abuse Negl. 1997 Jul;21(7):649-55. doi: 10.1016/s0145-2134(97)00030-6.

DOI:10.1016/s0145-2134(97)00030-6
PMID:9238548
Abstract

OBJECTIVE

The present study investigated the relationship between childhood sexual abuse and adult sexual dysfunction in men. In addition, the investigation compared sexually abused men and women on the characteristics of the sexual abuse.

METHOD

Subjects were 359 men who sought sexual dysfunction treatment. Thirty men reported a history of sexual abuse. Characteristics of the sexual abuse experienced by these men also were compared to the sexual abuse experienced by 73 women initially investigated elsewhere (Sarwer & Durlak 1996).

RESULTS

Sexual abuse was not found to predict sexual dysfunction in these men. Rather, unemployment served as the only significant predictor of male sexual dysfunction. Comparisons of the sexual abuse reported by male and female victims indicated that males were more likely to experience physical force, but were less likely than female victims to be abused more than once and to be abused by an adult.

CONCLUSIONS

The results support the notion that childhood sexual abuse may not be as disruptive to adult sexual functioning in men as it is in women. This difference may be a function of the specific circumstances of the sexual abuse. Suggestions for future research on male sexual abuse are provided.

摘要

目的

本研究调查了男性童年期性虐待与成人性功能障碍之间的关系。此外,该调查还比较了遭受性虐待的男性和女性在性虐待特征方面的差异。

方法

研究对象为359名寻求性功能障碍治疗的男性。其中30名男性报告有性虐待史。这些男性所经历的性虐待特征也与73名最初在其他地方接受调查的女性所经历的性虐待进行了比较(Sarwer和Durlak,1996年)。

结果

在这些男性中,未发现性虐待可预测性功能障碍。相反,失业是男性性功能障碍的唯一显著预测因素。对男性和女性受害者报告的性虐待情况进行比较表明,男性更有可能遭受身体暴力,但与女性受害者相比,男性遭受多次虐待以及被成年人虐待的可能性较小。

结论

研究结果支持这样一种观点,即童年期性虐待对男性成人性功能的干扰可能不如对女性那么大。这种差异可能是性虐待具体情况的一种体现。文中还为未来关于男性性虐待的研究提供了建议。

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