Schmidt C W, Meyer J K, Lucas M J, Smith E
South Med J. 1976 Sep;69(9):1167-9. doi: 10.1097/00007611-197609000-00020.
Brief, behaviorally oriented treatment of sexual dysfunction is gaining increasing acceptance in medicine and psychiatry. However, relatively few clinics have published their treatment results. During a 2 1/2-year period, 36 couples with diagnoses of sexual dysfunction were treated with a modified Masters and Johnson protocol. The initial success rate was 83%, but the degree of improvement reported by the couples varied from marked to equivocal. Eighty-nine percent of the male partners and 83% of the female partners manifested psychologic signs or symptoms that either warranted a psychiatric diagnosis or were noted as significant traits or symptoms. With an average of 7.9 months of follow-up, the failure rate increased from 17% to 38%. This increase was attributed in part to the degree of combined psychosexual disorder identified in the patients. The etiologic relationships between psychiatric conditions and sexual dysfunctions are not fully understood and will require further study.
针对性功能障碍的简短、行为导向型治疗方法在医学和精神病学领域越来越受到认可。然而，相对较少的诊所公布过他们的治疗结果。在两年半的时间里，对36对被诊断为性功能障碍的夫妇采用改良的马斯特斯和约翰逊疗法进行治疗。初始成功率为83%，但夫妇双方报告的改善程度从显著到不明确不等。89%的男性伴侣和83%的女性伴侣表现出心理体征或症状，这些体征或症状要么需要进行精神科诊断，要么被视为显著特征或症状。平均随访7.9个月后，失败率从17%上升到38%。这种上升部分归因于患者中发现的性心理障碍的综合程度。精神疾病与性功能障碍之间的病因关系尚未完全明了，需要进一步研究。
