DSM-5性功能障碍和体征性症状障碍的指标是否重叠? 来自汉堡市健康研究的人口样本的证据
Thula U Koops1, Natalie Uhlenbusch2, Bernd Löwe2
1Institute for Sex Research, Sexual Medicine, and Forensic Psychiatry, University Medical Centre Hamburg-Eppendorf, Hamburg 20246, Germany.
The journal of sexual medicine
|September 18, 2024
概括
性功能障碍和体质症状障碍指标重叠,但仍然是不同的. 性困难的痛苦与人体症状相关,特别是在男性中,这表明需要单独的临床考虑.
科学领域:
- 精神病学是一个精神病学.
- 性医学性医学性医学性医学
- 精神病体医学是一种精神病体医学.
背景情况:
- 性功能障碍和体征性症状障碍共享的重叠的身体功能改变的症状.
- 它们在使用DSM-5标准的非临床环境中的同时发生和表现仍未得到充分研究.
研究的目的:
- 调查性功能障碍指标与体质症状障碍之间的关联.
- 为了确定不同性功能障碍的个体是否在体征症状和感知上有所不同.
- 检查性困难带来的痛苦与身体症状/感知之间的关系.
主要方法:
- 来自汉堡市健康研究的9333名参与者 (年龄在45-74岁之间) 的分析.
- 使用了关于性行为的简短问卷,患者健康问卷-15 (PHQ-15) 和体质症状障碍-B标准尺度.
- 通过从PHQ-15中排除性困难项目进行的敏感性分析.
主要成果:
- 性功能障碍和体征性症状障碍的指标在敏感性分析之前显示出一种关联,之后消失了.
- 不同的性功能障碍诊断之间没有发现体质症状严重程度或感知方面的显著差异.
- 由于性困难的痛苦与身体症状严重程度 (ρ=.19) 和感知 (ρ=.21) 相对相关性较弱,男性的相关性更强.
结论:
- 性功能障碍和体质症状障碍指标重叠,但是不同的现象.
- 临床实践和研究应该单独考虑这些情况.
- 在患有体质症状障碍的患者中,探索性困难是有必要的,反之亦然.
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