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首页> 外文期刊>The journal of sexual medicine >National differences in patient-clinician communication regarding hypoactive sexual desire disorder.
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National differences in patient-clinician communication regarding hypoactive sexual desire disorder.

机译：关于性欲减退的患者与临床医生交流的国家差异。

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INTRODUCTION: Despite greater awareness and openness about sexual problems among women, many patients remain reserved about discussing such problems with their doctor. Clinicians are often reluctant to ask about sexual dysfunction. AIM: To learn how clinicians can communicate more effectively with patients who have hypoactive sexual desire disorder (HSDD) by exploring the language used by patients and clinicians in the United States, France, and Germany when describing the symptoms, causes, and correlates of HSDD. METHODS: Independently conducted face-to-face, semi-structured interview with 127 clinicians involved in the treatment of female sexual dysfunction (FSD) and 95 women with FSD who were screened for HSDD using a brief adaptation of the Sexual Interest and Desire Inventory-Female. MAIN OUTCOME MEASURE: Language used by clinicians and patients. RESULTS: Clinicians and patients found FSD a difficult subject to discuss. Recognition of the term HSDD was low, with "decrease in sexual desire" preferred. Distress, currently integral to the diagnosis of HSDD, was an unpopular term. It implied to participants a state of fear or anxiety and a degree of severity not reflected by their feelings about the condition. Key feelings conveyed by patients included low self-esteem, frustration, confusion, dissatisfaction/discontent, concern, anger, embarrassment, stress, depression, and a sense of being incomplete. Clinicians were frustrated by the lack of effective treatment options for HSDD, which contributed to reluctance in discussing sexual health with patients. Patients were increasingly motivated to seek treatment, with an "improvement in level of desire" identified as the most meaningful treatment outcome, rather than an increase in satisfying sexual events. CONCLUSIONS: More carefully constructed definitions, based on understanding the common language between clinicians and patients, would improve doctor-patient communications and set common expectations for treatment of HSDD. Defining HSDD in simpler, non-psychiatric terms such as "decreased sexual desire" illustrates how HSDD can be translated into more patient-friendly language.
机译：简介：尽管女性对性问题的认识和开放度更高，但许多患者仍然愿意与医生讨论此类问题。临床医生通常不愿询问性功能障碍。目的：通过探讨美国，法国和德国的患者和临床医生在描述HSDD的症状，原因和相关因素时所使用的语言，来了解临床医生如何与患有性欲低下的患者更有效地沟通。方法：对127名参与女性性功能障碍（FSD）治疗的临床医生和95名患有FSD的女性进行了独立的面对面，半结构式访谈，他们通过对性兴趣和欲望量表进行了简短的修改以筛查HSDD女。主要观察指标：临床医生和患者使用的语言。结果：临床医生和患者发现FSD难以讨论。对HSDD一词的认识很低，首选“性欲降低”。目前困扰HSDD诊断不可或缺的困扰是一个不受欢迎的名词。它向参与者暗示一种恐惧或焦虑的状态，以及一种严重程度，没有从他们对这种状态的感觉中反映出来。患者传达的主要感觉包括自卑，沮丧，困惑，不满/不满，关注，愤怒，尴尬，压力，沮丧和不完整感。由于缺乏有效的HSDD治疗选择，临床医生感到沮丧，这导致不愿与患者讨论性健康。越来越多的患者开始寻求治疗，其“欲望水平的提高”被认为是最有意义的治疗结果，而不是满足性事件的增加。结论：在理解临床医生和患者之间的通用语言的基础上，更精心构建的定义将改善医患沟通并为HSDD的治疗设定共同的期望。用更简单的非精神病学术语（例如“性欲降低”）定义HSDD可以说明如何将HSDD转换为对患者更友好的语言。

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