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首页> 外文期刊>The journal of sexual medicine >The DSM diagnostic criteria for Hypoactive Sexual Desire Disorder in men.
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The DSM diagnostic criteria for Hypoactive Sexual Desire Disorder in men.

机译：男性性欲减退的DSM诊断标准。

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INTRODUCTION: Hypoactive Sexual Desire Disorder (HSDD) is one of two sexual desire disorders in the Diagnostic and Statistical Manual of Mental Disorders (DSM) and is defined by two criteria: A-"persistently or recurrently deficient (or absent) sexual fantasies and desire for sexual activity" and B-"marked distress or interpersonal difficulty." AIM: This paper reviews the prevalence and correlates of low desire in men and qualitative and quantitative research on the experience of sexual desire in men and women. METHODS: A literature search of Medline, PudMed, and PsychInfo was used to identify any publication on low desire in men. MAIN OUTCOME MEASURE: The strength of empirical findings was used as a basis for making proposed revisions to the diagnostic criteria for HSDD in men. RESULTS: The dilemma of whether desire and arousal can be reliably differentiated in men is discussed, and parallels to the literature in women are drawn. Finally, I consider three options for the diagnosis of low desire in men for DSM-5. Option 1 proposes that the DSM-IV-TR name and criteria are preserved for men in DSM-5. Option 2 proposes that the recently proposed criteria for Sexual Interest/Arousal Disorder in women are also adopted for men, which would result in one gender-neutral category. Option 3 proposes that the criteria for Sexual Interest/Arousal Disorder also be applied to men, with a minor modification to one criterion (i.e., that absent or reduced genital and/or nongenital physical changes not be included as a criterion); this diagnosis would then be applied only to men. CONCLUSIONS: The evidence supporting each of these proposals is presented and critiqued. It is concluded that the proposal for DSM-5 should be made on the basis of field testing of new criteria.
机译：简介：性欲减退（HSDD）是《精神障碍诊断和统计手册》（DSM）中的两种性欲障碍之一，并由两个标准定义：A-“持续或反复缺乏（或不存在）的性幻想和性欲性行为”和B-“明显困扰或人际交往困难”。目的：本文回顾了男性低性欲的普遍性和相关性，以及有关男女性欲经历的定性和定量研究。方法：对Medline，PudMed和PsychInfo进行文献检索，以发现任何有关男性低欲的出版物。主要观察指标：经验结果的强度用作对男性HSDD诊断标准进行拟议修订的基础。结果：探讨了男性是否可以可靠地区分欲望和唤醒的困境，并得出了与女性文献相似的结论。最后，我考虑了三种诊断男性DSM-5欲望低下的方法。选项1建议在DSM-5中保留男性的DSM-IV-TR名称和标准。备选案文2提议，也应针对男性采用最近提议的妇女性兴趣/性骚扰标准，这将导致一个不分性别的类别。备选案文3提议，也应将男性的性兴趣/性骚扰标准应用到男性身上，对一个标准进行较小的修改（即不包括生殖器和/或非生殖器的身体变化的缺乏或减少不包括在内）;然后，此诊断将仅适用于男性。结论：支持并提出了每个建议的证据。结论是DSM-5的建议应在新标准的现场测试的基础上提出。

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