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Cognitive structures in women with sexual dysfunction: The role of early maladaptive schemas

机译:性功能障碍女性的认知结构:早期适应不良模式的作用

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Introduction. Cognitive schemas are often related to psychological problems. However, the role of these structures within sexual problems is not yet well established. Aim. The aim of this study was to evaluate the presence and importance of early maladaptive schemas on women's sexual functioning and cognitive schemas activated in response to negative sexual events. Methods. A total of 228 women participated in the study: a control sample of 167 women without sexual problems, a subclinical sample of 37 women with low sexual functioning, and a clinical sample of 24 women with sexual dysfunction. Main Outcome Measures. Participants completed several self-reported measures: the Schema Questionnaire, the Questionnaire of Cognitive Schema Activation in Sexual Context, the Brief Symptom Inventory, the Beck Depression Inventory, and the Female Sexual Function Index. Results. Findings indicated that women with sexual dysfunction presented significantly more early maladaptive schemas from the Impaired Autonomy and Performance domain, particularly failure (P0.001, η2=0.08), dependence/incompetence (P0.05, η2=0.03), and vulnerability to danger (P0.05, η2=0.04). Additionally, in response to negative sexual events, women with sexual dysfunction presented significantly higher scores on incompetence (P0.001, η2=0.16), self-depreciation (P0.01, η2=0.05), and difference/loneliness (P0.01, η2=0.05) schemas. Conclusions. Results supported differences between women with and without sexual problems regarding cognitive factors. This may have implications for the knowledge, assessment, and treatment of sexual dysfunction in women.
机译:介绍。认知模式通常与心理问题有关。但是,这些结构在性问题中的作用尚不明确。目标。这项研究的目的是评估早期不良适应模式对妇女的性功能和对不良性事件的反应所激活的认知模式的存在和重要性。方法。共有228名妇女参加了该研究:对照样本为167名没有性问题的妇女,亚临床样本为37名性功能低下的妇女,临床样本为24名性功能障碍的妇女。主要观察指标。参与者完成了一些自我报告的措施:图式问卷,性语境中认知图式激活问卷,简短症状量表,贝克抑郁量表和女性性功能指数。结果。研究结果表明,性功能障碍的女性在自主能力和绩效受损领域表现出更多的早期适应不良模式,尤其是失败(P <0.001,η2= 0.08),依赖/不称职(P <0.05,η2= 0.03)以及易受危险影响的能力。 (P <0.05,η2= 0.04)。此外,在应对负面的性事件时,具有性功能障碍的女性在无能(P <0.001,η2= 0.16),自贬(P <0.01,η2= 0.05)和差异/孤独(P <0.01)上得分更高。 ,η2= 0.05)模式。结论。结果支持在有和没有关于认知因素的性问题的女性之间的差异。这可能会影响女性性功能障碍的知识,评估和治疗。

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