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首页> 外文期刊>The journal of sexual medicine >Cognitive and emotional determinants characterizing women with persistent genital arousal disorder
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Cognitive and emotional determinants characterizing women with persistent genital arousal disorder

机译：患有持续性生殖器唤醒障碍的女性的认知和情感决定因素

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Introduction: Persistent genital arousal disorder (PGAD) is a relatively unknown clinical condition affecting several women. Moral standards, as well as conservative beliefs regarding sexuality, are believed to be involved in the etiology and maintenance of this syndrome. Nevertheless, there are no consistent data on the content of the beliefs system presented by these women. Aim: The aim of this study was to characterize the cognitive and emotional style of women reporting PGAD. More precisely, the content of sexual beliefs, thoughts, and emotions during sexual intercourse was explored. Methods: Forty-three women presenting PGAD and 42 controls responded to a web survey. This study was cross-cultural in nature and women worldwide (over 18 years old) were asked to participate. Main Outcome Measures: Participants answered the following online questionnaires: Sexual Dysfunctional Beliefs Questionnaire, Sexual Modes Questionnaire, Positive and Negative Affect Schedule, and Brief Symptom Inventory. Additionally, participants responded to a checklist assessing the presence and frequency of PGAD symptoms. Results: After controlling for sociodemographic characteristics and psychopathology, findings showed that women reporting PGAD symptoms presented significantly more dysfunctional sexual beliefs (e.g., sexual conservatism, sexual desire as a sin), as well as more negative thoughts (e.g., thoughts of sexual abuse and of lack of partner's affection) and dysfunctional affective states (more negative and less positive affect) during sexual activity than non-PGAD women. Conclusions: Notwithstanding the impact of neurophysiological determinants in the etiology of this syndrome, results support the psychological conceptualization of PGAD and highlight the role of cognitive-behavioral therapy (CBT) for PGAD symptomatology. More specifically, cognitive and behavioral strategies would be aimed at targeting maladaptive sexual beliefs and thoughts, as well as regulating negative affective states resulting from a dysfunctional cognitive style regarding sexuality. In all, CBT in association with a medical/pharmacological approach, could be clinically relevant in the management of PGAD.
机译：简介：持续性生殖器唤醒障碍（PGAD）是一种相对未知的临床病，影响了几位女性。人们认为道德标准以及关于性的保守信仰都与该综合征的病因和维持有关。然而，关于这些妇女提出的信仰体系的内容，没有一致的数据。目的：本研究的目的是描述报告PGAD的女性的认知和情绪风格。更确切地说，探讨了性交过程中性信仰，思想和情感的内容。方法：进行PGAD的43位女性和42位对照者对网络调查做出了回应。这项研究本质上是跨文化的，并且要求全世界的女性（18岁以上）参加。主要观察指标：参与者回答了以下在线问卷：性功能障碍信念问卷，性模式问卷，正面和负面影响表，简要症状清单。此外，参与者对检查清单进行了评估，以评估PGAD症状的存在和频率。结果：在控制了社会人口统计学特征和精神病理学之后，研究结果表明，报告PGAD症状的女性表现出明显更多的功能失调的性信念（例如，性保守主义，性欲为一种犯罪）以及更多的消极思想（例如，性虐待和性虐待的思想）。与非PGAD妇女相比，在性活动过程中缺乏伴侣的情感）和功能失调的情感状态（负面和正面影响较小）。结论：尽管神经生理学决定因素在该综合征的病因学中有影响，结果仍支持PGAD的心理概念，并强调认知行为疗法（CBT）在PGAD症状学中的作用。更具体地说，认知和行为策略的目标是针对适应不良的性信仰和思想，以及调节因性功能障碍引起的负面情感状态。总而言之，CBT与医学/药理学方法相结合可能与PGAD的管理在临床上相关。

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