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首页> 外文期刊>The journal of sexual medicine >Pelvic floor muscle problems mediate sexual problems in young adult rape victims
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Pelvic floor muscle problems mediate sexual problems in young adult rape victims

机译：骨盆底肌肉问题介导年轻成年强奸受害者的性问题

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Introduction: Prior studies have addressed sexual abuse and sexual function in adult women. No studies have focused on the effect of adolescence rape on sexual functioning. Aim: To investigate the effect of rape on sexual problems and on pelvic floor problems, as well as the mediating role of pelvic floor problems on sexual problems, in a homogenous group of victims of adolescence rape without a history of childhood sexual, physical, and/or emotional abuse. Main Outcome Measures: Sexual functioning and pelvic floor functioning were assessed using self-report questionnaires. Methods: In this cross-sectional study, a group of 89 young women aged 18-25 years who were victimized by rape in adolescence was compared with a group of 114 nonvictimized controls. The rape victims were treated for posttraumatic stress disorder (PTSD) 3 years prior to participation in the study. Results: Three years posttreatment, rape victims were 2.4 times more likely to have a sexual dysfunction (lubrication problems and pain) and 2.7 times more likely to have pelvic floor dysfunction (symptoms of provoked vulvodynia, general stress, lower urinary tract, and irritable bowel syndrome) than nonvictimized controls. The relationship between rape and sexual problems was partially mediated by the presence of pelvic floor problems. Rape victims and controls did not differ with regard to sexual activities. Conclusions: Rape victims suffer significantly more from sexual dysfunction and pelvic floor dysfunction when compared with nontraumatized controls, despite the provision of treatment for PTSD. Possibly, physical manifestations of PTSD have been left unaddressed in treatment. Future treatment protocols should consider incorporating (physical or psychological) treatment strategies for sexual dysfunction and/or pelvic floor dysfunction into trauma exposure treatments.
机译：简介：先前的研究已经探讨了成年女性的性虐待和性功能。没有研究集中在青春期强奸对性功能的影响上。目的：在没有童年性，生理和性行为史的同质群体中，调查强奸对性问题和骨盆底问题的影响，以及骨盆底问题对性问题的中介作用。 /或情绪上的虐待。主要结果指标：使用自我报告调查表评估性功能和骨盆底功能。方法：在这项横断面研究中，将一组89名年龄在18-25岁的年轻妇女在青春期强奸的情况与一组114名未受害的对照进行了比较。在参加研究之前，强奸受害者接受了创伤后应激障碍（PTSD）的治疗3年。结果：治疗三年后，强奸受害者发生性功能障碍（润滑问题和疼痛）的可能性高2.4倍，而盆底功能障碍（诱发性外阴痛，一般压力，下尿路和肠易激的可能性高2.7倍）综合征）比未受害的对照组高。强奸与性问题之间的关系部分由盆底问题的存在所介导。强奸受害者和控制措施在性活动方面没有不同。结论：尽管未提供创伤后应激障碍的治疗方法，但与未接受创伤的对照组相比，强奸受害者遭受性功能障碍和骨盆底功能障碍的痛苦明显更多。 PTSD的身体表现可能在治疗中未得到解决。未来的治疗方案应考虑将针对性功能障碍和/或骨盆底功能障碍的（生理或心理）治疗策略纳入创伤暴露治疗。

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