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首页> 外文期刊>The journal of sexual medicine >How Do Psychological Risk Factors Predict Sexual Outcomes? A?Comparison of Four Models of Young Women’s Sexual Outcomes
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How Do Psychological Risk Factors Predict Sexual Outcomes? A?Comparison of Four Models of Young Women’s Sexual Outcomes

机译：心理风险因素如何预测性成果？ A？比较青少年性别的四种模型

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Abstract Background Recent research findings suggest that women who report high anxiety sensitivity (AS; the fear of physiologic sensations associated with anxiety) also report increased sexual dysfunction and decreased sexual satisfaction. Moreover, findings suggest that maladaptive emotion regulation (ER) can contribute to the relation between AS and psychological distress, thereby indirectly influencing sexual outcomes. Identifying relations among these variables and how they specifically relate to sexual outcomes could be vital for diagnostic and therapeutic purposes. As such, a comparison of different models of sexual outcomes that encompass psychological and sexual risk factors is needed. Aim To compare four psychological models of women’s sexual outcomes in a cross-sectional sample and specifically to investigate whether psychological factors (ie, AS, ER, psychological distress) uniquely or jointly predict related, but distinct, sexual outcomes in women: sexual functioning, sexual quality of life, and frequency of sexual activity. Methods Women (N?= 316) completed an online survey that included the Anxiety Sensitivity Index–3, Difficulties with Emotion Regulation Scale, Depression Anxiety Stress Scales, Sexual Quality of Life Scale–Female, Female Sexual Function Index, and Sexual Experiences Questionnaire–Female. Outcomes Outcome variables included women’s self-reported sexual functioning, sexual quality of life, and frequency of sexual activity. Results Path analysis models demonstrated that psychological factors predicted orgasm, sexual pain, sexual quality of life, and frequency of partnered sexual activity in women but predicted sexual desire, arousal, lubrication, and frequency of solitary sexual activity to a lesser degree. We found that ER significantly accounted for the relation between AS and psychological distress through mediation and moderation pathways. Clinical Translation Clinicians would benefit from incorporating psychological risk factors in their assessment and interventions of women’s sexual concerns. Strengths and Limitations This is the first study to compare models of women’s sexual lives using indicators of mental and sexual health. However, our study was limited to a cross-sectional sample of young women in one university setting. Conclusions AS, ER, and psychological distress are related to sexual functioning, sexual quality of life, and frequency of partnered sexual activity in young women. Psychological risk factors should be taken into consideration to better understand women’s sexual lives. Tutino JS, Ouimet AJ, Shaughnessy K. How Do Psychological Risk Factors Predict Sexual Outcomes? A Comparison of Four Models of Young Women’s Sexual Outcomes. J Sex Med 2017;14:1232–1240.
机译：摘要背景最近的研究结果表明，报告高焦虑敏感性的女性（恐惧与焦虑相关的生理感觉）也报告了增加的性功能障碍并降低性满足。此外，调查结果表明，不适的情感调节（ER）可以促进与心理困扰之间的关系，从而间接影响性结果。识别这些变量之间的关系以及他们与性成果的特异性如何对诊断和治疗目的是至关重要的。因此，需要比较包括心理和性风险因素的不同性状模型。旨在比较横断面样本中女性性成果的四种心理模型，特别是调查心理因素（即，呃，心理窘迫）独特或共同预测，妇女的性状：性功能，性生活质量和性活动频率。方法妇女（n？= 316）完成了一个在线调查，其中包括焦虑敏感性指数-3，情感调控规模困难，抑郁症焦虑应力尺度，生活质量规模 - 女性，女性性功能指数和性经历调查问卷 - 女性。结果结果变量包括妇女自我报告的性功能，生活质量和性活动的频率。结果路径分析模型表明，心理因素预测性高潮，性疼痛，生活质量，妇女的合作性活动频率，但预测性欲，唤醒，润滑和孤独的性活动的频率，较小程度。我们发现，ER通过调解和审核途径的视为和心理痛苦之间的关系。临床翻译临床医生将受益于对妇女的性问题的评估和干预措施来纳入心理危险因素。优势和局限性这是第一次使用精神和性健康指标比较妇女性生活模式的研究。然而，我们的研究仅限于一所大学环境中的年轻女性的横断面样本。结论，呃和心理困扰与性能，生活质量和伴侣性能的频率有关。应考虑心理危险因素，以更好地了解女性的性生活。 Tutino JS，Ouimet AJ，Shaughnessy K.心理危险因素如何预测性成果？四种年轻女性性成果模型的比较。 J SEX MED 2017; 14：1232-1240。

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