Sexual Responsivity and the Effects of Negative Mood on Sexual Arousal in Hypersexual Men Who Have Sex With Men (MSM).
Sexual Responsivity and the Effects of Negative Mood on Sexual Arousal in Hypersexual Men Who Have Sex With Men (MSM).
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DOI：
10.1016/j.jsxm.2020.05.005
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发表时间：
2020-09
影响因子：
3.5
通讯作者：
Miner, Michael H
中科院分区：
文献类型：
--
作者：
Janssen, Erick;Prause, Nicole;Swinburne Romine, Rebecca;Raymond, Nancy;MacDonald, Angus 3rd;Coleman, Eli;Miner, Michael H
许多研究发现，性欲亢进与性兴奋的高倾向有关。相比之下，在州一级对性欲亢进和性反应之间的联系知之甚少。此外，先前的研究已经揭示了性欲亢进和消极情绪之间的联系。然而，性反应可能不会受到性欲亢进个体的负面情绪的负面影响，这种可能性尚未得到验证。本研究旨在探讨男男性行为者（MSM）的性反应能力及负性情绪对性唤起的影响。共有211名MSM被分配到一个性欲亢进（N=81）或对照组（N=130）使用半结构化的SCID（结构化临床采访DSM疾病）格式的采访。参与者填写了调查问卷，并观看了中性、性、焦虑和悲伤的电影。阴茎周长的变化，自我报告的性唤起。控制年龄和艾滋病病毒感染状况，没有发现差异之间的性欲亢进和非性欲亢进的男性生殖器的反应。此外，两组在主观性唤起方面没有差异。时间序列聚类分析揭示了三个群体-低反应者和慢反应者和快反应者。性兴奋，但不是性强迫或色情使用，预测集群成员。与心理生理学相比，性欲亢进的男男性接触者可能从动机和行为的探索中受益更多，（消极）情绪和性行为之间可能存在联系的机制。该研究的优势包括其样本量，使其成为更大的心理生理性研究之一;使用临床访谈进行分组;包括生殖器反应措施;以及应用时间序列聚类来检查参与者之间的差异。局限性包括可能的样本异质性和对研究人员选择的刺激的依赖。鉴于缺乏任何影响的负面情绪对性反应的过度性MSM，未来的研究可以更深入地探讨可能的动机和行为的影响，包括，例如，负面情绪的影响，寻求性作为一种形式的分心或验证或情感支持。
A number of studies have found that hypersexuality is associated with a high propensity for sexual excitation. In comparison, less is known about the connection between hypersexuality and sexual responsivity at the state level. Also, previous research has revealed a connection between hypersexuality and negative mood. However, the possibility that sexual response might not be as negatively impacted by negative mood in hypersexual individuals has, as yet, not been tested. The purpose of this study was to investigate sexual responsivity and the effects of negative mood on sexual arousal in hypersexual men who have sex with men (MSM). A total of 211 MSM were assigned to a hypersexuality (N=81) or a control (N=130) group using an interview using a semi-structured SCID (Structured Clinical Interview for DSM Disorders) format. Participants filled out questionnaires and were presented with neutral, sexual, and anxiety- and sadness-inducing films. Changes in penile circumference, self-reported sexual arousal. Controlling for age and HIV-status, no differences were found in genital response between hypersexual and non-hypersexual men. Also, the two groups did not differ in subjective sexual arousal. Moreover, no effects of negative mood were found. Time series clustering analyses revealed three groups – low responders and slow and fast high responders. Sexual excitation, but not sexual compulsivity or pornography use, predicted cluster membership. Hypersexual MSM may benefit more from an exploration of motivational and behavioral, as compared to psychophysiological, mechanisms underlying possible links between (negative) mood and sexual behavior. Strengths of the study include its sample size, making it one of the larger psychophysiological sex studies; the use of clinical interviews for group assignment; the inclusion of genital response measures; and the application of time series clustering to examine differences among participants. Limitations include possible sample heterogeneity and the reliance on researcher-selected stimuli. Given the lack of any effects of negative mood on sexual response in hypersexual MSM, future studies could explore in more depth possible motivational and behavioral effects, including, for example, the impact of negative mood on the tendency to seek out sex as a form of distraction or for validation or emotional support.