Prevalence of Distress Associated With Difficulty Controlling Sexual Urges, Feelings, and Behavior in the United States
Prevalence of Distress Associated With Difficulty Controlling Sexual Urges, Feelings, and Behavior in the United States
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DOI：
10.1001/jamanetworkopen.2018.4468
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发表时间：
2018-11-01
影响因子：
13.8
通讯作者：
Miner, Michael H.
中科院分区：
文献类型：
--
作者：
Dickenson, Janna A.;Gleason, Neil;Miner, Michael H.
重要性性瘾、失控性行为、性欲亢进行为、冲动性或强迫性性行为的准确性、命名和概念化都有广泛的争议。尽管在概念上有这样的差异，但所有的模型都同意一个突出的功能：不能控制一个人的性感觉和行为，导致严重的痛苦和/或功能障碍。然而，这个问题在美国的流行程度尚不清楚。目的评估美国全国代表性样本中与难以控制性感觉、性冲动和性行为相关的痛苦和损害的流行程度。这项调查研究使用了全国性健康和行为调查数据，以评估与困难相关的痛苦和损害的患病率。控制性感觉，冲动和行为，并确定患病率如何在社会人口变量中变化。2016年11月，从美国所有50个州随机抽取了18至50岁的参与者。主要结果和指标使用强迫性行为量表-13测量了与难以控制性感觉、性冲动和性行为相关的痛苦和损害。在0 ~ 65分的量表上得分为35分或更高表示临床相关的痛苦和/或损伤水平。34.0[9.3]岁），201例[8.6%]符合强迫性行为量表评分为35分或更高的临床筛选临界点。性别差异小于以前的理论，与10.3%的男性和7.0%的女性赞同临床相关水平的困扰和/或障碍与控制困难的性感觉，冲动，和behavior.Conclusions和相关性的高患病率与强迫性性行为障碍的这一突出特征具有重要意义的医疗保健专业人员和社会。卫生保健专业人员应该警惕大量对性行为感到痛苦的人，在其社会文化背景下仔细评估问题的性质，并为男性和女性找到适当的治疗方法。
IMPORTANCE The veracity, nomenclature, and conceptualizations of sex addiction, out-of-control sexual behavior, hypersexual behavior, and impulsive or compulsive sexual behavior are widely debated. Despite such variation in conceptualization, all models concur on the prominent feature: failing to control one's sexual feelings and behaviors in a way that causes substantial distress and/or impairment in functioning. However, the prevalence of the issue in the United States is unknown.OBJECTIVE To assess the prevalence of distress and impairment associated with difficulty controlling sexual feelings, urges, and behaviors among a nationally representative sample in the United States.DESIGN, SETTING, AND PARTICIPANTS This survey study used National Survey of Sexual Health and Behavior data to assess the prevalence of distress and impairment associated with difficulty controlling sexual feelings, urges, and behaviors and determined how prevalence varied across sociodemographic variables. Participants between the ages of 18 and 50 years were randomly sampled from all 50 US states in November 2016.MAIN OUTCOMES AND MEASURES Distress and impairment associated with difficulty controlling sexual feelings, urges, and behavior were measured using the Compulsive Sexual Behavior Inventory-13. A score of 35 or higher on a scale of 0 to 65 indicated clinically relevant levels of distress and/or impairment.RESULTS Of 2325 adults (1174 [50.5%] female; mean [SD] age. 34.0 [9.3] years), 201 [8.6%] met the clinical screen cut point of a score of 35 or higher on the Compulsive Sexual Behavior Inventory. Gender differences were smaller than previously theorized, with 10.3% of men and 7.0% of women endorsing clinically relevant levels of distress and/or impairment associated with difficulty controlling sexual feelings, urges, and behavior.CONCLUSIONS AND RELEVANCE The high prevalence of this prominent feature associated with compulsive sexual behavior disorder has important implications for health care professionals and society. Health care professionals should be alert to the high number of people who are distressed about their sexual behavior, carefully assess the nature of the problem within its sociocultural context, and find appropriate treatments for both men and women.