Report of the international consensus development conference on female sexual dysfunction: Definitions and classifications
Report of the international consensus development conference on female sexual dysfunction: Definitions and classifications
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DOI：
10.1016/s0022-5347(05)67828-7
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发表时间：
2000-03-01
影响因子：
6.6
通讯作者：
Whipple, B
中科院分区：
文献类型：
--
作者：
Basson, R;Berman, J;Whipple, B
目的：女性性功能障碍非常普遍，但尚未明确定义或理解。我们评估并修订了女性性功能障碍的现有定义和分类。 材料和方法：美国泌尿疾病基金会性功能健康委员会召集了一个由来自 5 个国家的 19 名女性性功能障碍专家组成的跨学科共识会议小组。使用改良的德尔菲法来制定共识定义和分类，并建立在国际疾病分类-10和DSM-TV：美国精神病学协会精神疾病诊断和统计手册的现有框架上，这些框架仅限于考虑精神疾病。结果：分类扩大到包括欲望、性唤起、性高潮和性疼痛障碍的心因性和器质性原因。新诊断系统的一个基本要素是“个人痛苦”标准。特别是，制定了性唤起和性欲减退障碍的新定义，并添加了非性交性疼痛障碍的新类别。此外，还设计了一种新的临床诊断亚型系统。提出了临床终点和结果指南，并确定了重要的研究目标和优先事项。结论：我们建议使用基于生理和心理病理生理学的新女性性功能障碍诊断和分类系统，以及大多数诊断类别的个人痛苦标准。
Purpose: Female sexual dysfunction is highly prevalent but not well defined or understood. We evaluated and revised existing definitions and classifications of female sexual dysfunction.Materials and Methods: An interdisciplinary consensus conference panel consisting of 19 experts in female sexual dysfunction selected from 5 countries was convened by the Sexual Function Health Council of the American Foundation for Urologic Disease. A modified Delphi method was used to develop consensus definitions and classifications, and build on the existing framework of the International Classification of Diseases-10 and DSM-TV: Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association, which were limited to consideration of psychiatric disorders.Results: Classifications were expanded to include psychogenic and organic causes of desire, arousal, orgasm and sexual pain disorders. An essential element of the new diagnostic system is the "personal distress" criterion. In particular, new definitions of sexual arousal and hypoactive sexual desire disorders were developed, and a new category of noncoital sexual pain disorder was added. In addition, a new subtyping system for clinical diagnosis was devised. Guidelines for clinical end points and outcomes were proposed, and important research goals and priorities were identified.Conclusions: We recommend use of the new female sexual dysfunction diagnostic and classification system based on physiological as well as psychological pathophysiologies, and a personal distress criterion for most diagnostic categories.