Hypersexual Disorder: A Proposed Diagnosis for DSM-V
Hypersexual Disorder: A Proposed Diagnosis for DSM-V
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DOI：
10.1007/s10508-009-9574-7
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发表时间：
2010-04-01
影响因子：
3.8
通讯作者：
Kafka, Martin P.
中科院分区：
文献类型：
--
作者：
Kafka, Martin P.
性欲亢进被提议作为一种新的精神障碍，以考虑在DSM-V的性障碍部分。回顾了历史上描述性欲亢进行为的先例，以及在以前的DSM手册中包含这种情况的先前陈述和建议。流行病学和临床证据表明，非性反常的“过度”性行为（即性行为亢进和性障碍）可能伴随着临床显着的个人痛苦和社会和医疗发病率。研究文献描述共病轴I和轴II精神障碍和轴I障碍和性欲亢进之间的关系进行了讨论。基于对文献的广泛回顾，性欲亢进主要被定义为一种带有冲动成分的非性反常的性欲障碍。本文提出了具体的综合诊断标准，以及行为指标，旨在整合来自各种假定的病理生理学观点的基于经验的贡献，包括性唤起和欲望失调、性冲动、性成瘾和性强迫。
Hypersexual Disorder is proposed as a new psychiatric disorder for consideration in the Sexual Disorders section for DSM-V. Historical precedents describing hypersexual behaviors as well as the antecedent representations and proposals for inclusion of such a condition in the previous DSM manuals are reviewed. Epidemiological as well as clinical evidence is presented suggesting that non-paraphilic "excesses" of sexual behavior (i.e., hypersexual behaviors and disorders) can be accompanied by both clinically significant personal distress and social and medical morbidity. The research literature describing comorbid Axis I and Axis II psychiatric disorders and a purported relationship between Axis I disorders and Hypersexual Disorder is discussed. Based on an extensive review of the literature, Hypersexual Disorder is conceptualized as primarily a nonparaphilic sexual desire disorder with an impulsivity component. Specific polythetic diagnostic criteria, as well as behavioral specifiers, are proposed, intended to integrate empirically based contributions from various putative pathophysiological perspectives, including dysregulation of sexual arousal and desire, sexual impulsivity, sexual addiction, and sexual compulsivity.