探索早期适应基本模式与性满足之间的关系

——《国际性健康杂志》2023年第35卷第1期——

<International Journal of Sexual Health> 2023, 35 (1)

【摘要】基本原理：早期适应不良基本模式 (EMS) 是从童年和青春期未满足的核心情感需求发展而来的。EMS影响个人看待自己和他人的方式，同时也与各种性困难分享关联。相比之下，当核心情感需求得到满足时，早期适应性基本模式 (EAS) 就会发展。 然而，EAS 对性健康的潜在影响仍未得到充分研究。目的：目前的研究评估了EAS与性满意度之间的关系，将其作为性健康的主要组成部分。方法：研究设计是一项在线横断面调查。参与者包括732名成年人（Mage=32.05，SDage=9.30），他们完成了评估性满意度和EAS的自我报告问卷。结果：二、三步层次回归评估了EAS对性满意度的影响，控制了几个潜在的混杂变量。结果表明，唯一与男性和女性的性满意度相关的EAS是现实的期望。社会归属感和成功的EAS仅与女性的性满足相关，而自我同情则与男性相关。结论： 调查结果提供了 EAS 与性满意度相关的初步证据。 因此，当需要时，图式疗法可能是提高性满意度的有用治疗框架。

【关键词】早期自适应基本模式； 性满足； 早期的适应不良基本模式； 性健康； 性功能

[Abstract] Rationale：Early maladaptive schemas (EMS) develop from unmet core emotional needs during childhood and adolescence. EMS influence the way individuals perceive themselves and others, while also sharing associations with various sexual difficulties. Contrastingly, Early Adaptive Schemas (EAS) develop when core emotional needs are met. Yet, the potential influence of EAS on sexual wellbeing remains underinvestigated. Objective：The current study assessed the relationship between EAS and sexual satisfaction as a primary component of sexual wellbeing. Method：The study design was an online, cross-sectional survey. Participants included 732 adults (Mage = 32.05, SDage = 9.30), who completed self-report questionnaires assessing sexual satisfaction and EAS. Results：Two, three-step hierarchical regressions evaluated the effect of EAS on sexual satisfaction, controlling for several potentially confounding variables. Results indicated that the only EAS that was associated with sexual satisfaction in both men and women was Realistic Expectations. EAS of Social Belonging and Success were associated with sexual satisfaction for women alone, whereas Self-Compassion was for men. Conclusion：Findings provide preliminary evidence that EAS are associated with sexual satisfaction. As such, schema therapy may be a useful therapeutic framework for improving sexual satisfaction, when indicated.

[Key words] Early adaptive schemas; sexual satisfaction; early maladaptive schemas; sexual wellbeing; sexual functioning

论文原文：Isabella K. Damiris & Andrew Allen (2023). Exploring the Relationship between Early Adaptive Schemas and Sexual Satisfaction. International Journal of Sexual Health, 35 (1): 13-29.

https://doi.org/10.1080/19317611.2022.2155897