压力之下：成年夫妻性生活中男性和女性的性表现焦虑

Under Pressure: Men’s and Women’s Sexual Performance Anxiety in the Sexual Interactions of Adult Couples

——原载《性研究杂志》2024年6月7日在线发表——

<The Journal of Sex Research>, Published online: 07 Jun 2024

【摘要】大多数关于性表现焦虑的研究都集中在男性的经历及其与勃起功能障碍和早泄之间的联系上，而很少关注女性的经历或关系动态。有时，人们会在功能障碍的背景下研究性表现焦虑，但很少将其作为研究重点。研究1要求51名报告性表现焦虑的参与者使用在线调查的开放式回答来描述他们经历的认知和情感成分、应对策略以及对他们关系的感知影响。通过定向内容分析，研究1发现男性和女性会经历一系列认知和情感过程，主要感觉不足，总体上会促进更多的应对策略。研究2使用定量调查来检查性表现焦虑是否与228对社区夫妇的性困扰增加和性与关系满意度降低有关。在行动者-伴侣相互依赖模型的指导下，多层次建模分析表明，性表现焦虑增加与个人及其伴侣的性困扰增加和性与关系满意度降低有关。这项研究将性表现焦虑的认知提升到了女性的经历，而不仅仅是男性的经历，以及夫妻的经历。对患有这种焦虑症的人的有效治疗可能包括对性信仰和期望的教育。

[Abstract] Most research on sexual performance anxiety has focused on men’s experiences and links to erectile functioning and premature ejaculation, with little research attention given to women’s experiences or to relationship dynamics. At times, sexual performance anxiety has been examined in the context of dysfunction, but rarely as a focus in its own right. Study 1 asked 51 participants reporting sexual performance anxiety to describe the cognitive and affective components of their experiences, coping strategies, and perceived impact on their relationship using open-ended responses from online surveys. Through directed content analysis, Study 1 revealed that men and women experience a range of cognitive and affective processes with predominant feelings of inadequacy, and overall promoting more approach coping strategies. Study 2 used quantitative surveys to examine whether sexual performance anxiety was associated with higher sexual distress and lower sexual and relationship satisfaction in a sample of 228 community-based couples. Guided by the Actor-Partner Interdependence Model, multilevel modeling analyses indicated that higher sexual performance anxiety was linked to higher sexual distress and lower sexual and relationship satisfaction in both individuals and their partners. This work advances knowledge of sexual performance anxiety to women’s experiences, not just men’s, and to couples’ experiences. Effective treatment for those suffering from this anxiety may incorporate education around sexual beliefs and expectations.

论文原文：Amanda Bockaj, Megan D. Muise, Charlene F. Belu, Natalie O. Rosen & Lucia F. O’Sullivan (2024). Under Pressure: Men’s and Women’s Sexual Performance Anxiety in the Sexual Interactions of Adult Couples. The Journal of Sex Research. Published online: 07 Jun 2024.

https://doi.org/10.1080/00224499.2024.2357587

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