了解与性功能相关的性困扰（SDRSF）：基于与临床性学家进行的定性研究的初步框架

Understanding sexual distress related to sexual function (SDRSF): A preliminary framework based on a qualitative study with clinical sexologists

——原载《国际临床与健康心理学杂志》2024年第24卷第3期——

<International Journal of Clinical and Health Psychology> Volume 24, Issue 3, 2024

【摘要】简介：与性功能相关的性困扰 (SDRSF) 是诊断性功能障碍的关键。然而，缺乏理解它的理论模型，也缺乏关于如何在临床实践中解决它的知识。目的：通过收集临床医生的记录，为SDRSF的理论建设和临床实践做出贡献，旨在为研究和干预SDRSF提供初步框架。方法：使用反身主题分析来分析16位临床性学家的半结构化访谈数据。结果：创建了三个主要主题：(1) 内心燃烧，(2) 邪恶的游戏，(3) 跑上那座山。参与者揭示了对临床环境中SDRSF的多维理解，其中融合了个人、社会文化、人际和情境因素。这强调了SDRSF的相互关联性，揭示了它与临床环境中整体困扰的不同方面的联系。我们提出了一个初步框架，该框架可以通过分析推广，以增强对SDRSF特性的理解。结论：这些见解构成了临床环境中 SDRSF 的全面概念化，超越了性活动，并意味着在该领域的研究和干预中需要考虑人际和社会因素。

【关键词】性困扰；性功能；反身主题分析；临床性学家；初步框架

[Abstract] Introduction: Sexual distress related to sexual function (SDRSF) is pivotal in diagnosing sexual dysfunction. However, there is a lack of theoretical models for its comprehension and of knowledge concerning how to address it in clinical practice. Aim: To contribute to theory building and clinical practice about SDRSF by collecting clinicians’ accounts, aiming to inform a preliminary framework to study and intervene in SDRSF. Method: Reflexive thematic analysis was used to analyze the data from 16 semi-structured interviews with clinical sexologists. Results: Three main themes were created: (1) Burning from the inside, (2) Wicked games, and (3) Running up that hill. Participants revealed a multidimensional understanding of SDRSF in clinical settings that integrates individual, sociocultural, interpersonal and situational factors. This underscores the interconnected nature of SDRSF, revealing its links to different facets of overall distress in clinical settings. We present a preliminary framework that may be analytically generalized to enhance the comprehension of the specificities of SDRSF. Conclusion: These insights frame a comprehensive conceptualization of SDRSF in clinical settings that goes beyond sexual activity and implies that interpersonal and societal factors need to be considered in research and intervention in this field.

[Key words] Sexual distress; Sexual function; Reflexive thematic analysis; Clinical sexologists; Preliminary framework

论文原文：Catarina F. Raposo, Pedro J. Nobre, Andreia A. Manão, Patrícia M. Pascoal (2024). Understanding sexual distress related to sexual function (SDRSF): A preliminary framework based on a qualitative study with clinical sexologists. International Journal of Clinical and Health Psychology, Volume 24, Issue 3, July–September 2024, 100473

https://doi.org/10.1016/j.ijchp.2024.100473

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