Sexual desire and arousal disorders in women.

Advances in Psychosomatic Medicine Pub Date : 2011-01-01 Epub Date: 2011-10-10 DOI:10.1159/000328806

Ellen Laan, Stephanie Both

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引用次数: 65

Abstract

According to incentive motivation theory, sexual desire is the result of the interplay between a sensitive sexual response system and stimuli that activate the system. From this notion it follows that sexual desire is not a cause but a consequence of sexual arousal. The effects of hormones, somatic disease and medication on sexual arousability are discussed, as well as the influence of psychological factors - such as stimulus meaning, mood and cognition - and relational context on female sexual desire and arousal. At present, much attention is being paid to possible pharmacological treatments for decreased desire and arousal problems, even though desire and arousal seem more strongly associated with psychological and relational factors. Empirical evidence of the effect of psychological treatments for decreased desire and arousal problems in women is scarce. A cognitive-behavioral therapy approach with explicit attention to relational context and a focus on improving arousal and sexual satisfaction has shown to be effective. Knowledge about which treatment elements bring about change is still lacking.

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女性的性欲和性唤起障碍。

根据激励动机理论，性欲是敏感的性反应系统和激活该系统的刺激相互作用的结果。从这个观点可以得出，性欲不是性唤起的原因，而是性唤起的结果。讨论了激素、躯体疾病和药物对性唤起的影响，以及刺激意义、情绪和认知等心理因素和关系环境对女性性欲和性唤起的影响。目前，尽管欲望和觉醒似乎与心理和相关因素有更强的联系，但人们还是把很多注意力放在了欲望和觉醒问题的可能药物治疗上。关于心理治疗对女性性欲减退和性唤起问题的效果的经验证据很少。一种明确关注关系环境的认知行为治疗方法，侧重于提高性唤起和性满意度，已被证明是有效的。关于哪些治疗因素能带来改变的知识仍然缺乏。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in Psychosomatic Medicine

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期刊介绍： The importance of psychosomatic research has been greatly reinforced by evidence demonstrating that psychological phenomena may have distinct effects on human health. Recognizing the complexity of interactions between personality and physical illness, this series employs an interdisciplinary strategy to explore areas where knowledge from psychosomatic medicine may aid in the prevention of specific diseases or help meet the emotional demands of hospitalized patients. In each work, the editor has managed to bring together distinguished contributors, creating a series of coherent and comprehensive reviews on a variety of novel topics.