超越椅子:脊髓损伤患者性痛苦和性满意度的心理感知预测因素。

IF 2.7 2区 心理学 Q2 PSYCHOLOGY, CLINICAL
Journal of Sex Research Pub Date : 2025-01-01 Epub Date: 2023-10-11 DOI:10.1080/00224499.2023.2260816
Marina Gérard, Kathleen Charvier, Hugues Leduc, Frédérique Courtois
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引用次数: 0

摘要

尽管有大量的生物医学研究,但对脊髓损伤后性满意度(SS)和性痛苦(SD)的心理和感知预测因素知之甚少。在生物-心理-感知框架的指导下,这项横断面研究旨在使用经验证的患者报告结果测量(PROM)评估大样本SCI中的SS和SD。还确定了SS和SD的显著相关性和预测因素。91名SCI患者完成了SS和SD的PROM,以及心理(情绪、性和身体自尊)和感知(内感受意识、特质正念、性正念)因素。还评估了神经系统的概况,以及性高潮的经历。首先使用Pearson相关性确定SS和SD的相关性,然后计算多层次回归模型来分离预测因子。性高潮经历和心理因素是SS和SD的中度相关因素,而神经因素则不然。感觉觉知和特质正念与SD的相关性较弱,与SS无相关性。在测试的预测因素中,性高潮体验对SS(β = -.29,p p p
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Looking Beyond the Chair: Psycho-Perceptual Predictors of Sexual Distress and Sexual Satisfaction in Individuals with Spinal Cord Injury.

Despite a large body of biomedical research, little is known about the psychological and perceptual predictors of sexual satisfaction (SS) and sexual distress (SD) post spinal cord injury (SCI). Guided by a bio-psycho-perceptual framework, this cross-sectional research aimed at assessing SS and SD in a large SCI sample using validated patient-reported outcome measures (PROM). Significant correlates and predictors of SS and SD were also identified. Ninety-one men and women with SCI completed PROMs of SS and SD, as well as psychological (mood, sexual and body esteem) and perceptual (interoceptive awareness, trait mindfulness, sexual mindfulness) factors. Neurological profiles were also assessed, along with experience of orgasm. Correlates of SS and SD were first identified using Pearson's correlations, then multiple hierarchical regression models were computed to isolate predictors. Orgasm experience and psychological factors emerged as moderate correlates of both SS and SD, while neurological factors did not. Interoceptive awareness and trait mindfulness showed weak associations with SD and none with SS. Among the tested predictors, experience of orgasm emerged as the strongest for SS (β = -.29, p < .01), followed by mood, which predicted SS and SD. Sexual and body esteem was predictive of SD only. In sexually active participants, sexual mindfulness predicted both SS (β = 0.55, p < .001) and SD (β = -0.56, p < .001) above and beyond all other variables. This study reveals unique aspects of SS and SD postinjury and supports further consideration of psychological and perceptual dimensions of SCI sexuality in rehabilitation research.

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来源期刊
CiteScore
7.00
自引率
11.10%
发文量
121
期刊介绍: The Journal of Sex Research (JSR) is a scholarly journal devoted to the publication of articles relevant to the variety of disciplines involved in the scientific study of sexuality. JSR is designed to stimulate research and promote an interdisciplinary understanding of the diverse topics in contemporary sexual science. JSR publishes empirical reports, theoretical essays, literature reviews, methodological articles, historical articles, teaching papers, book reviews, and letters to the editor. JSR actively seeks submissions from researchers outside of North America.
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