嗅觉缓解了人类的性经历,嗅觉障碍患者有时会自发地抱怨性生活中的障碍。本研究的目的是系统地研究嗅觉功能障碍对性欲的影响。我们比较了n=100的样本(n=52名女性;年龄23-51岁,M=40.1,SD=8.2)患有嗅觉障碍的门诊患者对n=51名健康对照者的样本(n=32名女性;年龄21-63岁,M=39.2,SD=13.1)。使用标准化问卷和另外两个项目评估性欲,要求自嗅觉丧失开始以来性欲的定量和定性变化。此外,受试者完成了关于情绪和伙伴关系依恋的问卷调查。在患者组中,29%的受试者报告自嗅觉丧失发作以来性欲下降。这种变化是由抑郁症状和嗅觉功能预测的。定性报告显示,例如,由于对方的体味而缺乏吸引力阻碍了伙伴关系的亲密。性欲的变化与抑郁和嗅觉障碍的严重程度显着相关,而与伴侣依恋无关。然而,在关于性欲的标准化问卷中,我们观察到患者和对照组之间没有差异.总而言之,相当多的患者将性功能障碍作为嗅觉功能障碍的伴随主诉。患者通常不会自发地报告这些亲密问题,常规护理机构应告知这种常见副作用,并明确要求性生活。
Olfaction moderates human sexual experiences and smell disorder patients sometimes spontaneously complain about impairments in their sexual life. The aim of the present study was to systematically investigate the impact of olfactory dysfunction on sexual desire. We compared a sample of n = 100 (n = 52 women; aged 23-51 years, M = 40.1, SD = 8.2) outpatients with olfactory disorders to a sample of n = 51 healthy controls (n = 32 women; aged 21-63 years, M = 39.2, SD = 13.1). Sexual desire was assessed with a standardized questionnaire and with two additional items asking for quantitative and qualitative change of sexual desire since the onset of olfactory loss. In addition, subjects completed questionnaires about mood and partnership attachment. Within the patients\' group, 29% of the subjects reported decreased sexual desire since the onset of olfactory loss. This change was predicted by depressive symptoms and olfactory function. Qualitative
reports revealed for instance that the lack of attraction due to the other\'s body odor impedes partnership intimacy. The change of sexual desire was significantly related to depression and severity of olfactory impairment but not to partnership attachment. However, in the standardized questionnaire about sexual desire we observed no differences between patients and controls. To sum up, a considerable number of patients state sexual impairment as a concomitant complaint of olfactory dysfunction. Patients do typically not spontaneously report those intimate problems, routine care settings should inform about this common side effect and explicitly ask for sexual life.