Paraphilic Disorders

Parphilic Disorders
  • 文章类型: Journal Article
    尽管它被列入了《国际疾病分类》的第11次修订版,关于强迫性行为障碍(CSBD)的高质量科学证据几乎是缺乏的,特别是在代表性不足和服务不足的人群中。因此,我们全面检查了42个国家的CSBD,性别,和性取向,并验证了强迫性行为障碍量表的原始(CSBD-19)和简短(CSBD-7)版本,以提供标准化的,国家的最先进的筛选工具的研究和临床实践。
    使用来自国际性别调查的数据(N=82,243;Mage=32.39岁,SD=12.52),我们评估了CSBD-19和CSBD-7的心理测量特性,并比较了42个国家的CSBD,三种性别,八种性取向,和个人与低经历CSBD的高风险。
    总共4.8%的参与者有经历CSBD的高风险。观察到基于国家和性别的差异,而CSBD水平没有基于性取向的差异。只有14%的CSBD患者曾经寻求过这种疾病的治疗,另有33%的人由于各种原因没有寻求治疗。两种版本的量表均表现出出色的有效性和可靠性。
    这项研究有助于更好地理解在代表性不足和服务不足的人群中的CSBD,并通过提供26种语言的基于ICD-11的免费筛查工具,促进其在不同人群中的识别。这些发现也可能作为一个关键的基石,刺激研究以证据为基础,目前文献中缺失的文化敏感性CSBD预防和干预策略。
    UNASSIGNED: Despite its inclusion in the 11th revision of the International Classification of Diseases, there is a virtual paucity of high-quality scientific evidence about compulsive sexual behavior disorder (CSBD), especially in underrepresented and underserved populations. Therefore, we comprehensively examined CSBD across 42 countries, genders, and sexual orientations, and validated the original (CSBD-19) and short (CSBD-7) versions of the Compulsive Sexual Behavior Disorder Scale to provide standardized, state-of-the-art screening tools for research and clinical practice.
    UNASSIGNED: Using data from the International Sex Survey (N = 82,243; Mage = 32.39 years, SD = 12.52), we evaluated the psychometric properties of the CSBD-19 and CSBD-7 and compared CSBD across 42 countries, three genders, eight sexual orientations, and individuals with low vs. high risk of experiencing CSBD.
    UNASSIGNED: A total of 4.8% of the participants were at high risk of experiencing CSBD. Country- and gender-based differences were observed, while no sexual-orientation-based differences were present in CSBD levels. Only 14% of individuals with CSBD have ever sought treatment for this disorder, with an additional 33% not having sought treatment because of various reasons. Both versions of the scale demonstrated excellent validity and reliability.
    UNASSIGNED: This study contributes to a better understanding of CSBD in underrepresented and underserved populations and facilitates its identification in diverse populations by providing freely accessible ICD-11-based screening tools in 26 languages. The findings may also serve as a crucial building block to stimulate research into evidence-based, culturally sensitive prevention and intervention strategies for CSBD that are currently missing from the literature.
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  • 文章类型: Journal Article
    性欲亢进与许多精神疾病有关,并为受影响的个人带来巨大负担,家庭和社会。有许多衡量行为的库存,性欲亢进的情绪或压力特征,我们仍然需要一份经过结构验证的问卷来全面衡量性欲亢进。
    根据以前的清单和对性欲亢进的相关临床描述,我们设计了一个包含72个与性欲过高经验相关的项目的矩阵,我们邀请了282名至少经历过性欲亢进的异性恋大学生来回答这个矩阵。
    通过探索性因子分析和探索性结构方程模型,我们建立了一个性欲亢进量表,具有令人满意的五个因素(或尺度,每个量表4个项目)性欲亢进,并将其命名为负面影响,情绪应对,不受控制的行为,性交后的遗憾,增加兴趣。这些因素的大多数相互关系是显着的,但在所有参与者中处于低水平或中等水平。男生在负面影响和兴趣增加方面的得分明显高于女生。
    这项研究中描述的五个量表可能有助于理解性欲亢进,性欲亢进量表可应用于与性欲亢进相关的临床病症。
    Hypersexuality is associated with many psychiatric disorders and creates enormous burden for the affected individual, family and society. There are numerous inventories measuring behavioral, emotional or stressful features of hypersexuality, we still need a structure-validated questionnaire to measure hypersexuality in a comprehensive way.
    Based on previous inventories and related clinical descriptions of hypersexuality, we designed a matrix of 72 items related to hypersexual experience, and we invited 282 heterosexual university students who experienced hypersexuality at least once life-long to answer the matrix.
    Through exploratory factor analyses and exploratory structural equation modeling, we constructed a Hypersexuality Scale, with a satisfactory model structure of five factors (or scales, 4 items for each scale) of hypersexuality, and named them as the Negative Impact, Emotional Coping, Uncontrolled Behavior, Post-sex Regret, and Increased Interest. Most inter-correlations of these factors were significant but in low or medium levels in all participants. Male students scored significantly higher on Negative Impact and Increased Interest than females did.
    The five scales described in this study might help to understand hypersexuality, and the Hypersexuality Scale might be applied to the clinical conditions related to hypersexuality.
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