背景:性困扰(例如,感到苦恼,不开心,沮丧,强调,不满意,或对自己的性行为感到困扰)是寻求性治疗的患者报告的一个中心问题,可能与性自尊和正念性情有关,然而,需要研究来检查寻求治疗的特定人群中这些变量之间的联系。
目的:本研究旨在探讨性自尊在倾向正念与性困扰之间的关系中的间接作用。
方法:这项研究是在696例接受性治疗的患者中进行的(平均年龄34.19±11.21岁,年龄范围18-78岁)。参与者被确定为女性(57.3%),男性(38.5%),或非二进制(4.2%)。他们完成了评估倾向正念的自我报告问卷(五面正念问卷),性自尊(多维性问卷),和性困扰(性困扰量表修订),在他们最初的几次会议期间(即,第一至第三届会议[评估阶段])。
结果:性困扰是主要结果,根据修订的性困扰量表进行测量。
结果:结果表明,根据问卷阈值评分,54%(n=376)的患者报告性痛苦增加。路径分析显示了一种间接效应,即较高的倾向正念与较高的性自尊水平相关,这反过来又与较低的性困扰有关。结果还强调,正念的特定方面与更高的性自尊有关(即,描述,和无反应)和较低的性困扰(即,非判断力和有意识地行事)。综合模型解释了性困扰分数方差的23%。
结论:研究结果表明,解决针对性自尊和正念可能是减少性治疗患者性困扰的相关临床途径。
■这项研究的优势包括在寻求性治疗的患者的大量临床样本中,对性自尊在正念性情与性困扰之间的联系中的作用进行了新颖的检查。局限性包括对患者自我报告的依赖和限制因果关系结论的横断面设计。
结论:这项研究对现有的研究做出了有价值的贡献,强调了性自尊在接受性治疗的成年人中,在倾向正念和减少性困扰之间的联系中的关键作用。允许我们确定潜在的干预目标。
BACKGROUND: Sexual distress (eg, feeling distressed, unhappy, frustrated, stressed, dissatisfied, or bothered about their sexuality) is a central concern reported by patients seeking sex therapy, and might be related to sexual self-esteem and mindfulness disposition, yet research is needed to examine the links among those variables within the specific population of patients seeking therapy.
OBJECTIVE: This study aimed to examine the indirect role of sexual self-esteem in the relationship between dispositional mindfulness and sexual distress.
METHODS: The study was conducted among 696 patients undergoing sexual therapy (mean age 34.19 ± 11.21 years, age range 18-78 years). Participants identified as women (57.3%), men (38.5%), or nonbinary (4.2%). They completed self-report questionnaires assessing dispositional mindfulness (Five Facet Mindfulness Questionnaire), sexual self-esteem (Multidimensional Sexuality Questionnaire), and sexual distress (Sexual Distress Scale-Revised), during their first few sessions (ie, first to third sessions [the assessment phase]).
RESULTS: Sexual distress was the main outcome, as measured with the Sexual Distress Scale-Revised.
RESULTS: Results indicated that 54% (n = 376) of patients reported elevated sexual distress based on the questionnaire threshold score. Path analyses indicated an indirect effect in which higher dispositional mindfulness was associated with higher levels of sexual self-esteem, which in turn was associated with lower sexual distress. Results also highlighted that specific facets of mindfulness were related to higher sexual self-esteem (ie, describing, and nonreacting) and lower sexual distress (ie, nonjudgment and acting with awareness). The integrative model explained 23% of the variance of sexual distress scores.
CONCLUSIONS: Findings suggest that addressing specifically sexual self-esteem and mindfulness may represent relevant clinical avenues to reduce sexual distress among sex therapy patients.
UNASSIGNED: Strengths of this study include the novel examination of the role of sexual self-esteem in the link between mindfulness disposition and sexual distress in a large clinical sample of patients seeking sex therapy. Limitations includes reliance on patient self-report and a cross-sectional design that limit conclusion regarding causality.
CONCLUSIONS: This study makes a valuable contribution to the existing body of research highlighting the pivotal roles of sexual self-esteem in the link between dispositional mindfulness and reduced sexual distress among adults undergoing sex therapy, allowing us to identify potential targets of intervention.