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Social and Psychological Factors Influencing HIV Sexual Risk Behaviors among Young Adult Filipino Men Who Have Sex with Men (MSM) in Metro Manila 马尼拉大都会男男性行为者中影响HIV性危险行为的社会和心理因素
IF 0.3 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2022-03-29 DOI: 10.1080/26929953.2022.2056555
Rowalt C Alibudbud
ABSTRACT The Philippine HIV crisis disproportionately affects young Filipino men who have sex with men (MSM). MSM accounted for about 80% of all new infections. Hence, this study explored the sociodemographic characteristics, sexual orientation, living arrangements, and mental health conditions that may influence HIV sexual risk behaviors among them. A survey questionnaire was administered to 119 young adult Filipino MSM. It found that the average annual number of sexual partners and instances of unprotected anal intercourse among the respondents were 13 and 6, respectively. Living with one’s partner and depression correlated with a higher number of sexual partners and unprotected anal intercourse (p<.05). Contrastingly, these sexual behaviors did not correlate with age, education, employment, income, sexual orientation, anxiety, and alcohol use. These may be due to the negative effect of depression on one’s judgment as well as the limited sex education, condom use stigma, gender-based discrimination, and communication difficulty in MSM romantic relationships in the Philippines. Thus, sex education, safe sex practices, PrEP availability, gender equality, and mental health and sexual behavior screening must be strengthened to address the HIV disparity among young Filipino MSM.
摘要菲律宾艾滋病毒危机对菲律宾男男性行为者(MSM)的影响尤为严重。男男性行为者约占所有新感染病例的80%。因此,本研究探讨了可能影响他们艾滋病毒性风险行为的社会人口学特征、性取向、生活安排和心理健康状况。对119名菲律宾男男性行为者进行了问卷调查。调查发现,受访者每年的性伴侣数量和无保护肛交次数分别为13次和6次。与伴侣一起生活和抑郁与更多的性伴侣和无保护的肛交相关(p<0.05)。相反,这些性行为与年龄、教育、就业、收入、性取向、焦虑和饮酒无关。这可能是由于抑郁症对个人判断的负面影响,以及在菲律宾男男性行为者浪漫关系中性教育有限、避孕套使用污名化、基于性别的歧视和沟通困难。因此,必须加强性教育、安全性行为、PrEP的可用性、性别平等以及心理健康和性行为筛查,以解决菲律宾年轻男男性行为者之间的艾滋病毒差异。
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引用次数: 2
Impacts of Sexual Addiction on Intimate Female Partners—The State of the Art 性成瘾对亲密女性伴侣的影响——最新研究进展
IF 0.3 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2022-03-14 DOI: 10.1080/26929953.2022.2050862
Fakri Seyed Aghamiri, Johannes M. Luetz, K. Hills
ABSTRACT There has been a surge of research articles in the last two decades about sexual addiction (SA) and compulsive sexual behavior (CSB). In the literature, SA/CSB is mostly presented as being comparable to other behavioral addictions and similarly involves a problematic consumption model: loss of control, psycho-social impairments, and risky sexual activities. Despite a recent rise in research interest in this area, only a small number of studies have focused on the partners’ lived experiences and wellbeing following the discovery or disclosure of compulsive sexual activities. This literature review addresses this knowledge gap by examining existing research on the female partners of those who have engaged in CSBs. The focus of this study is intentionally heteronormative, meaning that it expressly analyses the literature in relation to females who find themselves in a relationship with a male partner who experiences SA/CSBs. This research paper converges around the synthesis that female partners may endure a range of emotional, relational, physical, sexual, and/or spiritual effects following the discovery or disclosure of SA/CSB. In consequence, this review points to opportunities for future research whereby prospective studies may examine partner wellbeing through in-depth qualitative empirical research. This article charts pertinent perspectives and prospects. Supplemental data for this article is available online at https://doi.org/10.1080/26929953.2022.2050862 . HighlightsThe last two decades have seen a surge in research interest in sexual addiction (SA) and compulsive sexual behavior (CSB).Despite growing interest in this area, only a small number of studies have focused on the partners’ lived experiences and wellbeing following the discovery or disclosure of compulsive sexual activities.Applying a heteronormative analytical lens, this literary study addresses this knowledge gap by examining existing research on female partners of males experiencing SA/CSBs.The findings converge around the synthesis that female partners may endure a range of negative emotional, relational, physical, sexual, and/or spiritual effects following the discovery or disclosure of SA/CSB.The analysis points to opportunities for future studies to examine partner wellbeing through in-depth qualitative empirical research.
在过去的二十年里,关于性成瘾(SA)和强迫性行为(CSB)的研究文章激增。在文献中,SA/CSB大多被描述为与其他行为成瘾相比较,同样涉及有问题的消费模式:失去控制、心理社会障碍和高风险的性活动。尽管最近对这一领域的研究兴趣有所上升,但只有少数研究关注强迫性性行为被发现或披露后伴侣的生活经历和幸福感。本文献综述通过对从事社会服务的女性伴侣的现有研究来解决这一知识差距。本研究的重点是异性恋规范,这意味着它明确地分析了与女性发现自己与经历SA/ csb的男性伴侣的关系有关的文献。这篇研究论文围绕着这样一种综合:女性伴侣在发现或披露SA/CSB后,可能会承受一系列情感、关系、身体、性和/或精神上的影响。因此,本综述指出了未来研究的机会,即前瞻性研究可以通过深入的定性实证研究来检查伴侣的幸福感。本文描绘了相关的观点和前景。本文的补充数据可在https://doi.org/10.1080/26929953.2022.2050862上在线获得。在过去的二十年里,人们对性成瘾(SA)和强迫性行为(CSB)的研究兴趣激增。尽管人们对这一领域的兴趣越来越浓厚,但只有少数研究关注强迫性性行为被发现或披露后伴侣的生活经历和幸福感。本文献研究运用异性规范的分析视角,通过考察现有的关于经历SA/ csb的男性伴侣的研究,解决了这一知识差距。这些发现集中在这样一个综合上,即女性伴侣在发现或披露SA/CSB后,可能会承受一系列负面的情感、关系、身体、性和/或精神影响。该分析指出了通过深入的定性实证研究来检验伴侣幸福感的未来研究的机会。
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引用次数: 2
Could Serial Killing Actually Be Addictive? A Close Examination of Compulsion and Escalation in the Jeffrey Dahmer Case 连环杀人真的会上瘾吗?对杰弗里·达默案中强迫与升级的深入研究
IF 0.3 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2022-01-26 DOI: 10.1080/26929953.2022.2126416
Adam Lankford, Jenna Hayes
Abstract Could serial killing be addictive? Although scholars have discussed this possibility before, it has not been rigorously tested. The present study closely examines Jeffrey Dahmer’s statements and behavior to assess whether they fit the American Psychiatric Association’s criteria for addiction and the International Classification of Diseases’s criteria for compulsive sexual behavior disorder or a paraphilic disorder. Findings suggest that Dahmer’s actions were consistent with a strong behavioral addiction, and that their escalation in frequency and severity over time—despite growing risks to the “user”—constitute a textbook example of an addict’s efforts to increase doses or dosage to maintain a neurochemical “high.” If serial killing and the experiences associated with it (e.g., fulfillment of sexual paraphilias, desires for control, etc.) can be addictive, that could have important implications for how we understand other potentially addictive crimes—like those committed by kleptomaniacs, pyromaniacs, and serial sexual offenders. It could also inform clinicians’ understandings of how they can help individuals with dangerous and compulsive urges avoid escalating to extreme violence.
连环杀人会上瘾吗?虽然学者们之前已经讨论过这种可能性,但还没有经过严格的检验。目前的研究仔细检查了杰弗里·达默的陈述和行为,以评估他们是否符合美国精神病学协会对成瘾的标准,以及国际疾病分类对强迫性行为障碍或性反常障碍的标准。研究结果表明,达默的行为与强烈的行为成瘾是一致的,而且随着时间的推移,它们的频率和严重程度会不断升级——尽管对“使用者”的风险越来越大——构成了成瘾者努力增加剂量或剂量以保持神经化学物质“高”的教科书范例。如果连环杀人和与之相关的经历(例如,性反常的实现,控制欲等)可以上瘾,这可能对我们如何理解其他潜在上瘾的犯罪有重要的意义,比如盗窃狂、纵火狂和连环性犯罪者犯下的罪行。它还可以让临床医生了解他们如何帮助有危险和强迫性冲动的人避免升级为极端暴力。
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引用次数: 1
Family Duty in Negligent Society: A Qualitative Study on Iranian Sex Addicts 疏忽社会中的家庭责任:伊朗性成瘾者的质性研究
IF 0.3 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2021-10-02 DOI: 10.1080/26929953.2022.2037033
Reihaneh Firoozikhojastehfar, K. Asgari, M. Kalantari, F. Raisi, Z. Shahvari, Azadeh Bayat Kharadmand
ABSTRACT Objective Sex addiction as a sexual concept is affected by social-cultural factors and needs to be studied in the context of each society. The purpose of this study was to examine what self-identified sex addicts think and feel about the causes of their addiction in their own words. Method Thirteen self-identified sex addicts participated in a semi-structured interview. They were asked to explain their feelings and motivations in regard to their problematic sexual behaviors. The data was analyzed though conventional qualitative content analysis. Results Analysis of the interviews revealed 222 codes which were summarized in 3 themes and 11 subthemes. Three themes were as follow: " personal related issues", "messy family" and "inattentiveness of the society about sex education". Conclusion when a society system neglects sexual issues and does not provide facilities and conditions for education and protection of people, parents and family play a pivotal role not only in providing a supportive and nurturing atmosphere but also in educating and monitoring of children and adolescents.
【摘要】目的性成瘾作为一种性概念,受到社会文化因素的影响,需要在各个社会背景下进行研究。这项研究的目的是检验自我认定的性成瘾者用他们自己的话来思考和感受他们上瘾的原因。方法对13名自认性成瘾者进行半结构化访谈。他们被要求解释他们对自己有问题的性行为的感受和动机。采用常规定性含量分析方法对数据进行分析。结果通过访谈分析,共发现222个编码,归纳为3个主题和11个副主题。三个主题分别是:“个人相关问题”、“混乱的家庭”和“社会对性教育的忽视”。当一个社会制度忽视性问题,不为教育和保护人民提供设施和条件时,父母和家庭不仅在提供支助和培育气氛方面,而且在教育和监测儿童和青少年方面发挥关键作用。
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引用次数: 1
Interaction Structures Formed in the Psychodynamic Therapy of a Man Diagnosed with Compulsive Sexual Behavior Disorder and Comorbid Borderline Personality Disorder 强迫性性行为障碍与共病边缘型人格障碍的心理动力治疗中形成的互动结构
IF 0.3 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2021-10-02 DOI: 10.1080/26929953.2021.2004271
G. Goodman, A. Clark, Hyewon Chung
ABSTRACT This study examined the psychotherapy process-outcome of a man diagnosed with compulsive sexual behavior disorder and comorbid borderline personality disorder. This mentalization-informed psychodynamic therapy (N  = 52 sessions) was audio-recorded, transcribed, and coded for psychotherapy process using the Psychotherapy Process Q-Set (PQS). The patient completed the Outcome Questionnaire (OQ) prior to each session. A principal components factor analysis was conducted on the PQS data. A simulation modeling analysis was also conducted on the PQS and OQ data. Four process factors were identified, and psychological distress preceded the activation of one of these process factors observed in the following session.
摘要:本研究探讨了一名诊断为强迫性性行为障碍和共病边缘型人格障碍的男性的心理治疗过程和结果。使用心理治疗过程q集(PQS)对心理治疗过程进行录音、转录和编码。患者在每次治疗前完成结果问卷(OQ)。对PQS数据进行主成分因子分析。并对PQS和OQ数据进行了仿真建模分析。确定了四个过程因素,在接下来的会议中观察到,心理困扰先于这些过程因素之一的激活。
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引用次数: 0
The Relationship between Stress Coping Styles and Community Support among Iranian Members of Sexaholics Anonymous Twelve-Step Program 伊朗性瘾匿名十二步计划成员的压力应对方式与社区支持的关系
IF 0.3 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2021-10-02 DOI: 10.1080/26929953.2021.2007191
E. Merghati Khoei, Fahimeh Mirzakhani, Habib Yousefi, Mohsen Hoseinzadeh
ABSTRACT In this study, we hypothesized that community support may associated with coping styles of individuals (N = 163) seeking help for their compulsive sexual behaviors from a community seeking treatment called Sexaholic Anonymous (SA) program. We also assume that gender may play a role in the choice of coping strategies by the Iranian sample SA. Multivariate analysis of variance was used to analyze data. We found a significant association between coping styles and elements of community support of program for SA. Those who received community support including regular phone calls to other members and attending meetings regularly utilized task-oriented (p < 0.001) and avoidance-oriented coping styles (p < 0.001) more than emotion-oriented styles (p < 0.001). Sponsors utilized task-oriented coping styles (p < 0.001) more than emotion-oriented (p < 0.001) or avoidance-oriented coping styles (p < 0.05). These findings suggest that community support may have associated with precipitating or perpetuating one’s stress management using variety of copying styles.
摘要在本研究中,我们假设社区支持可能与个体的应对方式有关(N = 163)为他们的强迫性行为向一个名为“匿名性行为狂”(SA)项目的寻求治疗的社区寻求帮助。我们还假设性别可能在伊朗样本SA的应对策略选择中发挥作用。使用多变量方差分析来分析数据。我们发现应对方式与SA项目的社区支持因素之间存在显著关联。那些接受社区支持的人,包括定期给其他成员打电话和定期参加会议,都使用了任务导向(p < 0.001)和回避型应对方式(p < 0.001)多于以情绪为导向的风格(p < 0.001)。发起人采用了以任务为导向的应对方式(p < 0.001)高于情绪导向(p < 0.001)或回避型应对方式(p < 0.05)。这些发现表明,社区支持可能与使用各种复制风格来促进或维持一个人的压力管理有关。
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引用次数: 0
Investigating the Problematic Use of Sexually Explicit Internet Content: A Survey Study among German Internet Users 德国网民对网络色情内容使用问题的调查研究
IF 0.3 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2021-10-02 DOI: 10.1080/26929953.2022.2032514
Lars-Ole Wehden, Felix Reer, Robin Janzik, T. Quandt
ABSTRACT Studies showed that some individuals use sexually explicit Internet content in an excessive, potentially pathological manner, which can have serious negative consequences. However, existing studies often suffer from measurement and sampling issues. In the current study, we adapted a widely acknowledged DSM-5-based scale to assess the prevalence of the problematic use of sexually explicit Internet content (PUSIC) in a random-quota sample of German Internet users (N = 1,019, including 468 users of sexually explicit content). We detected a prevalence rate of 3.4% problematic users among participants that use sexually explicit Internet content. PUSIC was positively related to increased depression, anxiety, and loneliness.
研究表明,一些人以过度的、潜在的病态方式使用互联网上的色情内容,这可能会产生严重的负面后果。然而,现有的研究往往存在测量和抽样问题。在当前的研究中,我们采用了广泛认可的基于dsm -5的量表来评估德国互联网用户随机配额样本(N = 1,019,包括468名色情内容用户)中有问题的使用互联网色情内容(PUSIC)的流行程度。我们发现,在使用色情互联网内容的参与者中,有问题的用户的患病率为3.4%。PUSIC与抑郁、焦虑和孤独感的增加呈正相关。
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引用次数: 0
A Pilot Randomized Control of the Efficacy of Cognitive-Behavioral Therapy on Depression and Hypersexual Behaviors in Compulsive Sexual Behavior Disorder 认知行为疗法对强迫性性行为障碍患者抑郁和性欲过度行为疗效的初步随机对照
IF 0.3 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2021-10-02 DOI: 10.1080/26929953.2022.2041514
Reihaneh Firoozikhojastehfar, K. Asgari, M. Kalantari, F. Raisi, Z. Shahvari, Iman Dadras, S. Amani Jabalkandi
ABSTRACT This study was aimed to examine the efficacy of Cognitive–Behavioral Therapy (CBT) on depression and compulsive sexual behaviors in patients suffering from Compulsive Sexual Behavior Disorder (CSBD). This was a randomized controlled trial in which 20 participants with sex addiction were assigned either to CBT treatment (n = 10) or a control group (n = 10). The study comprised of three phases including baseline, intervention, and 1 month follow up. Hypersexual behavior inventory (HBI.) and Beck depression inventory (BDI) were administered on both groups to gather the data. Participants who received CBT showed a significant decline in hypersexual behaviors and depressive symptoms following the intervention and the effect was maintained in the follow up phase compared to control group. CBT can be suggested as an effective intervention in controlling hypersexual behaviors and depression in Compulsive Sexual Behavior Disorder.
摘要本研究旨在检验认知行为疗法(CBT)对强迫性行为障碍(CSBD)患者抑郁和强迫性行为的疗效。这是一项随机对照试验,其中20名性成瘾参与者被分配到CBT治疗(n = 10) 或对照组(n = 10) 。该研究包括三个阶段,包括基线、干预和1 月随访。对两组进行超性行为量表(HBI)和贝克抑郁量表(BDI)以收集数据。接受CBT的参与者在干预后表现出性欲亢进和抑郁症状的显著下降,与对照组相比,这种效果在随访阶段得以维持。CBT可作为控制强迫性行为障碍患者性行为过度和抑郁的有效干预措施。
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引用次数: 1
The Sexual Experiences of Turkish Women after Bariatric Surgery: A Qualitative Study 土耳其妇女减肥手术后的性体验:一项定性研究
IF 0.3 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2021-04-03 DOI: 10.1080/26929953.2021.1988778
Betul Guven, A. Akyuz, M. Seven, S. Pasalak, Bırgul Odul Ozkaya
ABSTRACT Bariatric surgery affects not only quality of life in general, but also sexual life of patients. Because sexual life is also affected by cultural factors, it is believed that the effects of bariatric surgery on sexual life in different cultures need to be evaluated. The aim of this qualitative study was to explore the experiences of Turkish obese women in their sexual life before and after bariatric surgery. The sample of the study was included 16 women who underwent bariatric surgery. Data were collected via semi‐structured face‐to‐face interviews. Interviews were recorded, transcribed, and analyzed thematically. During the analysis process three categories were identified. The main categories were as follows: “weight-related experiences until surgery,” “surgical motivations and expectations,” and “changes after surgery.” This study highlighted the impact of bariatric surgery on women’s sexual lives. Bariatric team member should be aware of effects of obesity and bariatric surgery on sexuality and address sexuality in counseling for patients.
减肥手术不仅会影响患者的总体生活质量,还会影响患者的性生活。由于性生活也受到文化因素的影响,因此人们认为需要对不同文化背景下减肥手术对性生活的影响进行评估。本定性研究的目的是探讨土耳其肥胖妇女在减肥手术前后的性生活经验。该研究的样本包括16名接受过减肥手术的女性。数据通过半结构化的面对面访谈收集。访谈被记录、转录并按主题进行分析。在分析过程中,确定了三类。主要分类如下:“手术前的体重相关经历”、“手术动机和期望”以及“手术后的变化”。这项研究强调了减肥手术对女性性生活的影响。减肥团队成员应该意识到肥胖和减肥手术对性行为的影响,并在患者咨询中解决性行为问题。
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引用次数: 0
“Rule 34: If It Exists, There is Porn of It…” Insights into the Content Choices, Viewing Reasons and Attitudinal Impact of Internet Pornography among Young Adults “规则34:只要存在,就有色情内容……”年轻人对网络色情内容的选择、观看原因和态度影响的洞察
IF 0.3 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2021-04-03 DOI: 10.1080/26929953.2021.1986763
Shireen Bernstein, W. Warburton, K. Bussey, Naomi Sweller
ABSTRACT The viewing of Internet Pornography (IP) by young adults is a largely normative pastime but few studies have explored what type of IP they choose to view, why and how they make these choices and if this affects their sexual beliefs and behaviors. It is also unclear if there are specific emotional and sexual states associated with the decision to view IP and if any of these states, combined with individual factors predispose individuals toward using IP problematically. These factors are relevant, as some studies identify heterosexual IP as frequently depicting aggressive, degrading and sometimes violent sexual conduct by men against women. Despite this, there is limited research on whether IP narratives inform young people’s sexual fantasizing, expectations and offline sexual behavior. This cross-sectional study of undergraduate students (N = 195; 70.8% female, 28.2% male; 49.7% were 17-19 years, 24.1% were 20-22 years and 26.2% were 23-25 years) found IP viewing motivations linked to mood management or emotional avoidance were positively associated with problematic IP (PIP) viewing. Higher levels of sexual sensation seeking, adversarial sexual beliefs and moral disengagement were also associated with the tendency to adopt personal sexual behaviors consistent with those viewed in IP (IP-congruent behavior) and PIP viewing. Notably, sensation seeking, moral disengagement, IP-related fantasizing and the interaction between moral disengagement and PIP viewing were all significant predictors of IP-congruent behavior.
摘要年轻人观看网络色情(IP)在很大程度上是一种规范性消遣,但很少有研究探讨他们选择观看什么类型的IP,为什么以及如何做出这些选择,以及这是否会影响他们的性信仰和性行为。目前还不清楚是否有特定的情绪和性状态与查看IP的决定有关,以及这些状态中是否有任何一种,再加上个人因素,使个人倾向于有问题地使用IP。这些因素是相关的,因为一些研究表明,异性恋IP经常描绘男性对女性的攻击性、有辱人格、有时甚至暴力的性行为。尽管如此,关于IP叙事是否影响了年轻人的性幻想、期望和线下性行为的研究有限。这项针对本科生的横断面研究(N = 195;女性70.8%,男性28.2%;17岁至19岁者占49.7% 年龄,24.1%为20-22岁 年龄为23-25岁的占26.2% 年)发现,与情绪管理或情绪回避相关的IP观看动机与问题IP(PIP)观看呈正相关。更高水平的性感觉寻求、敌对性信仰和道德脱离也与采取与IP(IP一致行为)和PIP观看一致的个人性行为的倾向有关。值得注意的是,感觉寻求、道德脱离、IP相关幻想以及道德脱离和PIP观看之间的互动都是IP一致行为的重要预测因素。
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引用次数: 2
期刊
Sexual Health & Compulsivity
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