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A Thematic Analysis of Couples' Sexual Well-Being Following a Recent Pregnancy Loss. 最近怀孕失败后夫妻性健康的专题分析。
IF 2.7 2区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-10-01 Epub Date: 2024-12-20 DOI: 10.1080/00224499.2024.2441835
Gracielle C Schwenck, David B Allsop, Eva Cohen, Natalie O Rosen

Pregnancy loss has been linked to poorer mental and relationship well-being. Given that strong sexual well-being is associated with better mental and physical health, understanding sexual well-being following a recent pregnancy loss may contribute to education and treatment models. Yet, little research has examined the effects of pregnancy loss on both couple members' sexual well-being. Accordingly, using Marks' team-based method for inductive thematic analysis, this qualitative study examined three open-ended questions regarding how individuals' (N = 255 individuals, across 133 couples) sexual well-being reportedly changed - positively and negatively - and was supported following a recent pregnancy loss (i.e. within 5 months). We also considered if the identified themes differed in frequency between women and gender-diverse individuals who were pregnant when the loss occurred, and men, women, and gender-diverse partners who were not pregnant. Across participants, we found three themes regarding positive changes (e.g. Relationship growth; A new meaning to sex), five themes related to negative changes (e.g. Decreased desire and frequency; Health and body changes), four themes pertaining to support factors (e.g. Communicating openly; Offering support and respecting readiness), and three themes reflecting: No positive changes, No negative changes, and Nothing done to support sexual well-being. Results of this study may guide psychoeducation to increase awareness of potential changes following pregnancy loss and encourage supportive behaviors to benefit couple members' sexual well-being.

怀孕失败与较差的精神和人际关系健康有关。鉴于强烈的性健康与更好的精神和身体健康有关,了解近期流产后的性健康可能有助于教育和治疗模式。然而,很少有研究调查流产对夫妻双方性健康的影响。因此,使用Marks基于团队的方法进行归纳主题分析,本定性研究检查了三个开放式问题,即个人(N = 255个人,133对夫妇)的性健康如何发生变化(积极和消极),并在最近怀孕失败(即5个月内)后得到支持。我们还考虑了是否确定的主题在发生损失时怀孕的女性和不同性别的个体,以及没有怀孕的男性、女性和不同性别的伴侣之间的频率不同。在参与者中,我们发现了三个关于积极变化的主题(例如关系增长;性的新含义),五个与负面变化相关的主题(例如欲望和频率下降;健康和身体变化),与支持因素有关的四个主题(例如,公开沟通;提供支持和尊重准备),三个主题反映:没有积极的变化,没有消极的变化,没有采取任何措施来支持性健康。本研究结果可以指导心理教育,提高对流产后潜在变化的认识,鼓励支持性行为,以促进夫妻双方的性健康。
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引用次数: 0
The Role of Ageist Sexual Stereotypes in the Network of Sexual Difficulties, Sex and Relationship Satisfaction Among Adults Aged 50. 年龄歧视性刻板印象在 50 岁成年人的性困难、性和关系满意度网络中的作用。
IF 2.7 2区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-10-01 Epub Date: 2024-02-08 DOI: 10.1080/00224499.2024.2307441
Veronika Gocieková, Andrea Stašek, Anna Ševčíková, Gabriela Gore-Gorszewska

As people age, their sexual activity, including sexual and relationship satisfaction, may change due to the onset of health and sexual difficulties and the activation of internalized ageist sexual stereotypes. We studied whether ageist sexual stereotypes were relevant for the importance of sex for people aged 50+ and how sexual and relationship satisfaction are interlinked with health and sexual difficulties when ageist sexual stereotypes are considered. Data for the network analysis were collected from a sample of 897 Czechs and Slovaks aged 50-96 (52% men, mean age = 62.01). Two models were analyzed - with and without the inclusion of ageist sexual stereotypes. The findings indicated that ageist sexual stereotypes play an important role in the sexuality of women and men aged 50 + .The fewer ageist sexual stereotypes people had, the less sexual difficulties they reported and the more they perceived sex as important. The inclusion of stereotypes into the models, however, weakened the negative link between sexual difficulties and the importance of sex for both women and men. These findings show that the effect of ageist sexual stereotypes are likely complex in the sexual lives of people aged 50 +.

随着年龄的增长,人们的性活动,包括对性生活和性关系的满意度,可能会因为健康和性生活困难的出现以及内化的老龄化性刻板印象的激活而发生变化。我们研究了年龄歧视性刻板印象是否与 50 岁以上人群对性的重视程度相关,以及在考虑年龄歧视性刻板印象的情况下,性满意度和关系满意度如何与健康和性困难相互关联。用于网络分析的数据是从 897 名 50-96 岁捷克人和斯洛伐克人(52% 为男性,平均年龄 = 62.01 岁)的样本中收集的。分析了两个模型--包含和不包含年龄歧视性刻板印象。研究结果表明,年龄歧视性刻板印象在 50 岁以上男女的性生活中起着重要作用。年龄歧视性刻板印象越少,人们所报告的性困难就越少,他们就越认为性生活是重要的。然而,将陈规定型观念纳入模型中,则削弱了男女性障碍与性的重要性之间的负面联系。这些研究结果表明,在 50 岁以上人群的性生活中,年龄歧视性刻板印象的影响可能很复杂。
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引用次数: 0
Developing a Scale Measuring Comprehensive Sex Education Attitudes in K-12 Schools (CSEA-K12). 开发衡量 K-12 学校全面性教育态度的量表 (CSEA-K12)。
IF 2.7 2区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-10-01 Epub Date: 2024-11-05 DOI: 10.1080/00224499.2024.2414790
Sasha N Canan, Jess C Reich

Comprehensive sex education (CSE) is linked to several favorable health outcomes yet is consistently underfunded and under-implemented. This is likely due to the perceived controversy of CSE, but research indicates that CSE in the K-12 system is widely supported in most areas of the U.S. Legislators, school board members, and funding agencies need a more thorough and accurate understanding of their communities' attitudes toward CSE. An attitudinal scale for the general adult population could help generate research that would give these stakeholders the confidence they need to make decisions about CSE in their local areas. The current study created this needed scale using a structured 6-step process that integrated several methods establishing validity and reliability. Scale structure was tested using both exploratory and confirmatory factor analyses, in addition to invariance testing and validity checks. The scale performed similarly across several groups and met predictions for known-groups and predictive validity, while showing some evidence for convergent validity as well. However, although findings indicate that the one-factor model of the CSEA-K12 was the best fitting model, the fit was weaker than desired. Suggestions for future work further addressing internal consistency of the scale are noted.

全面性教育(CSE)与多种有利的健康结果相关联,但却始终资金不足、执行不力。这可能是由于人们认为 CSE 存在争议,但研究表明,在美国大多数地区,K-12 系统中的 CSE 得到了广泛支持。立法者、学校董事会成员和资助机构需要更全面、更准确地了解社区对 CSE 的态度。针对普通成年人的态度量表可以帮助开展研究,为这些利益相关者提供他们所需的信心,使他们能够就当地的 CSE 做出决策。目前的研究采用结构化的 6 步程序,综合了几种确定有效性和可靠性的方法,创建了这一所需的量表。除了不变性测试和有效性检查外,还使用探索性和确认性因子分析对量表结构进行了测试。该量表在多个组别中的表现相似,符合已知组别和预测效度的预测,同时也显示出一些收敛效度的证据。然而,尽管研究结果表明 CSEA-K12 的单因素模型是拟合效果最好的模型,但拟合效果比预期的要弱。建议今后的工作进一步解决量表的内部一致性问题。
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引用次数: 0
The Impact of Sexual Consent on Sexual and Relationship Well-Being in Chinese Romantic Relationships. 中国恋爱关系中性同意对性与关系幸福感的影响。
IF 2.7 2区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-10-01 Epub Date: 2025-01-07 DOI: 10.1080/00224499.2024.2445059
Xin Shi, Emily A Impett, Yong Zheng

High-quality sexual relationships significantly contribute to the development and maintenance of romantic relationships, with effective sexual communication playing a crucial role. In particular, how partners communicate and feel about sexual consent is essential for sexual and relationship well-being. There is limited research on sexual consent within established romantic relationships, and existing findings are mixed. Our research addresses this gap through three studies using cross-sectional, dyadic, and dyadic daily diary methods conducted in China. In Study 1 (N = 392 adult individuals in romantic relationships), individuals who felt higher internal consent and used more explicit-verbal cues to consent to sex during their most recent sexual encounter experienced greater sexual and relationship satisfaction. These effects extended to individuals' partners in Study 2 (N = 235 mixed-gender adult couples). Internal and explicit-verbal consent were associated with higher sexual satisfaction for both partners, while implicit-nonverbal consent was only associated with an individual's own sexual satisfaction. Study 3 (N = 103 mixed-gender adult couples), a 21-day dyadic diary study, confirmed that daily internal and explicit-verbal consent were linked to both partners' daily sexual and relationship satisfaction. However, daily passive consent was associated with lower daily sexual satisfaction for both partners and was associated with increased daily sexual distress for the person who provided passive consent. Our research highlights the critical role of internal consent and explicit-verbal consent communication for promoting sexual and relationship well-being.

高质量的性关系对浪漫关系的发展和维持有着重要的贡献,有效的性交流起着至关重要的作用。特别是,伴侣如何沟通和感受性同意对性健康和关系健康至关重要。在已建立的恋爱关系中,关于性同意的研究有限,现有的研究结果也好坏参半。我们的研究通过在中国进行的三项研究解决了这一差距,这些研究使用了横断面、二元和二元日常日记方法。在研究1中(N = 392名处于恋爱关系中的成年人),那些在最近的性接触中感到更强烈的内心同意和使用更明确的语言暗示来同意性行为的人经历了更大的性和关系满意度。在研究2中,这些效应扩展到个体的伴侣(N = 235对男女混合的成年夫妇)。内部和明确的语言同意与双方更高的性满意度有关,而内隐的非语言同意只与个人自己的性满意度有关。研究3 (N = 103对男女混合的成年夫妇)是一项为期21天的二元日记研究,证实了每天的内心和明确的口头同意与伴侣双方的日常性和关系满意度有关。然而,每天的被动同意与伴侣双方较低的日常性满意度有关,并且与提供被动同意的人增加的日常性痛苦有关。我们的研究强调了内部同意和明确的口头同意沟通在促进性和关系健康方面的关键作用。
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引用次数: 0
Sexual Education as a Dynamic Multisource Process: A Qualitative Examination of Sexual Education Experiences in a Sample of U.S. College Students. 性教育是一个动态的多源过程:对美国大学生性教育经历的定性考察。
IF 2.7 2区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-10-01 Epub Date: 2025-01-31 DOI: 10.1080/00224499.2025.2454395
Alex S Diede, Kathryn J Holland

Sexual education is important for young people's sexual health. Sexual education comes from a myriad of sources, but most research in this area has examined one source at a time, limiting a holistic understanding of how people learn about sexuality. The current study considered how different sources of information come together to inform a person's sexual education. We conducted qualitative interviews with 44 U.S. college students, with questions about their sexual educational experiences from eight possible sources (i.e., school, caregivers, siblings, extended family, peers, early partners, self-sought sources such as websites and books, and pornography). We analyzed these data using reflexive thematic analysis and generated three main themes. The first theme illustrated the common ways that participants acquired information about sex from four categories of sources over time, including (a) foundational (i.e. parents, schools), (b) secondary (e.g., friends, siblings), (c) self-sought (e.g., websites, books), and (d) incidental (e.g., partners, pornography). Second, participants' engagement with educational sources was informed by their previous experiences with those sources. Finally, the most influential source of participants' sex education was fundamentally linked to their comfort with the source. These findings further demonstrate the necessity of open communication about sexuality and sexual health from sexual educators.

性教育对青少年的性健康至关重要。性教育有无数的来源,但这一领域的大多数研究一次只考察了一个来源,限制了对人们如何学习性的整体理解。目前的研究考虑了不同来源的信息如何汇集在一起,为一个人的性教育提供信息。我们对44名美国学生进行了定性访谈大学生,从八个可能的来源(即,学校,照顾者,兄弟姐妹,大家庭,同龄人,早期伴侣,自我寻求的来源,如网站和书籍,以及色情)询问他们的性教育经历。我们使用反身性主题分析来分析这些数据,并生成了三个主要主题。第一个主题说明了参与者从四类来源获取性信息的常见方式,包括(a)基础(即父母,学校),(b)次要(如朋友,兄弟姐妹),(c)自我寻求(如网站,书籍)和(d)偶然(如伴侣,色情)。其次,参与者对教育资源的参与是由他们以前对这些资源的经验所决定的。最后,参与者性教育的最具影响力的来源从根本上与他们对来源的舒适程度有关。这些发现进一步证明了性教育者对性和性健康进行公开交流的必要性。
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引用次数: 0
Sexual Satisfaction Among Sexual Minority Men During the COVID-19 Pandemic: A Scoping Review. COVID-19大流行期间性少数群体男性的性满意度:一项范围审查
IF 2.7 2区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-10-01 Epub Date: 2025-02-13 DOI: 10.1080/00224499.2025.2460669
Chenglin Hong, Dakota Brandenburg, Sreelakshmi Pushpanadh, Keoni K Bermoy

The COVID-19 pandemic has led to widespread disruptions in various aspects of life, including sexual well-being and satisfaction, with sexual minority men (SMM) facing unique challenges. Understanding the impact of the pandemic on their sexual satisfaction is crucial for addressing SMM-specific needs and promoting sexual well-being. This scoping review aimed to comprehensively examine the existing literature on sexual satisfaction and its associated factors among SMM during the pandemic. After a literature search and review from six electronic databases according to PRISMA guidelines, only n = 8 studies met the eligibility criteria. Findings suggested that the evidence on the impact of the pandemic on sexual satisfaction was mixed. While some studies suggested that COVID-19 facilitated a more rapid establishment of sexual relationships, others claimed that lockdown measures prevented individuals from seeking sexual partners, resulting in lower satisfaction with their sex life. Greater sexual satisfaction was associated with younger age, being in a relationship, and residing in a large urban center. Conversely, it was negatively associated with distress, loss of connections to friends and the queer community, and experiencing relationship conflict. We thus highlight the complex interplay between the COVID-19 pandemic and sexual satisfaction among SMM. Further research is warranted to explore longitudinal trends, investigate the mechanisms underlying the identified associations, and develop targeted services to mitigate negative impacts and enhance sexual satisfaction among SMM. There is also a pressing need for research in low- to middle-income settings, where pervasive stigma surrounding sex may heighten vulnerabilities of SMM.

2019冠状病毒病大流行导致生活的各个方面普遍中断,包括性健康和性满意度,性少数群体男性面临着独特的挑战。了解这一大流行病对她们性满足程度的影响,对于解决女性恋童癖的具体需求和促进性健康至关重要。本综述旨在全面研究大流行期间性行为满意度及其相关因素的现有文献。根据PRISMA指南对6个电子数据库进行文献检索和综述后,只有n = 8项研究符合入选标准。调查结果表明,关于疫情对性满意度影响的证据参差不齐。虽然一些研究表明,COVID-19促进了性关系的更快建立,但也有人声称,封锁措施阻止了个人寻找性伴侣,导致他们对性生活的满意度降低。更高的性满意度与年龄、恋爱关系和居住在大城市中心有关。相反,它与痛苦、与朋友和酷儿社区失去联系以及经历关系冲突呈负相关。因此,我们强调了COVID-19大流行与SMM性满意度之间复杂的相互作用。进一步的研究需要探索纵向趋势,调查已确定的关联背后的机制,并开发有针对性的服务来减轻负面影响并提高SMM的性满意度。在低收入和中等收入环境中也迫切需要进行研究,在这些环境中,围绕性的普遍耻辱可能会增加SMM的脆弱性。
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引用次数: 0
Development and Validation of a Measure of the Resolution Phase of the Sexual Response Cycle: The Sexual Resolution Scale (SRS). 性反应周期解决阶段测量方法的开发与验证:性反应解决量表(SRS)。
IF 2.7 2区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-10-01 Epub Date: 2024-11-15 DOI: 10.1080/00224499.2024.2424414
Inês Rodrigues, Marta Porto, Filipa Pimenta, Rui Miguel Costa, Torsten Passie

We developed and validated a measure of the depth of the resolution experience - the Sexual Resolution Scale (SRS). Portuguese-speaking participants responded to an online survey including the SRS whose eight items were derived from the literature on post-sex states: 1) deeply relaxed, 2) with elevated heart rate, 3) with intensified emotions, 4) more aware of body, 5) in a profound peace, 6) more imaginative, 7) more predisposed to talk about emotionally charged topics, 8) more predisposed to listen to emotionally charged topics. They also reported the intensity of satisfaction, desire, arousal, and orgasm, during the last sexual activity, and completed the Perceived Relationship Quality Components Inventory, and the Female Sexual Function Index or the International Index of Erectile Function. Principal Component Analysis and Confirmatory Factor Analysis revealed two dimensions: Internal Experience (items 1 to 6) and Openness to Communication (items 7 and 8). The two dimensions had good reliability. Invariance was confirmed between women and men. Nomological validity evidence was demonstrated: the two dimensions correlated with better sexual function during the last sexual activity and over the past 4 weeks. The SRS appears to be usable to measure the enjoyable aspects of the resolution phase of sexual intercourse.

我们开发并验证了一种衡量解决体验深度的方法--性解决量表(SRS)。讲葡萄牙语的参与者对包括 SRS 在内的在线调查做出了回答,SRS 的八个项目源自有关性爱后状态的文献:1) 极度放松;2) 心跳加快;3) 情绪高涨;4) 对身体更加敏感;5) 极度平静;6) 更富想象力;7) 更愿意谈论情绪化的话题;8) 更愿意倾听情绪化的话题。他们还报告了在最后一次性活动中的满意度、欲望、唤起和高潮的强度,并完成了感知关系质量成分量表、女性性功能指数或国际勃起功能指数。主成分分析和确证因子分析显示了两个维度:内部体验(项目 1 至 6)和开放交流(项目 7 和 8)。这两个维度具有良好的可靠性。男女之间的不变量得到了证实。名义效度证据显示:这两个维度与最近一次性活动和过去 4 周内更好的性功能相关。SRS 似乎可以用来测量性交解决阶段的愉快方面。
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引用次数: 0
Analysis of the Effectiveness of an Affective-Sexual Education Program for Adults with Intellectual Disabilities. 针对智障成人的情感-性教育计划效果分析。
IF 2.7 2区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-10-01 Epub Date: 2024-01-22 DOI: 10.1080/00224499.2023.2300627
María Dolores Gil-Llario, Olga Fernández-García, Tania B Huedo-Medina, Vicente Morell-Mengual, Rafael Ballester-Arnal

In recent years, the number of programs to improve sex education for people with intellectual disabilities has increased. However, in most cases, these programs do not provide any evidence of their impact. In the present study we analyzed the effectiveness of the SALUDIVERSEX affective-sexual education program for people with intellectual disabilities using a controlled trial design. 246 individuals from eastern Spain completed a battery of questionnaires before and after the intervention. Multilevel statistical analyses showed that the risk of experiencing sexual abuse had significantly decreased and knowledge about sexuality significantly increased among those who received the intervention compared to those who did not. The evaluation of the professionals who worked daily with the participants agreed on how knowledge about sexuality and intimacy increased and concerns about sexuality decreased among those in the intervention group. The SALUDIVERSEX program is a powerful educational strategy to promote better sexual health and quality of life for people with intellectual disabilities.

近年来,旨在改善智障人士性教育的计划数量有所增加。然而,在大多数情况下,这些计划并没有提供任何证据来证明其效果。在本研究中,我们采用对照试验设计,分析了针对智障人士的 SALUDIVERSEX 情感性教育项目的有效性。来自西班牙东部的 246 名智障人士在干预前后填写了一系列调查问卷。多层次统计分析显示,与未接受干预的人相比,接受干预的人遭受性虐待的风险明显降低,性知识明显增加。对每天与参与者一起工作的专业人员进行的评估一致认为,干预组的参与者对性和亲密关系的了解增加了,对性的担忧减少了。SALUDIVERSEX 计划是一项强有力的教育策略,可促进智障人士的性健康,提高他们的生活质量。
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引用次数: 0
The Moderating Role of Partner Support in the Links Between Body Image Concerns and Sexual Satisfaction Among Couples Transitioning to Parenthood. 伴侣支持在转变为父母的夫妻身体形象关注与性满足之间的关系中的调节作用。
IF 2.7 2区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-10-01 Epub Date: 2025-02-26 DOI: 10.1080/00224499.2025.2463705
Anne-Laurence Gagné, Julie Achim, Katherine Péloquin, Anne Brault-Labbé, Patrick Gosselin, Marie-France Lafontaine, Audrey Brassard

New parent couples often experience fluctuations in postpartum sexual satisfaction, with body image concerns being a significant factor. While these concerns are linked to decreased sexual satisfaction, potential protective factors remain underexplored. In this study, we examined the moderating role of perceived partner support in the longitudinal links between new parents' own body image concerns and both their own and their partner's sexual satisfaction. Couples (n  = 184) completed online validated questionnaires at 8 (T1), 12 (T2), and 24 (T3) months postpartum. A dyadic latent growth curve analysis based on the Actor-Partner Interdependence Model revealed a positive association between perceived partner support and sexual satisfaction at T1 for both parents, but no associations with the parents' sexual satisfaction trajectory. Two moderations were found: first, only when non-bearing partners received high levels of support, their own body image concerns were associated with their lower sexual satisfaction at T1. Second, only in bearing mothers receiving high levels of support, their own body image concerns were associated with a smaller decrease in their partners' sexual satisfaction from T1 to T3. Findings provide nuanced insights into partner support and sexual satisfaction among new parents, aiding in the development of targeted interventions.

初为父母的夫妇在产后的性满意度上经常会出现波动,对身体形象的担忧是一个重要因素。虽然这些担忧与性满意度下降有关,但潜在的保护因素仍未得到充分发掘。在这项研究中,我们考察了感知伴侣支持在新父母自己的身体形象关注与他们自己和他们的伴侣的性满意度之间的纵向联系中的调节作用。184对夫妇在产后8 (T1)、12 (T2)和24 (T3)个月完成在线有效问卷。基于行为者-伴侣相互依赖模型的二元潜在增长曲线分析显示,父母双方在T1时感知到的伴侣支持与性满意度呈正相关,但与父母的性满意度轨迹无关。研究发现了两个调节因素:第一,只有当不生育的伴侣得到高水平的支持时,他们对自己身体形象的关注才会与T1时较低的性满意度相关。其次,只有在获得高水平支持的生育母亲中,她们对自己身体形象的关注与伴侣从T1到T3的性满意度的较小下降有关。研究结果对新父母的伴侣支持和性满意度提供了细致入微的见解,有助于制定有针对性的干预措施。
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引用次数: 0
Sexual Activity as Self-Injury: A Scoping Review. 作为自我伤害的性行为:范围审查。
IF 2.7 2区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-10-01 Epub Date: 2024-02-28 DOI: 10.1080/00224499.2024.2320828
Julie E Mellin, Cara C Young, Lynn Rew, Julie Zuniga, Maria C Monge

Suicide and other self-injurious behaviors (SIB) are significant causes of morbidity and mortality as well as healthcare costs. Sexual risk behaviors are associated with many SIB, and sexual activities may act as SIB as well. In this scoping review, we consider ways in which sexual activity has been conceptualized as SIB - types of sexual activities as a form of self-injury - and cases in which sexual activities as SIB have been classified as direct or indirect self-injury. We include English-language publications that discuss any aspect of sexual activity as SIB. Database, citation list, and gray literature searches yielded 33 publications. Sexual activities as a form of self-injury included exposure to HIV/AIDS and other sexually transmitted infections, sadomasochistic behaviors undertaken for punishment rather than pleasure, selling sex, injury to the genitals, and sexual encounters with undesired partners or consisting of undesired acts. Twenty-three publications did not categorize sexual activities to self-injure as either direct or indirect self-injury, three publications categorized them as indirect self-injury, and seven publications as direct self-injury. Sexual activity is used to self-injure in a variety of ways and its conceptualization as indirect or direct self-injury remains unclear.

自杀和其他自伤行为(SIB)是导致发病率和死亡率以及医疗费用的重要原因。性风险行为与许多 SIB 相关,性活动也可能成为 SIB。在本范围综述中,我们考虑了将性活动概念化为 SIB 的方式--作为一种自我伤害形式的性活动类型--以及将作为 SIB 的性活动归类为直接或间接自我伤害的案例。我们收录了讨论性活动作为 SIB 的任何方面的英文出版物。通过数据库、引文列表和灰色文献检索,共检索到 33 篇出版物。作为一种自我伤害形式的性活动包括感染艾滋病和其他性传播疾病、为惩罚而非愉悦而进行的施虐受虐行为、卖春、伤害生殖器、与不受欢迎的性伴侣发生性关系或包含不受欢迎的行为。有 23 份出版物未将用于自伤的性活动归类为直接或间接自伤,有 3 份出版物将其归类为间接自伤,有 7 份出版物将其归类为直接自伤。性活动被用于自我伤害的方式多种多样,其间接或直接自我伤害的概念仍不明确。
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引用次数: 0
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Journal of Sex Research
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