Asexuality: An Extreme Variant of Sexual Desire Disorder?

被引:51
作者
Brotto, Lori A. [1 ]
Yule, Morag A. [2 ]
Gorzalka, Boris B. [2 ]
机构
[1] Univ British Columbia, Dept Gynaecol, Vancouver, BC V5Z 1M9, Canada
[2] Univ British Columbia, Dept Psychol, Vancouver, BC V5Z 1M9, Canada
关键词
Asexuality; Hypoactive Sexual Desire Disorder; Sexual Attraction; Sexual Dysfunction; Romantic Attraction; FUNCTION INDEX FSFI; METHODOLOGICAL CRITIQUE; INTERNATIONAL INDEX; ERECTILE FUNCTION; CROSS-VALIDATION; SCALE; DISTRESS; WOMEN; SUGGESTIONS; PREVALENCE;
D O I
10.1111/jsm.12806
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
IntroductionHuman asexuality is defined as a lack of sexual attraction to anyone or anything. Various theories have been proposed to explain how asexuality should best be classified, and some have maintained that asexuality is an extreme variant of hypoactive sexual desire disorder (HSDD)a sexual dysfunction characterized by a lack of interest in sex and significant distress. To date, this has never been empirically examined. Aim and MethodUsing measures of sexual desire and behavior, sex-related distress, personality, and psychopathology, the aim of the current study was to compare individuals scoring above the cutoff for asexuality identification (AIS>40) (n=192) to sexual individuals (n=231). The sexual group was further divided into a control group (n=122), a HSDD group (n=50), and a group with symptoms of low desire that were nondistressing (n=59). ResultsAnalyses were controlled for age. Individuals in the AIS>40 group had a greater likelihood of never previously engaging in sexual intercourse, fantasies, or kissing and petting than all other groups and a lower likelihood of experiencing sex-related distress than those with HSDD. For women, those in the HSDD and AIS>40 groups had significantly lower desire than the subclinical HSDD and control groups. Men in the AIS>40 group had significantly lower desire than the other three groups. Symptoms of depression were highest among those with subclinical HSDD and HSDD, whereas there were no group differences on alexithymia or desirable responding. A binary logistic regression indicated that relationship status (long-term dating/married), sexual desire, sex-related distress, and lower alexithymia scores were the best predictors of group membership (HSDD vs. AIS>40). ConclusionTaken together, these results challenge the speculation that asexuality should be classified as a sexual dysfunction of low desire. Brotto LA, Yule MA, and Gorzalka BB. Asexuality: An extreme variant of sexual desire disorder? J Sex Med 2015;12:646-660.
引用
收藏
页码:646 / 660
页数:15
相关论文
共 38 条
[1]  
American-Psychiatric-Association, 2013, Sexual Dysfunctions. Diagnostic and statistical manual of mental disorders: DSM-5, V5th, P423
[2]  
APA, 2022, Diagnostic and Statistical Manual of Mental Disorders, DOI [10.1176/appi.books.9780890425787, DOI 10.1176/APPI.BOOKS.9780890425787, 10.1176/dsm10.1176/appi.books.9780890420249.dsm-iv-tr]
[3]   THE 20-ITEM TORONTO-ALEXITHYMIA-SCALE .1. ITEM SELECTION AND CROSS-VALIDATION OF THE FACTOR STRUCTURE [J].
BAGBY, RM ;
PARKER, JDA ;
TAYLOR, GJ .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 1994, 38 (01) :23-32
[4]  
Beck AT., 1996, BECK DEPRESSION INVE, V78, P490
[5]  
Bogaert A.F., 2013, International handbook on the demography of sexuality, P275, DOI [10.1007/978-94-007-5512-3_15, DOI 10.1007/978-94-007-5512-3_15]
[6]   Asexuality: Prevalence and associated factors in a national probability sample [J].
Bogaert, AF .
JOURNAL OF SEX RESEARCH, 2004, 41 (03) :279-287
[7]  
Bogaert Anthony., 2008, Psychological Sexual Dysfunctions, P9
[8]   Toward a conceptual understanding of asexuality [J].
Bogaert, Anthony F. .
REVIEW OF GENERAL PSYCHOLOGY, 2006, 10 (03) :241-250
[9]   Asexuality and Autochorissexualism (Identity-Less Sexuality) [J].
Bogaert, Anthony F. .
ARCHIVES OF SEXUAL BEHAVIOR, 2012, 41 (06) :1513-1514
[10]   The DSM Diagnostic Criteria for Hypoactive Sexual Desire Disorder in Women [J].
Brotto, Lori A. .
ARCHIVES OF SEXUAL BEHAVIOR, 2010, 39 (02) :221-239