持续性性器官唤醒障碍中的性器官感觉：是否需要建立一个涵盖性器官和骨盆感觉异常的总体分类学？
Genital Sensations in Persistent Genital Arousal Disorder: A Case for an Overarching Nosology of Genitopelvic Dysesthesias?
机构信息
Department of Psychology, Queen's University, Kingston, ON, Canada.
Department of Psychology, Queen's University, Kingston, ON, Canada.
出版信息
Sex Med Rev. 2019 Jan;7(1):2-12. doi: 10.1016/j.sxmr.2018.08.001. Epub 2018 Oct 6.
INTRODUCTION
Persistent genital arousal disorder (PGAD) is a highly distressing and poorly understood condition characterized by unwanted sensations of genital arousal in the absence of subjective sexual desire. Research has shown that some individuals with PGAD also report orgasm, urinary, and pain symptoms, with 1 recent study specifically comparing a "painful persistent genital arousal symptom" group to a "non-painful persistent genital arousal symptom" group on various indicators given the highly frequent report of comorbid genitopelvic pain in their sample.
AIM
To review literature on PGAD focusing on the presence of pain symptoms.
METHODS
A literature review through May 2018 was undertaken to identify articles that discuss pain characteristics in individuals with persistent sexual arousal syndrome, persistent genital arousal disorder, symptoms of persistent genital arousal, and restless genital syndrome.
MAIN OUTCOME MEASURE
A review of pain/discomfort associated with persistent genital arousal, and the proposal of a new theoretical framework of genitopelvic dysesthesias.
RESULTS
PGAD is a distressing condition that is associated with a significant, negative impacts on psychosocial and daily functioning. Although it is clear that unwanted and persistent genital arousal is the hallmark symptom of PGAD, symptoms of pain and discomfort are also frequently reported. Based on the results of this review, a model of genitopelvic dysesthesias is proposed, with subcategories of unpleasant sensations that are based on patients' primary complaint: arousal, arousal and pain, or pain (and other sensations).
CONCLUSION
The proposed model can provide an important framework for conceptualizing conditions characterized by unpleasant genitopelvic sensations. A model such as this one can benefit highly misunderstood conditions that are questioned in terms of their legitimacy and severity-such as PGAD-by conceptualizing them as sensory disorders, which in turn can reduce stigma, unify research efforts, and potentially improve access to care. Pukall CF, Jackowich R, Mooney K, et al. Genital Sensations in Persistent Genital Arousal Disorder: A Case for an Overarching Nosology of Genitopelvic Dysesthesias? Sex Med Rev 2019;7:2-12.
引言
持续性生殖器觉醒障碍（PGAD）是一种高度痛苦且尚未被充分理解的疾病，其特征是在没有主观性欲的情况下出现生殖器觉醒的不想要的感觉。研究表明，一些 PGAD 患者还报告有性高潮、尿失禁和疼痛症状，最近的一项研究特别比较了一组“有疼痛的持续性生殖器觉醒症状”和一组“无疼痛的持续性生殖器觉醒症状”，因为他们的样本中经常报告伴有生殖器骨盆疼痛。
目的
综述 PGAD 文献，重点关注疼痛症状。
方法
通过 2018 年 5 月进行文献回顾，以确定讨论持续性性唤醒综合征、持续性生殖器觉醒障碍、持续性生殖器觉醒症状和不安生殖器综合征患者疼痛特征的文章。
主要观察指标
回顾与持续性生殖器觉醒相关的疼痛/不适，并提出一个新的生殖器骨盆感觉异常的理论框架。
结果
PGAD 是一种痛苦的疾病，与社会心理和日常生活功能的显著负面影响相关。尽管清楚的是，不想要的和持续性的生殖器觉醒是 PGAD 的主要特征症状，但疼痛和不适症状也经常被报告。基于本综述的结果，提出了一个生殖器骨盆感觉异常的模型，根据患者的主要症状，将不愉快感觉分为以下几个亚类：唤醒、唤醒和疼痛，或疼痛（和其他感觉）。
结论
所提出的模型可以为概念化以不愉快生殖器骨盆感觉为特征的疾病提供一个重要的框架。这样的模型可以帮助理解那些被高度误解的疾病，这些疾病在其合法性和严重程度上受到质疑，例如 PGAD，将其概念化为感觉障碍，从而减少耻辱感，统一研究努力，并可能改善获得护理的机会。
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