压力之下：成年伴侣性互动中男性和女性的性表现焦虑
压力之下：成年伴侣性互动中男性和女性的性表现焦虑
Under Pressure: Men’s and Women’s Sexual Performance Anxiety in the Sexual Interactions of Adult Couples
——《性研究杂志》第62卷第8期，2025年10月——
【摘要】大多数关于性互动焦虑的研究都集中在男性的经历及其与勃起功能障碍和早泄的关系上，而很少关注女性的经历或关系动态。有时，性互动焦虑会在功能障碍的背景下进行研究，但很少将其作为研究的焦点。研究1要求51名报告性互动焦虑的参与者使用在线调查的开放式答案，描述他们经历中的认知和情感成分、应对策略以及感知到的对关系的影响。通过定向内容分析，研究1发现男性和女性都会经历一系列认知和情感过程，主要感受是不足感，并且总体上更倾向于采取应对策略。研究2采用定量调查方法，以228对社区伴侣为样本，检验性互动焦虑是否与较高的性困扰以及较低的性与关系满意度相关。在行动者-伴侣相互依赖模型的指导下，多层次模型分析表明，较高的性互动焦虑与个人及其伴侣的较高性困扰以及较低的性与关系满意度相关。这项研究将性互动焦虑的认知拓展到女性（而非男性）以及伴侣的经历。对患有这种焦虑状态的患者进行有效的治疗，可能包括围绕性观念和性期望的教育。
[Abstract] Most research on sexual performance anxiety has focused on men’s experiences and links to erectile functioning and premature ejaculation, with little research attention given to women’s experiences or to relationship dynamics. At times, sexual performance anxiety has been examined in the context of dysfunction, but rarely as a focus in its own right. Study 1 asked 51 participants reporting sexual performance anxiety to describe the cognitive and affective components of their experiences, coping strategies, and perceived impact on their relationship using open-ended responses from online surveys. Through directed content analysis, Study 1 revealed that men and women experience a range of cognitive and affective processes with predominant feelings of inadequacy, and overall promoting more approach coping strategies. Study 2 used quantitative surveys to examine whether sexual performance anxiety was associated with higher sexual distress and lower sexual and relationship satisfaction in a sample of 228 community-based couples. Guided by the Actor-Partner Interdependence Model, multilevel modeling analyses indicated that higher sexual performance anxiety was linked to higher sexual distress and lower sexual and relationship satisfaction in both individuals and their partners. This work advances knowledge of sexual performance anxiety to women’s experiences, not just men’s, and to couples’ experiences. Effective treatment for those suffering from this anxiety may incorporate education around sexual beliefs and expectations.
论文原文：Amanda Bockaj, Megan D. Muise, Charlene F. Belu, Natalie O. Rosen & Lucia F. O’Sullivan (2025). Under Pressure: Men’s and Women’s Sexual Performance Anxiety in the Sexual Interactions of Adult Couples. The Journal of Sex Research, Volume 62, Issue 8, Pages 1442-1454. October 2025.
https://doi.org/10.1080/00224499.2024.2357587
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