性治疗患者创伤性性行为特征：人际创伤史与性福祉的比较
性治疗患者创伤性性行为特征：人际创伤史与性福祉的比较
Profiles of Traumatic Sexuality in Sex Therapy Patients: A Comparison of Interpersonal Trauma History and Sexual Well-Being
——《性与婚姻治疗杂志》，2025年10月30日在线发表——
【摘要】本研究探索了创伤性性行为的特征（包括六个与性相关的维度——分离、侵入性、羞耻感和内疚感、取悦他人、人际困扰和过度警觉），并比较了不同特征人群在性福祉和人际创伤方面的差异。研究对484名因性与关系问题寻求性治疗的临床样本进行了潜在类别分析。结果识别出三种不同的特征：低创伤性性行为（得分较低至中等，占样本的87.8%）、高创伤性性行为（所有维度得分均较高，占2.5%）和分离-取悦型创伤性性行为（得分模式混合，占9.7%）。比较分析表明，这些特征在性福祉和人际创伤等关键变量上存在进一步的差异。这些研究结果强调了人际创伤对性体验的复杂影响，凸显了针对特定创伤史量身定制的个性化治疗方法的重要性，以支持恢复健康的性功能和整体幸福感。
[Abstract] This study explored profiles of traumatic sexuality (including six sex-related dimensions—dissociation, intrusiveness, shame and guilt, pleasing the other, interpersonal distress, and hypervigilance) and compared differences in sexual well-being and interpersonal trauma among the profiles. A latent profile analysis was performed on a clinical sample of 484 sex therapy patients consulting for sex and relationship related issues. Results identified three distinct profiles: Low Traumatic Sexuality (characterized by low to moderate scores, 87.8% of the sample), High Traumatic Sexuality (marked by elevated scores across all dimensions, 2.5%), and Dissociative-Pleasing Traumatic Sexuality (exhibiting a mixed score pattern, 9.7%). Comparative analyses indicated that these profiles were further distinguished by key variables, such as sexual well-being and interpersonal trauma. These findings underscore the complex ways in which interpersonal trauma shapes sexual experiences, highlighting the importance of individualized therapeutic approaches tailored to address specific trauma histories and support the restoration of healthy sexual functioning and overall well-being.
论文原文：Nadia Willard Martel, Ateret Gewirtz-Meydan, Shalie-Emma Vaillancourt, Martine Hébert & Natacha Godbout (2025). Profiles of Traumatic Sexuality in Sex Therapy Patients: A Comparison of Interpersonal Trauma History and Sexual Well-Being. Journal of Sex & Marital Therapy, Published online: 30 Oct 2025.
https://doi.org/10.1080/0092623X.2025.2575384
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