性治療患者創傷性性行為特徵：人際創傷史與性福祉的比較

Profiles of Traumatic Sexuality in Sex Therapy Patients: A Comparison of Interpersonal Trauma History and Sexual Well-Being

——《性與婚姻治療雜誌》，2025年10月30日在線發表——

Published online: 30 October 2025

【摘要】本研究探索了創傷性性行為的特徵（包括六個與性相關的維度——分離、侵入性、羞恥感和內疚感、取悅他人、人際困擾和過度警覺），並比較了不同特徵人群在性福祉和人際創傷方面的差異。研究對484名因性與關係問題尋求性治療的臨床樣本進行了潛在類別分析。結果識別出三種不同的特徵：低創傷性性行為（得分較低至中等，占樣本的87.8%）、高創傷性性行為（所有維度得分均較高，占2.5%）和分離-取悅型創傷性性行為（得分模式混合，占9.7%）。比較分析表明，這些特徵在性福祉和人際創傷等關鍵變量上存在進一步的差異。這些研究結果強調了人際創傷對性體驗的複雜影響，凸顯了針對特定創傷史量身定製的個性化治療方法的重要性，以支持恢復健康的性功能和整體幸福感。 

[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. 

論文原文：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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