ABSTRACT

Up to 8% of cisgender women meet diagnostic criteria for Female Sexual Interest/Arousal Disorder (SIAD), a diagnosis in the Diagnostic and Statistical Manual of Mental Disorders, yet treatment research for SIAD remains scarce, particularly for transgender women and non-binary individuals. The treatment relevance of the Approach-Avoidance Motivation Model for SIAD was tested in a sample of cis- and transgender women, and non-binary individuals, who either met criteria for SIAD (n = 45) or reported no sexual concerns (n = 76). Participants completed an online writing exercise previously found to increase the salience of approach or avoidance sexual motivation, or a control writing task. At baseline, and 72 hours following the writing task, they completed measures of sexual motivation, sexual desire, and partnered sexual behaviors. Participants with SIAD in the approach condition significantly increased in approach sexual motivation immediately following the manipulation but these improvements were not maintained 72 hours later. Compared to baseline, participants who wrote about an approach-motivated sexual encounter experienced a decrease in sexual desire and partnered sexual behaviors, while participants who wrote about an avoidance-motivated sexual encounter had decreased motivation but increased partnered sexual behaviors 72 hours following the manipulation. Overall, findings did not show support for the relevance of the approach-avoidance motivation manipulation for SIAD. Future studies might explore novel ways of targeting sexual motivation to address sexual difficulties.

 抽象的

高达 8% 的顺性别女性符合女性性兴趣/性唤起障碍 (SIAD) 的诊断标准（《精神疾病诊断与统计手册》中的诊断标准），但 SIAD 的治疗研究仍然很少，特别是对于跨性别女性和非二元个体。 SIAD 的接近-回避动机模型的治疗相关性在顺性别和跨性别女性以及非二元个体样本中进行了测试，这些女性要么符合 SIAD 标准（n = 45），要么报告没有性问题（n = 76） ）。参与者完成了一项在线写作练习，此前发现该练习可以增加接近或避免性动机的显着性，或控制性写作任务。在基线和写作任务后 72 小时，他们完成了性动机、性欲和伴侣性行为的测量。处于接近条件下的 SIAD 参与者在操作后立即显着增加了接近性动机，但这些改善在 72 小时后并未维持。与基线相比，在操纵后 72 小时内，写下以接近为动机的性接触的参与者的性欲和伴侣性行为有所减少，而写下以回避为动机的性接触的参与者的动机有所下降，但伴侣性行为有所增加。总体而言，研究结果并不支持 SIAD 的接近-回避动机操纵的相关性。未来的研究可能会探索针对性动机来解决性困难的新方法。