Although previous studies have established links between anxiety disorders, sexual dysfunctions, and sexual satisfaction, there is relatively little research on the specific factors associated with living with an anxiety disorder that might contribute to these sexual health disparities. This study assessed the associations between anxiety, cognitive distractions, biased expectancies, and 1) sexual dysfunction (DSM-5 diagnostic criteria) 2) associated distress, and 3) sexual satisfaction while considering the role of pharmacological treatment-related sexual side effects and comorbid depressive symptoms. A large clinical population (N = 207) of people with anxiety diagnoses seeking treatment at 11 outpatient anxiety clinics in Denmark participated. Higher cognitive distraction levels were linked with a greater risk of sexual dysfunction, more sexual dysfunction-associated distress, and lower sexual satisfaction. Higher sexuality and anxiety biased expectancies were associated with an increased risk of sexual dysfunctions and associated distress and decreased sexual satisfaction. Higher anxiety symptom severity was only associated with lower sexual satisfaction among female respondents. Higher anxiety sensitivity was linked to a higher risk of sexual dysfunction, associated distress, and lower sexual satisfaction among female participants only.

中文翻译：

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丹麦男性和女性焦虑症患者性功能障碍、相关痛苦和性满意度的预测因子。


尽管以前的研究已经确定了焦虑症、性功能障碍和性满意度之间的联系，但关于可能导致这些性健康差异的焦虑症相关具体因素的研究相对较少。本研究评估了焦虑、认知分心、偏倚期望和 1） 性功能障碍（DSM-5 诊断标准）2） 相关痛苦和 3） 性满意度之间的关联，同时考虑了药物治疗相关的性副作用和共病抑郁症状的作用。在丹麦的 11 家焦虑门诊诊所寻求治疗的大量焦虑症诊断患者 （N = 207） 参与其中。较高的认知分心水平与较大的性功能障碍风险、更多的性功能障碍相关痛苦和较低的性满意度有关。较高的性行为和焦虑偏倚期望与性功能障碍的风险增加以及相关的痛苦和性满意度降低有关。较高的焦虑症状严重程度仅与女性受访者较低的性满意度相关。较高的焦虑敏感性与仅在女性参与者中发生性功能障碍、相关痛苦和较低性满意度的风险较高有关。