The aim
of this study was to obtain data on the development and course of sexual problems
and their interrelationships by investigating a representative sample of men and
women over a period of 30 years.
A representative
sample of 299 women selected from the complete
electoral register and 292 men selected from screening lists for military service
in Zurich, Switzerland, answered questions about their sexuality as part of a series
of seven interviews between ages 20 (1979) and 50 (2008). Of the initial sample
of 591 participants, 43% (57% of them male) were lost to follow-up. Interviews were
conducted using the Structured Psychopathological Interview and Rating of the Social
Consequences of Psychological Disturbances for Epidemiology (SPIKE), a semistructured
interview. Sexual problems were identified on the basis of the study participants'
self-appraisal. One-year prevalence rates, lifetime risks, and overlap of functional,
emotional, and sexual desire problems in men and women were evaluated.
The findings
confirmed higher lifetime risks in women than in men for any sexual problem (females
67.0%; males 46.0%) and for functional (39.3%; 22.1%), emotional (35.7%; 15.9%),
and sexual desire problems (51.6%; 33.3%). While in general men's sexual problems
increased with age, no such association was observed in women. The overlap of all
three problems (functional, emotional, and sexual desire) was reported by 16.9%
of women but only 5.0% of men. Although there are commonalities, the type but also
the development and, in particular, the overlap of sexual problems in women and
men are markedly different.
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By: Angst J1, Hengartner MP1,2, Rössler W1,3, Ajdacic-Gross V1, Leeners B4.
- 1a Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital , University of Zurich.
- 2b Department of Applied Psychology , Zurich University of Applied Sciences.
- 3c Institute of Psychiatry, Laboratory of Neuroscience (LIM 27) , University of Sao Paulo.
- 4d Division of Reproductive Endocrinology , University Hospital Zurich.
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