發表評論-心理與性-萬維博客-萬維讀者網（電腦版）

【摘要】性功能問題在男女群體中均普遍存在，且與個體及伴侶層面的因素相關。儘管性自尊與性功能問題之間的關聯已得到證實，但性自尊的個體層面與關係層面因素對伴侶性功能問題的共同影響尚不明確。本研究旨在探討在非臨床樣本中，性自尊的個體因素與伴侶因素（即二元因素）何者與性功能問題的關聯更為緊密。研究利用“行動者-伴侶互依模型”（APIM），分析了310對參與一項橫斷面網絡調查的異性伴侶的數據。結果顯示，較高的“共同性自尊”（common sexual self-esteem）與男女雙方較好的性功能顯著相關，而個體性自尊或伴侶對自身性自尊的影響則未顯示出這種顯著關聯。這表明，相比性自尊的個體因素，性自尊的二元因素與性功能的關聯更為密切。上述關聯強度未發現性別差異。此外，性自尊的各維度與性功能問題的特定子維度（即喚起、性慾、高潮和滿意度）存在關聯。研究結果提示，共同性自尊可能是治療性功能問題的有效切入點，臨床工作者應採取二元視角進行干預。

[Abstract] Sexual function problems are prevalent in both women and men and are linked to individual and dyadic factors. While the connection between sexual self-esteem and sexual function problems is well-established, the combined influence of individual and relational aspects of sexual self-esteem on sexual function problems in couples is not yet understood. This study investigated whether individual or dyadic factors of sexual self-esteem show stronger associations with sexual function problems in a non-clinical sample. Data from 310 mixed-sex couples that participated in a cross-sectional online study were analyzed using actor-partner interdependence models (APIM). Results revealed that higher common sexual self-esteem, but not individual sexual self-esteem or partner’s influence on own sexual self-esteem, was significantly associated with men’s and women’s better sexual function. This indicates that dyadic factors showed stronger associations with sexual function compared to individual factors of sexual self-esteem. No gender differences were found in the strength of associations. Additionally, sexual self-esteem aspects were associated with specific subscales of sexual function problems (i.e. arousal, desire, orgasm, and satisfaction). The results suggest that common sexual self-esteem might be an effective target for the treatment of sexual function problems and that clinicians should adopt a dyadic perspective.

論文原文：Fabienne S. V. Wehrli, Katharina Weitkamp & Guy Bodenmann (2026). Associations of Individual and Dyadic Aspects of Sexual Self-Esteem with Sexual Function Problems in Mixed-Sex Couples. The Journal of Sex Research, Volume 63, Issue 8, Pages 1366-1377. October 2026.

https://doi.org/10.1080/00224499.2025.2547815

（翻譯兼責任編輯：MARY）

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