By Kenneth J. Zucker (ed.)
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Extra info for Archives of Sexual Behavior, Vol 39, issue 2, April 2010
DSM-IV-TR Diagnostic Subtypes As mentioned earlier, DSM-IV provides subtypes to ‘‘indicate the onset, context, and etiological factors associated with the Sexual Dysfunctions’’ (p. 494). The first two of these subtypes, ‘‘lifelong’’ vs. ‘‘acquired’’ and ‘‘generalized’’ vs. ‘‘situational,’’ seem potentially useful for clinical purposes, although it is worth noting that, in epidemiological research, these distinctions have very rarely been made. The recommendation made here would be to retain these distinctions, although rather than include these as ‘‘subtypes’’ they could instead be incorporated as specifiers (discussed further below).
In clinical settings, it has been pointed out that sexual problems in women most often affect all phases of the ‘‘sexual response cycle’’ (Basson & Weijmar Schultz, 2007). Heiman (2002) noted that there were no controlled treatment studies specifically related to FSAD. As discussed earlier, questions about whether FSAD should be considered as a disorder distinct from desire and orgasm were raised in the literature before DSM-IV was introduced (Segraves, 1996a). 5%) met DSM-III-R criteria for having an arousal disorder; however, the majority of these women also met criteria for desire or orgasm disorders.
2000), as well as the strong historical influence of Masters and Johnson (1966), Kaplan (1974), and their associated models. , 2008). A consistent finding across these studies has been that sexual problems, even if moderate/severe, do not always cause distress. , 2004). S. , 2008), distress was assessed with the Female Sexual Distress Scale (Derogatis, Rosen, Leiblum, Burnett, & Heiman, 2002). 0%, depending on age). Physical health problems and current depression were associated with increased odds of arousal problems, as was menopausal status.