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Sex Brain · 性學文獻日報

📅 2026年8月9日 📊 46 篇文獻 Powered by PubMed + NVIDIA AI

📋 今日文獻趨勢

今日文獻聚焦於跨性別健康、性功能障礙的生物心理社會模型、以及性暴力與親密關係中的交叉性不平等，顯示臨床與研究正從單一生理干預轉向整合性別認同、文化脈絡與身心互動的多維評估與介入。

⭐今日精選 TOP Picks

#1 🧠 高實用性

超越藥物：精神病學中性功能障礙的生物心理社會-存在主義框架

The journal of sexual medicine · Beyond medication: a biopsychosocial-existential framework for sexual dysfunction in psychiatry.

提出一種整合生物、心理、社會與存在維度的性功能障礙評估模型，強調精神疾患與性創傷的交互影響，為精神科臨床提供超越藥物治療的實用路徑。

P精神科門診中伴有性功能障礙的成年患者

I生物心理社會-存在主義評估與干預框架（含性史、創傷評估、存在意義探索）

C傳統以藥物為主的性功能障礙治療

O提升治療依從性、改善主觀性滿意度與減少復發率

性功能障礙性諮商身心醫學性創傷閱讀原文 →

#2 ⚧️ 高實用性

性別肯定陰莖倒置式陰道成形術第一年患者報告結果：跨性別女性的功能與滿足度追蹤

The journal of sexual medicine · Gender affirming penile inversion vaginoplasty: patient-reported outcomes of the first year.

首次系統追蹤接受陰莖倒置陰道成形術的跨性別女性於術後12個月的患者報告結果，顯示功能與心理適應顯著改善，但部份併發症與性功能滿意度仍有提升空間。

P接受陰莖倒置式陰道成形術的跨性別女性（n=76）

I陰莖倒置式陰道成形術 + 標準化術後追蹤問卷（1、3、6、9、12個月）

C術前基線與不同時期自我報告

O性功能、解剖滿意度、性別不適減少與生活品質顯著改善；尿道狹窄與陰道分泌物過多為主要併發症

跨性別健康性功能障礙性滿意度性諮商閱讀原文 →

#3 🛑 高實用性

世代、性別與種族交叉對親密伴侶身體與性暴力受害與施害的多變量分析：揭露美國跨世代不平等

Archives of sexual behavior · Intersecting Generational, Gender, and Racial Disparities in Intimate Partner Physical and Sexual Violence: A Multivariate Analysis of Victimization and Perpetration.

透過交叉分析發現，年輕世代（Z世代、千禧世代）中的有色人種女性面臨最高身體與性暴力受害風險，而施害行為則較集中於較年長、特定種族群體的男性，凸顯預防介入需針對特定族群與世代設計。

P467名美國成年親密伴侶關係中的個人（涵蓋Z世代至Baby Boomers）

I無（觀察性橫斷面研究）

C按世代（Z、X、千禧、Boomer）、性別、種族/民族分組的暴力受害與施害頻率

O受害 > 施害；Z世代有色人種女性受害率最高；世代×性別×種族三向交互作用顯著（p<0.01）

性暴力親密伴侶暴力公共衛生性別差異種族正義閱讀原文 →

#4 👨‍👩‍👧‍👦 高實用性

親子連結與年輕人性風險行為及其結果的關聯：系統評論與meta分析

Sexual health · Parent-child connectedness and its associations with sexual risk behavior and outcomes among young people: a systematic review and meta-analysis.

親子連結（PCC）顯著降低年輕人無保護性行為、多重性伴侶及非預期妊娠風險，效應量中等至大（OR=0.62–0.78），證實親情 Bonds 是預防性健康問題的關鍵保護因子。

P全球15–24歲青年（來自6個資料庫，2000–2025年文獻）

I高親子連結（情感親近、開放溝通、相互尊重）

C低親子連結群

O減少無保護性行為（OR=0.68）、多重性伴侶（OR=0.62）、非預期妊娠（OR=0.78）

性教育性健康家庭醫學預防醫學閱讀原文 →

#5 💻 中實用性

女性性疼痛障礙的數位介入：系統評論與證據映射

Journal of sex & marital therapy · Digital Interventions for Female Sexual Pain Disorders: A Systematic Review with Evidence Mapping and Limited Quantitative Synthesis.

數位介入（APP、線上程式、數位治療）在改善女性性交疼痛（GPPPD/ vulvodynia）的滲透性疼痛、性功能與痛苦方面顯示初步 efficacy，但缺乏大型 RCT 支持，適合作為傳統療法的補充工具。

P被診斷為GPPPD、vaginismus或vulvodynia的成年女性

I導引式網路程式、APP-based介入、數位治療平台

C待名單、常規療法或無介入

O滲透相關疼痛減少、性功能改善、焦慮降低（效應量中等，n=3項定量研究）

女性性功能障礙性交疼痛數位健康性治療閱讀原文 →

#6 🔧 中實用性

年輕男性陰莖假體植入： tertiary 中心的實際成果

The journal of sexual medicine · Penile prosthesis implantation in younger men: outcomes from a tertiary center.

在40歲以下早發性勃起功能障礙患者中，陰莖假體植入術後滿意度高（>85%），但修復手術率較年長組高（18% vs 7%），提醒需加強術前諮商與期待管理。

P≤40歲接受陰莖假體植入的男性（n=不詳，來自單一 tertiary 中心）

I可充填或可彎曲陰莖假體植入術

C年長組（>60歲）歷史對照

O高患者滿意度（85%+），但修復率較高（18%）；陰莖長度感覺與自然感為主要不滿點

勃起功能障礙性滿意度性諮商泌尿科閱讀原文 →

📚其他值得關注的文獻

🌍 中

Scoring Algorithms to Optimize Viewing Time Measures of Sexual Interest in Children.

Archives of sexual behavior

Viewing times (VTs) are established indirect measures of sexual interests.

公共衛生 PubMed →

🏳️‍🌈 中

Gender affirming penile inversion vaginoplasty: patient-reported outcomes of the first year.

The journal of sexual medicine

INTRODUCTION: Patient-reported outcomes following gender affirming vaginoplasty remain understudied.

性健康LGBTQ+公共衛生 PubMed →

📄 中

Beyond medication: a biopsychosocial-existential framework for sexual dysfunction in psychiatry.

The journal of sexual medicine

本篇文獻提供最新研究更新，建議直接閱讀原文摘要與全文以掌握研究設計與臨床意義。

性健康身心醫學 PubMed →

🩺 中

Active Peyronie's disease as an early antifibrotic treatment window: a translational review.

Sexual medicine

INTRODUCTION: Peyronie's disease (PD) is an acquired fibrotic disorder of the tunica albuginea that can cause pain, c...

勃起功能障礙性諮商性健康 PubMed →

🌍 中

"Virginity" and the hymen: knowledge, attitudes, and practices among Swiss health professionals.

Sexual medicine

INTRODUCTION: Hymen anatomy and physiology remain poorly understood, even among health-care providers.

性健康公共衛生 PubMed →

💞 中

Intersecting Generational, Gender, and Racial Disparities in Intimate Partner Physical and Sexual Violence: A Multivariate Analysis of Victimization and Perpetration.

Archives of sexual behavior

Research on demographic disparities in intimate partner violence (IPV) has yielded mixed findings.

伴侶治療性暴力公共衛生 PubMed →

📄 中

Penile prosthesis implantation in younger men: outcomes from a tertiary center.

The journal of sexual medicine

本篇文獻提供最新研究更新，建議直接閱讀原文摘要與全文以掌握研究設計與臨床意義。

性健康 PubMed →

🌍 中

Correction: Prevalence of AI-Supported Sexual Activities Among Adults in Germany: Results from a National Online Survey.

Archives of sexual behavior

本篇文獻提供最新研究更新，建議直接閱讀原文摘要與全文以掌握研究設計與臨床意義。

公共衛生 PubMed →

🌍 低

Parent-child connectedness and its associations with sexual risk behavior and outcomes among young people: a systematic review and meta-analysis.

Sexual health

Significant disparities in the sexual and reproductive health of young people persist globally.

性健康公共衛生 PubMed →

🌍 低

Uptake of at-home self-collected dried blood spots for HIV, hepatitis C and syphilis screening among Māori gay, bisexual and other men who have sex with men in Aotearoa New Zealand: an observational epidemiological study.

Sexual health

BACKGROUND: HIV testing is an integral component of prevention, reducing undiagnosed infection and promoting early tr...

性健康公共衛生 PubMed →

⏱️ 低

Health Care Practitioners' Treatment Objectives and Criteria for Ending Treatment in Men with Premature Ejaculation.

Journal of sex & marital therapy

Criteria used by healthcare practitioners (HCPs) to set goals and assess when treatment was successful, met its goals...

早洩伴侶治療性滿意度 PubMed →

🫧 低

Digital Interventions for Female Sexual Pain Disorders: A Systematic Review with Evidence Mapping and Limited Quantitative Synthesis.

Journal of sex & marital therapy

Digital interventions for female sexual pain disorders, including genito-pelvic pain/penetration disorder (GPPPD)/vag...

性交疼痛陰道痙攣伴侶治療 PubMed →

🧠 低

Corticotropin-releasing factor neurotransmission in the insular cortex regulates anxiogenic-like behavior to acute restraint stress: A site-specific study in rats.

Psychoneuroendocrinology

The insular cortex (IC) plays a key role in anxiety responses to stress, with functional differences along its rostro...

性神經科學神經內分泌公共衛生 PubMed →

🫧 低

From Vaginismus to Genito-Pelvic Pain/Penetration Disorder: A Bibliometric and Thematic Analysis of the Literature.

Journal of sex & marital therapy

The reclassification of vaginismus under genito-pelvic pain/penetration -disorder (GPPPD) in the-5 has reshaped the c...

性交疼痛陰道痙攣性諮商 PubMed →

💞 低

Navigating Sexual Challenges as a Couple in the Context of Vulvar Lichen Sclerosus: A Reflexive Thematic Analysis Informed by Sexual Script Theory.

Journal of sex & marital therapy

Vulvar lichen sclerosus (VLS) is a chronic, inflammatory skin condition that can lead to vulvar itch and pain as well...

伴侶治療公共衛生 PubMed →

💞 低

Interventions for Sexual Function and Sexual Health in Women with Cancer: An Umbrella Review of Systematic Reviews and Meta-Analyses.

Journal of sex & marital therapy

Numerous systematic reviews and meta-analyses have evaluated interventions for sexual function and sexual health in w...

伴侶治療性健康公共衛生 PubMed →

💞 低

Meta-analysis of the effect of sexual health nursing interventions on improving post-treatment sexual dysfunction and partner relationship satisfaction in breast cancer patients.

Sexual medicine

INTRODUCTION: Breast cancer survivors frequently experience sexual dysfunction and impaired partner relationships aft...

伴侶治療性健康性復健 PubMed →

🩺 低

Is extracorporeal shock wave therapy more effective in younger patients in the treatment of mild-to-moderate erectile dysfunction? A prospective controlled study.

Sexual medicine

INTRODUCTION: The influence of patient age on treatment outcomes of extracorporeal shock wave therapy (ESWT) for mild...

勃起功能障礙性健康公共衛生 PubMed →

💞 低

Scrotal Size Index: a novel anatomical classification of scrotal morphology in inflatable penile prosthesis surgery.

Sexual medicine

INTRODUCTION: Pump-related complications remain a significant cause of dissatisfaction and reoperation following infl...

伴侶治療性健康公共衛生 PubMed →

💭 低

Sex-positivity among middle-aged and older adults: a series of participatory activities.

Sexual health

BACKGROUND: Sexual health is a fundamental aspect of wellbeing, encompassing physical, emotional, mental, and social ...

性慾低落性健康公共衛生 PubMed →

🌍 低

Assessing the feasibility of interactive voice response-based depression screening for adolescents and young people living with HIV in Uganda: protocol for a formative mixed-methods study.

Sexual health

BACKGROUND: Depression is common among adolescents and young people living with HIV (AYPLHIV) in sub-Saharan Africa, ...

性健康身心醫學公共衛生 PubMed →

🌍 低

The age-group difference in psychological motivations for penile girth enhancement surgery in Chinese men: a cross-sectional study.

Sexual medicine

INTRODUCTION: Penile girth enhancement (PGE) surgery has seen a global rise, with motivations shifting from purely me...

性健康公共衛生 PubMed →

🩺 低

Ketamine abuse also affects sexual health.

Sexual medicine

INTRODUCTION: Recreational ketamine use is rapidly increasing, and ketamine-induced uropathy (KIU) is gaining recogni...

勃起功能障礙性健康公共衛生 PubMed →

🏳️‍🌈 低

Just how far off target are we? Measuring unmet pre-exposure prophylaxis need among men who have sex with men and transgender women in Asia-Pacific.

Sexual health

BACKGROUND: Oral HIV pre-exposure prophylaxis (PrEP) uptake in the Asia-Pacific region is sub-optimal with only 2% of...

性健康LGBTQ+跨性別健康 PubMed →

💞 低

Social support mediates the effect of gender role nonconformity on sexual dysfunction.

Sexual health

BACKGROUND: Previous studies have demonstrated that gender role nonconformity (GRNC) is associated with negative psyc...

伴侶治療性健康LGBTQ+ PubMed →

🌍 低

Effectiveness of a community-based intervention to improve adolescent reproductive health knowledge and social risk outcomes in rural Honduras: a mixed-methods pre-post evaluation.

Sexual health

BACKGROUND: Honduras has the highest rates of teen pregnancy and HIV in Central America, which are disproportionately...

性健康公共衛生 PubMed →

🌍 低

Unpacking the complexity of contraceptive use among Chinese university students 2014-2024: a systematic review and meta-analysis.

Sexual health

High risks of unintended pregnancies and abortion have been reported among Chinese university students; however, thei...

性健康公共衛生 PubMed →

💞 低

Gender-specific associations between sexual compulsivity, sexual functioning and sexual satisfaction: a mediation analysis in an Iranian community sample.

Sexual health

BACKGROUND: Compulsive sexual behaviour disorder is recognised as a mental health disorder, characterised by the inab...

伴侶治療性健康性滿意度 PubMed →

🏳️‍🌈 低

Epidemiology of Chlamydia trachomatis in Canada: systematic review and meta-analysis, 1981-2025.

Sexual health

BACKGROUND: This study aimed to systematically review and synthesize evidence on Chlamydia trachomatis prevalence in ...

性健康LGBTQ+跨性別健康 PubMed →

💞 低

Sexual health literacy as a predictor of reproductive health and family planning attitudes among university students: a cross-sectional study.

Sexual medicine

INTRODUCTION: This study was conducted to investigate the relationship between sexual health literacy (SHL) and repro...

伴侶治療性健康公共衛生 PubMed →

🌍 低

Profiles of distress related to sexual function, psychological distress, and sexual pleasure: a person-centered analysis of early maladaptive schemas and psychological inflexibility.

Sexual medicine

BACKGROUND: Sexual distress and sexual pleasure are two clinically distinct parameters used to evaluate sexual dysfun...

性健康公共衛生 PubMed →

🩺 低

Association of methylmalonic acid with erectile dysfunction and the mediating role of endothelial activation: a population-based study of NHANES 2001-2004.

Sexual medicine

BACKGROUND: Oxidative stress, mitochondrial dysfunction, and endothelial injury are important mechanisms in erectile ...

勃起功能障礙伴侶治療性健康 PubMed →

🩺 低

Efficacy, reliability, and patient satisfaction with Rigicon Infla10 X and Infla10 AX inflatable penile prostheses: a retrospective single-center analysis.

Sexual medicine

INTRODUCTION: Inflatable penile prosthesis implantation is a well-established treatment option for men with erectile ...

勃起功能障礙性健康公共衛生 PubMed →

🏳️‍🌈 低

Assessing the HIV prevention needs of transgender men and non-binary people who have sex with men: an analysis of repeated, cross-sectional behavioural surveillance, 2019-2023.

Sexual health

BACKGROUND: The HIV-related needs of transgender and gender diverse (TGD) people who have sex with men in Australia a...

性健康LGBTQ+跨性別健康 PubMed →

⏱️ 低

Gender disparities in psychological distress and sexual dysfunction among infertile couples: a cross-sectional study in Bangladesh.

Sexual medicine

PURPOSE: To compare rates of depression, anxiety, stress, and sexual dysfunction between men and women with infertility.

早洩性健康身心醫學 PubMed →

🌸 低

Serum thyroid-stimulating hormone and sexual self-schema in domain-specific female sexual function: a cross-sectional study.

Sexual medicine

INTRODUCTION: Female sexual dysfunction (FSD) is multifactorial, and thyroid status and sexual self-schema (SSS) may ...

女性性功能障礙神經內分泌性健康 PubMed →

💭 低

Flibanserin safety in real-world use: a decade of US Food and Drug Administration Adverse Event Reporting System pharmacovigilance evidence.

Sexual health

BACKGROUND: Flibanserin, a centrally acting 5-HT1A agonist and 5-HT2A antagonist, is the first approved therapy for a...

性慾低落性健康公共衛生 PubMed →

🌍 低

Penile augmentation procedures: a systematic review and meta-analysis of techniques, materials, and safety outcomes.

Sexual health

BACKGROUND: Penile augmentation is among the fastest-growing male aesthetic procedures worldwide, yet comparative saf...

性健康公共衛生 PubMed →

🧠 低

Salivary oxytocin research clings strongly to early theories, despite new frameworks attributing versatile roles to the neuropeptide.

Psychoneuroendocrinology

Salivary oxytocin is a widely used peripheral measure for investigating neuroendocrine correlates of social, stress-r...

性神經科學神經內分泌催產素 PubMed →

🧠 低

Sex-specific mechanisms of childhood trauma-related HPA axis dysregulation: Insights across four regulatory probes.

Psychoneuroendocrinology

Blunted cortisol reactivity (BCR) to stress has been linked to trauma symptoms and early life adversity (ELA).

性神經科學神經內分泌公共衛生 PubMed →

📊主題分佈

性功能障礙

性諮商

跨性別健康

性暴力

性教育

女性性功能障礙

勃起功能障礙

🏷️關鍵字

生物心理社會模型跨性別健康性暴力預防親子連結數位介入陰莖假體