Should Sexual Desire and Arousal Disorders in Women Be Merged?
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
In a previous issue of this Journal, Brotto (2010) critiqued the existing Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) (American Psychiatric Association, 2000) criteria for Hypoactive Sexual Desire Disorder (HSDD) and recommended that female sexual desire and arousal disorders be combined into one taxonomic category in the forthcoming revision (DSM-5). Here, we provide evidence that premenopausal women with HSDD and with Female Sexual Arousal Disorder (FSAD) according to DSM-IV-TR criteria have distinct symptom patterns and that the majority of premenopausal women with HSDD are unlikely to meet the proposed new criteria for Sexual Interest/Arousal Disorder (Table 1).
Are HSDD and FSAD distinct syndromes? Using data from two non-treatment studies (N = 143), we have shown that, although premenopausal women with primary HSDD or primary FSAD (according to DSM-IV-TR criteria) are equally distressed by their disorder (based on Female Sexual Distress Scale-Revised scores), ...
- American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: American Psychiatric Association.
- Brotto, L. A. (2010). The DSM diagnostic criteria for hypoactive sexual desire disorder in women. Archives of Sexual Behavior, 39, 221–239. CrossRef
- Clayton, A. H., DeRogatis, L. R., Rosen, R., Pyke, R., Garcia, M., & Sand, M. (2010). Do clinical research data support sexual desire and arousal disorders as distinct diagnoses? Journal of Sexual Medicine, 7(Suppl. 3), 143–144.
- DeRogatis, L. R., Clayton, A. H., Rosen, R., Sand, M., Garcia, M., & Pyke, R. (2010a). Do multiple convergent measures of female sexual dysfunction support sexual desire and arousal disorders as distinct diagnoses? Journal of Sexual Medicine, 7(Suppl. 3), 142–143.
- DeRogatis, L. R., Laan, E., Brauer, M., van Lunsen, R. H. W., Jannini, E. A., Davis, S. R., et al. (2010b). Responses to the proposed DSM-V changes. Journal of Sexual Medicine, 7, 1998–2014. CrossRef
- Jolly, E., Clayton, A. H., Thorp, J., Nappi, R., Kimura, T., & Pyke, R. (2009). Design of randomized controlled trials of flibanserin in premenopausal women with hypoactive sexual desire disorder. Journal of Sexual Medicine, 6(Suppl. 5), 465.
- Lewis-D’Agostino, D., Clayton, A. H., Wunderlich, G., Kimura, T., DeRogatis, L., & Goldstein, A. (2007). Validating the sexual interest and desire inventory-female (SIDI-F) in North American women. Obstetrics and Gynecology, 109(Suppl. 4), 23S.
- Should Sexual Desire and Arousal Disorders in Women Be Merged?
Archives of Sexual Behavior
Volume 40, Issue 2 , pp 217-219
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Industry Sectors
- Author Affiliations
- 1. Center for Sexual Medicine at Sheppard Pratt, Johns Hopkins University School of Medicine, 6501 N. Charles St., Baltimore, MD, 21285-6815, USA
- 2. Department of Psychiatry and Neurobehavioral Sciences, University of Virginia, Charlottesville, VA, USA
- 3. New England Research Institutes, Watertown, MA, USA
- 4. Boehringer Ingelheim Pharmaceuticals, Ridgefield, CT, USA