与心理或行为因素（包括精神障碍）有关的病因因素

定义

当心理和行为因素或症状是导致性功能障碍或性疼痛障碍的重要因素时，应将其归入此类目。例如，低自尊、对性活动持消极态度、过去不良的性经历以及睡眠卫生差和工作过度等行为模式。抑郁、焦虑或认知症状以及其他精神、行为或神经发育障碍的症状也可能干扰性功能。 如果症状达到可诊断精神和行为障碍的程度，且性功能障碍或性疼痛障碍是临床关注的独立焦点，则应使用该类目，并应指定适当的精神和行为障碍诊断。然而，应使用“与使用精神活性物质或药物相关”类目，而不使用此类目来说明物质使用所致的潜在的或促成性疾病。

This category should be assigned when psychological and behavioural factors or symptoms are important contributing factors to the Sexual Dysfunction or Sexual Pain Disorder. Examples include low self-esteem, negative attitudes toward sexual activity, adverse past sexual experiences, and behavioural patterns such as poor sleep hygiene and overwork. Depressive, anxiety, or cognitive symptoms as well as other symptoms of Mental, Behavioural, or Neurodevelopmental Disorders may also interfere with sexual functioning. If the symptoms reach the level of constituting a diagnosable Mental and Behavioural Disorder and the Sexual Dysfunction or Sexual Pain Disorder is an independent focus of clinical attention, this category should be used and the appropriate Mental and Behavioural Disorder diagnosis should also be assigned. However, underlying or contributory Disorders Due to Substance Use should be noted using the category ‘Associated with use of psychoactive substance or medication’, rather than using this category.

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• 与心理或行为因素（包括精神障碍）有关的病因因素