The psychological burden of premature ejaculation
The psychological burden of premature ejaculation
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DOI：
10.1016/j.juro.2006.10.025
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发表时间：
2007-03-01
影响因子：
6.6
通讯作者：
Gagnon, Dennis D.
中科院分区：
文献类型：
--
作者：
Rowland, David L.;Patrick, Donald L.;Gagnon, Dennis D.
目的：早泄的特点是射精潜伏期短，无法控制射精，导致男性及其伴侣的性满意度总体下降。诊断标准通常包括心理健康的各个方面。为了激励和证明早泄治疗的合理性，需要更全面地了解它对男性、他们的伴侣和他们的整体关系的影响。材料和方法：在一项基于社区的观察性研究中，1587名男性及其女性伴侣临床医生使用《精神疾病诊断与统计手册》第4版文本修订标准诊断为早泄。为了本分析的目的，这一组被进一步限制为使用秒表测量的阴道内射精潜伏期为2分钟或更短的受试者。比较早泄组和非早泄组在早泄概况、自尊和关系问卷、性满意度问卷和医疗结果研究SF-36 (R)方面的反应。男性和伴侣的反应之间的相关性被评估为早泄概况和Golombok-Rust性满意度量表。患者报告措施之间的相关性使结果变量的独立性得以评估。结果和结论：207名符合精神障碍诊断与统计手册第四版文本修订标准的男性中，89人阴道内射精潜伏期为2分钟或更短。据报道，早泄男性及其伴侣的性功能和满意度水平较低，个人痛苦和人际关系困难程度较高。此外，与没有早泄的男性相比，有早泄的男性对自己整体生活质量的评价更低。因此，早泄对男性、他们的伴侣以及男性/伴侣关系都有重大的心理负担。
Purpose: Premature ejaculation is characterized by short ejaculatory latency, inability to control ejaculation and resultant overall decreased sexual satisfaction for the man and his partner. Diagnostic criteria typically include aspects of psychological well-being. To motivate and justify treatment for premature ejaculation a more comprehensive understanding of its impact on men, their partners and their overall relationship is needed.Materials and Methods: In a community based, observational study of 1,587 men and their female partners clinicians diagnosed premature ejaculation using Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision criteria. For purposes of this analysis this group was further restricted to subjects with a stopwatch measured intravaginal ejaculatory latency time of 2 minutes or less. Responses to the Premature Ejaculation Profile, Self-Esteem and Relationship questionnaire, Golombok-Rust Inventory of Sexual Satisfaction and Medical Outcomes Study SF-36 (R) were compared between premature ejaculation and nonpremature ejaculation groups. Correlations between responses of men and partners were assessed for the Premature Ejaculation Profile and Golombok-Rust Inventory of Sexual Satisfaction. Correlations among patient reported measures enabled the assessment of independence of outcome variables.Results and Conclusions: Of 207 men who met Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision criteria 89 had an intravaginal ejaculatory latency time of 2 minutes or less. Lower levels of sexual functioning and satisfaction, and higher levels of personal distress and interpersonal difficulty were reported by men with premature ejaculation and their partners. In addition, men with premature ejaculation rated their overall quality of life lower than that of men without premature ejaculation. Consequently premature ejaculation has a significant psychological burden on men, their partners and the male/partner relationship.