Cognitive and partner-related factors in rapid ejaculation:: Differences between dysfunctional and functional men
Cognitive and partner-related factors in rapid ejaculation:: Differences between dysfunctional and functional men
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DOI：
10.1007/s00345-004-0490-0
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发表时间：
2005-07-01
影响因子：
3.4
通讯作者：
Krüger, THC
中科院分区：
文献类型：
--
作者：
Hartmann, U;Schedlowski, M;Krüger, THC
尽管社区样本中快速射精的患病率很高，但早泄（PE）患者及其功能性患者的主观体验的认知和其他相关方面的数据仍然很少。因此，本研究的主要目的是通过提供未经选择的 PE 患者样本与一组功能正常男性的射精模式、行为方面、认知和伴侣相关因素的详细特征，来扩大我们对快速射精障碍的复杂性质的理解。为了探索可能将体育男性与性功能男性区分开来的领域，创建了一份多维自填式问卷——PEQuest。该工具包含 36 个项目，涉及与射精功能和功能障碍相关的多个领域，例如射精潜伏期和射精控制、性交过程中的认知和感觉、干扰射精控制的因素、延迟射精的技术以及伴侣关系因素。总共包括 45 名 PE 患者（平均年龄：41.8 岁）和 72 名非患者（平均年龄：37.1 岁）。结果显示大多数 PEQuest 领域存在显着的群体差异。在功能组中，平均阴道内潜伏时间为 12.8 分钟（中位数：10 分钟），而患者组为 3.7 分钟（中位数：2 分钟），87% 的 PE 患者在插入后 2 分钟内射精，100% 在插入后 5 分钟内射精。在性情境的主观体验中，PE患者完全专注于控制性高潮的想法，对可能失败的焦虑预期，以及保持勃起的想法，而功能性男性的内心体验则集中在性唤起和性满足上。对于这两个群体来说，最大程度地阻碍射精控制的因素是相似的，但功能性男性通常能够成功地使他们的性行为适应这些因素，而体育男性则无法做到这一点。就与伴侣相关的因素而言，早泄患者对女性性行为的安全感和经验不如功能性患者，并且更常报告自己有限的经历与伴侣更丰富的性经历之间存在差异。总之，这项研究可以描绘出早泄患者和功能正常男性在射精行为、认知情感模式和伴侣相关因素方面的一些显着差异，表明慢性快速射精是一种严重的疾病，对男性的生活及其伴侣产生深远的影响。
Despite the high prevalence of rapid ejaculation in community samples, there is still a paucity of data on cognitive and other relevant aspects of the subjective experience of premature ejaculation (PE) patients and their functional counterparts. Therefore, the main aim of this study was to expand our understanding of the complex nature of rapid ejaculation disorders by providing a detailed characterization of ejaculatory patterns, behavioral aspects, cognitive, and partner-related factors in a sample of unselected PE patients compared to a group of functional men. To explore the areas that might differentiate PE men from their sexually functional counterparts, a multidimensional self-administered questionnaire, the PEQuest, was created. This 36-item instrument addresses a number of domains relevant to ejaculatory function and dysfunction such as ejaculatory latencies and ejaculatory control, cognitions and feelings during sexual intercourse, factors interfering with ejaculatory control, techniques to delay ejaculation, and partnership factors. A total of 45 PE patients (mean age: 41.8 years) and 72 non-patients (mean age: 37.1 years) were included. The results show significant group differences in the majority of PEQuest domains. In the functional group, an average intravaginal latency time of 12.8 min (median: 10 min) was reported compared to 3.7 min (median: 2 min) in the patient group with 87% of PE patients ejaculating within 2 min and 100% within 5 min after penetration. In their subjective experience in sexual situations, PE patients were totally preoccupied with thoughts about controlling their orgasm, with the anxious anticipation of a possible failure, and thoughts about keeping their erection while the inner experience of functional men is focused on sexual arousal and sexual satisfaction. The factors that maximally impede the control of ejaculation are similar for both groups, but functional men normally succeed in adapting their sexual behavior to these factors whereas PE men fail in their efforts. Regarding partner-related factors, PE patients felt less secure and experienced with respect to female sexuality than their functional counterparts, and more often reported a discrepancy between their own limited experience and the more extensive sexual experience of their partner. In conclusion, a number of salient differences in ejaculatory behavior, cognitive-affective patterns, and partner-related factors between PE patients and functional men could be delineated in this study, indicating that chronic rapid ejaculation is a serious disorder with a profound impact on the man's life and his partnership.