Conflicts Within the Family and Within the Couple as Contextual Factors in the Determinism of Male Sexual Dysfunction

Boddi, Valentina; Fanni, E.; Castellini, Giovanni; Fisher, Alessandra D.; Corona, Giovanni; Maggi, Mario

doi:10.1111/jsm.13042

Cited by 30 publications

(22 citation statements)

References 45 publications

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“…ED should be considered a multidimensional disorder deriving from a general (or stepwise) perturbation of all the components of the erectile response, including organic (the body; 39-43), relational (the couple; 31, [44][45][46][47], and intra-psychic (the mind) ones. [48][49][50][51][52][53][54][55] ED may arise from an alteration of any of these components (precipitating event), but, eventually, it will involve all the others in a redundant way, having negative effects on quality of life, interpersonal relationships, and mood.…”

Section: Expert Opinionmentioning

confidence: 99%

The safety and efficacy of Avanafil, a new 2^ndgeneration PDE5i: comprehensive review and meta-analysis

Corona

Rastrelli

Burri

et al. 2016

Expert Opinion on Drug Safety

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Areas covered: All placebo-controlled randomized clinical trials (RCTs) on the effect of avanafil in patients with ED were reviewed and meta-analyzed. So far, 5 different RCTs on avanafil have been published, including 1379 and 605 patients in active and placebo groups, respectively. Avanafil was up to 3-fold superior to placebo in determining successful sexual intercourse. Although head-to-head comparative studies are still lacking, re-analyses of available data, showed that avanafil had comparable efficacy, but lower incidence of drug-related side effects, compared to first-generation PDE5is. Expert opinion: Avanafil specific and peculiar pharmacological profile, addresses several problems that have been documented with first-generation PDE5is. Avanafil should theoretically guarantee a low dropout incidence by ensuring a natural profile of action and a low incidence of side effects. Longer studies and head-to-heard trials are advisable to clarify these issues. ARTICLE HISTORY

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Section: Expert Opinionmentioning

confidence: 99%

The safety and efficacy of Avanafil, a new 2^ndgeneration PDE5i: comprehensive review and meta-analysis

Corona

Rastrelli

Burri

et al. 2016

Expert Opinion on Drug Safety

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“…The relationship between ED and couple relation impairment is well documented. In our population of subjects consulting for sexual dysfunction, subjects reporting conflicts within the couple were characterized by a broad spectrum of sexual symptoms, including a severe extent of ED, and they had a higher SIEDY Scale 2 score, indicating a strong relational component in the pathogenesis of ED ( 88 ). If on one hand, it is easy to understand that problems in couple relationship can cause ED, the other way around is also feasible.…”

Section: Relational Componentmentioning

confidence: 99%

Erectile dysfunction in fit and healthy young men: psychological or pathological?

Rastrelli¹,

Maggi²

2017

Transl. Androl. Urol.

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Epidemiological studies consistently show that prevalence of erectile dysfunction (ED) increases with ageing. Nonetheless, complaints of ED even in younger men are becoming more and more frequent. Healthcare professionals working in Sexual Medicine but even those operating in different clinical contexts might be adequately prepared to answer this increasing requirement. ED in younger men is likely to be overlooked and dismissed without performing any medical assessment, even the most basic ones, such as collection of medical history and physical exam. This is due to the widespread assumption that ED in younger individuals is a self-limiting condition, which does not deserve any clinical evaluation or therapy and can be managed only with patient reassurance. However, evidence shows that, in younger subjects, organic, psychological and relational conditions can contribute to the pathogenesis of ED and all these conditions might be evaluated and treated, whenever necessary. Among the organic conditions contributing to the onset of ED, metabolic and cardiovascular (CV) risk factors are surprisingly of particular relevance in this age group. In fact, in younger men with ED, even more than in older ones, recognizing CV risk factors or conditions suggestive of cardio-metabolic derangements can help identifying men who, although at low absolute risk due to young age, carry a high relative risk for development of CV events. In this view, the assessment of a possible organic component of ED even in younger individuals acquires a pivotal importance, because it offers the unique opportunity to unearth the presence of CV risk factors, thus allowing effective and high quality preventive interventions.

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“…In a study conducted with males applied to SD clinic as outpatients, the conflict prevalence within the family and within the couple was observed to be high among these patients. As reported by patients, female sexual function parameters continued their significant association with conflict types (58). The presence of unsolved conflicts in couples' relationships has long been thought to cause or maintain SD as well as influence the outcome of therapeutic intervention for sexual problems (53).…”

Section: Discussionmentioning

confidence: 80%

Temperament and character dimensions, marital adjustment, and sexual satisfaction in couples with sexual dysfunction (eng)

Öztürk¹,

Arkar²

2018

J Clin Psy

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Object: The objective of the study is to investigate the differences in temperament and character dimensions, marital adjustment and sexual satisfaction between the couples with and without sexual dysfunction (SD). Methods: The study group consists of 78 married women and 23 married men with SD diagnosis according to DSM-IV-TR diagnostic criteria and also their spouses (n=202). The comparison group is composed of married couples without SD (n=200). The participants were applied Personal Information Form, Temperament and Character Inventory (TCI), Golombok-Rust Inventory of Sexual Satisfaction (GRISS), Dyadic Adjustment Scale (DAS). Results: The couples with SD were observed to have higher cooperativeness and self-transcendence and lower self-directedness scores than those of the comparison group. The women partners in the couples with SD were found to take higher harm avoidance and lower self-directedness scores than the women in comparison group. Dyadic satisfaction, affectional expression and DAS total scores in the couples with SD were seen to be significantly less than those of the couples in the comparison group. It was found out that the women in the couples with SD took significantly higher scores in GRISS total score and all subscales, and men in the couples with SD took significantly higher scores in GRISS total score and subscales of satisfaction, avoidance, premature ejaculation and impotence than those in the comparison group. Discussion: It can be said that cyclothymic character, harm avoidance and self-directedness were the risk factors for SD. Marital adjustment and sexual satisfaction are insufficient in the couples with SD.

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Conflicts Within the Family and Within the Couple as Contextual Factors in the Determinism of Male Sexual Dysfunction

Cited by 30 publications

References 45 publications

The safety and efficacy of Avanafil, a new 2^ndgeneration PDE5i: comprehensive review and meta-analysis

The safety and efficacy of Avanafil, a new 2^ndgeneration PDE5i: comprehensive review and meta-analysis

Erectile dysfunction in fit and healthy young men: psychological or pathological?

Temperament and character dimensions, marital adjustment, and sexual satisfaction in couples with sexual dysfunction (eng)

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Conflicts Within the Family and Within the Couple as Contextual Factors in the Determinism of Male Sexual Dysfunction

Cited by 30 publications

References 45 publications

The safety and efficacy of Avanafil, a new 2ndgeneration PDE5i: comprehensive review and meta-analysis

The safety and efficacy of Avanafil, a new 2ndgeneration PDE5i: comprehensive review and meta-analysis

Erectile dysfunction in fit and healthy young men: psychological or pathological?

Temperament and character dimensions, marital adjustment, and sexual satisfaction in couples with sexual dysfunction (eng)

Contact Info

Product

Resources

About

The safety and efficacy of Avanafil, a new 2^ndgeneration PDE5i: comprehensive review and meta-analysis

The safety and efficacy of Avanafil, a new 2^ndgeneration PDE5i: comprehensive review and meta-analysis