Psychological impact of premature ejaculation and barriers to its recognition and treatment

Rowland, David L.

doi:10.1185/03007995.2011.590968

Cited by 51 publications

(26 citation statements)

References 67 publications

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“…It has been shown in previous studies that sexual dysfunction relates to a wide series of psychological problems, such as general anxiety and depression (Althof, ; Gao et al, , ; Hale & Strassberg, ; Rowland, ; Rowland & Cooper, ; Zhang et al, ). An observational study (Limoncin et al, ) (using the orgasmometer) conducted in Rome showed that men affected by premature ejaculation perceived significantly lower orgasmic intensity than sexually healthy men.…”

Section: Introductionmentioning

confidence: 99%

Correlations and stratification analysis between premature ejaculation and psychological disorders

et al. 2019

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We studied the associations and correlations between premature ejaculation (PE) and psychological disorders, such as anxiety and depression, in new perspectives with an aim of improving PE patients' treatment outcomes. Between December 2017 and December 2018, we selected 1,010 men aged over 18 years old. Self‐estimated IELT, the premature ejaculation diagnostic tool, the International Index of Erectile Function‐5, the General Anxiety Disorder‐7 and the Patients Health Questionnaire‐9 were used to measure latency time, premature ejaculation, erectile dysfunction, anxiety and depression respectively. Premature ejaculation patients were categorised into two types: lifelong PE (LPE) and acquired PE (APE). Among the 958 men evaluated, the prevalence of anxiety and depression in PE group was 82.07% (444/541) and 74.68% (404/541) respectively. Premature ejaculation patients after adjustment for age, negative association of IIEF‐5 and positive relation of PEDT score with GAD‐7/PHQ‐9 were observed (p < 0.01 for all). These associations in men with LPE were stronger than APE. Stratification of the duration of PE showed that the longer the duration is, the more the prevalence of anxiety and depression will be. Age stratification showed that under the impact of PE, young men tend to have severe psychological problems.

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Section: Introductionmentioning

confidence: 99%

Correlations and stratification analysis between premature ejaculation and psychological disorders

et al. 2019

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“…[6][7][8] Embarrassment and disbeliefs regarding treatment among the patients, improper expertise of health providers and hostile atmosphere in the health institutions has been often implicated in deficiency of treatment seeking behavior among patients of ED. 9,10 As such, a thorough work-up including elicitation of risk factors coupled with necessary laboratory tests and integrated with clinical picture helps to diagnose and develop a treatment plan to manage these patients effectively.…”

Section: Introductionmentioning

confidence: 99%

Role of lifestyle and psychological variables in erectile dysfunction: a cross-sectional study

Langer¹,

Sharma²,

Gupta

et al. 2017

Int J Res Med Sci

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INTRODUCTIONErectile dysfunction (ED) is the persistent lack of ability to attain and maintain an erection which is sufficient to permit satisfactory sexual performance. 1 Erection is a complex interplay of phenomenon like arterial dilation, trabecular smooth muscle relaxation, and activation of the corporeal veno-occlusive mechanism and requires a coordinated equilibrium between the neurological, vascular and the tissue compartments.ED may occur as a result of vasculogenic, neurogenic, anatomical, hormonal, drug-induced and/or psychogenic factors.2 Burden of disease on men suffering from ED in particular and also on their partners has a significant ABSTRACT Background: Erectile dysfunction (ED) is a highly prevalent yet underestimated disorder among men, associated with a significant burden of illness. The understanding of pathophysiological factors has led to better assessment of the disease yet a lot of patients are left dissatisfied and undertreated. The study was undertaken to elicit the various life style and psychological variables associated with ED. Methods: A cross-sectional study was conducted on cases of ED reporting in urology OPD in 3 months period. A pretested semi structured questionnaire was used as a data collection tool. ED was addressed in five domains using International index of erectile function (IIEF) scale. Information collected included socio demographic factors, life style variables and psychological factors [perceived stress (PT), self-esteem (SST) and erectile performance anxiety (ET)]. Data collected was analyzed using independent sample t test. Results: A total of 155 cases of ED participated in the study. Their mean age was 33.93±5.05 years (range 25-48). 80.6% were non-smokers, 54.8% were alcoholic and 22.6% patients performed light physical activity. There was no statistically significant association between different life style variables with five domains of International index of erectile function except for the domain of orgasmic function with consumption of drugs (p=0.017) and intercourse satisfaction with physical activity(p=0.045). Barring the domain of overall satisfaction most of the other domains of ED showed a significant association with psychological variables. Conclusions: Contrary to lifestyle factors, psychological factors are significantly related to ED and need to be addressed effectively for improving patient treatment outcome.

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“…In addition, previous studies have shown that impaired sexual function in men with PE is significantly associated with a range of negative psychological effects (e.g., anxiety or depression) [7–9]. A cross‐sectional study conducted in Korea showed that men with PE suffered from various psychological problems, including depression, low self‐esteem, anxiety, and low sexual satisfaction.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Intravaginal Ejaculatory Latency Time and Erectile Function on Anxiety and Depression in the Four Types of Premature Ejaculation: A Large Cross-Sectional Study in a Chinese Population

Gao

Peng

et al. 2014

The Journal of Sexual Medicine

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Introduction A new classification of premature ejaculation (PE) has been proposed, including the categories of lifelong PE (LPE), acquired PE (APE), natural variable PE (NVPE), and premature-like ejaculatory dysfunction (PLED). Aim The aim of this study was to evaluate the impact of intravaginal ejaculation latency time (IELT) and erectile function on anxiety and depression among patients with PE in general and according to the four types of PE. Methods Between September 2011 and September 2012, we conducted a cross-sectional study in the Anhui province of China. We enrolled 4,000 men aged over 18 years, each of whom had been in a stable, monogamous, heterosexual relationship with the same partner for at least 6 months. Main Outcome Measurements Self-estimated IELT, the International Index of Erectile Function-5 (IIEF-5) and the Zung Self-Rating Anxiety and Depression Scales (SAS/SDS) were used to measure PE, erectile dysfunction (ED), anxiety, and depression, respectively, among the entire study population. Results Of the 3,016 men evaluated, 25.80% complained of PE. Distribution of the four types of PE among men with PE was as follows: LPE, 12.34%; APE, 18.77%; NVPE, 44.09%; PLED, 24.81%. Men with PE presented lower IIEF-5 scores and higher SAS and SDS scores vs. men without PE (P < 0.001 for all). Similar findings were observed in men with APE when compared with other PE syndromes. After adjustment for age in men with PE, IELT was negatively associated with SAS and SDS scores (SAS, adjusted r = −0.42, P < 0.001; SDS, adjusted r = −0.45, P < 0.001). IIEF-5 score was negatively associated with SAS and SDS scores (SAS, adjusted r = −0.54, P < 0.001; SDS, adjusted r = −0.50, P < 0.001). These negative relationships were strongest in men with PLED (IELT vs. SAS: adjusted r = −0.63, P < 0.001; IELT vs. SDS, adjusted r = −0.60, P < 0.001; IIEF-5 vs. SAS: adjusted r = −0.57, P < 0.001; IELT vs. SDS, adjusted r = −0.55, P < 0.001). Conclusions APE patients reported higher rates of ED, anxiety, and depression than men with other types of PE. The negative relationships between IELT/IIEF-5 and SAS/SDS were strongest in men with PLED.

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Psychological impact of premature ejaculation and barriers to its recognition and treatment

Cited by 51 publications

References 67 publications

Correlations and stratification analysis between premature ejaculation and psychological disorders

Correlations and stratification analysis between premature ejaculation and psychological disorders

Role of lifestyle and psychological variables in erectile dysfunction: a cross-sectional study

The Impact of Intravaginal Ejaculatory Latency Time and Erectile Function on Anxiety and Depression in the Four Types of Premature Ejaculation: A Large Cross-Sectional Study in a Chinese Population

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