Abstract：
Little is known regarding the demographic, sexual, and relationship characteristics of men with symptoms of delayed ejaculation (DE).
To identify differences between men with and without DE symptomology to validate face-valid diagnostic criteria and to identify various functional correlates of DE.
A total of 2679 men meeting inclusion criteria were partitioned into groups with and without DE symptomology on the basis of their self-reported \"difficulty reaching ejaculation/orgasm during partnered sex.\" Men were then compared on a broad array of demographic and relationship variables, as well as sexual response variables assessed during partnered sex and masturbation.
Outcomes included the identified differences between men with and without DE symptomology.
Men with DE-whether having comorbid erectile dysfunction or not-differed from men without DE on 5 face-valid variables related to previously proposed diagnostic criteria for DE, including ones related to ejaculation latency (P < .001); self-efficacy related to reaching ejaculation, as assessed by the percentage of episodes reaching ejaculation during partnered sex (P < .001); and negative consequences of the impairment, including \"bother/distress\" and (lack of) \"orgasmic pleasure/sexual satisfaction\" (P < .001). All such differences were associated with medium to large effect sizes. In addition, men showed differences on a number of functional correlates of DE, including anxiety, relationship satisfaction, frequency of partnered sex and masturbation, and level of symptomology during partnered sex vs masturbation (P < .001).
Face-valid criteria for the diagnosis of DE were statistically verified, and functional correlates of DE relevant to guiding and focusing treatment were identified.
In this first comprehensive analysis of its kind, we have demonstrated widespread differences on sexual and relationship variables relevant to the diagnosis of DE and to its functional correlates between men with and without DE symptomology during partnered sex. Limitations include participant recruitment through social media, which likely biased the sample; the use of estimated rather than clocked ejaculation latencies; and the fact that differences between men with acquired and lifelong DE were not investigated.
This well-powered multinational study provides strong empirical support for several face-valid measures for the diagnosis of DE, with a number of explanatory and control covariates that may help shed light on the lived experiences of men with DE and suggest focus areas for treatment. Whether or not the DE men had comorbid erectile dysfunction had little impact on the differences with men having normal ejaculatory functioning.
To identify differences between men with and without DE symptomology to validate face-valid diagnostic criteria and to identify various functional correlates of DE.
A total of 2679 men meeting inclusion criteria were partitioned into groups with and without DE symptomology on the basis of their self-reported \"difficulty reaching ejaculation/orgasm during partnered sex.\" Men were then compared on a broad array of demographic and relationship variables, as well as sexual response variables assessed during partnered sex and masturbation.
Outcomes included the identified differences between men with and without DE symptomology.
Men with DE-whether having comorbid erectile dysfunction or not-differed from men without DE on 5 face-valid variables related to previously proposed diagnostic criteria for DE, including ones related to ejaculation latency (P < .001); self-efficacy related to reaching ejaculation, as assessed by the percentage of episodes reaching ejaculation during partnered sex (P < .001); and negative consequences of the impairment, including \"bother/distress\" and (lack of) \"orgasmic pleasure/sexual satisfaction\" (P < .001). All such differences were associated with medium to large effect sizes. In addition, men showed differences on a number of functional correlates of DE, including anxiety, relationship satisfaction, frequency of partnered sex and masturbation, and level of symptomology during partnered sex vs masturbation (P < .001).
Face-valid criteria for the diagnosis of DE were statistically verified, and functional correlates of DE relevant to guiding and focusing treatment were identified.
In this first comprehensive analysis of its kind, we have demonstrated widespread differences on sexual and relationship variables relevant to the diagnosis of DE and to its functional correlates between men with and without DE symptomology during partnered sex. Limitations include participant recruitment through social media, which likely biased the sample; the use of estimated rather than clocked ejaculation latencies; and the fact that differences between men with acquired and lifelong DE were not investigated.
This well-powered multinational study provides strong empirical support for several face-valid measures for the diagnosis of DE, with a number of explanatory and control covariates that may help shed light on the lived experiences of men with DE and suggest focus areas for treatment. Whether or not the DE men had comorbid erectile dysfunction had little impact on the differences with men having normal ejaculatory functioning.
摘要：
背景：关于人口统计学知之甚少，性,与男性射精延迟(DE)症状的关系特点。
目的：确定有和没有DE症状的男性之间的差异，以验证有效的诊断标准并确定DE的各种功能相关性。
方法：将符合纳入标准的2679名男性根据其自我报告的“在伴侣性交期间难以达到射精/性高潮”分为有和无DE症状组。“然后对男性进行了一系列广泛的人口统计学和关系变量的比较，以及伴侣性行为和手淫期间评估的性反应变量。
结果：结果包括有和没有DE症状的男性之间的差异。
结果：患有DE的男性-无论是否患有共病勃起功能障碍-在与先前提出的DE诊断标准相关的5个有效变量上与没有DE的男性不同，包括与射精潜伏期相关的(P<.001)；与射精相关的自我效能感，根据伴侣性行为期间达到射精的发作百分比进行评估（P<.001）；以及损害的负面后果，包括“烦恼/痛苦”和（缺乏）“性高潮快感/性满足”（P<.001）。所有这些差异都与中等到大的效应大小有关。此外,男性在DE的一些功能相关性上表现出差异，包括焦虑,关系满意度，伴侣性行为和手淫的频率，伴侣性行为与手淫期间的症状水平（P<.001）。
结论：对DE诊断的有效标准进行了统计学验证，并确定了与引导和聚焦治疗相关的DE的功能相关性。
UNASSIGNED：在这第一次全面分析中，我们已经证明,在伴侣性行为期间,有和没有DE症状的男性之间,与DE诊断相关的性别和关系变量及其功能相关性存在广泛差异.限制包括通过社交媒体招募参与者，这可能会使样本产生偏差；使用估计的而不是计时的射精潜伏期；以及没有调查获得和终身DE的男性之间的差异。
结论：这项有力的跨国研究为诊断DE的几种有效措施提供了强有力的经验支持，一些解释性和控制性协变量可能有助于阐明男性DE的生活经历，并建议治疗的重点领域。DE男性是否患有共病勃起功能障碍对男性射精功能正常的差异影响不大。
目的：确定有和没有DE症状的男性之间的差异，以验证有效的诊断标准并确定DE的各种功能相关性。
方法：将符合纳入标准的2679名男性根据其自我报告的“在伴侣性交期间难以达到射精/性高潮”分为有和无DE症状组。
结果：结果包括有和没有DE症状的男性之间的差异。
结果：患有DE的男性-无论是否患有共病勃起功能障碍-在与先前提出的DE诊断标准相关的5个有效变量上与没有DE的男性不同，
结论：对DE诊断的有效标准进行了统计学验证，
UNASSIGNED：在这第一次全面分析中，
结论：这项有力的跨国研究为诊断DE的几种有效措施提供了强有力的经验支持，
