■早泄(PE)是最常见的男性性功能障碍之一,具有突出的心理后果。D型人格(TDP)也与多种心理障碍有关,比如抑郁和焦虑。然而,PE和TDP之间的相关性仍然未知。
■这项研究试图调查抑郁症状之间的关系,TDP,和PE。
■招募台湾20至40岁的成年男性,在过去6个月内进行过性交,以完成由一般人口统计组成的在线问卷,早泄诊断工具(PEDT),5项国际勃起功能指数(IIEF-5),D型量表-14,抑郁和躯体症状量表(DSSS)。使用卡方检验和独立的Student'st检验比较TDP组和非TDP组之间的参数。进行单因素和多因素logistic回归分析以评估与PE相关的因素。
■结果是台湾年轻男性中PE和TDP的患病率,抑郁症状与PE和TDP之间的关系,以及PE的预测因素。
■总共,本研究包括2558名平均年龄为31.3±5.3岁的男性。其中,315(12.3%)和767(30.1%)参与者被归类为患有PE和中度至重度勃起功能障碍(ED)。分别。总的来说,1249名(48.8%)参与者符合TDP标准。PEDT,IIEF-5和DSSS,包括总分、抑郁和躯体分量表,男性TDP患者明显更高(P均<.001)。有TDP的男性PE患病率明显高于无TDP的男性(16.2%vs8.6%;P<.001)。大多数参数,包括年龄,中度至重度ED,D型量表-14分量表,和DSSS躯体和抑郁分量表,在单因素分析中与PE显著相关。在多变量分析中,只有DSSS的抑郁量表和中重度ED(IIEF-5≤16)是PE的独立预测因子。
■结果表明,重要的是要考虑体育对年轻男性的心理影响,这项研究提供了一个生物心理社会方面来管理PE患者。
■这是第一项评估PE,TDP,以及大量年轻成年男性的抑郁症。然而,横截面设计可能限制了因果关系的研究,并且可能存在选择偏差。
■患有TDP的男性倾向于有更高的PEDT评分和PE和ED的患病率。中度至重度ED和抑郁症状是PE的独立预测因素。
UNASSIGNED: Premature ejaculation (PE) is one of the most common male sexual dysfunctions with prominent psychological consequences. Type D personality (TDP) is also associated with multiple psychological disorders, such as depression and anxiety. However, the correlation between PE and TDP remains unknown.
UNASSIGNED: The study sought to investigate the relationships between depressive symptoms, TDP, and PE.
UNASSIGNED: Adult males in Taiwan who were 20 to 40 years of age and who had sexual intercourse in the past 6 months were recruited to complete online questionnaires composed of general demographics, the Premature Ejaculation Diagnostic Tool (PEDT), 5-item International Index of Erectile Function (IIEF-5), Type D Scale-14, and Depression and Somatic Symptom Scale (DSSS). Chi-square test and independent Student\'s t test were used to compare the parameters between the TDP and non-TDP groups. Univariate and multivariate logistic regression analyses were conducted to evaluate factors related to PE.
UNASSIGNED: Outcomes were the prevalence of PE and TDP in young Taiwanese men, the associations between depressive symptoms and PE and TDP, and the predictive factors of PE.
UNASSIGNED: In total, 2558 men with a mean age of 31.3 ± 5.3 years were included in the present study. Among them, 315 (12.3%) and 767 (30.1%) participants were classified as having PE and moderate-to-severe erectile dysfunction (ED), respectively. In total, 1249 (48.8%) participants met the criteria for TDP. The PEDT, IIEF-5, and DSSS, including the total scores and depression and somatic subscales, were significantly higher in men with TDP (all P < .001). PE prevalence was significantly greater in men with TDP than in those without TDP (16.2% vs 8.6%; P < .001). Most parameters, including age, moderate-to-severe ED, the Type D Scale-14 subscales, and the DSSS somatic and depressive subscales, were significantly associated with PE in the univariate analysis. Only the depressive subscale of the DSSS and moderate-to-severe ED (IIEF-5 ≤16) were the independent predictors of PE in the multivariate analysis.
UNASSIGNED: The results suggest that it is important to consider the psychological effects of PE in young men, and the study has provided a biopsychosocial aspect to manage patients with PE.
UNASSIGNED: This is the first study to evaluate the association between PE, TDP, and depression in a large population of young adult males. However, the cross-sectional design may have limited the investigation of causality, and selection bias may be present.
UNASSIGNED: Men with TDP tended to have higher PEDT scores and a prevalence of PE and ED. Moderate-to-severe ED and depressive symptoms are the independent predictive factors of PE.