Universidade de Trás-os-Montes e Alto Douro, Departamento de Educação e Psicologia, Vila Real, Portugal Universidade de Aveiro, Departamento de Educação e Psicologia, Aveiro, Portugal.
J Sex Med. 2011 Feb;8(2):461-9. doi: 10.1111/j.1743-6109.2010.02092.x. Epub 2010 Nov 3.
The importance of the role played by personality variables in the etiology, development, and maintenance of most emotional disorders is strongly supported by empirical data. However, there is a lack of studies concerning the implication of these variables on sexual difficulties.
The purpose of the present study was to investigate the role played by personality dimensions and psychopathology on male sexual functioning as well as to clarify the way these variables discriminate men with and without sexual dysfunction.
A total of 229 men participated in the study (a community sample composed by 205 men and a clinical sample by 24 men with a DSM-IV diagnosis of sexual dysfunction). The community sample was subdivided into a control group (n=152) and a subclinical group (n=53), according to the cutoff scores of the International Index of Erectile Dysfunction. After giving informed consent, participants completed a set of clinical instruments. Partial correlations, regression analyses, and multivariate analyses of covariance were conducted.
All participants completed a set of measures assessing personality dimensions, psychopathological symptoms, and sexual functioning.
After controlling for psychopathology, men with sexual dysfunction presented significantly higher levels of neuroticism when compared to sexually healthy men. Moreover, regression analysis indicated neuroticism as the best predictor of sexual functioning (β=-0.24, P<0.01). Regarding psychopathology, men with sexual problems presented significantly higher levels of depressive symptoms than the controls. Additionally, depressive symptoms were a significant predictor of sexual functioning (β=-0.41, P<0.001).
Personality dimensions and psychopathology play an important role on male sexual functioning. The results may have important clinical implications.
人格变量在大多数情感障碍的病因、发展和维持中所起的作用的重要性得到了大量实证数据的有力支持。然而,关于这些变量对性困难的影响的研究还很缺乏。
本研究旨在探讨人格维度和精神病理学对男性性功能的作用,并阐明这些变量区分有和无性功能障碍男性的方式。
共有 229 名男性参与了这项研究(一个社区样本由 205 名男性和一个临床样本由 24 名患有 DSM-IV 性障碍诊断的男性组成)。根据国际勃起功能指数的截断分数,社区样本被分为对照组(n=152)和亚临床组(n=53)。在给予知情同意后,参与者完成了一系列临床工具。进行了偏相关分析、回归分析和多元协方差分析。
所有参与者都完成了一套评估人格维度、精神病理症状和性功能的量表。
在控制了精神病理学之后,与性功能健康的男性相比,性功能障碍的男性表现出明显更高的神经质水平。此外,回归分析表明神经质是性功能的最佳预测因子(β=-0.24,P<0.01)。关于精神病理学,有性问题的男性比对照组表现出明显更高的抑郁症状水平。此外,抑郁症状是性功能的一个显著预测因子(β=-0.41,P<0.001)。
人格维度和精神病理学对男性性功能起着重要作用。研究结果可能具有重要的临床意义。