Department of Urology, Seoul National University Boramae Hospital, Seoul, Korea.
J Sex Med. 2011 Jul;8(7):2062-70. doi: 10.1111/j.1743-6109.2010.02173.x. Epub 2011 Jan 14.
The psychological impacts of premature ejaculation (PE), which include guilt, anxiety, and distress, have been well established in Western countries. However, in Asia, although a substantial number of epidemiological studies have surveyed the prevalence of PE, researchers have not thoroughly investigated the relationship between PE and depression, or have defined PE properly.
We studied the association between PE and depression and other psychological disturbances, in a Korean cohort by applying an appropriate definition for PE and validated outcome measures of depression. METHODS. A total of 956 males (≥20 years) were initially approached via an Internet survey company. Participants were asked to complete a questionnaire requesting detailed medical and sexual histories, which included questions from the Erectile Function Domain score in the International Index of Erectile Function (IIEF-EF) and the Beck Depression Inventory (BDI). The prevalence of PE was evaluated using two different definitions-self-assessed PE and presumed PE. Presumed PE was defined as a short ejaculation time (an estimated intravaginal ejaculatory latency time ≤5 minutes), an inability to control ejaculation, and the presence of distress resulting from PE.
Ejaculation-related questionnaire, the IIEF-EF, and BDI.
A total of 334 men were evaluated. The prevalence of PE was 10.5% according to the Presumed PE definition, whereas by self-assessment, it was 25.4%. Self-assessed PE patients suffered from various psychological problems, such as depression, low self-esteem, bother, and low sexual satisfaction. Even after excluding erectile dysfunction (ED) subjects, a significant relationship was found between self-assessed PE and depression. Moreover, after further classification of the Self-assessed PE group, we found that subjects included in this group, but not in the Presumed PE group, suffered more from psychological burden than any other members of the cohort.
Korean men with subjective perceptions of PE are prone to various psychological problems, which include depression.
在西方国家，早泄（PE）的心理影响，包括内疚、焦虑和痛苦，已经得到了充分的证实。然而，在亚洲，尽管大量的流行病学研究调查了 PE 的患病率，但研究人员并没有彻底研究 PE 与抑郁之间的关系，或者没有正确定义 PE。
通过应用适当的 PE 定义和经过验证的抑郁结局测量方法，我们研究了韩国队列中 PE 与抑郁和其他心理障碍之间的关系。
总共对 956 名（≥20 岁）男性进行了初步调查，通过一家互联网调查公司进行。参与者被要求完成一份问卷，要求提供详细的医疗和性史，其中包括国际勃起功能指数（IIEF-EF）中的勃起功能域评分和贝克抑郁量表（BDI）的问题。PE 的患病率使用两种不同的定义——自我评估的 PE 和推测的 PE 进行评估。推测的 PE 定义为射精时间短（估计阴道内射精潜伏期≤5 分钟）、无法控制射精以及因 PE 而产生的痛苦。
射精相关问卷、IIEF-EF 和 BDI。
共有 334 名男性接受了评估。根据推测的 PE 定义，PE 的患病率为 10.5%，而自我评估的 PE 患病率为 25.4%。自我评估的 PE 患者患有各种心理问题，如抑郁、自卑、烦恼和性满意度低。即使排除勃起功能障碍（ED）患者，自我评估的 PE 与抑郁之间仍存在显著关系。此外，在进一步对自我评估的 PE 组进行分类后，我们发现该组中包含的患者，而不是推测的 PE 组中包含的患者，比队列中的任何其他成员都承受更大的心理负担。
韩国男性对 PE 的主观感知容易出现各种心理问题，包括抑郁。
