Giuri Simona, Caselli Gabriele, Manfredi Chiara, Rebecchi Daniela, Granata Antonio, Ruggiero Giovanni Maria, Veronese Guido
1 Cognitive Psychotherapy School, Modena, Italy.
2 University of Pavia, Pavia, Italy.
Am J Mens Health. 2017 May;11(3):592-599. doi: 10.1177/1557988316652936. Epub 2016 Jun 8.
Erectile dysfunction (ED) and premature ejaculation (PE) are two forms of male sexual disorder with both psychological and physical features. While their cognitive, attentional, and affective components have been investigated separately, there is a lack of knowledge about the role played by cognitive attentional syndrome in their onset and maintenance. The aim of the present study was to investigate the possible contribution of perseverative thinking styles and thought control strategies to the development and maintenance of ED and PE. The authors hypothesized that such modes of processing might constitute a cognitive attentional syndrome specific to these disorders and sustained by particular metacognitive beliefs. A semistructured interview was administered to 11 participants with ED and 10 with PE in order to assess their metacognitive beliefs and cognitive attentional processes. The results suggest that individuals with ED and PE adopt a range of cognitive attentional strategies aimed at improving their sexual performance, and endorse both positive and negative metacognitive beliefs about these thinking responses. Overall, their cognitive and attentional patterns worsened negative internal states, reduced sexual excitement, detached them from their bodily sensations, and hindered sexual functioning. These preliminary findings suggest that perseverative thinking, thought control strategies, and metacognitive beliefs may play a key role in the onset and maintenance of male sexual dysfunction.
勃起功能障碍（ED）和早泄（PE）是男性性功能障碍的两种形式，兼具心理和生理特征。虽然它们的认知、注意力和情感成分已分别得到研究，但对于认知注意力综合征在其发病和维持过程中所起的作用仍缺乏了解。本研究的目的是探讨固执思维方式和思维控制策略对ED和PE的发展及维持可能产生的影响。作者假设，这种加工模式可能构成这些障碍所特有的一种认知注意力综合征，并由特定的元认知信念所维持。对11名患有ED的参与者和10名患有PE的参与者进行了半结构化访谈，以评估他们的元认知信念和认知注意力过程。结果表明，患有ED和PE的个体采用了一系列旨在改善其性功能的认知注意力策略，并认可关于这些思维反应的积极和消极元认知信念。总体而言，他们的认知和注意力模式加剧了负面的内在状态，降低了性兴奋，使他们与身体感觉脱节，并阻碍了性功能。这些初步发现表明，固执思维、思维控制策略和元认知信念可能在男性性功能障碍的发病和维持中起关键作用。
