Department of Urology, The Second Hospital of Tianjin Medical University, Tianjin, China.
Department of Urology, Tianjin Medical University General Hospital, Tianjin, China.
Andrologia. 2019 Sep;51(8):e13315. doi: 10.1111/and.13315. Epub 2019 May 15.
We studied the associations and correlations between premature ejaculation (PE) and psychological disorders, such as anxiety and depression, in new perspectives with an aim of improving PE patients' treatment outcomes. Between December 2017 and December 2018, we selected 1,010 men aged over 18 years old. Self-estimated IELT, the premature ejaculation diagnostic tool, the International Index of Erectile Function-5, the General Anxiety Disorder-7 and the Patients Health Questionnaire-9 were used to measure latency time, premature ejaculation, erectile dysfunction, anxiety and depression respectively. Premature ejaculation patients were categorised into two types: lifelong PE (LPE) and acquired PE (APE). Among the 958 men evaluated, the prevalence of anxiety and depression in PE group was 82.07% (444/541) and 74.68% (404/541) respectively. Premature ejaculation patients after adjustment for age, negative association of IIEF-5 and positive relation of PEDT score with GAD-7/PHQ-9 were observed (p < 0.01 for all). These associations in men with LPE were stronger than APE. Stratification of the duration of PE showed that the longer the duration is, the more the prevalence of anxiety and depression will be. Age stratification showed that under the impact of PE, young men tend to have severe psychological problems.
我们从新的视角研究了早泄（PE）与焦虑和抑郁等心理障碍之间的关联和相关性，旨在改善 PE 患者的治疗效果。2017 年 12 月至 2018 年 12 月，我们选择了 1010 名年龄在 18 岁以上的男性。使用自我估计的 IELT、早泄诊断工具、国际勃起功能指数-5、一般焦虑症-7 和患者健康问卷-9 分别测量潜伏期、早泄、勃起功能障碍、焦虑和抑郁。将早泄患者分为两种类型：终身早泄（LPE）和获得性早泄（APE）。在评估的 958 名男性中，PE 组焦虑和抑郁的患病率分别为 82.07%（444/541）和 74.68%（404/541）。调整年龄后，观察到 IIEF-5 的负相关和 PEDT 评分与 GAD-7/PHQ-9 的正相关与 PE 患者相关（所有 p 值均<0.01）。LPE 男性的这些关联比 APE 更强。PE 持续时间的分层表明，PE 持续时间越长，焦虑和抑郁的患病率越高。年龄分层表明，在 PE 的影响下，年轻人往往存在严重的心理问题。
