Department of Urology, Tianjin Medical University General Hospital, Tianjin, China.
7th Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Andrologia. 2020 Jun;52(5):e13559. doi: 10.1111/and.13559. Epub 2020 Mar 11.
This study explored the relationships between the decline in sexual function and psychological burdens and life satisfaction in older men with the aim of providing prospective targets for interventions. From January 2016 to January 2019, we selected 1,326 men aged over 50 years old. We adopted the International Index of Erectile Function-5 (IIEF-5), self-estimated intravaginal ejaculatory latency time (IELT), the premature ejaculation diagnostic tool (PEDT), the General Anxiety Disorder-7 (GAD-7), the Patients Health Questionnaire-9 (PHQ-9), the satisfaction with life scale and the control, autonomy, self-realisation and pleasure scale (CASP-19) to measure premature ejaculation, erectile dysfunction and well-being (including, depression, anxiety, and life quality and satisfaction) respectively. The individuals were divided into two main groups: the decline group and the no-decline group. The incidences of erectile dysfunction (ED), premature ejaculation (PE), anxiety and depression in men who reported a decline in sexuality were 73.83% (330/447), 63.98% (286/447), 75.84% (339/447) and 68.46% (306/447) respectively. Men who showed a decline in sexuality had significantly worse psychological and life satisfaction/quality scores than those in the no-decline group (p < .001 for all). When they had PE or ED simultaneously, these differences widened. Significantly worsened psychological status and life quality/satisfaction scores could be observed in patients who had declined sexual desire and declined frequency of sex (p < .001 for both). Under the impact of the decline in sexual function, the younger participants (age < 60) had significantly worsened negative emotions and life quality and satisfaction. Based on the results of the study, we found that the decline in sexuality was associated with depression and anxiety and worse life satisfaction and quality. Clinicians need to pay more attention to psychological status and life satisfaction and quality for those patients affected by a decline in sexuality.
本研究旨在探讨老年男性性功能下降与心理负担和生活满意度之间的关系，以期为干预措施提供前瞻性目标。2016 年 1 月至 2019 年 1 月，我们选择了 1326 名 50 岁以上的男性。我们采用国际勃起功能指数-5（IIEF-5）、自我估计阴道内射精潜伏期时间（IELT）、早泄诊断工具（PEDT）、广泛性焦虑障碍-7（GAD-7）、患者健康问卷-9（PHQ-9）、生活满意度量表和控制、自主、自我实现和快乐量表（CASP-19）分别评估早泄、勃起功能障碍和幸福感（包括抑郁、焦虑和生活质量和满意度）。个体分为两组：下降组和未下降组。报告性功能下降的男性中，勃起功能障碍（ED）、早泄（PE）、焦虑和抑郁的发生率分别为 73.83%（330/447）、63.98%（286/447）、75.84%（339/447）和 68.46%（306/447）。性功能下降的男性的心理和生活满意度/质量评分明显低于未下降组（p<.001）。当他们同时出现 PE 或 ED 时，这些差异会扩大。性欲下降和性频率下降的患者，心理状态和生活质量/满意度评分明显恶化（均 p<.001）。在性功能下降的影响下，年龄较小的参与者（<60 岁）的负面情绪和生活质量及满意度明显恶化。根据研究结果，我们发现性功能下降与抑郁和焦虑以及较差的生活满意度和质量有关。临床医生需要更加关注受性功能下降影响的患者的心理状态和生活满意度和质量。
