Zhang Zhihang, Gao Xiang, Zhou Ying, Yu Chao, Pimolsettapun Jittikorn, Yang Libin, Zhao Youkang
Sexual Medicine and Andrology Department, Long Hua Hospital, Shanghai, China.
Shanghai Yizhi Institute of Applied Psychology, Shanghai, China.
Gen Psychiatr. 2020 Aug 19;33(5):e100184. doi: 10.1136/gpsych-2019-100184. eCollection 2020.
Erectile dysfunction (ED) has gradually become an important issue that seriously affects the quality of life of Chinese men. In addition to classic oral medications, psychotherapeutic interventions are increasingly being used in the treatment of ED.
This study aims to investigate the clinical efficacy of brief psychodynamic psychotherapy (BPP) plus Viagra in the treatment of non-organic ED.
We initiated this study via a controlled, prospective experimental design with initial optimal efficiency standard greater than 10%. On the standard, 63 patients were enrolled who were assigned to control or treatment group. The control group (including 33 cases) received Viagra treatment for 2 months, and the treatment group (including 30 cases) was cured with BPP plus Viagra. After the treatments, the clinical efficacy was assessed using the International Erectile Function Index (IIEF-5) score, the Self-rating Anxiety Scale (SAS), Sexual Satisfaction (SS) score and Erection Hardness Score (EHS).
In the comparison of efficacy, pretreatment and post-treatment within each group, the two groups showed improvements in IIEF, SAS scores, SS, and EHS (treatment group: P<0.001, P<0.001, P<0.001, P<0.001; control group: P<0.001, P<0.001, P<0.001, P<0.001). Furthermore, the treatment group presented better performances in IIEF (p=0.040), SAS (p=0.006), SS scores (p=0.045) and EHS (p=0.041) than the control group.
The combination of BPP with Viagra has positive effect on the treatment of non-organic ED.
勃起功能障碍（ED）已逐渐成为严重影响中国男性生活质量的重要问题。除了经典的口服药物外，心理治疗干预在ED治疗中的应用越来越广泛。
本研究旨在探讨短程心理动力心理治疗（BPP）联合万艾可治疗非器质性ED的临床疗效。
我们采用初始最佳效率标准大于10%的对照、前瞻性实验设计开展本研究。按照该标准，纳入63例患者并将其分为对照组和治疗组。对照组（33例）接受万艾可治疗2个月，治疗组（30例）采用BPP联合万艾可进行治疗。治疗后，使用国际勃起功能指数（IIEF-5）评分、焦虑自评量表（SAS）、性满意度（SS）评分和勃起硬度评分（EHS）评估临床疗效。
在疗效比较中，每组治疗前和治疗后，两组的IIEF、SAS评分、SS和EHS均有改善（治疗组：P<0.001，P<0.001，P<0.001，P<0.001；对照组：P<0.001，P<0.001，P<0.001，P<0.001）。此外，治疗组在IIEF（p=0.040）、SAS（p=0.006）、SS评分（p=0.045）和EHS（p=0.041）方面的表现均优于对照组。
BPP联合万艾可治疗非器质性ED具有积极作用。
