School of Health and Behavioural Sciences, University of the Sunshine Coast, Locked Bag 4, Maroochydore DC, Queensland4558, Australia.
Sunshine Coast Mind and Neuroscience - Thompson Institute, University of the Sunshine Coast, 12 Innovation Parkway, Birtinya, Queensland4575, Australia.
Behav Cogn Psychother. 2021 Sep;49(5):612-625. doi: 10.1017/S1352465820000879. Epub 2020 Dec 18.
Premature ejaculation (PE) and erectile dysfunction (ED) are prevalent sexual problems, with evidence to suggest variation across sexual orientation. Contributing factors have traditionally been divided into organic and psychological categories. While limited research has found support for the influence of metacognitive beliefs, these studies did not investigate potential differences in sexual orientation.
The current study aimed to investigate the differences in metacognitive beliefs in men with or without PE and/or ED and whether these varied according to sexual orientation.
A sample of 531 men was recruited (65 met criteria for PE only, 147 for ED, 83 with PE and ED, and 236 healthy controls). Within this sample, 188 men identified as heterosexual, 144 as bisexual, and 199 as homosexual. Participants completed a cross-sectional online survey consisting of psychometric measures.
Participants with PE and ED were significantly higher in cognitive confidence, thoughts concerning uncontrollability and danger, and need to control thoughts than PE only, ED only, and healthy controls. Furthermore, the PE only group was significantly higher than healthy controls for cognitive confidence, with the ED significantly higher for thoughts concerning uncontrollability and danger. There were no significant differences between differing sexual orientations for men with/or without PE and/or ED.
Congruent with previous research, metacognitive beliefs play a role in PE and/or ED, although this is not exclusive to sexual orientation. The findings highlight that assessment and intervention regarding metacognitive beliefs may be beneficial for men of all sexual orientations with PE and/or ED.
早泄（PE）和勃起功能障碍（ED）是常见的性问题，有证据表明性取向存在差异。传统上，致病因素分为器质性和心理性两类。虽然有限的研究发现元认知信念有影响，但这些研究并未调查性取向的潜在差异。
本研究旨在调查有无 PE 和/或 ED 的男性之间的元认知信念差异，以及这些差异是否因性取向而异。
招募了 531 名男性样本（65 名符合 PE 标准，147 名符合 ED 标准，83 名 PE 和 ED 符合标准，236 名健康对照）。在这个样本中，188 名男性为异性恋，144 名男性为双性恋，199 名男性为同性恋。参与者完成了一项包括心理测量工具的横断面在线调查。
PE 和 ED 组的认知自信、不可控性和危险思维、控制思维的需求显著高于仅 PE、仅 ED 和健康对照组。此外，PE 组的认知自信显著高于健康对照组，ED 组的不可控性和危险思维显著高于健康对照组。PE 和/或 ED 的男性在不同性取向之间没有显著差异。
与先前的研究一致，元认知信念在 PE 和/或 ED 中起作用，但这与性取向无关。研究结果表明，对所有性取向的 PE 和/或 ED 男性进行元认知信念评估和干预可能是有益的。
