Department of Urology, the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Department of Urology, the second Affiliated Hospital of Wannan Medical college, Wuhui, Anhui, China.
J Sex Med. 2021 Jan;18(1):72-82. doi: 10.1016/j.jsxm.2020.11.001. Epub 2020 Dec 15.
Although temperament-character traits and attitudes toward premature ejaculation (PE) are known to be associated with PE, it is of great significance to study them in PE. Moreover, few studies have evaluated these traits and attitudes in the new classification of 4 subtypes of PE.
We investigated the temperament-character traits and attitudes toward PE in 4 types of PE and their associations with PE.
Between December 2018 and December 2019, we conducted a survey in our hospital, and enrolled 350 men who complained of PE and 252 men without any complaint of PE. Temperament-character traits and attitudes toward PE were independently assessed by the Temperament and Character Inventory-Revised and several targeted questions, respectively. The Index of Premature Ejaculation (IPE) was used to evaluate ejaculation control, sexual life satisfaction, and distress caused by PE.
The outcomes included differences of temperament-character traits and attitudes toward PE among 2 groups and their associations with PE.
Of the 2 groups, men with PE complaints had lower novelty seeking/self-transcendence (NS/ST) scores and higher harm avoidance (HA) scores vs men without any complaints of PE. Among the 4 types of PE, men with variable PE had the highest score of HA and lowest score of NS; the lowest score of ST was recorded in men with lifelong PE. Additionally, the total and subdomain scores of IPE in men with subjective PE were higher than the other subtypes of PE. After adjusting for age, positive correlations were observed in HA score and total and subdomain scores of IPE, whereas the inverse was true corresponding to NS and ST.
The current study has provided a new perspective for understanding the impact of psychological factors on PE.
STRENGTHS & LIMITATIONS: This is the first study to systematically assess the effects of personality traits and attitudes on PE, especially among the 4 types of PE. The main drawback is that the generalizability of this study may be limited by the fact that it was conducted in a single cultural/societal background.
Men who complained of PE tended to react with indifference or rejection to novelty, tended to feel unsatisfied, cannot effectively adapt to changes in the surrounding environment, and tended to avoid situations involving risk. These characteristics could lead to their becoming disheartened when faced with PE. Furthermore, the attitude of men with PE reflects the needs of the patient during treatment from one aspect. Gao P, Gao J Wang Y, et al. Temperament-Character Traits and Attitudes Toward Premature Ejaculation in 4 Types of Premature Ejaculation. J Sex Med 2021;18:72-82.
虽然气质-性格特征和对早泄（PE）的态度与 PE 有关，但研究这些特征在新的 4 种 PE 亚型中的意义重大。
我们调查了 4 种类型的 PE 中的气质-性格特征和对 PE 的态度，以及它们与 PE 的关系。
我们于 2018 年 12 月至 2019 年 12 月在我院进行了一项调查，纳入了 350 名抱怨 PE 的男性和 252 名无任何 PE 抱怨的男性。分别通过修订后的气质和性格问卷（TCI-R）和几个针对性的问题独立评估气质-性格特征和对 PE 的态度。采用早泄指数（IPE）评估射精控制、性生活满意度和 PE 引起的痛苦。
该研究的结果包括两组之间 PE 气质-性格特征和态度的差异及其与 PE 的关系。
抱怨 PE 的男性对新奇事物的反应倾向于冷漠或拒绝，对新奇事物的反应倾向于不满，不能有效地适应周围环境的变化，往往回避涉及风险的情况。这些特征可能导致他们在面对 PE 时感到沮丧。此外，PE 患者的态度从一个侧面反映了患者在治疗过程中的需求。
