Demir Murat, Isık Mesut, Araz Şeyhmuz, Özveren Hüseyin, Kırlı Umut, Ertas Kasım
Department of Urology, Faculty of Medicine, Van Yuzuncu Yil University, Van, Turkey.
Department of Psychiatry, Faculty of Medicine, Van Yuzuncu Yil University, Van, Turkey.
Int Urol Nephrol. 2022 Jul;54(7):1491-1498. doi: 10.1007/s11255-022-03219-z. Epub 2022 May 10.
To examine whether there is a correlation between attachment styles, which is a developmental psychology theory, and lifelong DE.
The research was planned as prospective, multi-centric and cross-sectional study. Thirty patients who were consecutively admitted to the urology outpatient clinic and diagnosed with lifelong DE and 30 age-matched healthy controls were included in the study. All participants gave a detailed medical history and underwent a complete physical examination, and their laboratory and endocrine (prolactin and testosterone) results were evaluated. Additionally, all patients had to fill out socio-demographic information form, the Experiences in Close Relationships-Revised (ECR-R) Questionnaire, Arizona Sexual Experiences Scale (ASEX), Beck Anxiety Inventory (BAI), and Beck Depression Inventory (BDI).
The mean age of the DE patients was 33.5 ± 7.5 years. In the DE group, insecure attachment (both anxious and avoidant attachment), anxiety and depression scores were found to be significantly higher (p < 0.001, effect size medium or large) than the control group. Ejaculation times (both for vaginal intercourse and masturbation) were correlated with both insecure (anxious and avoidant) attachment types, as well as their anxiety and depression scores (p < 0.001). The ASEX satisfaction, ejaculation and total scores were found to be higher in DE patients (higher scores indicating greater sexual dysfunction) than in the control group.
The large and significant relationships found between lifelong DE and attachment insecurities point to childhood developmental processes. The findings may help us better understand lifelong DE. There is a need for further extensive research on this subject.
探讨作为一种发展心理学理论的依恋风格与终身性勃起功能障碍（DE）之间是否存在关联。
本研究计划为前瞻性、多中心横断面研究。纳入30例连续入住泌尿外科门诊且被诊断为终身性DE的患者以及30例年龄匹配的健康对照者。所有参与者均提供了详细的病史并接受了全面的体格检查，对其实验室检查和内分泌（催乳素和睾酮）结果进行了评估。此外，所有患者均需填写社会人口学信息表、亲密关系经历修订版（ECR-R）问卷、亚利桑那性经历量表（ASEX）、贝克焦虑量表（BAI）和贝克抑郁量表（BDI）。
DE患者的平均年龄为33.5±7.5岁。在DE组中，不安全依恋（焦虑依恋和回避依恋）、焦虑和抑郁得分均显著高于对照组（p<0.001，效应量为中等或大）。射精时间（包括阴道性交和手淫）与不安全（焦虑和回避）依恋类型及其焦虑和抑郁得分均相关（p<0.001）。发现DE患者的ASEX满意度、射精和总分高于对照组（得分越高表明性功能障碍越严重）。
终身性DE与依恋不安全感之间存在的重大且显著的关联指向童年发育过程。这些发现可能有助于我们更好地理解终身性DE。对此主题需要进一步进行广泛研究。
