Sağlam Tarık, Takım Uğur, Kavla Yasin, Demir Demirhan Örsan, Turan Şenol
Department of Psychiatry, University of Health Sciences, Erzurum City Hospital, 25240, Yakutiye/Erzurum, Türkiye.
Observation Department of Council of Forensic Medicine, 34196, İstanbul, Türkiye.
J Sex Med. 2025 Jan 9;22(2):250-257. doi: 10.1093/jsxmed/qdae169.
The relationship between impulse control and premature ejaculation (PE), the most common sexual dysfunction in men, is not yet well understood.
To assess the association between impulse control issues and the severity of PE in men with a lifelong diagnosis of this condition.
A cross-sectional observational study was designed to evaluate patients who presented to the clinic with complaints of PE between March 2023 and March 2024. The final study sample comprised 40 men with lifelong PE and 40 healthy control subjects.
Impulse control was evaluated with the UPPS Impulsive Behavior Scale and the Barratt Impulsivity Scale-11 (BIS-11), while depression and anxiety levels were measured using the Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI). The severity of PE was assessed using the Arabic Index of PE (AIPE).
The mean AIPE score was 15.13 ± 3.33 in the PE group and 32.05 ± 2.06 in the control group (P ˂ 0.001). Compared to the control group, the PE group had significantly higher UPSS Impulsive Behavior Scale scores in all subscales (P ˂ 0.001 for planning, urgency, and lack of perseverance; P = 0. 001 for sensation seeking) and total scores (P ˂ 0.001). The BIS-11 scores were also significantly higher in the PE group compared to the control group for all subscales (P ˂ 0.001 for all). The patients in the PE group also had higher levels of anxiety and depression (P ˂ 0.001 for all).
A clinician's quantitative assessment of ejaculation time and the severity of PE among men presenting to the clinic with complaints of PE may reveal accompanying comorbid conditions more effectively.
The current study is a novel investigation that quantitatively evaluates PE in terms of intravaginal ejaculatory latency time and severity, aiming to identify comorbid conditions. As a limitation, the necessity for patients and their partners to measure the time to ejaculation limited the sample size, making it challenging to generalize the findings.
Our findings suggest that impulse control plays a significant role in lifelong PE. It is important for clinicians to assess impulse control and consider therapeutic interventions for men presenting with PE complaints, particularly in those classified as severe.
冲动控制与早泄（PE）（男性中最常见的性功能障碍）之间的关系尚未得到充分理解。
评估冲动控制问题与终生诊断为此病的男性早泄严重程度之间的关联。
设计了一项横断面观察性研究，以评估2023年3月至2024年3月期间因早泄主诉前来诊所就诊的患者。最终研究样本包括40名终生患有早泄的男性和40名健康对照者。
使用UPPS冲动行为量表和巴雷特冲动性量表-11（BIS-11）评估冲动控制，同时使用贝克抑郁量表（BDI）和贝克焦虑量表（BAI）测量抑郁和焦虑水平。使用阿拉伯早泄指数（AIPE）评估早泄的严重程度。
早泄组的平均AIPE评分为15.13±3.33，对照组为32.05±2.06（P<0.001）。与对照组相比，早泄组在所有子量表上的UPSS冲动行为量表得分均显著更高（计划、紧迫性和缺乏毅力方面P<0.001；寻求刺激方面P = 0.001）以及总分（P<0.001）。早泄组的BIS-11得分在所有子量表上也显著高于对照组（所有方面P<0.001）。早泄组患者的焦虑和抑郁水平也更高（所有方面P<0.001）。
临床医生对因早泄主诉前来诊所就诊的男性的射精时间和早泄严重程度进行定量评估，可能会更有效地发现伴随的合并症。
本研究是一项新颖的调查，从阴道内射精潜伏期时间和严重程度方面对早泄进行定量评估，旨在识别合并症。作为局限性，患者及其伴侣测量射精时间的必要性限制了样本量，使得研究结果难以推广。
我们的研究结果表明，冲动控制在终生早泄中起重要作用。临床医生对因早泄主诉前来就诊的男性评估冲动控制并考虑治疗干预措施很重要，尤其是对那些被归类为严重早泄的患者。
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