Derogatis L R, Meyer J K, Kourlesis S
Hillside J Clin Psychiatry. 1985;7(2):120-33.
A sample of 137 males who presented with a principal complaint of impotence were assessed regarding manifest psychopathology through DSM-III psychiatric diagnosis and the SCL-90-R, a self-report symptom inventory. Contrasts in self-reported symptoms among dysfunctional groups assigned different DSM-III diagnoses proved to be very significant, as were contrasts with patients free of current psychiatric diagnoses. When the sample was separated into the three groups of organic etiology, psychogenic etiology with psychiatric diagnosis, and psychogenic etiology without psychiatric diagnosis, few significant differences in group profiles were uncovered. Findings of the study lend strong support to the notion that males with erectile sexual dysfunction reveal disproportionate levels of psychological symptoms and psychopathology. The results failed to confirm the premise that biogenic versus psychogenic etiologies in impotence can be effectively identified solely on the basis of the psychological symptom picture.
对137名以阳痿为主诉的男性样本，通过《精神疾病诊断与统计手册》第三版（DSM-III）精神科诊断和症状自评量表90修订版（SCL-90-R）这一自我报告症状清单，评估其明显的精神病理学情况。事实证明，在被赋予不同DSM-III诊断的功能障碍组之间，自我报告症状的差异非常显著，与目前无精神科诊断的患者之间的差异也很显著。当样本被分为器质性病因、有精神科诊断的心因性病因和无精神科诊断的心因性病因这三组时，未发现组间特征有显著差异。该研究结果有力支持了这样一种观点，即患有勃起性功能障碍的男性表现出不成比例的心理症状和精神病理学水平。结果未能证实仅根据心理症状情况就能有效区分阳痿的生物源性病因与心因性病因这一前提。
