Grenier G, Byers E S
Department of Psychology, University of New Brunswick, Fredericton, Canada.
Arch Sex Behav. 1997 Feb;26(1):27-47. doi: 10.1023/a:1024569319319.
Although premature ejaculation (RE) is considered the most common male sexual dysfunction, progress in understanding it has been hampered by the lack of a commonly accepted definition. Several different criteria have been used to assess RE with no attempt to validate the extent to which they are related. The current study assessed, in a sample of university men, the occurrence and relationships among four commonly applied RE criteria: perceived control over the occurrence of ejaculation, latency from vaginal penetration to ejaculation, satisfaction with perceived degree of ejaculatory control, and concern over the occurrence of rapid ejaculation. Other aspects of ejaculatory behavior were also assessed such as the thoughts and techniques men used to prolong intercourse and delay ejaculation. Results indicated that although the four RE criteria were significantly correlated, the magnitudes of these correlations were small. This suggests that these commonly used RE criteria are largely independent and are not interchangeable and that research in this area needs to adopt a multivariate approach to assessment. Men's erotophilia/erotophobia was not related to RE. While use of several ejaculatory delaying techniques were individually and jointly predictive of ejaculatory control and/or ejaculatory evidence, there was no strong support for any specific pattern of behavior that is related to better control and longer latencies. Further, experts were not able to distinguish the ejaculatory delaying techniques of the men with the poorest control and shortest latencies from those of the men with the best control and longest latencies.
尽管早泄被认为是最常见的男性性功能障碍,但由于缺乏普遍接受的定义,对其的理解进展一直受到阻碍。已经使用了几种不同的标准来评估早泄,却没有尝试验证它们之间的关联程度。本研究在一组大学男性样本中,评估了四个常用的早泄标准的发生情况及其相互关系:对射精发生的感知控制、从阴道插入到射精的潜伏期、对射精控制程度的满意度以及对快速射精发生的担忧。还评估了射精行为的其他方面,例如男性用于延长性交和延迟射精的想法和技巧。结果表明,虽然这四个早泄标准显著相关,但这些相关性的程度较小。这表明这些常用的早泄标准在很大程度上是独立的,不可相互替代,并且该领域的研究需要采用多变量评估方法。男性的性偏好/性恐惧与早泄无关。虽然使用几种射精延迟技巧单独或共同预测射精控制和/或射精情况,但对于与更好的控制和更长潜伏期相关的任何特定行为模式,都没有强有力的支持。此外,专家无法区分控制最差、潜伏期最短的男性与控制最佳、潜伏期最长的男性的射精延迟技巧。