{"title":"Impulse control and its association with ejaculation time in men with premature ejaculation.","authors":"Tarık Sağlam, Uğur Takım, Yasin Kavla, Demirhan Örsan Demir, Şenol Turan","doi":"10.1093/jsxmed/qdae169","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The relationship between impulse control and premature ejaculation (PE), the most common sexual dysfunction in men, is not yet well understood.</p><p><strong>Aim: </strong>To assess the association between impulse control issues and the severity of PE in men with a lifelong diagnosis of this condition.</p><p><strong>Methods: </strong>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.</p><p><strong>Outcomes: </strong>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).</p><p><strong>Results: </strong>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).</p><p><strong>Clinical implications: </strong>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.</p><p><strong>Strength and limitations: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":""},"PeriodicalIF":3.3000,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Sexual Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/jsxmed/qdae169","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
引用次数: 0
摘要
背景：目的：评估终身诊断为早泄的男性中冲动控制问题与早泄严重程度之间的关系：方法：设计了一项横断面观察性研究，对 2023 年 3 月至 2024 年 3 月期间因 PE 主诉而就诊的患者进行评估。最终研究样本包括 40 名终生患有 PE 的男性患者和 40 名健康对照受试者：冲动控制能力通过 UPPS 冲动行为量表和 Barratt 冲动量表-11（BIS-11）进行评估，抑郁和焦虑水平通过贝克抑郁量表（BDI）和贝克焦虑量表（BAI）进行测量。使用阿拉伯语 PE 指数（AIPE）评估 PE 的严重程度：结果：PE 组的平均 AIPE 得分为 15.13 ± 3.33，对照组为 32.05 ± 2.06（P ˂0.001）。与对照组相比，PE 组的 UPSS 冲动行为量表所有分量表得分（计划性、紧迫性和缺乏毅力，P ˂ 0.001；寻求感觉，P = 0. 001）和总分（P ˂ 0.001）均明显高于对照组。在所有分量表中，PE 组的 BIS-11 评分也明显高于对照组（P ˂ 0.001）。PE 组患者的焦虑和抑郁程度也更高（P ˂ 0.001）：临床启示：临床医生对男性射精时间和PE严重程度进行定量评估，可能会更有效地揭示伴随的合并症：本研究是一项新颖的调查，从阴道内射精潜伏时间和严重程度的角度对PE进行定量评估，旨在发现合并症。限制因素之一是，患者及其伴侣必须测量射精时间，这限制了样本量，使得对研究结果进行归纳具有挑战性：我们的研究结果表明，冲动控制在终生性早熟中起着重要作用。临床医生必须评估冲动控制能力，并考虑对出现 PE 主诉的男性，尤其是被归类为重度 PE 患者进行治疗干预。
Impulse control and its association with ejaculation time in men with premature ejaculation.
Background: The relationship between impulse control and premature ejaculation (PE), the most common sexual dysfunction in men, is not yet well understood.
Aim: To assess the association between impulse control issues and the severity of PE in men with a lifelong diagnosis of this condition.
Methods: 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.
Outcomes: 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).
Results: 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).
Clinical implications: 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.
Strength and limitations: 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.
Conclusion: 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.
期刊介绍：
The Journal of Sexual Medicine publishes multidisciplinary basic science and clinical research to define and understand the scientific basis of male, female, and couples sexual function and dysfunction. As an official journal of the International Society for Sexual Medicine and the International Society for the Study of Women''s Sexual Health, it provides healthcare professionals in sexual medicine with essential educational content and promotes the exchange of scientific information generated from experimental and clinical research.
The Journal of Sexual Medicine includes basic science and clinical research studies in the psychologic and biologic aspects of male, female, and couples sexual function and dysfunction, and highlights new observations and research, results with innovative treatments and all other topics relevant to clinical sexual medicine.
The objective of The Journal of Sexual Medicine is to serve as an interdisciplinary forum to integrate the exchange among disciplines concerned with the whole field of human sexuality. The journal accomplishes this objective by publishing original articles, as well as other scientific and educational documents that support the mission of the International Society for Sexual Medicine.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
