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Correlations and stratification analysis between premature ejaculation and psychological disorders.

Yongjiao Yang1, Yi Lu2, Yuxuan Song2

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Premature ejaculation (PE) is strongly linked to anxiety and depression, especially in younger men and those with lifelong PE. Longer duration of PE correlates with higher rates of psychological distress.

Keywords:
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Area of Science:

  • Psychology
  • Urology
  • Men's Health

Background:

  • Premature ejaculation (PE) significantly impacts men's quality of life.
  • Psychological comorbidities like anxiety and depression are frequently observed in PE patients.
  • Understanding these associations is crucial for effective treatment.

Purpose of the Study:

  • To investigate the correlations between premature ejaculation (PE) and psychological disorders, specifically anxiety and depression.
  • To explore how factors like PE type (lifelong vs. acquired), duration, and patient age influence these associations.
  • To identify new perspectives for improving treatment outcomes in PE patients.

Main Methods:

  • A cohort of 1,010 men over 18 years old was studied.
  • Validated questionnaires were used: Premature Ejaculation Diagnostic Tool (PEDT), International Index of Erectile Function-5 (IIEF-5), General Anxiety Disorder-7 (GAD-7), and Patients Health Questionnaire-9 (PHQ-9).
  • Participants were categorized into lifelong PE (LPE) and acquired PE (APE) groups.

Main Results:

  • Among 958 evaluated men, the prevalence of anxiety and depression in the PE group was 82.07% and 74.68%, respectively.
  • A negative association was found between IIEF-5 scores and psychological distress, while higher PEDT scores correlated positively with GAD-7/PHQ-9 scores (p < 0.01).
  • Associations were stronger in LPE patients, and longer PE duration correlated with increased anxiety and depression prevalence. Young men with PE experienced more severe psychological issues.

Conclusions:

  • Significant correlations exist between premature ejaculation and psychological disorders like anxiety and depression.
  • Lifelong PE, longer duration, and younger age are associated with greater psychological distress.
  • These findings highlight the need for integrated psychological assessment and treatment in managing PE.