抑郁和焦虑与早泄的患病率及其四种亚型:系统性审查和元分析
Sixuan Che1,2, Huan Sun1,2, Yukun Kang3
1Mental Health Center, The West China Second University Hospital of Sichuan University, Chengdu, Sichuan, China.
Frontiers in psychiatry
|January 21, 2026
概括
焦虑和抑郁分别影响42%和41%的过早射精的男性. 在PE亚型中,患病率差异很大,这凸显了对量身定制的心理护理的需要.
科学领域:
- 男人性健康 男人性健康
- 心理相关疾病 心理相关疾病
- 流行病学 流行病学
背景情况:
- 早泄 (PE) 是一个普遍存在的男性性功能障碍.
- 早期发育通常与焦虑和抑郁等心理状况有关.
- 不同PE亚型中这些并发症的流行程度尚不清楚.
研究的目的:
- 确定PE男性焦虑和抑郁的综合流行率.
- 为了比较四种PE亚型中焦虑和抑郁的患病率:获得的PE (APE),终身PE (LPE),过早的射精功能障碍 (PLED) 和自然变量PE (NVPE).
主要方法:
- 在多个数据库 (PubMed,Embase,Web of Science等) 中进行系统的文献搜索. 在2025年7月之前.
- 随机效应的元分析,使用弗里曼-图基双正弦转换,以聚合流行率.
- 亚组,敏感性和出版偏差分析 (漏斗图,埃格尔测试) 以评估异质性和可靠性.
主要成果:
- 在分析中包括了18项研究.
- 焦虑症的综合患病率为42% (95%CI:25%-61%) 和抑郁症的41% (95%CI:27%-56%),具有很高的异质性 (I2=99%).
- 获得的PE (APE) 患病率最高 (焦虑44.7%,抑郁43.0%),而自然变量PE (NVPE) 患病率最低 (15.3%和14.2%).
结论:
- 在经历过早泄的男性中,焦虑和抑郁是非常常见的.
- 在PE的不同临床亚型之间存在显著的流行率差异.
- 这些发现强调了对PE管理的亚型特定心理评估和个性化治疗计划的必要性.
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