Marina Cabello-García, Yolanda Sánchez-Sandoval, Antonio Daniel García-Rojas
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A control group of 23 men with ED without personality disorders and a group of 51 men with both ED and PDs.</p><p><strong>Results: </strong>In the case sample, 34.30% of the participants presented more than one personality disorder. No significant differences were found in sexual behaviours except for heteromasturbation (men without PDs masturbated their partners more to satisfy them than men with PDs), and men with PDs considered themselves less premature ejaculators than the control group. Finally, 82.14% of the control group did well with psychosexual therapy compared to 53.85% of the PDs group.</p><p><strong>Conclusion: </strong>Psychosexual treatment of ED has a worse outcome if the men also have PDs. Strengths and Limitations: from a clinical standpoint, it is important to assess the presence of personality disorders in men with ED and to implement psychosexual strategies to improve the response to treatment in these cases. 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A control group of 23 men with ED without personality disorders and a group of 51 men with both ED and PDs.</p><p><strong>Results: </strong>In the case sample, 34.30% of the participants presented more than one personality disorder. No significant differences were found in sexual behaviours except for heteromasturbation (men without PDs masturbated their partners more to satisfy them than men with PDs), and men with PDs considered themselves less premature ejaculators than the control group. Finally, 82.14% of the control group did well with psychosexual therapy compared to 53.85% of the PDs group.</p><p><strong>Conclusion: </strong>Psychosexual treatment of ED has a worse outcome if the men also have PDs. Strengths and Limitations: from a clinical standpoint, it is important to assess the presence of personality disorders in men with ED and to implement psychosexual strategies to improve the response to treatment in these cases. 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引用次数: 0
摘要
背景：人格障碍可能会影响性行为和性功能障碍：目的：我们的主要目的是分析人格障碍（PDs）对使用磷酸二酯酶-5抑制剂（IPDE5）治疗无效的心理性勃起功能障碍（ED）患者的影响，评估性行为和对性心理治疗的反应是否存在差异：研究设计为事后回顾性研究，分为两组。对照组由 23 名患有 ED 但无人格障碍的男性组成，另一组由 51 名同时患有 ED 和人格障碍的男性组成：在病例样本中，34.30%的参与者患有一种以上的人格障碍。除了异性手淫（与有人格障碍的男性相比，无人格障碍的男性更多通过手淫来满足伴侣），有人格障碍的男性认为自己的早泄程度低于对照组之外，他们在性行为方面没有发现明显的差异。最后，82.14%的对照组患者接受了性心理治疗，而患有早泄的患者只有53.85%接受了性心理治疗：结论：如果男性同时患有勃起功能障碍，对其进行性心理治疗的效果会更差。优点和局限性：从临床角度来看，评估患有 ED 的男性是否存在人格障碍并实施性心理治疗策略以改善这些病例的治疗效果非常重要。有必要用更大的样本来确认结果。
Influence of personality disorders on sexual behaviours and response to treatment of psychogenic erectile dysfunction in phosphodiesterase 5 inhibitor non-responders.
Background: Personality disorders may influence sexual behaviours and sexual dysfunction.
Aim: Our main objective was to analyse the influence of personality disorders (PDs) in patients with erectile dysfunction (ED) of psychological origin that fail to respond to andrological treatment with Phosphodiesterase-5 inhibitors (IPDE5), assessing whether there are differences in sexual behaviours and response to psychosexual treatment.
Methods: The research is designed as an ex post facto retrospective study with two groups. A control group of 23 men with ED without personality disorders and a group of 51 men with both ED and PDs.
Results: In the case sample, 34.30% of the participants presented more than one personality disorder. No significant differences were found in sexual behaviours except for heteromasturbation (men without PDs masturbated their partners more to satisfy them than men with PDs), and men with PDs considered themselves less premature ejaculators than the control group. Finally, 82.14% of the control group did well with psychosexual therapy compared to 53.85% of the PDs group.
Conclusion: Psychosexual treatment of ED has a worse outcome if the men also have PDs. Strengths and Limitations: from a clinical standpoint, it is important to assess the presence of personality disorders in men with ED and to implement psychosexual strategies to improve the response to treatment in these cases. Confirmation of the results with a much larger sample becomes necessary.
期刊介绍：
Frontiers in Psychology is the largest journal in its field, publishing rigorously peer-reviewed research across the psychological sciences, from clinical research to cognitive science, from perception to consciousness, from imaging studies to human factors, and from animal cognition to social psychology. Field Chief Editor Axel Cleeremans at the Free University of Brussels is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. The journal publishes the best research across the entire field of psychology. Today, psychological science is becoming increasingly important at all levels of society, from the treatment of clinical disorders to our basic understanding of how the mind works. It is highly interdisciplinary, borrowing questions from philosophy, methods from neuroscience and insights from clinical practice - all in the goal of furthering our grasp of human nature and society, as well as our ability to develop new intervention methods.
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