Epidemiological Study On Psychological Disorders Of Patients With Premature Ejaculation

Objective To investigate the prevalence and relevant factor of psychological disordersof patients with premature ejaculation (PE), and explore the relationship betweenmental disorder and PE.Methods From September2009to September2011,the Self-Rating Anxiety Scale (SAS)and Self-Rating Depression Scale (SDS), Chinese Index of Sexual Function forPremature Ejaculation (CIPE-5), NIH-Chronic Prostatitis Symptom Index (NIH-CPSI),International Index of Erectile Function (IIEF-5) and self-designed questionnaire wereemployed to investigate psychological status of1164patients with PE. The relevancebetween scores of SAS, SDS and such parameters as NIH-CPSI score, CIPE-5score,erectile function, age, disease duration, occupation, education, personalitycharacteristics and other factors were evaluated. SPSS13.0software package wasapplied in the analysis of all the data through descriptive statistical analysis. T test wasused for the compare means between two groups, analysis of variance was applied forthe compare means among multi-groups and chi-square test was employed for thecomparison of rates. If P was less than0.05, the difference was considered statisticallysignificant.Results1164PE patients were18-66years old with a mean age of35.3and wereclassified as lifelong PE (40.3%) and acquired PE (59.7%), the SAS, SDS scores of1164cases with PE were respectively43.87±10.53,44.05±9.81, higher than thedomestic norm significantly (P <0.001), if the cut-off points were set at SAS≥50, SDS≥53,341(29.3%) cases had symptoms of anxiety,217(18.6%) patients had symptoms ofdepression. With the course of disease prolonged, the SAS grades, SDS grades anddetectable rate of symptoms showed marked arising trend; The higher the CPSI grades,the higher the SAS grades, SDS grades and detectable rate of symptoms; The lower theCPSI grades, the worse the premature ejaculation condition. At the same time, SASgrades, SDS grades and detectable rate of symptoms were evidently on the rise;compared with the group with normal erectile function, SAS grades, SDS grades anddetectable rate of symptoms of the group with decreased erectile function wereobviously going up. The SAS, SDS scores and detection rate of anxiety and depressionwere correlated with the CIPE-5score, NIH-CPSI score, erectile function, duration ofdisease, personality characteristics (P<0.05), while they were not correlated with age, occupation, education.Conclusions Psychological disorders are widely exist in patients with PE and have aclose relationship with a variety of factors. PE can not be simply regarded as physicaldisease, the incidence, development and prognosis of which are all closely related withpsychological factors.