本文關(guān)鍵詞：從女性的心理角度分析早泄患者抑郁發(fā)病的風險　出處：《安徽醫(yī)科大學》2014年碩士論文　論文類型：學位論文

  更多相關(guān)文章： 早泄 心理障礙 抑郁 性伴侶

【摘要】：目的：從性伴侶的心理角度分析早泄患者抑郁癥發(fā)病的風險，將為進一步提示早泄的發(fā)病機制提供重要的線索，同時將為探尋合理、有效及個體的早泄心理治療提供重要的依據(jù)。 方法：2010年1月至2012年1月共收集了1807名早泄患者及其性伴侶的相關(guān)病史資料（主要包括性功能、精神心理情況等）。所有參與調(diào)查的患者及其性伴侶的年齡均≥18歲，具有6個月以上持續(xù)、穩(wěn)定的性生活史。伴有器質(zhì)性精神疾病和（或）曾服用導致射精障礙藥物的患者將被排除。本研究主要運用調(diào)查問卷的方式收集相關(guān)數(shù)據(jù)，主要包括：基本人口信息、生活習慣、病程、性生活及用藥史、抑郁自評量表（SDS)等。性伴侶的調(diào)查內(nèi)容，除上述內(nèi)容外，還包括自述癥狀評價工具（Patient-Reported Outcome Measures）。早泄的診斷主要依據(jù)（ISSM）所提出的早泄診斷標準，包括（1）射精時間≤1分鐘；（2）出現(xiàn)射精控制能力的下降；（3）出現(xiàn)焦慮、抑郁等伴隨癥狀。 結(jié)果：依據(jù)SDS抑郁自評量表，584名早泄患者（平均年齡：30.17±10.09歲）和594名性伴侶（平均年齡：27.61±9.54歲）被診斷為伴有抑郁癥狀，抑郁癥狀的患病率分別為32.14%和32.69%。其中早泄患者伴有抑郁癥狀的嚴重程度分別為輕度54.97%,中度31.85%，重度13.18%。而其性伴侶抑郁癥狀的嚴重程度分別為輕度51.51%，中度30.98%，重度18.52%。在分析性伴侶心理因素的過程中，，我們進一步發(fā)現(xiàn)性伴侶“對待早泄問題所持有的態(tài)度”、“伴隨抑郁癥狀的嚴重程度”、“對待性生活滿意的程度”以及“出現(xiàn)人際溝通障礙的程度”，在早泄患者是否伴有抑郁癥狀方面，組間差異具有統(tǒng)計學意義（所有因素P0.001），即說明上述心理因素與早泄患者抑郁癥狀的發(fā)病存在一定的聯(lián)系。通過多元回歸分析后發(fā)現(xiàn)，患者性伴侶“對待早泄問題持有消極或中立的態(tài)度”，“伴有輕度到重度的抑郁癥狀”，“對待性生活一般滿意到非常不滿意”以及出現(xiàn)“輕微的人際溝通障礙到嚴重的溝通障礙”是早泄患者抑郁發(fā)病的危險因素。 結(jié)論：早泄患者及其性伴侶均伴有不同程度的心理問題，而消極的心理態(tài)度將不同程度地影響早泄發(fā)病的過程。性伴侶的心理因素，如“對待早泄問題所持有的態(tài)度”、“伴隨抑郁癥狀的嚴重程度”、“對待性生活滿意的程度”以及“出現(xiàn)人際溝通障礙的程度”均與早泄患者抑郁癥狀的發(fā)病相關(guān)。性伴侶“對待早泄問題持有消極或中立的態(tài)度”，“伴有輕度到重度的抑郁癥狀”，“對待性生活一般滿意到非常不滿意”以及出現(xiàn)“輕微的人際溝通障礙到嚴重的溝通障礙”是早泄患者抑郁發(fā)病的危險因素。
[Abstract]:Objective: to analyze the risk of depression in premature ejaculation patients from the psychological perspective of sexual partners, and to provide important clues for further hinting the pathogenesis of premature ejaculation, and to provide important evidence for exploring reasonable, effective and individual premature ejaculation psychotherapy.
Methods: from January 2010 to January 2012 were collected and the related history data of 1807 patients with premature ejaculation and sexual partners (including mental function, etc.). All patients surveyed and their sexual partners were age greater than 18 years, with more than 6 months of continuous, stable life with organic mental history. The disease and (or) had taken the lead to ejaculation disorder medication will be excluded. Collect relevant data, this study mainly uses the questionnaire mainly includes: basic demographic information, lifestyle, disease, sexual life and medication history, self rating Depression Scale (SDS). The investigation content of sexual partners, in addition to the above content, including self-reported symptoms (Patient-Reported Outcome Measures) evaluation tools. The main basis for the diagnosis of premature ejaculation premature ejaculation (ISSM) diagnostic criteria proposed, including (1) ejaculation time less than 1 minutes; (2) occurrence ejaculation control The decrease of the force; (3) the symptoms of anxiety, depression and so on.
Results: according to SDS self rating depression scale, 584 patients with premature ejaculation (average age: 30.17 + 10.09 years) and 594 women (average age: 27.61 + 9.54 years) diagnosed with depressive symptoms, the prevalence of depressive symptoms was 32.14% 32.69%. and the severity of depressive symptoms in patients with premature ejaculation were 54.97% mild, 31.85% moderate, severe 13.18%. and the severity of depressive symptoms of the partner were mild 51.51%, moderate 30.98%, severe 18.52%. in the process of analysis of partner psychological factors, we further found that the partner "attitude" towards the problem of premature ejaculation holds, "severity" associated with depressive symptoms. "Dealing with sexual satisfaction" and "degree" of interpersonal communication disorder in patients with premature ejaculation, whether accompanied with depressive symptoms, there was significant difference between two groups (all for P0.001), which said There must be a relationship between the psychological factors and the incidence of the depressive symptoms in patients with premature ejaculation. Through multiple regression analysis found that sexual partners "patients treat premature ejaculation problems have negative or neutral attitude", "mild to severe depressive symptoms", "treat life like a satisfied to very dissatisfied" and "interpersonal communication barriers in mild to severe communication disorders" is a risk factor for depression in patients with premature ejaculation.
Conclusion: the patients with premature ejaculation and sexual partners were associated with different degrees of psychological problems, and negative mental attitude will affect the process of premature ejaculation disease. Psychological factors of sexual partners, such as "treat premature ejaculation problems attitude", "with the severity of depressive symptoms," and the incidence of patients with depressive symptoms premature ejaculation related to sexuality satisfaction "and" degree "interpersonal communication disorder. Sexual partners" treat premature ejaculation problems have negative or neutral attitude "," mild to severe depressive symptoms, "" very dissatisfied "and" interpersonal communication disorder mild to serious communication barriers "is a risk factor for depression in patients with premature ejaculation to sexual life of general satisfaction.

【學位授予單位】：安徽醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R698;R749.4

【參考文獻】

相關(guān)期刊論文 前4條

1 李們;朱貴升;許蓬;孫龍浩;王平;;心理行為干預在早泄治療中的作用[J];中華男科學雜志;2006年08期

2 薛s

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