从女性的心理角度分析早泄患者抑郁发病的风险

发布时间：2018-01-07 10:11

本文关键词：从女性的心理角度分析早泄患者抑郁发病的风险　出处：《安徽医科大学》2014年硕士论文　论文类型：学位论文

【摘要】：目的：从性伴侣的心理角度分析早泄患者抑郁症发病的风险，将为进一步提示早泄的发病机制提供重要的线索，同时将为探寻合理、有效及个体的早泄心理治疗提供重要的依据。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侣的相关病史资料（主要包括性功能、精神心理情况等）。所有参与调查的患者及其性伴侣的年龄均≥18岁，具有6个月以上持续、稳定的性生活史。伴有器质性精神疾病和（或）曾服用导致射精障碍药物的患者将被排除。本研究主要运用调查问卷的方式收集相关数据，主要包括：基本人口信息、生活习惯、病程、性生活及用药史、抑郁自评量表（SDS)等。性伴侣的调查内容，除上述内容外，还包括自述症状评价工具（Patient-Reported Outcome Measures）。早泄的诊断主要依据（ISSM）所提出的早泄诊断标准，包括（1）射精时间≤1分钟；（2）出现射精控制能力的下降；（3）出现焦虑、抑郁等伴随症状。结果：依据SDS抑郁自评量表，584名早泄患者（平均年龄：30.17±10.09岁）和594名性伴侣（平均年龄：27.61±9.54岁）被诊断为伴有抑郁症状，抑郁症状的患病率分别为32.14%和32.69%。其中早泄患者伴有抑郁症状的严重程度分别为轻度54.97%,中度31.85%，重度13.18%。而其性伴侣抑郁症状的严重程度分别为轻度51.51%，中度30.98%，重度18.52%。在分析性伴侣心理因素的过程中，，我们进一步发现性伴侣“对待早泄问题所持有的态度”、“伴随抑郁症状的严重程度”、“对待性生活满意的程度”以及“出现人际沟通障碍的程度”，在早泄患者是否伴有抑郁症状方面，组间差异具有统计学意义（所有因素P0.001），即说明上述心理因素与早泄患者抑郁症状的发病存在一定的联系。通过多元回归分析后发现，患者性伴侣“对待早泄问题持有消极或中立的态度”，“伴有轻度到重度的抑郁症状”，“对待性生活一般满意到非常不满意”以及出现“轻微的人际沟通障碍到严重的沟通障碍”是早泄患者抑郁发病的危险因素。结论：早泄患者及其性伴侣均伴有不同程度的心理问题，而消极的心理态度将不同程度地影响早泄发病的过程。性伴侣的心理因素，如“对待早泄问题所持有的态度”、“伴随抑郁症状的严重程度”、“对待性生活满意的程度”以及“出现人际沟通障碍的程度”均与早泄患者抑郁症状的发病相关。性伴侣“对待早泄问题持有消极或中立的态度”，“伴有轻度到重度的抑郁症状”，“对待性生活一般满意到非常不满意”以及出现“轻微的人际沟通障碍到严重的沟通障碍”是早泄患者抑郁发病的危险因素。
[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.

【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R698;R749.4

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