台灣泌尿科醫學會
心理因素對於勃起功能障礙病人的影響
丁偉峰、陳煜、陳景彥、謝明里、黃世聰、黃信介、許毓昭、張博誌、李威昌
林口長庚紀念醫院 外科部 泌尿外科
Psychological Impact of Patients with Erectile Dysfunction
Wei-Feng Ding1, Yu Chen1, Ching-Yen Chen2, Ming-Li Hsieh1, Shih-Tsung Huang1,
Hsin-Chien Huang1, Yu-Chao Hsu1, Po-Chih Chang1, Wei-Chang Lee1
Division of Urology, Department of Surgery, Chang Gung Memorial Hospital, Linkou,Taiwan1, Department of Psychiatry, Chang Gung Memorial Hospital,Linkou, Taiwan2
Purpose: Few studies have objectively examined the relationship between psychological diseases and various stages of male sexual function. Our study is to investigate if there is any other psychological factors that related to patients with erectile dysfunction
Materials and Methods: This retrospective study enrolled consecutive 231 patients who visited the men’s health combined clinic at Taoyuan CGMH during July 2008 to March 2009. Self-administered questionnaires included comprehensive bio-psycho-social surveys were fulfilled by patients with assisting. Questionnaires were used to evaluate different psychological factors including Androgen Deficiency in Aging Males (ADAM), Aging Males’ Symptoms (AMS) Rating Scale, Insomnia Severity Index (ISI), The Chinese Version of the Beck Depression Inventory-II (BDI-II), The Chinese Version of the Beck Anxiety Inventory (BAI), Gotland Male Depression Scale (GMDS), International Index of Erectile Function (IIEF-5), and Situational Fatigue Scale (SFS). We analyzed the relationships of different psychological factors with erectile dysfunction in different complaint groups with the software of SPSS 22.0.
Results: We found that the self-reported erectile dysfunction complaint had significant statistical difference with other complaint groups in AMS-psychological factors (p=0.011), AMS-sex factors (p<0.001), Gotland Male Depression Scale (GMDS) (p=0.02), Beck Anxiety Inventory (BAI) (p=0.002), International Index of Erectile Function (IIEF-5) (p<0.001). Bidirectional distributions in age were found in scores of IIEF-5 and SFS. Otherwise, GMDS, BAI, BDI-II, and ISI scores were higher in younger patients who less than 30 years old.
Conclusions: Our study showed that patients with erectile dysfunction maybe impacted by their depression or anxiety status according to the GMDS and BAI. Erectile dysfunction is more common among younger men than previous thought.