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首页> 外文期刊>The journal of sexual medicine >Repressive coping style and its relation to psychosocial distress in males with erectile dysfunction.
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Repressive coping style and its relation to psychosocial distress in males with erectile dysfunction.

机译：勃起功能障碍男性的压抑应对方式及其与心理困扰的关系。

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INTRODUCTION: There is evidence that repressive coping adversely affects medical conditions such as coronary heart disease, hypertension, and bronchial asthma. Erectile dysfunction (ED) is known to have a severe and lasting negative impact on health, quality of life, and partnership. Although ED may be eminently threatening for the self-image of affected men, a repressive coping style and its consequences for their mental health and partnership has not yet been investigated. AIM: Based on the presumption that the male self-image is threatened by ED, we expected men with repressive coping strategies-although reporting the same degree of impairments regarding their sexual function-to describe themselves as more satisfied with: (i) their sexual relationship, to report (ii) a better quality of their partnership; and (iii) less distress (depression and physical complaints) as compared with those who do not use such strategies. METHODS: Fifty-nine patients with ED from the outpatient unit of the Clinic of Urology, Pediatric Urology and Andrology of the University of Giessen were examined using standardized German versions of international questionnaires. Coping style was determined using a combination of the State Trait Anxiety Inventory (STAI) and the Marlowe Crown Social Desirability Scale (SDS-CM) measuring defensiveness. MAIN OUTCOME MEASURES: Questionnaires measuring anxiety (STAI), depression (Center for Epidemiological Studies Depression Scale), social desirability (SDS-CM), quality of partnership (Partnership Questionnaire), and physical complaints (Complaint List) were administered. RESULTS: Repressors did not differ from nonrepressors with regard to their self-reported sexual function (International Index of Erectile Function). However, they described themselves as less distressed (depression, physical complaints) and rated the quality of their partnership as higher. CONCLUSION: Repressors tend to report their complaints in a manner that protects their self-worth. Clinicians therefore might have difficulties deciding whether and which treatment is necessary. Additional clinical information (e.g., interview together with the female partner) or questionnaires might prove useful sources of information on patients' coping style.
机译：简介：有证据表明，压制应对会对医学状况产生不利影响，例如冠心病，高血压和支气管哮喘。勃起功能障碍（ED）对健康，生活质量和伙伴关系产生严重而持久的负面影响。尽管ED可能会严重影响患病男子的自我形象，但尚未研究镇压应对方式及其对他们心理健康和伴侣关系的影响。目的：基于男性自我形象受到ED威胁的假设，我们期望男性采取压抑性应对策略，尽管报告其性功能受损程度相同，以描述自己对以下方面更满意：关系，以报告（ii）伙伴关系的质量; （iii）与不使用这类策略的人相比，痛苦程度较低（抑郁和身体不适）。方法：对吉森大学泌尿外科，小儿泌尿科和男科门诊门诊的59例ED患者进行了检查，使用的是国际标准问卷的德语版本。应对方式是通过结合州特质焦虑量表（STAI）和马洛皇冠社会期望量表（SDS-CM）来衡量防御能力来确定的。主要观察指标：进行问卷调查，评估焦虑（STAI），抑郁（流行病学研究中心抑郁量表），社会满意度（SDS-CM），伙伴关系质量（伙伴关系问卷）和身体不适（投诉清单）。结果：阻遏物与非阻抑物在自我报告的性功能（国际勃起功能指数）方面没有差异。但是，他们形容自己不那么苦恼（沮丧，身体不适），并且评价他们的合伙关系质量更高。结论：压制者倾向于以保护自己的自我价值的方式来报告他们的抱怨。因此，临床医生可能难以确定是否需要和哪种治疗方法。其他临床信息（例如，与女性伴侣一起进行访谈）或问卷调查可能证明是有关患者应对方式的有用信息来源。

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