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Clinical Outcomes of a New Self-Help Booklet for Premature Ejaculation

机译:新的自助式早泄手册的临床结果

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Introduction. Premature ejaculation (PE) is quite common. Although effective treatments do exist, only a few affected people consult a practitioner in order to overcome their problem. At the same time, studies have shown that reading didactical documents about their PE problem (bibliotherapy) can be useful to men. Aim. The aim of this study was to improve the bibliotherapy approach using up-to-date knowledge and techniques. The expected benefits were the following: (i) an effective manual shorter than previous ones; (ii) easier to assimilate therapeutic principles; and (iii) a method thereby made accessible to a broad population most of whom usually do not consult for this type of sexual problem. Method. A short bibliotherapy titled The Practical Guide of PE[in French] was tested among PE subjects who were diagnosed with PE according to Diagnostic and Statistical Manual of Mental Disorders, fourth edition, text revision criteria. Assessments were made at baseline (N=421), at 4-8 months (N=120), and at 10-14 months (N=79) after they read The Practical Guide. A control group of 66 subjects was left on a waiting list and was assessed 2 months after baseline. Main Outcome Measures. The main outcome measures are self-reported ejaculatory latency time, feeling of control upon ejaculation, sexual satisfaction, distress related to PE, anxiety experienced during sexual intercourse, and sexual cognitions (Sexual Irrationality Questionnaire). Results. Significant improvements were found for all the self-reported parameters, both at 4-8 and at 10-14 months after the bibliotherapy. The improvements were associated with an adjustment of sexual cognitions. The response to treatment seemed better for those subjects with moderate PE. Although the severity criteria used in this study did not precisely meet the International Society for Sexual Medicine criteria for lifelong PE, they were likely related. The response did not seem to be affected by variables such as age, education, or personality. Conclusion. Its cost/benefit ratio makes The Practical Guide a valuable therapeutic tool.
机译:介绍。早泄(PE)很常见。尽管确实存在有效的治疗方法,但只有少数受影响的人向医生咨询,以解决他们的问题。同时,研究表明,阅读有关他们的PE问题(文献疗法)的教学资料对男性可能有用。目标。这项研究的目的是使用最新的知识和技术来改进文献治疗方法。预期的好处如下:(i)比以前的手册短的有效手册; (ii)更容易吸收治疗原则; (iii)从而使大多数人通常不咨询这类性问题的广泛方法。方法。根据《精神障碍诊断和统计手册》第四版,文本修订标准,对被诊断患有体育锻炼的体育受试者进行了题为《体育锻炼实用指南》的简短书目治疗。阅读《实用指南》后,分别在基线(N = 421),4-8个月(N = 120)和10-14个月(N = 79)进行评估。对照组的66名受试者被留在等待名单上,并在基线后2个月进行评估。主要观察指标。主要结局指标是自我报告的射精潜伏时间,射精时的控制感,性满足感,与体育有关的困扰,性交时经历的焦虑和性认知(性非理性问卷)。结果。在文献治疗后的4-8个月和10-14个月,所有自我报告的参数均得到了显着改善。改善与性认知的调整有关。对于那些患有中度PE的受试者,对治疗的反应似乎更好。尽管在这项研究中使用的严重性标准并不能完全符合国际性医学协会关于终生PE的标准,但它们可能是相关的。响应似乎不受年龄,文化程度或性格等变量的影响。结论。它的成本/收益比使《实用指南》成为有价值的治疗工具。

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