Psychosocial factors associated with male sexual difficulties
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The role of medical conditions, childhood experiences, and psychological and relationship factors in the development and maintenance of male sexual difficulties is not well understood. Using self-report questionnaires, the current study examined how these factors are associated with male sexual difficulties overall, as well as for each of four separate problems (low sexual desire, erectile difficulties, premature ejaculation, delayed ejaculation). The participants for the study were 331 Australian men from the general population, all of whom were in cohabiting heterosexual relationships and had experienced one or more of the aforementioned sexual problems. Data were collected via an online survey between January 2010 and April 2011. The results demonstrated that medical factors as well as current psychological factors (e.g., performance anxiety) were most likely associated with each male sexual difficulty. These findings are in contrast to those obtained with women, where relationship factors are strongly related to female sexual problems. They would suggest that the targets for sex therapy may be different for men and women, with medical problems and performance anxiety being the primary targets for men.
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Erectile function involves a dynamic interplay between vascular, neurologic, hormonal, psychological and relational/social factors.
“erectile function involves a dynamic interplay between vascular, neurologic, hormonal as well as psychological and relational/social factors.4,5”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [4]
Psychological treatment involves reducing anxiety, challenging cognitive beliefs, increasing sexual stimulation, disrupting sexual avoidance, and interpersonal interventions such as communication skills training.
“Statement #15: Psychological treatment involves reducing anxiety, challenging cognitive beliefs, increasing sexual stimulation, disrupting sexual avoidance, and interpersonal interventions such as communication skills training (Level 2, Grade B).”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [4]
Psychological treatment programs commonly include psychoeducation, anxiety reduction and desensitization, cognitive therapy and sexual fantasy training, increasing sexual stimulation, and couple interventions.
“Psychological treatment programs commonly include the following components: psychoeducation; anxiety reduction and desensitization; cognitive therapy and sexual fantasy training; increasing sexual stimulation; and couple interventions.4,108,122”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [4]
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- Authors
- McCabe, M. P., & Connaughton, C.
- Affiliations
- Deakin University (AU)
- Corresponding author
- McCabe, Marita P.
- Venue
- The Journal of Sex Research
- Publisher
- Informa UK Limited
- Published
- 2013-07-16
- Volume
- 51
- Issue
- 1
- Pages
- 31-42
- ISSN
- 0022-4499 (ISSN-L)
- 1559-8519
- OpenAlex
- W1967137946
- Cited by
- 74
- References
- 51
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 1 · 2023: 8 · 2022: 7 · 2021: 8 · 2020: 2 · 2019: 5 · 2018: 5 · 2017: 9 · 2016: 10 · 2015: 7
- FWCI
- 4.02
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Licence
- cc-by
- Locations
- The Journal of Sex Research (publishedVersion)
- PubMed (publishedVersion)
- Research Bank (Australian Catholic University) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Health Sciences › Medicine › Urology › Urological Disorders and Treatments
- Keywords
- male sexual dysfunction, psychosocial factors, low libido, erectile dysfunction, premature ejaculation, delayed ejaculation, performance anxiety, health conditions, childhood experiences, relationship factors, sex therapy, male sexuality
- MeSH terms
- Adult, Aged, Anxiety, Australia, Depression, Female, Humans, Male, Middle Aged, Quality of Life, Severity of Illness Index, Sexual Behavior, Sexual Dysfunction, Physiological, Sexual Partners, Socioeconomic Factors, Comorbidity, Prevalence, Sexual Dysfunctions, Psychological, Young Adult
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