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Cited by 121Sexual function and dysfunction studiesSexuality, Behavior, and TechnologyAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Psychological determinants of erectile dysfunction: Testing a cognitive–emotional model

Nobre, Pedro J.·2010·The Journal of Sexual Medicine
DOI 10.1111/j.1743-6109.2009.01656.x
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Abstract

INTRODUCTION: Recent studies have shown the impact of sexual dysfunctional beliefs, negative cognitive schemas, negative automatic thoughts, and depressed affect on male erectile dysfunction. Despite this fact, there are only few conceptual models that try to integrate these findings, and more importantly, there is a lack of studies that test the validity of those conceptual models. AIM: The aim of the present article was to test a cognitive-emotional model for erectile dysfunction. Taking previous research findings into account, we developed a cognitive-emotional model for erectile disorder (ED) and used path analysis to test it. METHODS: A total of 352 men (303 participants from the general population and 49 participants with a DSM-IV diagnosis of sexual dysfunction) answered a set of questionnaires assessing cognitive and emotional variables. MAIN OUTCOME MEASURES: Erectile Function measured by the EF subscale of the International Index of Erectile Function, cognitive schemas measured by the Questionnaire of Cognitive Schema Activation in Sexual Context, sexual beliefs measured by the Sexual Dysfunctional Beliefs Questionnaire, thoughts and emotions measured by the Sexual Modes Questionnaire. RESULTS: The effects of the main proposed direct predictors explained 55% of the erectile function variance (R = 0.74). Most remaining direct effects proposed in the model were also statistically significant. The analysis of the absolute residuals showed that most of the implied correlations were close to the observed zero order correlations, indicated the adjustment of the model to the observed data. CONCLUSIONS: These findings support the role played by cognitive and emotional factors on the predisposition and maintenance of male erectile dysfunction and suggest important implications for assessment and treatment of ED.

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  • Negative automatic thoughts and macho-beliefs that involve unrealistic, unattainable expectations of male sexual performance may predispose men to get trapped into a vicious circle of ED.

    “In addition to cognitive distraction, negative automatic thoughts (eg, I am a failure, I need to perform, my erection is not firm enough) and macho-beliefs that involve unrealistic, unattainable expectations of male sexual performance (eg, penile erection is essential for a woman's sexual satisfaction, failing to get an erection may result in the woman leaving me) may predispose men to get trapped”

    From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [23]

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Authors
Nobre, P. J.
Affiliations
University of Trás-os-Montes and Alto Douro (PT)
Corresponding author
Nobre, Pedro J.
ORCID
Nobre, Pedro J.
Venue
The Journal of Sexual Medicine
Publisher
Oxford University Press (OUP)
Published
2010-04-01
Volume
7
Issue
4_Part_1
Pages
1429-1437
ISSN
  • 1743-6095 (ISSN-L)
  • 1743-6109
DOI
10.1111/j.1743-6109.2009.01656.x
OpenAlex
W1926346160
Cited by
121
References
31
Citations by year
2026: 6 · 2025: 5 · 2024: 9 · 2023: 10 · 2022: 7 · 2021: 9 · 2020: 8 · 2019: 7 · 2018: 8 · 2017: 12 · 2016: 9 · 2015: 10 · 2014: 6 · 2013: 3 · 2012: 1
FWCI
3.05
Type
journal article
Language
en
Open access
closed
Licence
academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
Locations
  • The Journal of Sexual Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
  • Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
erectile dysfunction, cognitive schemas, negative automatic thoughts, depressive affect, sexual dysfunction, erectile function, sexual beliefs, men
MeSH terms
Adolescent, Adult, Aged, Attitude, Cognition, Emotions, Humans, Erectile Dysfunction, Male, Middle Aged, Penile Erection, Surveys and Questionnaires, Cognitive Behavioral Therapy, Sexual Dysfunctions, Psychological, Young Adult

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