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Cited by 14Sexual function and dysfunction studiesAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesSexuality, Behavior, and Technology

Cognitive attentional syndrome and metacognitive beliefs in male sexual dysfunction: an exploratory study

Open access
Giuri, Simona, Caselli, Gabriele, Manfredi, Chiara, Rebecchi, Daniela, Granata, Antonio, Ruggiero, Giovanni Maria, Veronese, Guido·2017·American Journal of Men s Health
DOI 10.1177/1557988316652936PMC PMC5675226
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Abstract

Erectile dysfunction (ED) and premature ejaculation (PE) are two forms of male sexual disorder with both psychological and physical features. While their cognitive, attentional, and affective components have been investigated separately, there is a lack of knowledge about the role played by cognitive attentional syndrome in their onset and maintenance. The aim of the present study was to investigate the possible contribution of perseverative thinking styles and thought control strategies to the development and maintenance of ED and PE. The authors hypothesized that such modes of processing might constitute a cognitive attentional syndrome specific to these disorders and sustained by particular metacognitive beliefs. A semistructured interview was administered to 11 participants with ED and 10 with PE in order to assess their metacognitive beliefs and cognitive attentional processes. The results suggest that individuals with ED and PE adopt a range of cognitive attentional strategies aimed at improving their sexual performance, and endorse both positive and negative metacognitive beliefs about these thinking responses. Overall, their cognitive and attentional patterns worsened negative internal states, reduced sexual excitement, detached them from their bodily sensations, and hindered sexual functioning. These preliminary findings suggest that perseverative thinking, thought control strategies, and metacognitive beliefs may play a key role in the onset and maintenance of male sexual dysfunction.

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  • Some men will avoid sexual activity, thereby maintaining or worsening the initial negative affect associated with sex.

    “Eventually, some men will avoid sexual activity, thereby maintaining or worsening the initial negative affect associated with sex.19,21”

    From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [21]

    The Discussion (page unavailable) says cognitive and attentional patterns can worsen negative emotional states, and one participant reported that rumination left him unable to have intercourse. It does not say that men avoid sexual activity or that avoiding it maintains or worsens negative affect. (LLM, conf=0.79)

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  • Men with ED report lower levels of self-confidence, more negative self-schemas, and a negative body-image.

    “There is also evidence showing that men with ED report lower levels of self-confidence, more negative self-schema's, and a negative body-image.21,32, 33, 34, 35”

    From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [21]

    In “Cognitive Style During a Negative Sexual Experience” (page unavailable), participants with ED reported negative expectations about maintaining an erection, which lends limited support to the claim about self-confidence. The paper does not establish that men with ED have lower overall self-confidence, more negative self-schemas, or a negative body image; its reported negative metacognitive beliefs concern their thought patterns and sexual functioning. (LLM, conf=0.77)

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1 of the 42 references couldn’t be matched to a known paper.

Research works printed but not linked: 2

  1. Nobre, P. J., & Pinto-Gouveia, J. (2003). Sexual modes ques- tionnaire: Measure to assess the interaction between cog- nitions, emotions, and sexual response. Journal of Sexual Research, 40, 368-382.
  2. Wells, A. (2000). Emotional disorders and metacognition: Innovative cognitive therapy. Chichester, England: Wiley.

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Authors
Giuri, S., Caselli, G., Manfredi, C., Rebecchi, D., Granata, A., Ruggiero, G. M., & Veronese, G.
Affiliations
  • Cognitive Psychotherapy School, Modena, Italy
  • University of Pavia (IT)
  • Azienda Unita' Sanitaria Locale Di Modena (IT)
  • Postgraduate School of Cognitive Psychotherapy, Milan, Italy
  • University of Milano-Bicocca (IT)
Corresponding author
Manfredi, Chiara
ORCID
Venue
American Journal of Men s Health
Publisher
SAGE Publications
Published
2016-06-08
Volume
11
Issue
3
Pages
592-599
ISSN
  • 1557-9883 (ISSN-L)
  • 1557-9891
DOI
10.1177/1557988316652936
PMC
PMC5675226
OpenAlex
W2409538458
Cited by
14
References
42
Citations by year
2025: 3 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 1 · 2020: 4
FWCI
0.00
Type
journal article
Language
en
Open access
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • American Journal of Men s Health (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • BOA (University of Milano-Bicocca) (submittedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
Keywords
cognitive attentional syndrome, metacognitive beliefs, erectile dysfunction, premature ejaculation, male sexual dysfunction, perseverative thinking, thought control strategies, sexual performance, sexual arousal
MeSH terms
Metacognition, Adult, Emotions, Humans, Erectile Dysfunction, Interviews as Topic, Male, Middle Aged, Surveys and Questionnaires, Cognitive Behavioral Therapy, Qualitative Research, Premature Ejaculation

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