积极心理学的延伸与拓展模式下心理干预对心因性勃起功能障碍患者性心理弹性及勃起功能的影响  

Psychological intervention based on the extension and expansion of positive psychology model improves psychosexual resilience and erectile function in patients with psychogenic ED

作　　者：刘文容 田丽[1] 李娜[1] LIU Wen-rong;TIAN Li;LI Na(Center of Andrology and Sexual Medicine,The Second Hospital Affiliated to Dalian Medical University,Dalian,Liaoning 116021,China)

机构地区：[1]大连医科大学附属第二医院男科及性医学中心,辽宁大连116021

出　　处：《中华男科学杂志》2025年第2期144-149,共6页National Journal of Andrology

摘　　要：目的:分析积极心理学的延伸与拓展(PERMA)模式下心理干预对心因性勃起功能障碍(ED)患者性心理弹性及勃起功能的影响。方法:选取我院2023年9月至2024年8月确诊的122例心因性ED患者,采用前瞻性、单盲、随机对照试验设计方案将其分为试验组和对照组各61例,两组基础药物治疗保持一致,试验组在基础药物治疗的同时接受PERMA模式干预,两组疗程均为8周,对比干预前后的国际勃起功能指数-5(IIEF-5)、心理弹性量表(CD-RISC)、自尊及性关系满意度、性生活质量指标差异。结果:试验组治疗2、4、8周后的IIEF-5显著高于对照组(P<0.05);治疗前,两组心理弹性各维度评分均无显著差异,8周治疗后,试验组个人能力、抗压能力、控制、精神影响、心理弹性总分均显著高于对照组(P<0.05);治疗前,两组自尊及性关系满意度评分无显著差异,8周治疗后,试验组自尊评分、性关系满意度评分、量表总分均显著高于对照组(P<0.05);治疗前,两组平均有效勃起次数、平均每次勃起时间、平均勃起硬度均无显著差异,8周治疗后,试验组平均有效勃起次数、平均每次勃起时间、平均勃起硬度均显著高于对照组(P<0.05)。结论:心因性ED患者在积极给予药物治疗的同时,采取PERMA模式实施心理干预,有利于提升患者的心理弹性水平,改善患者的勃起功能。Objective:To investigate the effect of psychological intervention based on the extension and expansion of positive psychology(PERMA)model on sexual psychological resilience(PR)and erectile function in patients with psychogenic erectile dysfunction(pED).Methods:This prospective,single-blind,randomized controlled trial included 122 cases of pED diagnosed in our hospital from September 2023 to August 2024,which were equally divided into a trial and a control group,the former treated by PERMA-based psychological intervention in addition to drug therapy,while the latter by drug therapy only.After 2,4 and 8 weeks of treatment,we obtained the scores of the patients on IIEF-5,Connor-DavidsonResilience Scale(CD-RISC),Self-Esteem and Sexual Relationship Satisfaction Scale(SESRS)and the quality of sexual life,and compared them between the two groups before and after intervention.Results:At 2,4 and 8 weeks after treatment,the IIEF-5 scores were significantly lower in the trial than in the control group(P<0.05).There were no statistically significant differences in the baseline scores on any dimensions of CD-RISC between the two groups,while after 8 weeks of treatment,the scores on personal abilities,stress resistance,control,mental influence and total CD-RISC scores were all remarkably higher in the trial group than in the control(P<0.05).No statistically significant differences were observed between the two groups before treatment either in the SESRS scores,or in the average number of effective erections,average duration of each erection and average erection hardness.After 8 weeks of treatment,the patients in the trial group,compared with the controls,showed marked increases in self-esteem,sexual relationship satisfaction and total SESRS scores,as well as in the average number of effective erections,average duration of each erection and average erection hardness(P<0.05).Conclusion:For the treatment of pED,PERMA-based psychological intervention in addition to active medication contributes to elevating the psychological resil

关 键 词：积极心理学 延伸与拓展模式 心理干预 心因性 勃起功能障碍 心理弹性 勃起功能 

分 类 号：R698.1[医药卫生—泌尿科学] R395.5[医药卫生—外科学]