Evaluation of risky decision-making and impulsivity in individuals with premature ejaculation

Abstract

Objective Different mechanisms such as psychological, neurobiological, autonomic, and genetic factors might be involved in the etiology of lifelong Premature Ejaculation (PE). Albeit cortical activity changes have been reported, the relationship between PE and impulsivity/decision-making is minimally studied to date. The present study aimed to assess impulsivity and risky decision-making in individuals with lifelong PE for the first time. Method 26 lifelong PE patients were diagnosed by the International Society for Sexual Medicine (ISSM-2014) criteria and 26 healthy volunteers were recruited. The Premature Ejaculation Diagnostic Tool (PEDT), International Erectile Function Index (IIEF), Barratt Impulsiveness Scale-11 (BIS-11), Patient Health Questionnaire-9 (PHQ-9), Balloon Analogue Risk Task (BART), and Monetary Choice Questionnaire-27 (MCQ-27) were administered. Results The mean age was 37.28 (18-55). No differences were found between groups in risky decision-making and impulsivity. Conclusion No alterations of impulsivity and risky decision-making were found in lifelong PE patients. Impulsivity may only exist in a subset of individuals with lifelong PE or may only be evident in neural levels or specific subtypes of impulsivity.

Keywords

• Decision-making
• delay discounting
• impulsivity
• neurophysiology
• premature ejaculation

Prematür Ejakülasyon Tanılı Bireylerde Karar Verme ve Dürtüselliğin Değerlendirilmesi

Abstract

Amaç: Yaşamboyu Prematür Ejakülasyon (PE) etiyolojisinde psikolojik, nörobiyolojik, otonomik ve genetik faktörler gibi farklı mekanizmalar rol oynayabilir. Kortikal aktivite değişiklikleri bildirilmiş olsa da, PE ile dürtüsellik/karar verme arasındaki ilişki bugüne kadar çok az çalışılmıştır. Bu çalışma, yaşam boyu PE'si olan bireylerde ilk kez dürtüsellik ve riskli karar vermeyi değerlendirmeyi amaçlamaktadır. Gereç ve Yöntem: Uluslararası Cinsel Tıp Derneği (ISSM-2014) kriterlerine göre 26 yaşamboyu PE hastası teşhis edildi ve 26 sağlıklı gönüllü çalışmaya alındı. Prematür Ejakülasyon Tanısal Aracı (PEDT), Uluslararası Erektil Fonksiyon İndeksi (IIEF), Barratt Dürtüsellik Ölçeği-11 (BIS-11), Hasta Sağlık Anketi-9 (PHQ-9), Balon Analog Risk Görevi (BART) ve Parasal Seçim Anketi-27 (MCQ-27) uygulandı. Bulgular: Örneklemin yaş ortalaması 37.28 (18-55) idi. Riskli karar verme ve dürtüsellik açısından gruplar arasında fark bulunmadı. Sonuç: Yaşam boyu PE hastalarında dürtüsellikte ve riskli karar vermede herhangi bir değişiklik bulunmadı. Dürtüsellik, yalnızca yaşamboyu PE'si olan bireylerin bir alt kümesinde mevcut olabilir veya yalnızca nöral seviyelerde veya belirli dürtüsellik alt tiplerinde belirgin olabilir.

Keywords

• dürtüsellik
• karar verme
• nörofizyoloji
• prematür ejakülasyon
• zamansal değersizleştirme

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