PRİMER PREMATÜR EJEKÜLASYONDA ÇOCUKLUK ÇAĞI YAŞAM OLAYLARI*

Öz

Aim: In the present study, we aimed to investigate childhood abuse history in patients with primary
premature ejeculation (PPE). Method: Study group were randomly selected from outpatients of Mustafa
Kemal University Medical School Research and Training Hospital Department of Urology. Control group
was selected from healthy male volunteers. The subjects were examined by a psychiatrist. Beck Anxiety
Inventory and Childhood Trauma Questionnaire was performed to subjects by the same psychiatrist. Results:
The patients with PPE had significantly higher prevalence of childhood emotional abuse, physical abuse and
total abuse score compared with the control group. The rates of sexual abuse were similar to sexuel abuse.
Conclusion: Highly childhood abuse history in patients with PPE can inform us about cognitive causes of
premature ejeculation and therapeutic intervention options. 

Anahtar Kelimeler

• Primary premature ejeculation
• childhood abuse history
• emotional abuse
• physical abuse
• sexual abuse

PRİMER PREMATÜR EJEKÜLASYONDA ÇOCUKLUK ÇAĞI YAŞAM OLAYLARI*

Öz

Amaç: Biz bu çalışmada primer prematür ejekülasyonu (PPE) olan hastalarda öyküde çocukluk çaùı
yaşam olaylarını araştırmayı amaçladık. Metod: PPE olan hastalar Mustafa Kemal Üniversitesi Tıp Fakültesi
Araştırma Hastanesi Üroloji polikliniùine başvuran hastalar arasından rastgele seçildi. Kontrol grubu saùlıklı
erkek gönüllüler arasından seçildi. Katılımcılar psikiyatr tarafından deùerlendirildi. Bulgular: Kontrol
grubuna oranla PPE olan grupta çocukluk çaùı emasyonel trauma, fiziksel trauma anlamlı olacak şekilde
daha yüksekti. Cinsel trauma öyküsü oranları açısından ise anlamlı farklılık saptanmadı Sonuç: PPE’de
önemli oranda çocukluk trauma öyküsü bulunması bu hastalıùın bilişsel temelleri ve patolojinin tedavisinde
yaklaşım açısından fikir verici olabilir. 

Anahtar Kelimeler

• Primer prematür ejekülasyon
• çocukluk ça ı yaşam olayları
• emasyonel travma
• fiziksel travma
• cinsel travma

Kaynakça

1. Wylie KR, Ralph D. Premature ejaculation:
2. the current literature. Curr Opin Urol. 2005
3. Nov;15(6):393-8. Review.
4. Corona G, Petrone L, Mannucci E, et al. 2004.
5. Psycho-biological correlates of rapid
6. ejaculation in patients attending an andrologic
7. unit for sexual dysfunctions.Eur Urol.
8. (5):615-622

9. Corona G, Mannucci E, Petrone L, et al.
10. Psycho-biological correlates of free-floating
11. anxiety symptoms in male patients with sexual
12. dysfunctions.J Urol. 27(1):86-93, 2006.
13. Sotomayor M. The burden of premature
14. ejaculation: The patient’s perspective. J Sex
15. Med 2005; 2(suppl 2):110–4.
16. Waldinger MD. The neurobiological approach
17. to premature ejaculation. J Urol 2002; 168:
18. -2367.
19. Waldinger MD. Lifelong premature
20. ejaculation: from authority-based to evidencebased
21. medicine. BJU Int 2005; 95:191.
22. Fenichel, L(1945). The psychoanalytic theory
23. of neurosis, Norton, New York, 1945
24. Lauman EO, Gagnon JH, Michael RT ve ark
25. (1994) The social organization of sexuality:
26. Sexual practices in the United States. Chicago:
27. The University of Chicago Pres
28. Beck AT, Epstein N, Brown G and Steer RA
29. (1988) An inventory for measuring anxiety:
30. psychometric properties, J Consult Clin
31. Psychol 56, pp. 893–897.
32. Bernstein DP, Fink L, Handelsman L ve ark:
33. Initial reliability and validity of a new
34. retrospective measure of child abuse and
35. neglect. Am J Psychiatry 1994; 151:1132-1136.
36. McCarthy B Cognitive-behavioral strategies
37. and techniques in the treatment of early
38. ejaculation. In SR Leiblum, RC Rosen (eds),
39. Principles and practices of sex therapy: Update
40. for the 19905, 2nd ed. New York, Guilford,
41. , pp. 141-167.
42. McCarthy B: Male sexual awareness:
43. Increasing sexual pleasure New York, Carroll
44. &Graf, 1988.
45. Meyer JK, Schmidt CW, Wise TN: Clinical
46. managemat ofsexual disorders. Baltimore,
47. Williams & Wilkins, 1983.
48. Masters WH, Johnson ve Human Sexual
49. Inadequacy. Boston; Little Brown, 1970.
50. Kaplan HS: The neu sex therapy. New York,
51. Brunner/Mazel, 1974.
52. Abraham IC Ejaculatio praecox. In E Jones
53. (ed), The international psycho-analytical
54. library, vol. 13. London, Hogarth, 1949.
55. Mosticoni R, Rudas N: An MMPI evaluation
56. of male sexual dysfunction. J Clin Psycho1
57. :391-396, 1991.
58. Johnson, R., & Shrier, D. (1987). Past sexual
59. victimization by females of male patients in an
60. adolescent medicine clinic population.
61. American Journal of Psychiatry, 144,650-652.
62. Sarwer DB, Crawford I, Durlak JA. The
63. relationship between childhood sexual abuse
64. and adult male sexual dysfunction. Child Abuse
65. Negl. 1997 Jul;21(7):649-55.
66. Nettelbladt P, Uddenberg N. Sexual
67. dysfunction and sexual satisfaction in 58
68. married Swedish men. J Psychosom Res.
69. ;23(2):141-7.
70. O'Connor JF: Sexual problems, therapy, and
71. prognostic factors. İn Clinical management of
72. sexual disorders ed: JK Meyer, Baltimore,
73. Williams and Wilkins, 1976
74. Patrick D, Althof S, Pryor J, Rosen R,
75. Rowland D, Ho KF, McNulty P, Rothman M,
76. Jamieson C. Premature ejaculation: An
77. observational study of men and their partners.
78. J Sex Med 2005;2:358–67.
79. Symonds T, Roblin D, Hart K, Althof S. How
80. does premature ejaculation impact a man s
81. life? J Sex Marital Ther 2003;29:361–70.