PRİMER PREMATÜR EJEKÜLASYONDA ÇOCUKLUK ÇAĞI YAŞAM OLAYLARI

Mustafa Arı, yasin Bez, Yusuf Kaya, Yüksel Kıvrak
1.406 442

Öz


Amaç: Biz bu çalışmada primer prematür ejekülasyonu (PPE) olan hastalarda öyküde çocukluk çağı yaşam olaylarını araştırmayı amaçladık.

Metod: PPE olan hastalar Mustafa Kemal Üniversitesi Tıp Fakültesi Araştırma Hastanesi Üroloji polikliniğine başvuran hastalar arasından rastgele seçildi. Kontrol grubu sağlıklı erkek gönüllüler arasından seçildi. Katılımcılar psikiyatr tarafından değerlendirildi.

Bulgular: Kontrol grubuna oranla PPE olan grupta çocukluk çağı 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 hastalığın bilişsel temelleri ve patolojinin tedavisinde yaklaşım açısından fikir verici olabilir.

Anahtar kelimeler: Primer prematür ejekülasyon, çocukluk çağı yaşam olayları, emasyonel travma, fiziksel travma, cinsel travma

SUMMARY

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.

Key words: Primary premature ejeculation, childhood abuse history, emotional abuse, physical abuse, sexual abuse


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Referanslar


Wylie KR, Ralph D. Premature ejaculation:

the current literature. Curr Opin Urol. 2005

Nov;15(6):393-8. Review.

Corona G, Petrone L, Mannucci E, et al. 2004.

Psycho-biological correlates of rapid

ejaculation in patients attending an andrologic

unit for sexual dysfunctions.Eur Urol.

(5):615-622

Corona G, Mannucci E, Petrone L, et al.

Psycho-biological correlates of free-floating

anxiety symptoms in male patients with sexual

dysfunctions.J Urol. 27(1):86-93, 2006.

Sotomayor M. The burden of premature

ejaculation: The patient’s perspective. J Sex

Med 2005; 2(suppl 2):110–4.

Waldinger MD. The neurobiological approach

to premature ejaculation. J Urol 2002; 168:

-2367.

Waldinger MD. Lifelong premature

ejaculation: from authority-based to evidencebased

medicine. BJU Int 2005; 95:191.

Fenichel, L(1945). The psychoanalytic theory

of neurosis, Norton, New York, 1945

Lauman EO, Gagnon JH, Michael RT ve ark

(1994) The social organization of sexuality:

Sexual practices in the United States. Chicago:

The University of Chicago Pres

Beck AT, Epstein N, Brown G and Steer RA

(1988) An inventory for measuring anxiety:

psychometric properties, J Consult Clin

Psychol 56, pp. 893–897.

Bernstein DP, Fink L, Handelsman L ve ark:

Initial reliability and validity of a new

retrospective measure of child abuse and

neglect. Am J Psychiatry 1994; 151:1132-1136.

McCarthy B Cognitive-behavioral strategies

and techniques in the treatment of early

ejaculation. In SR Leiblum, RC Rosen (eds),

Principles and practices of sex therapy: Update

for the 19905, 2nd ed. New York, Guilford,

, pp. 141-167.

McCarthy B: Male sexual awareness:

Increasing sexual pleasure New York, Carroll

&Graf, 1988.

Meyer JK, Schmidt CW, Wise TN: Clinical

managemat ofsexual disorders. Baltimore,

Williams & Wilkins, 1983.

Masters WH, Johnson ve Human Sexual

Inadequacy. Boston; Little Brown, 1970.

Kaplan HS: The neu sex therapy. New York,

Brunner/Mazel, 1974.

Abraham IC Ejaculatio praecox. In E Jones

(ed), The international psycho-analytical

library, vol. 13. London, Hogarth, 1949.

Mosticoni R, Rudas N: An MMPI evaluation

of male sexual dysfunction. J Clin Psycho1

:391-396, 1991.

Johnson, R., & Shrier, D. (1987). Past sexual

victimization by females of male patients in an

adolescent medicine clinic population.

American Journal of Psychiatry, 144,650-652.

Sarwer DB, Crawford I, Durlak JA. The

relationship between childhood sexual abuse

and adult male sexual dysfunction. Child Abuse

Negl. 1997 Jul;21(7):649-55.

Nettelbladt P, Uddenberg N. Sexual

dysfunction and sexual satisfaction in 58

married Swedish men. J Psychosom Res.

;23(2):141-7.

O'Connor JF: Sexual problems, therapy, and

prognostic factors. İn Clinical management of

sexual disorders ed: JK Meyer, Baltimore,

Williams and Wilkins, 1976

Patrick D, Althof S, Pryor J, Rosen R,

Rowland D, Ho KF, McNulty P, Rothman M,

Jamieson C. Premature ejaculation: An

observational study of men and their partners.

J Sex Med 2005;2:358–67.

Symonds T, Roblin D, Hart K, Althof S. How

does premature ejaculation impact a man s

life? J Sex Marital Ther 2003;29:361–70.




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