Objective To analyze the relationship of disease perception and negative emotions with quality of life in patients with erectile dysfunction. Methods A total of 132 patients with erectile dysfunction admitted to the hospital between August 2024 and August 2025 were selected as research subjects. Brief illness perception questionnaire (BIPQ) was applied for disease perception evaluation, and self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were utilized to evaluate the negative emotions of patients.36-item short form health survey (SF-36) was used for assessment of quality of life of patients. Pearson correlation analysis was performed to analyze the correlation between BIPQ score, SAS score, SDS score and SF-36 scores. Multivariate linear regression analysis was performed by taking SF-36 total score as the dependent variable and BIPQ score, SAS score, SDS score and important baseline data as independent variables. Results The BIPQ score of 132 patients with erectile dysfunction was (42.35±6.25) points, indicating a moderate negative perception state. The SAS score and SDS score were (62.25±5.24) points and (64.86±3.08) points, reflecting moderate levels of anxiety and depression. Pearson correlation analysis suggested that the BIPQ score was negatively associated with total score of SF-36 and scores of dimensions of vitality, social function, emotional function and mental health (r=-0.324, -0.302, -0.403, -0.428, -0.507, P<0.05). The SAS score was negatively correlated with the total score of SF-36 and the scores of vitality, social function, emotional function, and mental health dimensions (r=-0.347, -0.426, -0.501, -0.413, -0.558, P<0.05). The SDS score was negatively associated with the total score of SF-36 and the scores of dimensions of overall health, vitality, emotional function and mental health (r=-0.387, -0.287, -0.447, -0.469, -0.510, P<0.05). Multivariate linear regression analysis indicated that BIPQ score, SAS score and SDS score showed associations with SF-36 total score (P<0.05). Conclusion The disease perception and negative emotions in patients with erectile dysfunction exhibit negative associations with the quality of life, and negative disease perception and negative emotions may lead to a decline in quality of life.
Key words
erectile dysfunction /
disease perception /
negative emotions /
quality of life /
correlation
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] PANTAZIS A, FRANCO I, GITLIN J.Erectile dysfunction in adolescents and young adults[J]. Curr Urol Rep, 2024, 25(9): 225-232.
[2] DEFEUDIS G, MAZZILLI R, TENUTA M, et al.Erectile dysfunction and diabetes: a melting pot of circumstances and treatments[J]. Diabetes Metab Res Rev, 2022, 38(2): e3494.
[3] CAPOGROSSO P, ALBERSEN M, BURNETT AL, et al.Erectile dysfunction: update on clinical management[J]. Eur Urol, 2025, 88(4): 388-399.
[4] 常德辉, 姜卫, 李富东, 等. 高海拔地区男性勃起功能障碍流行情况及影响因素分析[J]. 兰州大学学报 (医学版), 2022, 48(6): 60-63.
[5] 武天民, 郑淑娟, 车晓艳, 等. 勃起功能障碍患者心理、社会支持状况及其与病耻感的关系[J]. 中国性科学, 2023, 32(2): 149-152.
[6] 刘文丽, 张文瑾, 张利, 等. 心理性勃起功能障碍患者疾病不确定感现状及影响因素研究[J]. 中国性科学, 2024, 33(11): 5-8.
[7] 张华南, 雷力行, 冯隽龙, 等. 李曰庆基于“形神一体观”论治男科疾病伴焦虑抑郁状态经验[J]. 北京中医药, 2025, 44(6): 725-730.
[8] 曹志琴, 张利, 吴志萍, 等. 勃起功能障碍患者疾病感知与伴侣支持的相关性分析[J]. 现代泌尿外科杂志, 2024, 29(2): 175-178.
[9] WANG H, LEI X, MA D, et al.Efficacy of acupuncture for psychogenic erectile dysfunction: a randomized, sham-controlled trial[J]. Basic Clin Androl, 2023, 33(1): 40.
[10] JAGDISH RK, KAMAAL A, SHASTHRY SM, et al.Tadalafil improves erectile dysfunction and quality of life in men with cirrhosis: a randomized double blind placebo controlled trial[J]. Hepatol Int, 2023, 17(2): 434-451.
[11] 北京中医药学会男科疾病专家共识组. 勃起功能障碍中西医融合药物治疗专家共识[J]. 中国男科学杂志, 2021, 35(4): 59-62.
[12] LUKOSEVICIUTE J, SMIGELSKAS K.Causal item of Brief Illness Perception Questionnaire scale: the main categories[J]. Health Psychol Res, 2020, 8(1): 8485.
[13] ZUNG WW.A rating instrument for anxiety disorders[J]. Psychosomatics, 1971, 12(6): 371-379.
[14] ZUNG WW.A self-rating depression scale[J]. Arch Gen Psychiatry, 1965, 12: 63-70.
[15] 田丰, 乔鑫鑫, 张洋. 信息-动机-行为技巧模型干预对脑出血患者术后SF-36评分自我效能评分及治疗依从性的影响[J]. 中国实用神经疾病杂志, 2021, 24(9): 807-811.
[16] 曹志琴, 杜海亮, 吴志萍, 等. 勃起功能障碍患者疾病感知及影响因素调查分析[J]. 中国男科学杂志, 2023, 37(1): 85-89.
[17] 刘文容, 田丽, 李娜. 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[J]. 中华男科学杂志, 2025, 31(2): 144-149.
[18] 陆陈聪, 姜永生, 徐琰, 等. 不同年龄段勃起功能障碍患者血清总睾酮值及心理测评结果分析[J]. 中国性科学, 2024, 33(3): 23-28.
[19] 周胜蓝, 王雨, 温敬冬, 等. 老年糖尿病膀胱过度活动症患者疾病感知现状及其与生活质量的相关性[J]. 解放军护理杂志, 2022, 39(1): 13-16.
[20] 吴永秀, 吴治敏, 肖佳敏, 等. IKAP循环干预模式对日间病房化疗患者负性情绪与遵医行为的影响[J]. 护理实践与研究, 2023, 20(9): 1356-1359.
[21] 王霄, 朱宏, 江峰. 以认知行为疗法为基础的心理治疗对心因性勃起功能障碍疗效的评析[J]. 中国男科学杂志, 2022, 36(5): 80-89.
[22] 姜春英, 刘楚梁, 肖建生, 等. 肝移植受者病耻感与心理状态及生活质量的相关性研究[J]. 护理管理杂志, 2024, 24(12): 1054-1059.
PDF(2025 KB)
