The study was conducted in the department of Psychiatry,Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University, Aligarh. This study was a cross sectional study and included 100 male consecutive subjects seeking treatment for their psychosexual problems fulfilling inclusion and exclusion criteria. The study was approved by Institutional Ethics Committee.
The aim of this study was to study psychosocial profile, relation of male sexual dysfunction with lifeevents and to study psychiatric comorbidity in male patientspresenting with sexual dysfunction. DSM-5 was used to make the diagnosis of sexual dysfunctions and psychiatric disorders.Arizona sexual experience scale (ASEX) male version was applied to assess sexual dysfunction. The patients were also evaluated for Stressful life events using a Presumptive Stressful life events scale.
Of the various psychosexual disorders observed in our study, PME was most commonly reported (33%), followed by erectile dysfunction (ED) in 32% subjects, combination of PME and ED in 24% subjects, Performance anxiety (8%), HSDD(2%) and Pain Disorder (1%). Mean age of the participant was found to be 31.32 ± 9.49.Subjects in age group (18–30 years) suffered more from PME, age group (31-40 years) reported combination of PME and ED (34.38%) as most common wherein ED (54.54%) found to be the most common sexual disorder in the participants of age group (41-50 years). Most of the participants in this study were married (75%), educated (88%), employed (91%), Hindu (59%), of middle (48%) and higher (32%) socioeconomic group, living in joint family (49%) and belonging to Rural area (55%). Mean stressful life event in the subjects was 5.94 ± 2.03.
LIMITATIONS
1. The sample size of the study is small.
2. The study is cross sectional study.
3. This study is only limited to Male Sexual Dysfunction.
4. It is a hospital based study.
FUTURE DIRECTIONS
1. A study with larger sample size should be planned.
2. The study should be multi-centred and patient should be selected from different cultural background.
3. There are various misconception and stigma regarding sex and sexuality. It should also be incorporated in the study.
Table of Contents
1. Introduction
2. Aims and Objectives
3. Review of Literature
3.1 History of Sexuality in India
3.2 Western Contribution
3.3 Overview of Research
3.4 Categories (Classification)
3.4.1 Subtypes of sexual dysfunctions according to DSM-5
3.4.2 Diagnostic categories of ICD-10 and DSM-5 of sexual disorders
3.5 Sexual desire disorders
3.5.1 Epidemiology
3.6 AETIOLOGY
3.7 Sexual arousal disorders
3.8 Erectile dysfunction
3.8.1 Introduction
3.8.2 Epidemiology
3.8.3 Classification of erectile dysfunction
3.8.4 Differentiating features between psychogenic and organic sexual dysfunction
3.8.5 TREATMENT
3.9 Premature ejaculation
3.9.1 Historical perspectives of premature ejaculation
3.9.2 Definition of PME
3.9.3 Intravaginal ejaculation latency time
3.9.4 Defining abnormal IELTs
3.9.5 Treatment
3.9.6 Non-Pharmacological Treatment
3.9.7 Drug Treatment for PME
3.10 Orgasm disorders
3.11 Sexual pain disorders
3.12 Uncommon sexual disorders in men
3.13 ASSESSMENT OF SEXUAL DYSFUNCTIONS
3.13.1 History taking
3.13.2 Physical Examination
3.13.3 Recommended laboratory testing
3.13.4 Selective investigations for male sexual dysfunction
4. Materials and Methods
5. Observations and Results
6. Discussion
7. Summary and Conclusion
8. Limitations
9. Future Directions
Research Objectives and Topics
The primary aim of this study is to examine the psychosocial profile of male patients experiencing sexual dysfunction, specifically investigating the relationship between these dysfunctions and life events, as well as identifying associated psychiatric comorbidities. The study seeks to provide a clearer understanding of the clinical landscape of male sexual health in an Indian tertiary care setting.
- Psychosocial profiling of males with sexual dysfunction.
- Correlation analysis between sexual dysfunction and stressful life events.
- Assessment of psychiatric comorbidities in patients with sexual disorders.
- Evaluation of prevalence rates of conditions like PME and ED.
- Impact of sociodemographic and cultural factors on patient help-seeking behavior.
Excerpt from the Book
History of Sexuality in India
India is a vast country depicting wide social, cultural and sexual variations. Indian concept of sexuality has evolved over time and has been immensely influenced by various rulers and religions. India played a significant role in the history of sex, from writing the first literature that treated sexual intercourse as a science, to in modern times being the origin of the philosophical focus of new-age groups’ attitudes on sex.
Term sexuality appeared after 1800 AD in the field of botanics and was first adopted in the title of a German monography by August Henschel “Von der Sexualität dermPflanzen (On the sexuality of plants)” in 1820(Schultheiss 2010).Term sexuality has variable meaning. Most of them simply relate it to the act of sex and sexual practices, but some mean sexual orientation and some could mean desire and eroticism. Thoughts, fantasies, desires, beliefs, attitudes, values, behaviours, practices, roles and relationships represent sexuality.(Chakrabortyand Thakurata, 2013)
Kama Sutra was the first text on eroticism written by Vatsyayana (300 to 400 AD).He described Kama as enjoyment of appropriate objects by five senses-hearing, feeling, seeing, tasting and smelling-assisted by mind together with the soul. The Kama Sutra describes in detail the act of kissing and embracing, lovebites, nail marks.(Upadhayaya, 1984)
Chapter Summaries
Introduction: Provides a foundational overview of sexual dysfunction as a global and Indian health concern, emphasizing the lack of research and the impact on quality of life.
Aims and Objectives: Outlines the specific goals of the research regarding the psychosocial and clinical investigation of male patients.
Review of Literature: Offers an extensive background on the historical, medical, and psychological aspects of sexual medicine, covering various classifications and treatment modalities.
Materials and Methods: Details the cross-sectional study design, participant criteria, and the use of the Arizona Sexual Experiences Scale and Presumptive Stressful Life Events Scale.
Observations and Results: Presents the statistical findings regarding the distribution of different sexual disorders across age, marital status, and educational backgrounds.
Discussion: Analyzes the empirical findings in relation to existing national and international literature, addressing the role of psychosocial stress and psychiatric comorbidity.
Summary and Conclusion: Summarizes the key insights gained from the study, confirming the prevalence patterns of PME and ED within the observed male population.
Keywords
Sexual dysfunction, Erectile dysfunction (ED), Premature ejaculation (PME), Psychosexual profile, Psychiatric comorbidity, Stressful life events, Arizona Sexual Experiences Scale (ASEX), India, Male sexual health, Psychoanalysis, Behavioral therapy, Psychosocial, DSM-5, Quality of life, Sexual medicine.
Frequently Asked Questions
What is the primary focus of this study?
This study focuses on analyzing the psychosocial profiles, life events, and psychiatric comorbidities of male patients who seek treatment for various sexual dysfunctions in an Indian psychiatric setting.
Which sexual disorders are most frequently reported in the study?
The findings indicate that Premature Ejaculation (PME) and Erectile Dysfunction (ED) are the most commonly reported disorders among the studied male participants.
What is the core research question?
The research explores the link between male sexual dysfunction and specific psychosocial stressors, aiming to characterize the nature and prevalence of these conditions in the target demographic.
What scientific methods are utilized?
The study employs a cross-sectional, single-interview design, using structured questionnaires such as the Arizona Sexual Experiences Scale (ASEX) and the Presumptive Stressful Life Events Scale for data collection.
What does the literature review cover?
The literature review provides a comprehensive history of sexuality in India, details clinical classifications of sexual dysfunctions, and examines historical and modern pharmacological and behavioral treatment methods.
Which demographic factors are analyzed?
The study examines the relationship between sexual dysfunction and variables such as age, marital status, education, occupation, religion, family type, and domicile.
How is Dhat syndrome treated within the context of this research?
The text notes that Dhat syndrome is a culturally determined clinical condition often reported by patients, though it lacks a specific mention in some standard diagnostic categories, and is addressed alongside other psychosexual issues.
What is the significance of the "intravaginal ejaculation latency time" (IELT)?
IELT is introduced as a critical clinical and scientific measurement used to define and diagnose the severity of premature ejaculation based on time intervals.
What role does substance use play in sexual dysfunction?
The study observes a significant relationship between substance use, particularly alcohol, and the prevalence of sexual disorders among the participating males.
Does psychiatric comorbidity impact sexual health?
Yes, the study highlights that psychiatric conditions, especially depression and anxiety, are prevalent among patients and significantly correlate with the presence and maintenance of sexual dysfunctions.
- Citar trabajo
- Sabahuddin Ammar (Autor), 2019, Study of Psychosocial Profile of Male Patients with Sexual Dysfunctions, Múnich, GRIN Verlag, https://www.grin.com/document/923244
