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

Evaluation for the effect of cognitive behavioral therapy-based psychotherapy on patients with psychological erectile dysfunction

目的探究以认知行为疗法(CBT)为基础的心理治疗干预心因性勃起功能障碍(ED)患者,评析心理治疗对该类患者的疗效。方法收集2020年7月至2021年4月在复旦大学附属妇产科医院男科门诊就诊且诊断为心因性ED患者30例,其中实验组14人(1人退出)、对照组15人。实验组在常规药物治疗基础上进行CBT心理治疗5次、对照组仅行常规药物治疗,观察两组国际勃起功能指数(IIEF)、自尊、焦虑及抑郁水平变化。结果治疗前两组各项评分无差异(P>0.05)且均处于中度焦虑、抑郁状态。治疗后实验组组内IIEF-5、自尊评分显著增高,焦虑、抑郁评分显著降低(P<0.01);对照组组内IIEF-5评分增高,但自尊评分降低(P<0.05),焦虑、抑郁状态无改变。治疗后两组间比较,实验组IIEF-5及自尊评分高于对照组、焦虑评分低于对照组(P<0.05),实验组抑郁评分显著低于对照组(P<0.01)。实验组在获得更高的IIEF-5评分同时,提升了自尊水平以及缓解了焦虑、抑郁状态。结论以CBT为基础的心理治疗对心理性ED患者有治疗效果,在改善其勃起功能的同时可提升自尊及修复不良情绪水平,有利于患者身心健康。

Objective To study the psychotherapy method based on cognitive behavioral therapy(CBT)on psychological erectile dysfunction(ED)patients,and evaluate its curative effect on such patients.Methods A total of 30 patients with psychological ED diagnosed in the department of andrology,Obstetrics and Gynecology Hospital of Fudan University from July 2020 to April 2021 were recruited in the study.They were divided into the experimental group(14 cases,1 drop out)and the control group(15 cases).The patients in the experimental group received 5 times of CBT psychotherapy with drug therapy,while the patients in the control group only received drug therapy.The changes in international erectile function index(IIEF),self-esteem,anxiety and depression between the two groups were observed.Results Before treatment,there was no difference in scores between the two groups(P>0.05),and both groups were in moderate anxiety and depression level.After treatment,the scores of IIEF-5 and self-esteem in the experimental group were significantly increased,while the scores of anxiety and depression were significantly decreased(P<0.01).In the control group,the IIEF-5 score was increased but the self-esteem score was decreased(P<0.05),and the states of anxiety and depression were not significantly changed.After treatment,the scores of IIEF-5 and self-esteem in the experimental group were higher than those in the control group,while the score of anxiety in the experimental group was lower than that in the control group(P<0.05).The score of depression in the experimental group was significantly lower than that in the control group(P<0.01).The patients in the experimental group had higher IIEF-5 scores,improved self-esteem,and reduced anxiety and depression.Conclusion Psychotherapy methods based on CBT has effect on patients with psychological ED,which can improve erectile function,enhance self-esteem and repair the level of negative emotion,and is beneficial to patients’physical and mental health.