基于自我损耗理论的勃起功能障碍患者挫败感成因的质性研究

Causes of frustration in patients with erectile dysfunction based on Ego Depletion Theory:a qualitative study

目的分析勃起功能障碍患者挫败感的成因,为制订个性化心理干预方案提供依据。方法在自我损耗理论的指导下拟定访谈提纲,采用描述性质性研究方法对20例挫败感明显的勃起功能障碍患者进行半结构式深度访谈,采用内容分析法对收集的资料进行提炼、归纳分析。结果共提炼出3个主题,11个亚主题,即心理资源消耗过度(疾病症状困扰,负性生活事件,疾病诊疗获益感较弱,生殖健康知识缺乏),心理资源补偿不足(情感支持匮乏,不规律的性生活,外界错误信息干扰,经济压力),心理资源调节弱化(自我认知偏差,思维抑制,安全感缺乏)。结论多种因素造成勃起功能障碍患者心理资源消耗,当心理资源损耗过度或调节和补偿不足时,可能会导致患者产生消极思维。需要根据患者心理资源损耗情况采取针对性干预措施,以降低勃起功能障碍患者的挫败感。

Objective To analyze the causes of frustration in patients with erectile dysfunction,and to provide a reference for developing personalized psychological intervention programs.Methods Guided by the Theory of Ego Depletion,an interview outline was developed.A descriptive qualitative research method was used to conduct semi-structured in-depth interviews among 20 patients with significant frustration due to erectile dysfunction,then the interview data were refined and analyzed using content analysis.Results A total of three themes and eleven sub-themes were identified:excessive depletion of psychological resources(distress from disease symptoms,negative life events,weak sense of benefit from disease treatment,lack of reproductive health knowledge),insufficient compensation of psychological resources(lack of emotional support,irregular sexual life,interference from incorrect external information,economic pressure),and weakened regulation of psychological resources(self-cognitive bias,thought suppression,lack of security).Conclusion Multiple factors lead to the depletion of psychological resources in patients with erectile dysfunction.When psychological resource depletion is excessive or regulation and compensation are insufficient,the patients may appear negative thinking.It is necessary to take targeted intervention according to patients′psychological resources depletion,so as to reduce frustration in patients with erectile dysfunction.