Treatment preferences in men with erectile dysfunction： an open label study in Korean men switching from sildenafil citrate to tadalafil

To evaluate patient preferences for sildenafil citrate or tadalafil （PDE-5 inhibitors available for the treatment of erectile dysfunction [ED]） and assess potential reasons for these preferences. Methods： This open-label study was conducted on Korean men taking sildenafil, at least 6 weeks prior to study entry, for ED. Following screening, patients continued sildenafil treatment for 4 weeks, then after a 1-week washout period, switched to tadalafil for 8 weeks. Patients then continued with their treatment of choice during an extension phase. Psychosocial factors （time concern, spontaneity, sexual self-confidence） were evaluated using Psychological and Interpersonal Relation- ship Scales （PAIRS）, while timing of dose to sexual attempt patterns were assessed from patient diaries. Results： The present study enrolled 160 Korean men （mean age 55 years） with prior median sildenafil use of 585 days. During the extension phase, 73.7% of patients elected to take tadalafil, whereas 26.3% chose sildenafil （P 〈 0.001）. After switching from sildenafil to tadalafil, mean PAIRS time concern scores decreased from 2.54 to 2.42 （P = 0.002）, with no statistically significant differences observed between the sildenafil and tadalafil assessment phases in sexual spontaneity and self-confidence scores. Sexual attempts made 〉 4 h to 〈 36 h post-dose occurred in 4.5% of patients during the sildenafil assessment phase compared with 17.5% during the tadalafil assessment phase. Conclusion： After experiencing both sildenafil and tadalafil, the majority of patients exhibited a preference for tadalafil. This preference might be influenced by psychosocial factors, such as decreased time concerns, and a broader window of opportunity available for sexual activity.

The Analysis of the Members＇ Subjective Apiration in Group Psychological Counseling Process

Objective This study aims to analyze interpersonal pattern gr-oup psychological counseling process for members＇ subjective apiration. Method Using Nvivo7.0 qualitative analysis software to do the transcripts c-oding analysis of interpersonal pattern group psychological counseling pro-cess. Result Through the qualitative analysis,we find that members＇ sub-jective apiration have two trends： One trend is with the group psycholo-gical counseling process for increasing;another kind is： increase--decrease--increase, specificly showing that：：existing subjective apiration-- The subjective will weaken （because of denial and skepticism this group ）or strengthen （accepting this group）-- the subjective apiration increases, applying new pattern in groups--the subjective apiration become specification, the new pattern to repl-ace the old pattern in life. Conclusion 1. In interpersonal group counseling process, members＇ subjective apiration exists two kinds of trend that to weakened after reinforcement and enhancement gradually strengthen; 2. Members＇ subjective apiration of group psychological counseling can influence the effect of group psychological counseling.

The Analysis of the Members＇ Subjective Apiration in Group Psychological Counseling Process

Objective This stud）＇ aims to analyze interpersonal pattern gr-oup psychological counseling process for members＇ subjective apiration. Method Using Nvivo7.0 qualitative analysis software to do the transcripts c-oding analysis of interpersonal pattern group psychological counseling pro-cess. Result Through the qualitative analysis,we fred that members＇ sub-jective apiration have two trends： One trend is with the group psycholo-gical counseling process for increasing;another kind is： increase--decrease--increase ,specificly showing that：：existing subjective apiration-- The subjective will weaken （because of denial and skepticism this group ）or strengthen （accepting this group）-- the subjective apiration increases, applying new pattern in groups--the subjective apiration become specification, the new pattern to repl-ace the old pattern in life. Conclusion 1. In interpersonal group counseling process, members＇ subjective apiration exists two kinds of trend that to weakened after reinforcement and enhancement gradually strengthen： 2. Members＇ subjective apiration of group psychological counseling can influence the effect of group psychological counseling.