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See detailFunctional and Psychological Characteristics of Belgian Men with Premature Ejaculation and Their Partners
Kempeneers, Philippe ULg; ANDRIANNE, Robert ULg; Bauwens, Sabrina et al

in Archives of Sexual Behavior (2013), 42

Physiological, behavioral, cognitive, and emotional factors are generally acknowledged to play a role in premature ejaculation (PE). However, the nature and the extent of their etiological impact remain ... [more ▼]

Physiological, behavioral, cognitive, and emotional factors are generally acknowledged to play a role in premature ejaculation (PE). However, the nature and the extent of their etiological impact remain largely imprecise. The present study examined functional and psychometric dynamics at work in a PE population. A total of 461 men with PE and 80 partners completed an online questionnaire. The main outcome measures were self-reported ejaculatory latency time, the feeling of control upon ejaculation, sexual satisfaction, distress related to PE, trait anxiety (STAI-B), sexual cognitions (SIQ), social anxiety (LSAS and SISST), and personality traits (TCI-R). In our sample, the median latency time to ejaculation was between 1 and 2 minutes. Sexual satisfaction and distress correlated more strongly with the feeling of control than with the self-reported latency time. Men experienced more distress and dissatisfaction related to PE than did their partners while overestimating their partners’ distress and dissatisfaction. PE participants’ scores differed significantly, albeit slightly, from STAI-B, SIQ, LSAS, and SISST norms. The differences were negligible on TCI-R. Some differences became stronger when subtypes were considered. Participants combining generalized and lifelong PE with self-reported latency times of < 30 sec reported lower sexual satisfaction and control, higher distress, higher social anxiety, and harm avoidance (TCI-R/HA) scores. By contrast, the situational subtype of PE was found to be characterized by a higher level of satisfaction, a greater feeling of control, less distress, and higher trait anxiety scores. However, the trends remained statistically discrete. [less ▲]

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See detailClinical outcomes of a new self-help booklet for premature ejaculation
Kempeneers, Philippe ULg; ANDRIANNE, Robert ULg; Bauwens, Sabrina et al

in Journal of Sexual Medicine (2012), 9

INTRODUCTION. Premature ejaculation (PE) is quite common. Although effective treatments do exist, only a few affected people consult a practitioner in order to overcome their problem. At the same time ... [more ▼]

INTRODUCTION. Premature ejaculation (PE) is quite common. Although effective treatments do exist, only a few affected people consult a practitioner in order to overcome their problem. At the same time, studies have shown that reading didactical documents about their PE problem (bibliotherapy) can be useful to men. AIM. The aim of this study was to improve the bibliotherapy approach using up to date knowledge and techniques. The expected benefits were: (1) an effective manual shorter than previous ones, (2) easier to assimilate therapeutic principles and (3) a method thereby made accessible to a broad population most of whom usually do not consult for this type of sexual problem. METHOD. A short bibliotherapy titled The Practical Guide of PE [in French] was tested among PE subjects who were diagnosed with PE according to DSM-IV-TR criteria. Assessments were made at baseline (N = 421), at 4-8 months (N = 120) and at 10-14 months (N = 79) after they read The Practical Guide. A control group of 66 subjects was left on a waiting list and was assessed two months after baseline. MAIN OUTCOME MEASURES. Self-reported ejaculatory latency time, feeling of control upon ejaculation, sexual satisfaction, distress related to PE, anxiety experienced during sexual intercourse and sexual cognitions (SIQ). RESULTS. Significant improvements were found for all the self-reported parameters, both at 4-8 and at 10-14 months after the bibliotherapy. The improvements were associated with an adjustment of sexual cognitions. The response to treatment seemed better for those subjects with moderate PE. Although the severity criteria used in this study did not precisely meet the ISSM criteria for lifelong PE, they were likely related. The response did not seem to be affected by variables such as age, education or personality. CONCLUSION. Its cost/benefit ratio makes The Practical Guide a valuable therapeutic tool. [less ▲]

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See detailClinical outcomes of a new cognitive-behaviour bibliotherapy for premature ejaculation
Kempeneers, Philippe ULg; Andrianne, Robert ULg; Bauwens, Sabrina et al

Conference (2010, October 08)

INTRODUCTION. Premature ejaculation (PE) is a common sexual disorder. However, only few affected people consult clinicians in order to overcome this problem. Although no definitive consensus about its ... [more ▼]

INTRODUCTION. Premature ejaculation (PE) is a common sexual disorder. However, only few affected people consult clinicians in order to overcome this problem. Although no definitive consensus about its aetiology emerges, some mechanisms of PE are now well known. This allows more precise and efficient treatments, both at pharmacological as well as cognitive-behavioural levels. Further, studies have shown that reading didactical documents about their PE problem might be useful to men. Such approach is called “bibliotherapy”. AIM. The aim of the present study was to improve the bibliotherapy approach on the basis of up to date knowledge and techniques. The expected benefits were: (1) an efficient manual shorter than previous ones, (2) therapeutic principles easier to assimilate and (3) a method thereby made accessible to a large public which usually does not consult for this type of sexual problem. METHOD. A short bibliotherapy named Practical Guide of PE [in French] was tested among 421 PE subjects (DSM-IV diagnosis criteria). Self-reported anxiety, sexual satisfaction, ejaculatory latency time, feeling of control and distress were measured: (1) at baseline, (2) at 4-8 months and (3) at 10-14 months after reading the Practical guide of PE. A control condition was composed by 67 subjects left on a waiting-list for two months after baseline. RESULTS. Significant improvements were found for all the self-reported parameters, either at 4-8 and at 10-14 months after the bibliotherapy. The improvements were associated with an adjustment of sexual cognitions (SIQ, McCormick & Jordan). The response to treatment seemed better when the severity of PE was moderate, but did not seem related to variables such as age, educational level and personality traits (TCI-R, Cloninger; STAI Y-B, Spielberger.) CONCLUSION: Its cost/benefit ratio makes the Practical Guide an ideal first line therapeutic tool. Its large diffusion might be useful in order to improve sexual health in populations [less ▲]

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See detailPerspectives nouvelles dans le traitement de l’éjaculation précoce
Kempeneers, Philippe ULg; Bauwens, Sabrina; De Sutter, Pascal

in Revue Francophone de Clinique Comportementale et Cognitive (2004), 9(4), 1-8

At the moment, the scientific community recognizes two main treatments of premature ejaculation: (1) the “classical” method elaborated by Masters and Johnson in 1970 and (2) a pharmacological method ... [more ▼]

At the moment, the scientific community recognizes two main treatments of premature ejaculation: (1) the “classical” method elaborated by Masters and Johnson in 1970 and (2) a pharmacological method consisting in using antidepressant drugs, mostly those with a serotoninergic action. Although they are both relatively effective, these methods also have their drawbacks: uncertain theoretical basis, frequently unsuitable application, need for partner’s collaboration, a certain lack of eroticism and frequent relapses for the classical method; strictly symptomatic action and side effects for the pharmacological method. A synthesis of several works throws new light on the causes of premature ejaculation and offers thus a theoretical justification to a set of original therapeutic techniques elaborated by De Carufel (1996) and Desjardins (1985). The particularity of these techniques is that they stress the importance of regulating the sexual arousal in order to increase the ejaculatory latency and to promote a specific behaviour in order to achieve this goal during coitus. Clinical studies conducted over the past few years show that treatments including these techniques are at least as effective as the classical method and are probably able to overcome some of its drawbacks: the regulation techniques seem clearer from a theoretical point of view, easier to apply and more able to work without the partner’s collaboration. [less ▲]

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