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ORIGINAL RESEARCH article

Front. Psychol.
Sec. Psychology for Clinical Settings
Volume 15 - 2024 | doi: 10.3389/fpsyg.2024.1496891
This article is part of the Research Topic Sexuality and Sexual Dysfunctions View all articles

Influence of personality disorders on sexual behaviours and response to treatment of psychogenic erectile dysfunction in phosphodiesterase 5 inhibitor non-responders

Provisionally accepted
Marina Cabello García Marina Cabello García 1,2*Yolanda Sánchez Sandoval Yolanda Sánchez Sandoval 3Antonio Daniel García Rojas Antonio Daniel García Rojas 4
  • 1 Facultad de Psicología, Universidad de Málaga, Málaga, Spain
  • 2 University of Malaga, Málaga, Andalusia, Spain
  • 3 University of Cádiz, Cádiz, Spain
  • 4 University of Huelva, Huelva, Spain

The final, formatted version of the article will be published soon.

    Background: Personality disorders may influence sexual behaviours and sexual dysfunction. Aim: Our main objective was to analyse the influence of personality disorders (PDs) in patients with erectile dysfunction (ED) of psychological origin that fail to respond to andrological treatment with Phosphodiesterase-5 inhibitors (IPDE5), assessing whether there are differences in sexual behaviours and response to psychosexual treatment.Methods: The research is designed as an ex post facto retrospective study with two groups. A control group of 23 men with ED without personality disorders and a group of 51 men with both ED and PDs. Results: In the case sample, 34.30% of the participants presented more than one personality disorder. No significant differences were found in sexual behaviours except for heteromasturbation (men without PDs masturbated their partners more to satisfy them than men with PDs), and men with PDs considered themselves less premature ejaculators than the control group. Finally, 82.14% of the control group did well with psychosexual therapy compared to 53.85% of the PDs group. Conclusion: Psychosexual treatment of ED has a worse outcome if the men also have PDs. Strengths and Limitations: From a clinical standpoint, it is important to assess the presence of personality disorders in men with ED and to implement psychosexual strategies to improve the response to treatment in these cases. Confirmation of the results with a much larger sample becomes necessary.

    Keywords: Erectile dysfunction1, personality disorders2, Phosphodiesterase-5 inhibitors3, Psychosexual therapy4, Couple wellbeing5, Sexual behaviours6

    Received: 15 Sep 2024; Accepted: 03 Oct 2024.

    Copyright: © 2024 Cabello García, Sánchez Sandoval and García Rojas. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Marina Cabello García, Facultad de Psicología, Universidad de Málaga, Málaga, Spain

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.