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<p>Sexual self-concept is multidimensional and a key construct in understanding people’s sexuality. The etiology as well as the relationship and causal direction between its different dimensions and sexual dysfunctions are not fully understood. A population-based cohort (<i>N</i> = 5665) of 50-year-old men completed questionnaires on dimensions of sexual self-concept (toughness, body image, sexual self-esteem, and perceived pressure with regard to sexuality) and sexual dysfunctions. Associations were assessed using multivariable linear regression analyses. Erectile dysfunction (ED), lifelong/acquired and subjective/variable premature ejaculation (PE), and low libido (LL) were associated with a more negative body image (<i>p</i> &lt; 0.001), lower sexual self-esteem (<i>p</i> &lt; 0.001), and higher perceived pressure with regard to sexuality (<i>p</i> &lt; 0.001). ED, lifelong/acquired and subjective/variable PE were associated with toughness (<i>p</i> &lt; 0.001), an association with LL could not be shown. A negative sexual self-concept was independently associated with sexual dysfunctions in middle-aged men highlighting that sexual self-concept represents a relevant factor in the biopsychosocial conception of sexual dysfunctions. The causal direction of this relationship needs to be determined in longitudinal studies.</p>

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Dimensions of sexual self-concept and sexual dysfunctions in middle-aged men: results of the Bavarian Men’s Health-Study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年7月4日

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  • Valentin H. Meissner,
  • Victoria A. Söhne,
  • Andreas Dinkel,
  • Matthias Jahnen,
  • Stefan Schiele,
  • Martina Kron,
  • Jürgen E. Gschwend,
  • Kathleen Herkommer

摘要

Sexual self-concept is multidimensional and a key construct in understanding people’s sexuality. The etiology as well as the relationship and causal direction between its different dimensions and sexual dysfunctions are not fully understood. A population-based cohort (N = 5665) of 50-year-old men completed questionnaires on dimensions of sexual self-concept (toughness, body image, sexual self-esteem, and perceived pressure with regard to sexuality) and sexual dysfunctions. Associations were assessed using multivariable linear regression analyses. Erectile dysfunction (ED), lifelong/acquired and subjective/variable premature ejaculation (PE), and low libido (LL) were associated with a more negative body image (p < 0.001), lower sexual self-esteem (p < 0.001), and higher perceived pressure with regard to sexuality (p < 0.001). ED, lifelong/acquired and subjective/variable PE were associated with toughness (p < 0.001), an association with LL could not be shown. A negative sexual self-concept was independently associated with sexual dysfunctions in middle-aged men highlighting that sexual self-concept represents a relevant factor in the biopsychosocial conception of sexual dysfunctions. The causal direction of this relationship needs to be determined in longitudinal studies.