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Background <p>Psychogenic erectile dysfunction patients accounted for a substantial percentage of younger erectile dysfunction ones. This cross-sectional observational study investigated the correlation between a history of frequent masturbation and anxiety/depression symptoms in patients with psychogenic erectile dysfunction .</p> Results <p>Baseline characteristics showed significant between-group differences in age (the Frequent Masturbation History group younger, <i>P</i> &lt; 0.05), but not in disease duration, residence, or lifestyle factors. The Frequent Masturbation History group demonstrated significantly higher anxiety (GAD-7: Z=-2.17, <i>P</i> = 0.030) and depression scores (PHQ-9: Z=-3.01, <i>P</i> = 0.003), alongside significantly lower psychological resilience (CD-RISC: Z=-2.53, <i>P</i> = 0.011) compared to the Non-Frequent Masturbation History group. These findings indicate that frequent masturbation history in psychogenic erectile dysfunction patients is associated with younger age, elevated anxiety/depression symptomatology, and reduced stress adaptability.</p> Conclusions <p>Clinical implications suggest incorporating behavioral pattern assessment and psychological screening into psychogenic erectile dysfunction evaluations. Targeted interventions should focus on cognitive-behavioral therapy to address maladaptive beliefs, mindfulness training to reduce performance anxiety, and partner-involved support to disrupt the observed “masturbation to anxiety/depression to erectile dysfunction” cycle. Future longitudinal studies integrating biopsychosocial assessments are warranted to elucidate temporal relationships.</p>

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Association between a history of frequent masturbation and anxiety/depression in patients with psychogenic erectile dysfunction

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年1月27日

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  • Jinlong Yang,
  • Wenju Wu,
  • Yilin Zhao,
  • Junjie Liu

摘要

Background

Psychogenic erectile dysfunction patients accounted for a substantial percentage of younger erectile dysfunction ones. This cross-sectional observational study investigated the correlation between a history of frequent masturbation and anxiety/depression symptoms in patients with psychogenic erectile dysfunction .

Results

Baseline characteristics showed significant between-group differences in age (the Frequent Masturbation History group younger, P < 0.05), but not in disease duration, residence, or lifestyle factors. The Frequent Masturbation History group demonstrated significantly higher anxiety (GAD-7: Z=-2.17, P = 0.030) and depression scores (PHQ-9: Z=-3.01, P = 0.003), alongside significantly lower psychological resilience (CD-RISC: Z=-2.53, P = 0.011) compared to the Non-Frequent Masturbation History group. These findings indicate that frequent masturbation history in psychogenic erectile dysfunction patients is associated with younger age, elevated anxiety/depression symptomatology, and reduced stress adaptability.

Conclusions

Clinical implications suggest incorporating behavioral pattern assessment and psychological screening into psychogenic erectile dysfunction evaluations. Targeted interventions should focus on cognitive-behavioral therapy to address maladaptive beliefs, mindfulness training to reduce performance anxiety, and partner-involved support to disrupt the observed “masturbation to anxiety/depression to erectile dysfunction” cycle. Future longitudinal studies integrating biopsychosocial assessments are warranted to elucidate temporal relationships.