ArticleSexual medicine2022
Does Bother/Distress Contribute to the Diagnosis of Premature Ejaculation?
Article in Sexual medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- Prevalence of depression and anxiety with premature ejaculation and its four subtypes: a systematic review and meta-analysis.Frontiers in psychiatry · 2025Pooled it
- Analysis and prediction of sexual well-being variables in men with and without lifelong premature ejaculation in a non-western context.Sexual medicine · 2026Article
- Comment on: Men with delayed ejaculation report lower sexual satisfaction and more depressive symptoms than those with premature ejaculation: findings from a cross-sectional study.International journal of impotence research · 2026Article
- Different faces of anxiety in sexual dysfunction: key features, effective interventions, and critical implications for health care professionals-ESSM position statements.Sexual medicine · 2025Review
- Are Specific Sexual Activities During Partnered Sex and Masturbation Related to Sexual Problems in Men?International journal of sexual health : official journal of the World Association for Sexual Health · 2024Article
- The Tenuous Role of Distress in the Diagnosis of Premature Ejaculation: A Narrative Review.Sexual medicine · 2022Review
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe role of bother/distress in the diagnosis of premature ejaculation (PE) has received minimal investigation compared with the 2 other diagnostic criteria, ejaculatory control and ejaculatory latency (EL).
aimThis study assessed (i) the added variance explained by bother/distress to the diagnostic accuracy of PE and (ii) determined its overall contribution to a PE diagnosis.
methodsThe 3 diagnostic criteria for PE were assessed in 2,589 men (mean age = 38.2 years, SD = 13.5) in order to determine the contribution of each factor to a dysfunctional diagnosis. A series of regression and discriminant analyses were used to assess the value of bother/distress in explaining ejaculatory control and in predicting accuracy of PE group status. Commonality analysis was used to determine the relative contribution of each of these factors to the diagnosis of PE.
main outcome measureThe major outcome was the quantified contribution of "bother/distress" to a PE diagnosis.
resultsBother/distress accounted for about 3-4% of the variation in ejaculatory control and added only minimally to the prediction accuracy of PE group status (no, probable, definite PE). Commonality analysis indicated that bother/distress comprised about 3.6% of the unique explained variation in the PE diagnosis, compared with ejaculatory control and EL which contributed 54.5% and 26.7%, respectively. Common variance among factors contributed the remaining 15.5% to the PE diagnosis. CLINICAL TRANSLATION: Bother/distress contributes least to the determination of a PE diagnosis. Its contribution is largely redundant with the unique and combined contributions of ejaculatory control and EL. STRENGTHS AND LIMITATIONS: Using a well-powered and multivariate analysis, this study parsed out the relative contributions of the 3 diagnostic criteria to a PE diagnosis. The study is limited by its use of estimated EL, a single item assessment of bother/distress, and the lack of differentiation of PE subtypes, lifelong and acquired.
conclusionBother/distress contributes minimally to the PE diagnosis, yet its assessment may be key to understanding the experiences of the patient/couple and to developing an effective treatment strategy. Rowland DL, McNabney SM, Hevesi K. Does Bother/Distress Contribute to the Diagnosis of Premature Ejaculation?. Sex Med 2022;10:100548.
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