ArticleTranslational andrology and urology2026
The chain mediating role of social support and anxiety between intimacy and self-efficacy in patients with psychogenic erectile dysfunction.
Article in Translational andrology and urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Psychogenic erectile dysfunction (pED) is closely associated with psychological factors such as anxiety and interpersonal distress. Psychological interventions aimed at enhancing self-efficacy in patients with pED can effectively improve erectile function and overall quality of life. This study examines the potential mediating associations of social support and anxiety in the relationship between intimate relationship quality and self-efficacy among patients with pED, providing theoretical guidance for intervention development. Methods: This study was a cross-sectional study conducted at a single tertiary hospital. A total of 210 patients with pED who were treated at the Andrology Outpatient Clinic of a tertiary Grade-A hospital in Nanjing from April 2024 to March 2025 were selected as the study subjects. Tools included the International Index of Erectile Function-5 (IIEF-5), the Quality of Relationship Inventory (QRI), the Social Support Rating Scale (SSRS), the Generalized Anxiety Disorder-7 scale (GAD-7), and the General Self-Efficacy Scale (GSES). Structural equation modeling (SEM) with Bootstrap analysis was utilized to explore the relationships among these variables. Results: The mean scores for intimate relationships, social support, anxiety, and self-efficacy were 32.28±7.88, 34.73±6.28, 6.79±4.92, and 23.72±5.33, respectively. Intimate relationships were significantly and positively correlated with social support (r=0.336, P<0.01) and self-efficacy (r=0.260, P<0.01), while showing a significant negative correlation with anxiety (r=-0.313, P<0.01). SEM analysis further indicated potential mediation effects of social support and anxiety on the relationship between intimate relationships and self-efficacy. The total indirect effect accounted for 51.52% (effect size: 0.321) of the total effect. Specifically, the indirect effects mediated through social support, anxiety, and the serial pathway accounted for 24.56%, 18.30%, and 8.51% of the total effect, respectively. Conclusions: Intimate relationship quality demonstrated both direct and indirect associations with self-efficacy in patients with pED, mediated by social support and anxiety. Consequently, psychological interventions targeting the enhancement of relationship quality, the utilization of social support, and the alleviation of anxiety may help improve self-efficacy in this population.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.