Cognitive and emotional factors linked with the development of male erectile dysfunction - The aim of the present research is to investigate the relation between beliefs about sexuality, cognitive factors, emotional factors, and erectile dysfunction. 15 adult males (aged 29-66) with psychogenic erectile dysfunction were compared with 15 adult non-dysfunctional males (aged 29-71) with regard to their beliefs in sexual myths, their expectations, and their emotions during sexual activity. Erectile dysfunction was assessed by SDI (Sexual Dysfunction Interview) and measured by the International Index of Erectile Function (IIEF). Beliefs about sexuality, as well as cognitive and emotional factors of sexual function were measured respectively by Sexual Dysfunctional Beliefs Questionnaire (SDBQ) and Sexual Modes Questionnaire (SMQ). Results show in dysfunctional group an higher level of dysfunctional or irrational beliefs, of negative emotions and automatic thoughts during sexual activity. Beyond this, our data show high correlations between automatic thoughts and sexual functioning, and between worry and sexual functioning These results emphasize the role of cognitive-emotional processes on erectile dysfunction development and maintenance.
Keywords: Erectile dysfunction, irrational beliefs, emotions, sexual myths, expectations, sexual function disturbance