睡眠質量與時間生物型對主訴勃起障礙的年輕成人自評勃起功能的影響：一項前瞻性觀察研究

Impact of sleep quality and chronotype on self-reported erectile function in young adults presenting with erectile complaints: a prospective observational study

——《國際陽痿研究雜誌》第38卷第1期，2026年——

<International Journal of Impotence Research> Volume 38, Issue 1, 2026

【摘要】勃起功能障礙（ED）在年輕人群中普遍存在，多種因素可能影響其性功能及生活質量。本研究旨在探討睡眠質量和時間生物學類型（chronotype）對自述存在勃起困難的年輕男性勃起功能的影響。在這項前瞻性研究中，共納入了249名患有ED的男性受試者，評估時間跨度為2023年1月至2024年7月。研究收集了所有參與者的社會人口學及臨床數據，包括年齡、體重指數（BMI）、合併疾病情況以及激素相關指標。所有受試者均完成了以下問卷調查：《國際勃起功能指數》（IIEF-5）、《匹茲堡睡眠質量指數》（PSQI）、《晨型-夜型問卷》（MEQ）、《抑鬱-焦慮-應激量表》（DASS-42）以及《一般健康問卷》（GHQ-28）。研究採用Spearman相關分析和Kruskal-Wallis檢驗等統計學方法，評估了睡眠質量、時間生物學類型與ED之間的相互關係。受試者的平均年齡為31.03 ± 8.06歲。結果顯示存在顯著的相關性：睡眠質量較差與勃起功能較弱呈負相關（r=-0.379, p<0.001），而屬於“晨型人”（即早睡早起型）的時間生物學類型則與較好的勃起功能呈正相關（r=0.424, p<0.001）。回歸分析進一步證實，上述兩項因素均是ED的顯著預測因子（R²=0.200, p<0.001）。研究提示，睡眠質量和時間生物學類型是ED管理中的關鍵因素，針對這些因素採取靶向干預措施有望帶來積極的治療成效。

[Abstract] Erectile complaints are prevalent among young adults, with various factors potentially affecting sexual function and quality of life. This study investigates the impact of sleep quality and chronotype on erectile function in young adults who present with self-reported erectile difficulties. In this prospective study, 249 men with ED were included, assessed from January 2023 to July 2024. Sociodemographic and clinical data were collected for all participants, including age, body mass index (BMI), comorbid diseases, and hormonal parameters. All patients completed the following questionnaires: International Index of Erectile Function (IIEF-5), Pittsburgh Sleep Quality Index (PSQI), Morningness-Eveningness Questionnaire (MEQ), Depression Anxiety Stress Scales-42 (DASS-42), and General Health Questionnaire-28 (GHQ-28). Statistical analyses, including Spearman’s correlation and Kruskal-Wallis tests, evaluated the relationships between sleep quality, chronotype, and ED. The average age was 31.03 ± 8.06 years. Significant correlations were found: Poor sleep quality was linked to lower erectile function (r = −0.379, p < 0.001), while morning chronotype correlated with better erectile function (r = 0.424, p < 0.001). Regression analysis confirmed these as significant predictors of ED (R2 = 0.200, p < 0.001). Sleep quality and chronotype are crucial factors in ED management, suggesting targeted interventions could be beneficial.

論文原文: Ali Nebioğlu, Mert Başaranoğlu & Selahittin Çayan (2026).  Impact of sleep quality and chronotype on self-reported erectile function in young adults presenting with erectile complaints: a prospective observational study. International Journal of Impotence Research, Volume 38, Issue 1, Pages 44–50. 2026.

https://doi.org/10.1038/s41443-025-01089-4

（翻譯兼責任編輯：MARY）

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