中年男性的性自我概念维度与性功能障碍：巴伐利亚男性健康研究的结果

Dimensions of sexual self-concept and sexual dysfunctions in middle-aged men: results of the Bavarian Men’s Health-Study

——《国际阳痿研究杂志》第38卷第5期，2026年5月——

<International Journal of Impotence Research>, May 2026

【摘要】性自我概念是多维的，也是理解人们性行为的关键概念。然而，其不同维度与性功能障碍之间的病因、关系和因果方向尚未完全阐明。本研究对5665名50岁男性组成的基于人群的队列进行了调查，这些男性完成了关于性自我概念（包括坚韧度、身体意象、性自尊和性压力感知）和性功能障碍的问卷调查。采用多元线性回归分析评估了这些关联。结果显示，勃起功能障碍（ED）、终身/获得性早泄、主观/可变性早泄和性欲低下（LL）与更负面的身体意象（p < 0.001）、更低的性自尊（p < 0.001）和更高的性压力感知（p < 0.001）相关。 ED、终身/获得性早泄和主观/可变早泄均与坚韧度相关（p < 0.001），但未发现与LL的相关性。负面的性自我概念与中年男性的性功能障碍独立相关，这表明性自我概念是性功能障碍生物心理社会概念中的一个重要因素。这种关系的因果方向需要在纵向研究中确定。

[Abstract] Sexual self-concept is multidimensional and a key construct in understanding people’s sexuality. The etiology as well as the relationship and causal direction between its different dimensions and sexual dysfunctions are not fully understood. A population-based cohort (N = 5665) of 50-year-old men completed questionnaires on dimensions of sexual self-concept (toughness, body image, sexual self-esteem, and perceived pressure with regard to sexuality) and sexual dysfunctions. Associations were assessed using multivariable linear regression analyses. Erectile dysfunction (ED), lifelong/acquired and subjective/variable premature ejaculation (PE), and low libido (LL) were associated with a more negative body image (p < 0.001), lower sexual self-esteem (p < 0.001), and higher perceived pressure with regard to sexuality (p < 0.001). ED, lifelong/acquired and subjective/variable PE were associated with toughness (p < 0.001), an association with LL could not be shown. A negative sexual self-concept was independently associated with sexual dysfunctions in middle-aged men highlighting that sexual self-concept represents a relevant factor in the biopsychosocial conception of sexual dysfunctions. The causal direction of this relationship needs to be determined in longitudinal studies.

论文原文：Valentin H. Meissner, Victoria A. Söhne, Andreas Dinkel, et al (2026). Dimensions of sexual self-concept and sexual dysfunctions in middle-aged men: results of the Bavarian Men’s Health-Study. International Journal of Impotence Research, Volume 38, Issue 5, Pages 430–437.  May 2026.

https://doi.org/10.1038/s41443-025-01119-1

（翻译兼责任编辑：MARY）

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