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Loss of Socio-Economic Condition and Psychogenic Erectile Dysfunction: the Role of Temperament and Depression

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Abstract

Objectives

According to the DSM-5, in men, the inability to achieve or sustain an erection for satisfactory sexual activity can be of organic or psychological nature. The risk factors for Psychogenic Erectile Dysfunction (PED) include exposure to episodic, acute or chronic stressors, dysfunctional lifestyle factors and relationship patterns, anxiety, mood and personality disorders, neurotic or submissive temperamental traits. We hypothesized that worsening socioeconomic condition may lead to PED, and that depression and temperament (harm avoidance) may act as mediators or moderators of this relationship.

Methods

Eighty-four patients with psychogenic erectile dysfunction and fifty healthy control subjects participated in a retrospective study that investigated stressful events (e.g., lifestyle factors) potentially associated with PED and our hypothesized mechanism linking stress, depression, temperament, and erectile dysfunction.

Results

In our clinical sample, loss of economic resources was a risk factor for PED and its effects were statistically mediated by depression, especially among individuals who scored high in harm avoidance.

Conclusions

Our findings are consistent with the rank theory of depression and emphasize the importance of an evolutionary approach to understanding clinical conditions such as psychogenic erectile dysfunction.

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Data Availability

The authors are willing to make their data available upon request.

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Author notes

  1. Harold Dadomo, Davide Ponzi and Stefano Parmigiani contributed equally to this work.

Authors and Affiliations

  1. Unit of Neuroscience, Department of Medicine and Surgery, University of Parma, Parma, Italy

    Harold Dadomo, Davide Ponzi, Ylenia Nicolini, Paola Palanza & Annalisa Pelosi

  2. Department of Psychology, Oklahoma State University, Stillwater, OK, USA

    Davide Ponzi

  3. Department of Medicine and Surgery, University of Parma, Parma, Italy

    Riccardo Volpi

  4. Department of Integrative Biology and Physiology, Medical School, University of Minnesota, Minneapolis, MN, USA

    Alessandro Bartolomucci

  5. Evolutionary and Functional Biology Unit, Department of Chemistry, Life Sciences and Environmental Sustainability, University of Parma, Parma, Italy

    Stefano Parmigiani

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  1. Harold Dadomo
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Dadomo, H., Ponzi, D., Nicolini, Y. et al. Loss of Socio-Economic Condition and Psychogenic Erectile Dysfunction: the Role of Temperament and Depression. Adaptive Human Behavior and Physiology 6, 57–74 (2020). https://doi.org/10.1007/s40750-019-00125-0

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