{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T07:32:48Z","timestamp":1767598368039,"version":"3.37.3"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T00:00:00Z","timestamp":1733356800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The relationship between impulse control and premature ejaculation (PE), the most common sexual dysfunction in men, is not yet well understood.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>To assess the association between impulse control issues and the severity of PE in men with a lifelong diagnosis of this condition.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A cross-sectional observational study was designed to evaluate patients who presented to the clinic with complaints of PE between March 2023 and March 2024. The final study sample comprised 40 men with lifelong PE and 40 healthy control subjects.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Outcomes<\/jats:title>\n                  <jats:p>Impulse control was evaluated with the UPPS Impulsive Behavior Scale and the Barratt Impulsivity Scale-11 (BIS-11), while depression and anxiety levels were measured using the Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI). The severity of PE was assessed using the Arabic Index of PE (AIPE).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The mean AIPE score was 15.13\u2009\u00b1\u20093.33 in the PE group and 32.05\u2009\u00b1\u20092.06 in the control group (P \u02c2 0.001). Compared to the control group, the PE group had significantly higher UPSS Impulsive Behavior Scale scores in all subscales (P \u02c2 0.001 for planning, urgency, and lack of perseverance; P =\u00a00. 001 for sensation seeking) and total scores (P \u02c2 0.001). The BIS-11 scores were also significantly higher in the PE group compared to the control group for all subscales (P \u02c2 0.001 for all). The patients in the PE group also had higher levels of anxiety and depression (P \u02c2 0.001 for all).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical Implications<\/jats:title>\n                  <jats:p>A clinician\u2019s quantitative assessment of ejaculation time and the severity of PE among men presenting to the clinic with complaints of PE may reveal accompanying comorbid conditions more effectively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Strength and Limitations<\/jats:title>\n                  <jats:p>The current study is a novel investigation that quantitatively evaluates PE in terms of intravaginal ejaculatory latency time and severity, aiming to identify comorbid conditions. As a limitation, the necessity for patients and their partners to measure the time to ejaculation limited the sample size, making it challenging to generalize the findings.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Our findings suggest that impulse control plays a significant role in lifelong PE. It is important for clinicians to assess impulse control and consider therapeutic interventions for men presenting with PE complaints, particularly in those classified as severe.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jsxmed\/qdae169","type":"journal-article","created":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T21:39:57Z","timestamp":1733866797000},"page":"250-257","source":"Crossref","is-referenced-by-count":2,"title":["Impulse control and its association with ejaculation time in men with premature ejaculation"],"prefix":"10.1093","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2654-479X","authenticated-orcid":false,"given":"Tar\u0131k","family":"Sa\u011flam","sequence":"first","affiliation":[{"name":"Department of Psychiatry, University of Health Sciences, Erzurum City Hospital , 25240, Yakutiye\/Erzurum ,","place":["T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"U\u011fur","family":"Tak\u0131m","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Health Sciences, Erzurum City Hospital , 25240, Yakutiye\/Erzurum ,","place":["T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2491-6270","authenticated-orcid":false,"given":"Yasin","family":"Kavla","sequence":"additional","affiliation":[{"name":"Observation Department of Council of Forensic Medicine , 34196, \u0130stanbul ,","place":["T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Demirhan \u00d6rsan","family":"Demir","sequence":"additional","affiliation":[{"name":"Ankara Bilkent City Hospital , 06800, Department of Urology, Ankara ,","place":["T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u015eenol","family":"Turan","sequence":"additional","affiliation":[{"name":"Observation Department of Council of Forensic Medicine , 34196, \u0130stanbul ,","place":["T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,12,5]]},"reference":[{"issue":"12","key":"2025021006310565800_ref1","doi-asserted-by":"publisher","first-page":"696","DOI":"10.1038\/s41585-019-0238-7","article-title":"Oxytocin antagonists: the next frontier in PE treatment","volume":"16","author":"Gul","year":"2019","journal-title":"Nat Rev Urol"},{"key":"2025021006310565800_ref2","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1176\/appi.books.9780890425596","volume-title":"Diagnostic and Statistical Manual of Mental Disorders: DSM-5\u2122","author":"American Psychiatric Association","year":"2013"},{"issue":"4","key":"2025021006310565800_ref3","doi-asserted-by":"publisher","first-page":"547","DOI":"10.2165\/00003495-200767040-00005","article-title":"Premature ejaculation: definition and drug treatment","volume":"67","author":"Waldinger","year":"2007","journal-title":"Drugs"},{"key":"2025021006310565800_ref4","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1159\/000126624","article-title":"Recent advances in the classification, neurobiology and treatment of premature ejaculation","volume":"29","author":"Waldinger","year":"2008","journal-title":"Adv Psychosom Med"},{"issue":"5","key":"2025021006310565800_ref5","doi-asserted-by":"publisher","first-page":"425","DOI":"10.4103\/aja.aja_122_18","article-title":"Premature ejaculation: an update on definition and pathophysiology","volume":"21","author":"El-Hamd","year":"2019","journal-title":"Asian J Androl"},{"key":"2025021006310565800_ref6","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1016\/j.psychres.2018.12.038","article-title":"Correlation between premature ejaculation and psychological disorders in 270 Chinese outpatients","volume":"272","author":"Liu","year":"2019","journal-title":"Psychiatry Res"},{"issue":"2_Part_1","key":"2025021006310565800_ref7","doi-asserted-by":"publisher","first-page":"810","DOI":"10.1111\/j.1743-6109.2009.01570.x","article-title":"The distribution of patients who seek treatment for the complaint of ejaculating prematurely according to the four premature ejaculation syndromes","volume":"7","author":"Serefoglu","year":"2010","journal-title":"J Sex Med"},{"key":"2025021006310565800_ref8","doi-asserted-by":"publisher","first-page":"317468","DOI":"10.1155\/2013\/317468","article-title":"Prevalence rate and risk factors of depression in outpatients with premature ejaculation","volume":"2013","author":"Zhang","year":"2013","journal-title":"Biomed Res Int"},{"issue":"2","key":"2025021006310565800_ref9","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1111\/jsm.12383","article-title":"The impact of intravaginal ejaculatory latency time and erectile function on anxiety and depression in the four types of premature ejaculation: a large cross-sectional study in a Chinese population","volume":"11","author":"Gao","year":"2014","journal-title":"J Sex Med"},{"issue":"2","key":"2025021006310565800_ref10","doi-asserted-by":"publisher","first-page":"264","DOI":"10.1080\/00224499.2016.1255301","article-title":"No evidence for long-term causal association between symptoms of premature ejaculation and symptoms of anxiety, depression, and sexual distress in a large, population-based longitudinal sample","volume":"54","author":"Ventus","year":"2017","journal-title":"J Sex Res"},{"issue":"1","key":"2025021006310565800_ref11","doi-asserted-by":"publisher","first-page":"42","DOI":"10.4081\/aiua.2021.1.42","article-title":"Premature ejaculation patients and their partners: arriving at a clinical profile for a real optimization of the treatment","volume":"93","author":"Verze","year":"2021","journal-title":"Arch Ital Urol Androl"},{"issue":"4","key":"2025021006310565800_ref12","doi-asserted-by":"publisher","first-page":"332","DOI":"10.4274\/Npa.y6443","article-title":"Temperament and character differences in patients with premature ejaculation","volume":"50","author":"Altunoluk","year":"2013","journal-title":"Noro Psikiyatr Ars"},{"issue":"1","key":"2025021006310565800_ref13","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1016\/j.jsxm.2020.11.001","article-title":"Temperament-character traits and attitudes toward premature ejaculation in 4 types of premature ejaculation","volume":"18","author":"Gao","year":"2021","journal-title":"J Sex Med"},{"issue":"1","key":"2025021006310565800_ref14","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1016\/j.mehy.2012.03.034","article-title":"Is premature ejaculation an impulse control disorder?","volume":"79","author":"\u00d6zdemir","year":"2012","journal-title":"Med Hypotheses"},{"issue":"4","key":"2025021006310565800_ref15","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1080\/0092623X.2017.1405299","article-title":"Sexual cognitions, trait anxiety, sexual anxiety, and distress in men with different subtypes of premature ejaculation and in their partners","volume":"44","author":"Kempeneers","year":"2017","journal-title":"J Sex Marital Ther"},{"issue":"4","key":"2025021006310565800_ref16","doi-asserted-by":"publisher","first-page":"669","DOI":"10.1016\/S0191-8869(00)00064-7","article-title":"The five factor model and impulsivity: using a structural model of personality to understand impulsivity","volume":"30","author":"Whiteside","year":"2001","journal-title":"Pers Individ Dif"},{"issue":"2","key":"2025021006310565800_ref17","doi-asserted-by":"publisher","first-page":"139","DOI":"10.5455\/bcp.20110706024203","article-title":"UPPS d\u00fcrt\u00fcsel davran\u0131\u015f \u00f6l\u00e7e\u011fi ile psikiyatri hastalar\u0131nda d\u00fcrt\u00fcselli\u011fin \u00f6l\u00e7\u00fcm\u00fc","volume":"21","author":"Yarg\u0131\u00e7","year":"2011","journal-title":"Klin Psikofarmakol Bulteni"},{"issue":"6","key":"2025021006310565800_ref18","doi-asserted-by":"publisher","first-page":"768","DOI":"10.1002\/1097-4679(199511)51:6&lt;768::AID-JCLP2270510607&gt;3.0.CO;2-1","article-title":"Factor structure of the Barratt impulsiveness scale","volume":"51","author":"Patton","year":"1995","journal-title":"J Clin Psychol"},{"key":"2025021006310565800_ref19","article-title":"Psychometric properties of the Turkish version of the Barratt impulsiveness scale-11","volume":"18","author":"","journal-title":"Bull Clin Psychopharmacol"},{"issue":"6","key":"2025021006310565800_ref20","doi-asserted-by":"publisher","first-page":"1750","DOI":"10.1111\/j.1743-6109.2006.00213.x","article-title":"Development and evaluation of the Arabic index of premature ejaculation (AIPE)","volume":"4","author":"Arafa","year":"2007","journal-title":"J Sex Med"},{"issue":"4","key":"2025021006310565800_ref21","doi-asserted-by":"publisher","first-page":"1177","DOI":"10.1111\/j.1743-6109.2010.02183.x","article-title":"The comparison of premature ejaculation assessment questionnaires and their sensitivity for the four premature ejaculation syndromes: results from the Turkish society of andrology sexual health survey","volume":"8","author":"Serefoglu","year":"2011","journal-title":"J Sex Med"},{"key":"2025021006310565800_ref22","article-title":"Beck depresyon envanterinin universite ogrencileri icin gecerliligi, guvenilirligi","volume":"7","author":"","journal-title":"(A reliability and validity study of Beck Depression Inventory in a university student sample). J. Psychol"},{"key":"2025021006310565800_ref23","article-title":"Turkish version of the Beck anxiety inventory: psychometric properties","volume":"12","author":"Ulusoy","journal-title":"J Cogn Psychother"},{"issue":"2","key":"2025021006310565800_ref24","doi-asserted-by":"publisher","first-page":"175","DOI":"10.3758\/BF03193146","article-title":"G* power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences","volume":"39","author":"Faul","year":"2007","journal-title":"Behav Res Methods"},{"volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"","key":"2025021006310565800_ref25","doi-asserted-by":"publisher","DOI":"10.4324\/9780203771587"},{"issue":"8","key":"2025021006310565800_ref26","doi-asserted-by":"publisher","first-page":"e13315","DOI":"10.1111\/and.13315","article-title":"Correlations and stratification analysis between premature ejaculation and psychological disorders","volume":"51","author":"Yang","year":"2019","journal-title":"Andrologia"}],"container-title":["The Journal of Sexual Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/22\/2\/250\/60956256\/qdae169.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/22\/2\/250\/60956256\/qdae169.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T06:31:15Z","timestamp":1739169075000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jsm\/article\/22\/2\/250\/7916733"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,5]]},"references-count":26,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024,12,5]]},"published-print":{"date-parts":[[2025,1,9]]}},"URL":"https:\/\/doi.org\/10.1093\/jsxmed\/qdae169","relation":{},"ISSN":["1743-6095","1743-6109"],"issn-type":[{"type":"print","value":"1743-6095"},{"type":"electronic","value":"1743-6109"}],"subject":[],"published-other":{"date-parts":[[2025,2]]},"published":{"date-parts":[[2024,12,5]]}}}