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Beliefs about illness and quality of life among men with erectile dysfunction

International Journal of Impotence Research volume 17, pages 142–147 (2005)Cite this article

Abstract

The objective of the study was to apply an illness representations framework to examine patients' beliefs about erectile dysfunction (ED) and the association between those beliefs and reported quality of life. A total of 41 patients attending two secondary care clinics at a teaching hospital completed questionnaires examining quality of life, sexual functioning, illness representations (cause, time-line, coherence, consequences, cure, control and emotion) and perceptions of masculinity. Masculinity, sexual function, emotions and beliefs about consequences were found to be significantly correlated with quality of life. Multiple regression analysis revealed a model that accounted for almost 35% of the variance in quality of life of ED patients. The strongest predictor of higher quality of life was better sexual functioning (β=−0.342, P<0.05) followed by more positive beliefs about the effects of ED on masculinity (β=0.323, P<0.05). The results suggest that when assessing the quality of life of men with ED, patients' illness representations should be considered along with their level of sexual functioning and the effects of ED on masculinity. Patients may benefit from an intervention programme that includes an educational component, thereby providing patients with more information about treatment options and available support.

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References

  1. Aytac IA, Araujo ABJ, Kleinman KP, McKindlay JB . Socio-economic factors and incidence of ED: finding of the longitudinal Massachusetts Male Aging Study. Social Sci Med 2000; 51: 771–778.

    Article  CAS  Google Scholar 

  2. Morgentaler A . Male impotence. Lancet 1999; 354: 1713–1718.

    Article  CAS  Google Scholar 

  3. Feldman HA et al. Impotence and its medical and psychosocial correlates: results of the Massachusetts male aging study. The J Urol 1994; 151: 54–61.

    Article  CAS  Google Scholar 

  4. Moreira ED, Lobo CFL, Glasser D . A population-based survey to determine the prevalence of ED and its correlated in the State of Bahia Northeastern Brazil. J Urol 2000; 163: 15.

    Google Scholar 

  5. Fujisawa M et al. Evaluation of health-related quality of life in patients treated for ED with viagra (sildenafil citrate) using SF-36 score. Arch Androl 2002; 48: 15–21.

    Article  CAS  Google Scholar 

  6. Bokhour BG et al. Sexuality after treatment for early prostate cancer. J Gen Intern Med 2001; 16: 649–655.

    Article  CAS  Google Scholar 

  7. Fugl-Meyer AR, Lodnert G, Branholm I-B et al. On life satisfaction in male ED. Int J Impot Res 1997; 9: 1414–1418.

    Article  Google Scholar 

  8. Rosen RC . Quality of life assessment in sexual dysfunction trials. Int J Impot Res 1998; 10: S21–S23.

    PubMed  Google Scholar 

  9. Leventhal H, Nerenz DR, Steele DS . Illness representations and coping with health threats. In: Baum A, Taylor SE, Singer JE (eds). Handbook of Psychology and Health. Erlbaum, Hillsdale, NJ, 1984, pp 219–252.

    Google Scholar 

  10. Leventhal H et al. Illness representations: theoretical foundations. In: Petrie KJ, Weinman J (eds). Perceptions of Health and Illness: Current Research and Applications. Harwood Academic Publishers, Amsterdam, 1997, pp 19–45.

    Google Scholar 

  11. Weinman J, Petrie KJ, Moss-Morris R, Horne R . The Illness Perception Questionnaire: A new method for assessing the cognitive representations of illness. Psychol Health 1996; 11: 431–445.

    Article  Google Scholar 

  12. Moss-Morris R et al. The Revised Illness Perception Questionnaire (IPQ-R). Psychol Health 2002; 17: 1–16.

    Article  Google Scholar 

  13. Cooper A, Lloyd GS, Weinman J, Jackson G . Why patients do no attend cardiac rehabilitation: role of intentions and illness beliefs. Heart 1999; 82: 234–236.

    Article  CAS  Google Scholar 

  14. Scharloo M et al. Patients' illness perceptions and coping as predictors of functional status in psoriasis: a 1-year follow-up. Br J Dermatol 2000; 142: 899–907.

    Article  CAS  Google Scholar 

  15. Moss-Morris R, Petrie KJ, Weinman J . Functioning in chronic fatigue syndrome: do illness perceptions play a regulatory role. Br J Health Psychol 1996; 1: 15–25.

    Article  Google Scholar 

  16. Griva K, Myers LB, Newman S . Illness perceptions and self-efficacy beliefs in adolescents and young adults with insulin dependent diabetes mellitus. Psychol Health 2000; 15: 733–750.

    Article  Google Scholar 

  17. Litwin MS, Nied RJ, Dhanani N . Health-related quality of life in men with ED. J Gen Intern Med 1998; 13: 159–166.

    Article  CAS  Google Scholar 

  18. MacDonagh R, Ewings P, Porter T . The effect of ED on quality of life: psychometric testing of a new quality of life measure for patients with ED. J Urol 2002; 167: 212–217.

    Article  Google Scholar 

  19. MacDonagh R et al. The ED-EqoL: the development of a new quality of life measure for patients with ED. Unpublished data.

  20. Levine SB, Fones CSL . Psychological aspects at the interface of diabetes and ED. Diabetes Rev 1998; 6: 41–48.

    Google Scholar 

  21. Mickley E . Incidence and treatment of sexual dysfunction in heart disease. Ugeskr Laeger 2002; 164: 4760–4764(Abstract).

    PubMed  Google Scholar 

  22. Smith DS et al. Quality of life outcomes from men with prostate carcinoma detected by screening. Cancer 2000; 88: 454–463.

    Article  Google Scholar 

  23. Wagner TH, Patrick DL, McKenna SP, Froesse PS . Cross-cultural development of a quality of life measure for men with erection difficulties. Qual Life Res 1996; 5: 443–449.

    Article  CAS  Google Scholar 

  24. Lavery LF, Clarke VA . Prostate cancer: patients' and spouses' coping and marital adjustment. Psychol Health Med 1999; 4: 1999.

    Article  Google Scholar 

  25. Gray RE et al. Managing the impact of illness: the experiences of men with prostate cancer and their spouses. J Health Psychol 2000; 5: 531–548.

    Article  CAS  Google Scholar 

  26. Boehmer U, Clark JA . Communication about prostate cancer. J Fam Pract 2000; 50: 226–231.

    Google Scholar 

Download references

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Authors and Affiliations

  1. Section of Health Psychology, Psychology Department (at Guy's), Institute of Psychiatry, King's College, London, UK

    I Stamogiannou & E A Grunfeld

  2. Department of Urology, King's College Hospital, Denmark Hill, London, UK

    K Denison & G Muir

Authors
  1. I Stamogiannou
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  2. E A Grunfeld
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  3. K Denison
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  4. G Muir
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Correspondence to E A Grunfeld.

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Stamogiannou, I., Grunfeld, E., Denison, K. et al. Beliefs about illness and quality of life among men with erectile dysfunction. Int J Impot Res 17, 142–147 (2005). https://doi.org/10.1038/sj.ijir.3901220

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  • DOI: https://doi.org/10.1038/sj.ijir.3901220

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