Skip to main content

Thank you for visiting You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Specific aspects of erectile dysfunction in psychiatry


The participation of the psychiatrist in the management of erectile dysfunction (ED) is focused on three types of patients based on the origin of the dysfunction: (1) patients with functional or psychogenic ED, (2) patients with mixed, organic psychogenic ED, and (3) patients with ED and active psychopathology. The second group is influenced by three psychological factors: perpetuating factors, aggravating factors, and accompanying factors. The main psychopathological disorders that interfere directly with the erectile mechanism are depressive disorders (18–35%), anxiety disorders (37%), obsessive–compulsive disorder, psychotic disorders (46–47%), and the antipsychotic medications used to treat these disorders. The diagnostic proposal includes psychological and sexologic evaluation and differential diagnosis. The therapeutic proposal includes the basic principles of sex therapy in the model of behavioral-cognitive therapy (eg, prohibition of intercourse, sensate focus, voluntary loss of erections, no expectations about response), pharmacological therapy (eg, sildenafil, intracavernous injection of vasoactive drugs), and a combination of both therapies.

This is a preview of subscription content, access via your institution

Relevant articles

Open Access articles citing this article.

Access options

Buy article

Get time limited or full article access on ReadCube.


All prices are NET prices.


  1. Feldman HA et al. Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. J Urol 1994; 151: 54–61.

    Article  CAS  PubMed  Google Scholar 

  2. Teusch L et al. Different patterns of sexual dysfunctions associated with psychiatric disorders and psychopharmacological treatment. Results of an investigation by semistructured interview of schizophrenic and neurotic patients and methadone-substituted opiate addicts. Pharmacopsychiatry 1995; 28: 84–92.

    Article  CAS  PubMed  Google Scholar 

  3. Montejo AL, Llorca G, Izquierdo JA, Rico-Villademoros F . Incidence of sexual dysfunction associated with antidepressant agents: a prospective multicenter study of 1022 outpatients. Spanish Working Group for the Study of Psychotropic-Related Sexual Dysfunction. J Clin Psychiatry 2001; 62: 10–21.

    CAS  PubMed  Google Scholar 

  4. LoPiccolo J, Steger JC . The sexual interaction inventory: a new instrument for assessment of sexual dysfunction. Arch Sex Behav 1974; 3: 585–595.

    Article  CAS  PubMed  Google Scholar 

  5. Rust J, Golombok S . The GRISS: a psychometric instrument for the assessment of sexual dysfunction. Arch Sex Behav 1986; 15: 157–165.

    Article  CAS  PubMed  Google Scholar 

  6. Bobes J et al. Evaluating changes in sexual functioning in depressed patients: sensitivity to change of the CSFQ. J Sex Marital Ther 2002; 28: 93–103.

    Article  CAS  PubMed  Google Scholar 

  7. Hargreave T . Efficacy of sildenafil in the treatment of erectile dysfunction in patients with depression. Presented at the Annual Congress of the Collegium Internationale Neuro-Psychopharmacologicum, Glasgow, UK 1998.

  8. Nurnberg HG et al. Efficacy of sildenafil citrate for the treatment of erectile dysfunction in men taking serotonin reuptake inhibitors. Am J Psychiatry 2001; 158: 1926–1928.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to J M Farre.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Farre, J., Fora, F. & Lasheras, M. Specific aspects of erectile dysfunction in psychiatry. Int J Impot Res 16 (Suppl 2), S46–S49 (2004).

Download citation

  • Published:

  • Issue Date:

  • DOI:


  • erectile dysfunction
  • functional
  • psychogenic
  • psychiatry

This article is cited by


Quick links