Journal of Psychosomatic Research, Vol. 23,pp. 141to 147. Pergamon Press Ltd. 1979. Printed in Great Britain.
SEXUAL DYSFUNCTION AND SEXUAL SATISFACTION IN 58 MARRIED SWEDISH MEN* PER NETTELBLADT
and
NILS UDDENBERG
(Received 19 September 1978) Abstract-Information regarding male sexual function and satisfaction was gathered from a representative sample of 58 married Swedish men studied by means of semi-structured interviews. 23 men (40% of the total sample) reported a tendency towards sexual dysfunction, 22 (39% of the total sample) of these had experienced premature ejaculation, 6 (10 % of the total sample) retarded ejaculation, and 4 (7% of the total sample) impotence. Sexual dysfunction was more common in men reporting early parental relations that may predispose for inadequate masculine identification. Thus, a report of poor contact with the father and a dominating mother was over-represented in sexually-dysfunctional men. Sexual dysfunction was not significantly related to the sexual satisfaction of the couple. In contrast, man’s sexual satisfaction, while related to the emotional relationship to the wife and the child, was not associated with his early parental relations. OUR KNOWLEDGE about male sexual dysfunction is incomplete in many ways. First, we do not know how common it is. Clinical studies are not very helpful in this context. Many men suffering from sexual dysfunction, for various reasons, do not seek medical help. Also, some forms of dysfunction are more incapacitating than others. This may explain why impotence and premature ejaculation dominate in clinical samples, whereas retarded ejaculation is less common [l-3]. Further, most of the available clinical studies suffer from an over-representation of the higher social classes [l-5]. None of the more extensive population studies give much information about the matter [6, 71. As far as the authors know, there is only one recent population-based study discussing the frequency of male sexual dysfunction [8]. Consequently, even though the present sample is rather small, it is considered to be of interest as it makes an attempt to estimate the frequency of male sexual dysfunction. Secondly, different authors stress different aspects of the background of male sexual dysfunction. Some [l, 2, 41 are of the opinion that constitutional factors may be particularly important. Others [9, lo] stress the importance of specific early experiences. Further, when studying the psychological background of sexual dysfunction, it may be an advantage to use a non-clinical population [I 11. Thirdly, sexual dysfunction, at least when it occurs sporadically, need not necessarily interfere with sexual satisfaction. From studies of women we have evidence that sexual satisfaction may be relatively independent of sexual function and have a different psychological background [12, 131. The present sample offered an opportunity to study these aspects in men. SAMPLE
AND
METHODS
The sample The present study is part of a broader longitudinal study of randomly-selected Swedish families. This study was carried out in order to elucidate psychological and social factors of importance for adaptation to parenthood and parent-child relations [14-11. When the present data were collected. the oldest child of the couple was approximately 4.5 years old. Between January 1976 and January 1977, 61 men were selected according to the following criteria: (1) their wives had participated in the *From the Psychiatric Clinic University of Lund, Lasarettet, 221, 85 Lund, Sweden. 141
142
PER NETTELBLADT and NILS UDDENBERG
study and had been independently interviewed by one of the authors (N.U.); (2) they were living together with their wives and children. Only 3 men (5 %) refused to be interviewed. Thus, the investigated sample comprised 58 men. The interviews
All the men were interviewed by the same investigator (P.N.) who had no previous information about the family. The interview was semi-structured and generally took place in the home of the family. The median length of the interview was 2 hours (range: 1.15-3.0 hr). Contact with each of the parents was evaluated for childhood (up to 12 years) and adolescence (13-18 years). A good contact was noted when a close, open and warm relationship to the parent in question was reported. In contrast, poor contact was registered when the parent was described as distant or cool or when there had been more or less permanent conflicts. The man was also asked how much time he had spent with each of his parents during his childhood and adolescence, respectively. When the man had been brought up by other than his biological parents, the parent-figure whom the man recognized as the “significant” one was regarded as “the father” or “the mother”. The man’s perceived similarity to his father was estimated by asking him whether he considered himself more like his father than his mother, in general, in manners, appearance and interests. This information was summarized in a scale: “Perceived similarity to father” (Table 1). TABLEl.-HOMOGENEITY OF THE SCALES
____. Perceived
similarity
Man’s Man’s Man’s Man’s Negative
cpvalue
Level of significance
to father
Man considers himself more like his father than his mother in appearance in general in manners in interests Sexual satisfaction
_
0.84 0.80 0.49 0.37
p c 0.001 p
SEXUAL DYSFUNCTION AND SEXUAL SATISFACTION IN 58 MARRIED SWEDISH MEN* PER NETTELBLADT
and
NILS UDDENBERG
(Received 19 September 1978) Abstract-Information regarding male sexual function and satisfaction was gathered from a representative sample of 58 married Swedish men studied by means of semi-structured interviews. 23 men (40% of the total sample) reported a tendency towards sexual dysfunction, 22 (39% of the total sample) of these had experienced premature ejaculation, 6 (10 % of the total sample) retarded ejaculation, and 4 (7% of the total sample) impotence. Sexual dysfunction was more common in men reporting early parental relations that may predispose for inadequate masculine identification. Thus, a report of poor contact with the father and a dominating mother was over-represented in sexually-dysfunctional men. Sexual dysfunction was not significantly related to the sexual satisfaction of the couple. In contrast, man’s sexual satisfaction, while related to the emotional relationship to the wife and the child, was not associated with his early parental relations. OUR KNOWLEDGE about male sexual dysfunction is incomplete in many ways. First, we do not know how common it is. Clinical studies are not very helpful in this context. Many men suffering from sexual dysfunction, for various reasons, do not seek medical help. Also, some forms of dysfunction are more incapacitating than others. This may explain why impotence and premature ejaculation dominate in clinical samples, whereas retarded ejaculation is less common [l-3]. Further, most of the available clinical studies suffer from an over-representation of the higher social classes [l-5]. None of the more extensive population studies give much information about the matter [6, 71. As far as the authors know, there is only one recent population-based study discussing the frequency of male sexual dysfunction [8]. Consequently, even though the present sample is rather small, it is considered to be of interest as it makes an attempt to estimate the frequency of male sexual dysfunction. Secondly, different authors stress different aspects of the background of male sexual dysfunction. Some [l, 2, 41 are of the opinion that constitutional factors may be particularly important. Others [9, lo] stress the importance of specific early experiences. Further, when studying the psychological background of sexual dysfunction, it may be an advantage to use a non-clinical population [I 11. Thirdly, sexual dysfunction, at least when it occurs sporadically, need not necessarily interfere with sexual satisfaction. From studies of women we have evidence that sexual satisfaction may be relatively independent of sexual function and have a different psychological background [12, 131. The present sample offered an opportunity to study these aspects in men. SAMPLE
AND
METHODS
The sample The present study is part of a broader longitudinal study of randomly-selected Swedish families. This study was carried out in order to elucidate psychological and social factors of importance for adaptation to parenthood and parent-child relations [14-11. When the present data were collected. the oldest child of the couple was approximately 4.5 years old. Between January 1976 and January 1977, 61 men were selected according to the following criteria: (1) their wives had participated in the *From the Psychiatric Clinic University of Lund, Lasarettet, 221, 85 Lund, Sweden. 141
142
PER NETTELBLADT and NILS UDDENBERG
study and had been independently interviewed by one of the authors (N.U.); (2) they were living together with their wives and children. Only 3 men (5 %) refused to be interviewed. Thus, the investigated sample comprised 58 men. The interviews
All the men were interviewed by the same investigator (P.N.) who had no previous information about the family. The interview was semi-structured and generally took place in the home of the family. The median length of the interview was 2 hours (range: 1.15-3.0 hr). Contact with each of the parents was evaluated for childhood (up to 12 years) and adolescence (13-18 years). A good contact was noted when a close, open and warm relationship to the parent in question was reported. In contrast, poor contact was registered when the parent was described as distant or cool or when there had been more or less permanent conflicts. The man was also asked how much time he had spent with each of his parents during his childhood and adolescence, respectively. When the man had been brought up by other than his biological parents, the parent-figure whom the man recognized as the “significant” one was regarded as “the father” or “the mother”. The man’s perceived similarity to his father was estimated by asking him whether he considered himself more like his father than his mother, in general, in manners, appearance and interests. This information was summarized in a scale: “Perceived similarity to father” (Table 1). TABLEl.-HOMOGENEITY OF THE SCALES
____. Perceived
similarity
Man’s Man’s Man’s Man’s Negative
cpvalue
Level of significance
to father
Man considers himself more like his father than his mother in appearance in general in manners in interests Sexual satisfaction
_
0.84 0.80 0.49 0.37
p c 0.001 p
