Background:Premature ejaculation (PE) and erectile dysfunction (ED) are prevalent sexual problems, with evidence to suggest variation across sexual orientation. Contributing factors have traditionally been divided into organic and psychological categories. While limited research has found support for the influence of metacognitive beliefs, these studies did not investigate potential differences in sexual orientation.Aim:The current study aimed to investigate the differences in metacognitive beliefs in men with or without PE and/or ED and whether these varied according to sexual orientation.Method:A sample of 531 men was recruited (65 met criteria for PE only, 147 for ED, 83 with PE and ED, and 236 healthy controls). Within this sample, 188 men identified as heterosexual, 144 as bisexual, and 199 as homosexual. Participants completed a cross-sectional online survey consisting of psychometric measures.Results:Participants with PE and ED were significantly higher in cognitive confidence, thoughts concerning uncontrollability and danger, and need to control thoughts than PE only, ED only, and healthy controls. Furthermore, the PE only group was significantly higher than healthy controls for cognitive confidence, with the ED significantly higher for thoughts concerning uncontrollability and danger. There were no significant differences between differing sexual orientations for men with/or without PE and/or ED.Conclusions:Congruent with previous research, metacognitive beliefs play a role in PE and/or ED, although this is not exclusive to sexual orientation. The findings highlight that assessment and intervention regarding metacognitive beliefs may be beneficial for men of all sexual orientations with PE and/or ED.

中文翻译：

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异性恋、双性恋和同性恋男性的元认知：有或没有早泄和勃起功能障碍

背景：早泄（PE）和勃起功能障碍（ED）是普遍存在的性问题，有证据表明性取向存在差异。促成因素传统上分为有机和心理类别。虽然有限的研究发现支持元认知信念的影响，但这些研究并未调查性取向的潜在差异。目的：目前的研究旨在调查有或没有 PE 和/或 ED 的男性元认知信念的差异，以及这些是否因性取向而异。方法：招募了 531 名男性样本（65 名仅符合 PE 标准，147 名符合 ED 标准，83 名符合 PE 和 ED 标准，以及 236 名健康对照）。在这个样本中，188 名男性被确定为异性恋，144 名双性恋，199 名同性恋。参与者完成了一项由心理测量组成的横断面在线调查。结果：与仅 PE、仅 ED 和健康对照组相比，患有 PE 和 ED 的参与者在认知信心、关于不可控和危险的想法以及需要控制思想方面显着更高。此外，仅 PE 组的认知信心显着高于健康对照组，而 ED 显着高于关于不可控和危险的想法。有/或没有PE和/或ED的男性不同性取向之间没有显着差异。结论：与先前的研究一致，元认知信念在PE和/或ED中发挥作用，尽管这并非性取向所独有的。