A Structural Model of Premature Ejaculation Based on the Scenario Paradigm: Mediating Roles of Alienation, Attachment, and Narcissism

https://doi.org/10.61838/ijbmc.v12i6.1189
Premature ejaculation Scenario paradigm Attachment Narcissism Alienation Structural equation modeling

Authors

  • Hamideh Zahmati Department of Psychology, Qo. C., Islamic Azad University, Qom, Iran.
  • Nader Monirpour
    Monirpoor@qom-ac.ir
    Associate Professor of Health Psychology, Department of Psychology, Qo. C., Islamic Azad University, Qom, Iran.
  • MohammadAli Besharat Professor, Department of Psychology, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iran.
  • Hamidreza Hassnabadi Associate Professor of Educational Psychology, Department of Educational Psychology, Faculty of Psychology and Educational Sciences, kharazmi University, Tehran, Iran.
In Press
Quantitative Study(ies)

Objective: Premature ejaculation (PE) is a prevalent sexual concern among men, yet its psychological underpinnings remain understudied. This study aimed to develop and validate a structural model of premature ejaculation based on the scenario paradigm, considering the mediating roles of alienation, attachment styles, and narcissistic traits.

Methods and Materials: This correlational study used a structural equation modeling (SEM) approach. A total of 250 married men aged 18–55 from various districts in Tehran were selected via convenience sampling. Data were collected using the Premature Ejaculation Diagnostic Tool (PEDT), a researcher-developed Scenario Paradigm Questionnaire, the Alienation Scale, Collins and Read’s Adult Attachment Scale, and the Narcissistic Personality Inventory–16. Data analysis included descriptive statistics, correlation analysis, and SEM using SPSS-24 and AMOS-24.

Findings: The results demonstrated an excellent model fit (CFI = 1.00, RMSEA = 0.001, SRMR = 0.009). The scenario paradigm had both direct and indirect effects on premature ejaculation. Specifically, it positively influenced avoidant attachment (β = 0.16), alienation (β = 0.22), and narcissism (β = 0.28), which in turn significantly predicted premature ejaculation (p < .001). Bootstrapping confirmed the significance of all indirect paths, explaining 40% of the variance in premature ejaculation.

Conclusion: The findings suggest that psychological factors such as mental narratives, attachment insecurity, feelings of alienation, and narcissistic tendencies significantly contribute to premature ejaculation. Therapeutic interventions targeting internal narratives, attachment regulation, and personality dynamics may be effective in addressing this condition.