Panel A shows the direct effect of anxiety on male sexual function is negative and significant (β = −0.2315, P = .0001). The direct effect of anxiety on sexual stress is positive and significant (β = 0.3773, P = .0147). The direct effect of male sexual function on sexual stress is negative and significant (β = −3.2887, P < .0001). Panel B shows the direct effect of depression on male sexual function is negative and significant (β = −0.1838, P = .0001). The direct effect of depression on sexual stress is positive and significant (β = 0.5525, P = .0002). The direct effect of male sexual function on sexual stress is negative and significant (β = −3.2455, P < .0001).