Depression and anxiety in men with sexual dysfunction: a retrospective study
Depression and anxiety in men with sexual dysfunction: a retrospective study
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DOI：
10.1016/j.comppsych.2015.03.001
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发表时间：
2015-07-01
影响因子：
7.3
通讯作者：
Kumaran, Arun Kumar
中科院分区：
文献类型：
--
作者：
Rajkumar, Ravi Philip;Kumaran, Arun Kumar
背景：焦虑症和抑郁症共存常见于患有勃起功能障碍（ED）和早泄（PE）等性功能障碍的男性。然而，它们往往未被诊断和治疗，并且它们与性功能障碍的关系很复杂。本研究调查了 ED 或 PE 男性共病焦虑和抑郁的频率和相关性。方法：回顾了 2010-14 年期间在综合医院精神病科就诊性心理障碍诊所的 64 名 ED 或 PE 男性的病例记录。从这些记录中提取有关共病焦虑症和抑郁症的信息，并分析其临床和人口统计学关联。结果：8 名 (12.5%) 男性患有共病抑郁症，15 名 (23.4%) 男性患有焦虑症。对于大多数患者来说，这些疾病早于性功能障碍的发生。广泛性焦虑症是最常见的焦虑症。患有抑郁症的男性的自杀意念或与性功能障碍相关的行为的发生率显着升高，并且更有可能报告缺乏性欲。患有焦虑症的男性更有可能经历与性相关的表现焦虑，并且在没有合并 ED 的情况下患 PE。结论：抑郁和焦虑影响了相当少数患有性功能障碍的男性。前来接受 ED 和 PE 评估的男性应仔细筛查这些疾病。焦虑症和性表现焦虑之间的联系值得在该患者群体中进行进一步研究。 (C) 2015 Elsevier Inc. 保留所有权利。
Background: Comorbid anxiety disorders and depression are commonly seen in men with sexual disorders such as erectile dysfunction (ED) and premature ejaculation (PE). However, they are often undiagnosed and untreated, and their relationship to sexual dysfunction is complex. This study examines the frequency and correlates of comorbid anxiety and depression in men with ED or PE.Methods: The case records of 64 men with ED or PE attending a clinic for psychosexual disorders in a general hospital psychiatry unit during the period 2010-14 were reviewed. Information on comorbid anxiety disorders and depression was extracted from these records, and their clinical and demographic associations were analyzed.Results: Eight (12.5%) men had comorbid depressive disorders, and fifteen (23.4%) had anxiety disorders. These disorders predated the onset of sexual dysfunction in the majority of patients. Generalized anxiety disorder was the commonest anxiety disorder. Men with comorbid depression had significantly elevated rates of suicidal ideation or behavior related to their sexual dysfunction, and were more likely to report a lack of libido. Men with pre-existing anxiety disorders were more likely to experience performance anxiety related to sex, and to have PE without comorbid ED.Conclusions: Depression and anxiety affect a substantial minority of men with sexual dysfunction. Men presenting for the evaluation of ED and PE should be carefully screened for these disorders. The links between anxiety disorders and sexual performance anxiety merit further investigation in this patient group. (C) 2015 Elsevier Inc. All rights reserved.