Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/2237-6089-2016-0072
Trends in Psychiatry and Psychotherapy
Original Article

Sexual dysfunction in females with depression: a cross-sectional study

Disfunção sexual em mulheres com depressão: um estudo transversal

Krishnankutty Sreelakshmy; Rajmohan Velayudhan; Deepak Kuriakose; Rema Nair

http://dx.doi.org/10.1590/2237-6089-2016-0072 Trends Psychiatry Psychother, vol.39, n2, p.106-109, 2017
PDF
SciELO
Downloads: 0
Views: 512

Abstract

Abstract Introduction Female sexual dysfunction (FSD) in depression albeit common is strikingly understudied. The condition, if addressed properly, can be readily cured, improving the quality of life of the patient. Methods A consecutive sample of drug-naïve married female patients with depression was assessed. Depression was diagnosed using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). Depression severity was assessed using the Hamilton Depression Rating Scale (HAM-D), and sexual dysfunction, the Female Sexual Function Index (FSFI). Results Sexual dysfunction was found in 90% of the patients in our study. Patients with medical comorbidities showed a significant decrease in the desire subset of the FSFI (Mann-Whitney U=11.0, p=0.009), however there was no significant association with other subsets. Patients who expressed passive death wishes had higher scores on all indicators of sexual function and a significantly higher score in the orgasm subset of the FSFI (Mann-Whitney U=11.0, p=0.009). Conclusion The study showed a high prevalence of FSD in depressed females regardless of type and severity of depression. Depression with medical comorbidities was associated with a significant decrease in desire. Patients who expressed passive death wishes showed improved sexual function and significantly better orgasm.

Keywords

Depression, sexual dysfunction, women’s mental health, orgasmic dysfunction

Resumo

Resumo Introdução Disfunção sexual feminina (DSF) na depressão, apesar de comum, é pouco estudada. Se tratada adequadamente, a condição pode ser prontamente curada, aumentando a qualidade de vida da paciente. Métodos Foi avaliada uma amostra consecutiva de mulheres casadas, virgens de tratamento, com depressão. A depressão foi diagnosticada utilizando a Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). A gravidade da depressão foi avaliada utilizando a Escala de Avaliação de Depressão de Hamilton (HAM-D), e a disfunção sexual, com o Índice da Função Sexual Feminina (Female Sexual Function Index, FSFI). Resultados Foi observada disfunção sexual em 90% das pacientes do estudo. As pacientes com comorbidades médicas mostraram uma diminuição significativa no subdomínio desejo da FSFI (Mann-Whitney U=11,0, p=0,009), porém não houve associação significativa com os outros subdomínios. Pacientes que expressaram desejos passivos de morte apresentaram escores mais altos em todos os indicadores de função sexual e um escore significativamente mais alto no subdomínio orgasmo da FSFI (Mann-Whitney U=11,0, p=0,009). Conclusão O estudo revelou uma alta prevalência de DSF em mulheres deprimidas, independentemente do tipo e da severidade da depressão. A depressão com comorbidades médicas foi associada a uma diminuição significativa do desejo. Pacientes que expressaram desejos passivos de morte mostraram função sexual melhor e orgasmo significativamente melhor.

Palavras-chave

Depressão, disfunção sexual, saúde mental das mulheres, disfunção orgásmica

References

Abhivant N, Sawant N. Sexual dysfunction in depressed Indian women attending a hospital out-patient department in Mumbai. Sri Lanka J Psychiatry. 2012;4:10-3.

Robert L, Phillips J. Depression and sexual desire. Am Fam Physician. 2000;62:782-6.

Basson R, Berman J, Burnett A, Derogatis L, Ferguson D, Fourcroy J. Report of the international consensus development conference on female sexual dysfunction: definitions and classifications. J Urol. 2000;163:888-93.

Casper RC, Redmond E, Katz MM, Schaffer CB, Davis JM, Koslow SH. Somatic symptoms in primary affective disorders: presence and relationship to the classification of depression. Arch Gen Psychiatry. 1985;42:1098-104.

Mathew RJ, Weinman ML. Sexual dysfunctions in depression. Arch Sex Behav. 1982;11:323-5.

Angst J. Sexual problems in healthy and depressed patients. Int Clin Psychopharmacol. 1998;13:S1-3.

First M, Frances A, Pincus H. DSM-IV-TR guidebook. 2004.

Sharp R. The Hamilton Rating Scale for Depression. Occup Med (Lond). 2015;65.

Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26:191-208.

Montejo-González AL, Llorca G, Izquierdo JA, Ledesma A, Bousoño M, Calcedo A. SSRI-induced sexual dysfunction: fluoxetine, paroxetine, sertraline and fluvoxamine in a prospective, multicenter, and descriptive clinical study of 344 patients. J Sex Marital Ther. 1997;23:176-94.

Bhugra D, De Silva P. Sexual dysfunction across cultures. Int Rev Psychiatry. 1993;5:243-52.

Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States: prevalence and predictors. JAMA. 1999;281:537-44.

6169cf73a95395541c167114 trends Articles
Links & Downloads
2238-0019 (Electronic)
Trends Psychiatry Psychother ©2024 All rights reserved.

Trends Psychiatry Psychother

Share this page
Page Sections