Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/S2237-60892013000100007
Trends in Psychiatry and Psychotherapy
Original Article

Sexual dysfunction, depression, and anxiety in young women according to relationship status: an online survey

Disfunção sexual, depressão e ansiedade em mulheres jovens de acordo com o status de relacionamento: uma pesquisa on-line

Valeska Martinho Pereira; Antonio Egidio Nardi; Adriana Cardoso Silva

http://dx.doi.org/10.1590/S2237-60892013000100007 Trends Psychiatry Psychother, vol.35, n1, p.55-61, 2013
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Abstract

BACKGROUND: Sexual dysfunction is a common, still poorly understood problem among women. Being or not in a relationship seems to be a risk factor for sexual dysfunction. OBJECTIVES: To evaluate the presence of sexual problems, anxiety, and depression in young women and to correlate findings with current relationship status (single, in a committed relationship, or married). METHODS: Data were collected trough an online survey from a total of 155 women aged between 20 and 29 years. Sociodemographic data were collected, and both the Hospital Anxiety and Depression scale and the Female Sexual Function Index were applied. Data were statistically analyzed using the chi-square and Kruskal-Wallis tests, and groups were compared in 2 x 2 matrices using the Mann-Whitney test. RESULTS: Single women showed a significantly higher prevalence of problems in the lubrication (45.3%), orgasm (53.1%), satisfaction (67.2%), and pain (50%) domains and also in total Female Sexual Function Index scores (60.9%) in comparison with the other groups. Additionally, significantly higher depression scores were found among single women (5.89±3.3) in comparison to those in a committed relationship (4.05±2.83). Anxiety scores were similar in all groups. CONCLUSION: Our findings suggest that single women have a poorer sexual function and are more likely to have mood disorders in comparison to their peers involved in stable relationships.

Keywords

Prevalence, sexual dysfunction, anxiety, depression, female

Resumo

CONTEXTO: Disfunção sexual é um problema comum e ainda pouco compreendido entre mulheres. Estar ou não em um relacionamento parece ser um fator de risco para disfunção sexual. OBJETIVO: Avaliar a presença de problemas sexuais, ansiedade e depressão em jovens mulheres e correlacionar os achados ao estado de relacionamento atual (solteiras, em relacionamento sério ou casadas). MÉTODOS: Dados foram coletados através de pesquisa on-line de um total de 155 mulheres com idade entre 20 e 29 anos. Foram coletados dados sociodemográficos, e a Escala Hospitalar de Ansiedade e Depressão e o Índice de Função Sexual Feminina foram aplicados. Os dados foram analisados através dos testes qui-quadrado e Kruskal-Wallis, e os grupos foram comparados dois a dois através do teste Mann-Whitney. RESULTADOS: Mulheres solteiras apresentaram uma prevalência significativamente maior de problemas nos domínios lubrificação (45,3%), orgasmo (53,1%), satisfação (67,2%) e dor (50%), e também no escore total do Índice de Função Sexual Feminina (60,9%), em comparação aos outros grupos. Além disso, foram observados escores estatisticamente superiores para depressão em mulheres solteiras (5,89±3,3) quando comparadas ao grupo relacionamento sério (4,05±2,83). Os escores de ansiedade foram similares em todos os grupos. CONCLUSÃO: Nossos resultados sugerem que mulheres solteiras têm um pior funcionamento sexual quando comparadas a seus pares envolvidos em relacionamentos estáveis e são mais propensas a apresentar transtornos de humor.

Palavras-chave

Prevalência, disfunção sexual, ansiedade, depressão, mulheres

References

Masters WH, Johnson VE. Human sexual response. 1966.

Kaplan HS. Disorders of sexual desire and other new concepts and techniques in sex therapy. 1979.

Diagnostic and Statistical Manual of Mental Disorders. 1994.

Leiblum SR, Nathan SG. Persistent sexual arousal syndrome: a newly discovered pattern of female sexuality. J Sex Marital Ther. 2001;27:365-80.

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

Barlow DH. Causes of sexual dysfunction: the role of anxiety and cognitive interference. J Consult Clin Psychol. 1986;54:140-8.

Brody S, Laan E, van Lunsen RH. Concordance between women’s physiological and subjective sexual arousal is associated with consistency of orgasm during intercourse but not other sexual behavior. J Sex Marital Ther. 2003;29:15-23.

Watts G, Nettle D. The role of anxiety in vaginismus: a case-control study. J Sex Med. 2010;7:143-8.

Fabre LF, Smith LC. The effect of major depression on sexual function in women. J Sex Med. 2012;9:231-9.

Prado DS, Lins VP, Azevedo TI. Prevalência de disfunção sexual em dois grupos de mulheres de diferentes níveis socioeconômicos. Rev Bras Ginecol Obstet. 2010;32:139-43.

Abdo CH, Oliveira WM Jr, Moreira ED Jr, Fittipaldi JA. Prevalence of sexual dysfunctions and correlated conditions in a sample of Brazilian women--results of the Brazilian study on sexual behavior (BSSB). Int J Impot Res. 2004;16:160-6.

Abdo CH, Oliveira WM, Moreira ED, Fittipaldi JA. Perfil sexual da população brasileira: resultados do Estudo do Comportamento Sexual (ECOS) do brasileiro. Rev Bras Med. 2002;59:250-7.

Carneiro AL, Ramos MM de AI. Female sexual dysfunction prevalence in a family planning clinic at a university hospital located in Recife, Pernambuco. Rev Bras Saude Mater Infant. 2007;7:143-50.

Moreira ED Jr, Brock G, Glasser DB, Nicolosi A, Laumann EO, Paik A. Help-seeking behaviour for sexual problems: the global study of sexual attitudes and behaviors. Int J Clin Pract. 2005;59:6-16.

Lima AP, Salles AA, Cardoso AR, Amed AM, Souza ED, Camano L. Prevalence of sexual dysfunction during pregnancy. Rev Assoc Med Bras. 2009;55:563-8.

Valadares AL, Pinto-Neto AM, Osis MJ, Sousa MH, Costa-Paiva L, Conde DM. Prevalence of sexual dysfunction and its associated factors in women aged 40-65 years with 11 years or more of formal education: a population-based household survey. Clinics. 2008;63:775-82.

Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67:361-70.

Marcolino JA, Suzuki FM, Cunha LA, Gozzani JL, Mathias LA. Medida da ansiedade e da depressão em pacientes no pré-operatório: Estudo comparativo. Rev Bras Anestesiol. 2007;57:157-66.

Marcolino JA, Mathias LA, Filho LP, Guaratini AA, Suzuki FM, Cunha LA. Escala hospitalar de ansiedade e depressão: estudo da validade de critério e da confiabilidade com pacientes no pré-operatório. Rev Bras Anestesiol. 2007;57:52-62.

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.

Rocio RD, Dambros M, Rodrigues PC, Thiel M, Zanettini CL, Fatima MR. Tradução para português, adaptação cultural e validação do Female Sexual Function Index. Rev Bras Ginecol Obstet. 2008;30:504-10.

Carvalho RD, Vieira EM, Rodrigues OM, Souza CD. Cross-cultural adaptation of the Female Sexual Function Index. Cad Saude Publica. 2008;24:416-26.

Wiegel M, Meston C, Rosen R. The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther. 2005;31:1-20.

Safarinejad MR. Female sexual dysfunction in a population-based study in Iran: prevalence and associated risk factors. Int J Impot Res. 2006;18:382-95.

Kessler RC, Aguilar-Gaxiola S, Alonso J, Chatterji S, Lee S, Ormel J. The global burden of mental disorders: an update from the WHO World Mental Health (WMH) surveys. Epidemiol Psichiatr Soc. 2009;18:23-33.

Andrade L, Walters EE, Gentil V, Laurenti R. Prevalence of ICD-10 mental disorders in a catchment area in the city of São Paulo, Brazil. Soc Psychiatry Psychiatr Epidemiol. 2002;37:316-25.

Williams DR, Takeuchi DT, Adair RK. Marital status and psychiatric disorders among blacks and whites. J Health Soc Behav. 1992;33:140-57.

McLaughlin KA, Xuan Z, Subramanian SV, Koenen KC. State-level women's status and psychiatric disorders among US women. Soc Psychiatry Psychiatr Epidemiol. 2011;46:1161-71.

Patten SB, Wang JL, Williams JV, Currie S, Beck CA, Maxwell CJ. Descriptive epidemiology of major depression in Canada. Can J Psychiatry. 2006;51:84-90.

Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replicatio. Arch Gen Psychiatry. 2005;62:593-602.

Simons JS, Carey MP. Prevalence of sexual dysfunctions: results from a decade of research. Arch Sex Behav. 2001;30:177-219.

Shifren JL, Monz BU, Russo PA, Segreti A, Johannes CB. Sexual problems and distress in United States women: prevalence and correlates. Obstet Gynecol. 2008;112:970-8.

Basson R. The female sexual response: a different model. J Sex Marital Ther. 2000;26:51-65.

Najafabady MT, Salmani Z, Abedi P. Prevalence and related factors for anorgasmia among reproductive aged women in Hesarak, Iran. Clinics. 2011;66:83-6.

Hisasue Si, Kumamoto Y, Sato Y, Masumori N, Horita H, Kato R. Prevalence of female sexual dysfunction symptoms and its relationship to quality of life: a Japanese female cohort study. Urology. 2005;65:143-8.

Song SH, Jeon H, Kim SW, Paick JS, Son H. The prevalence and risk factors of female sexual dysfunction in young Korean women: an internet-based survey. J Sex Med. 2008;5:1694-701.

Ponholzer A, Roehlich M, Racz U, Temml C, Madersbacher S. Female sexual dysfunction in a healthy Austrian cohort: prevalence and risk factors. Eur Urol. 2005;47:366-74.

Oksuz E, Malhan S. Prevalence and risk factors for female sexual dysfunction in Turkish women. J Urol. 2006;175:654-8.

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