The sexual functions of male patients suffering from affective disorders.

Postepy psychiatrii neurologii Pub Date : 2024-06-01 Epub Date: 2024-07-10 DOI:10.5114/ppn.2024.141052
Robert Kowalczyk, Tomasz Krystyan, Marek Krzystanek, Katarzyna Piekarska-Bugiel, Katarzyna Waszyńska, Artur Daren, Jacek Kurpisz, Krzysztof Nowosielski, Zbigniew Lew-Starowicz, Weronika Klon
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Abstract

Purpose: This study aimed to outline the picture of the sexual functions of male patients with affective disorders as an important part of their lives.

Methods: The sample consisted of 57 male patients diagnosed with mood disorders in remission. They were interviewed for demographic and clinical data, asked to fill in number of self-descriptive questionnaires' Sexual Function of Man (SFM/K), the Montgomery-Åsberg Depression Scale (MADRS) and Young Mania Scale (YMRS), and the Alcohol Use Disorders Identification Test (AUDIT).

Results: Lower levels of sexual functioning were experienced by patients who had suffered from affective disorder for a longer time, and who had a diagnosis of recurrent depressive disorder (F33), in comparison with patients with bipolar disorder (F31). The most common sexual dysfunction was premature ejaculation, while the rarest was erectile dysfunction. An occurrence of any sexual disorder at least once in the past was reported by 66% of all patients. Participants did not have problems with alcohol usage.

Conclusions: A worse quality of sexual functioning was associated with a longer history of affective disorder. Sexual dysfunction can be affected by even the most minor depressive and manic-depressive components. The tools used excluded non-heterosexual patients. Further research based on bigger samples is required.

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情感障碍男性患者的性功能。
目的:本研究旨在概述情感障碍男性患者的性功能情况,这是他们生活的重要组成部分:样本由 57 名被诊断为情绪障碍的缓解期男性患者组成。他们接受了关于人口统计学和临床数据的访谈,并被要求填写了一系列自我描述性问卷,包括 "男性性功能(SFM/K)"、"蒙哥马利-阿斯伯格抑郁量表(MADRS)"和 "青年躁狂量表(YMRS)"以及 "酒精使用障碍识别测试(AUDIT)":与双相情感障碍患者(F31)相比,患有情感障碍时间较长、被诊断为复发性抑郁障碍(F33)的患者的性功能水平较低。最常见的性功能障碍是早泄,最罕见的是勃起功能障碍。66%的患者表示过去至少发生过一次性功能障碍。参与者没有酗酒问题:结论:性功能质量较差与情感障碍病史较长有关。即使是最轻微的抑郁和躁狂抑郁成分也会影响性功能障碍。所使用的工具排除了非异性恋患者。需要在更大样本的基础上开展进一步研究。
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