Pre-Exposure Prophylaxis, Anxiety, Depression and Sexual SatisfactionAmong Men Who Have Sex With Men

IF 3.2 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Psicothema Pub Date : 2023-05-01 DOI:10.7334/psicothema2022.230

Manuel Reiriz, Benjamín Rodríguez-Expósito, Ana J Jiménez-García, Sara Uceda, Natalia Arias

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Abstract

Background: Pre-exposure prophylaxis (PrEP) has been implemented as a prevention against HIV; however, its impact on mental health, sexual and life satisfaction has not been addressed.

Method: We assessed 114 HIV-negative participants from Spain with ages ranging from 19 to 58 years; 60.5% were PrEP users ( n = 69) and 39.5% were non-users ( n = 45). They completed five questionnaires about life and sexual satisfaction, depression and anxiety. We performed correlations and multiple regression analyses.

Results: The PrEP group showed a statistically significant relationship between better sexual satisfaction, and greater life satisfaction. The PrEP group also showed a statistically significant negative relationship with depression and anxiety which was not found in PrEP non-users. Moreover, we found that younger PrEP users had higher scores in anxiety and lower scores in depression than older users. The hierarchical regression analyses also showed that number of sexual partners was a major predictor in the PrEP group for NSSS.

Conclusions: The indirect correlation between sexual satisfaction, depression, and anxiety in the PrEP group could underly the benefits of PrEP for patients' sex lives such as increased sexual liberties due to lower anxiety and mental comfort when experiencing chemsex.

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男男性行为者的暴露前预防、焦虑、抑郁和性满意度

背景:暴露前预防(PrEP)作为一种预防艾滋病毒的方法已经得到实施;然而，它对心理健康、性和生活满意度的影响尚未得到解决。方法:我们评估了114名来自西班牙的hiv阴性参与者，年龄从19岁到58岁不等;60.5%为PrEP使用者(n = 69)， 39.5%为非PrEP使用者(n = 45)。他们完成了关于生活和性满意度、抑郁和焦虑的五份调查问卷。我们进行了相关分析和多元回归分析。结果:PrEP组在性满意度和生活满意度之间存在显著的统计学关系。PrEP组在抑郁和焦虑方面也显示出统计学上显著的负相关，这在未使用PrEP的人群中没有发现。此外，我们发现年轻的PrEP使用者在焦虑方面得分较高，在抑郁方面得分较低。分层回归分析还显示，性伴侣数量是PrEP组发生NSSS的主要预测因子。结论:PrEP组患者的性满意度、抑郁和焦虑之间的间接关联可能揭示了PrEP对患者性生活的益处，如在经历化学性交时，由于焦虑和心理安慰的降低而增加了性自由。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psicothema PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

6.50

自引率

16.70%

发文量

审稿时长

24 weeks

期刊介绍： La revista Psicothema fue fundada en Asturias en 1989 y está editada conjuntamente por la Facultad y el Departamento de Psicología de la Universidad de Oviedo y el Colegio Oficial de Psicólogos del Principado de Asturias. Publica cuatro números al año. Se admiten trabajos tanto de investigación básica como aplicada, pertenecientes a cualquier ámbito de la Psicología, que previamente a su publicación son evaluados anónimamente por revisores externos. Psicothema está incluida en las bases de datos nacionales e internacionales más relevantes, entre las que cabe destacar Psychological Abstracts, Current Contents y MEDLINE/Index Medicus, entre otras. Además, figura en las listas de Factor de Impacto del Journal Citation Reports. Psicothema es una revista abierta a cualquier enfoque u orientación psicológica que venga avalada por la fuerza de los datos y los argumentos, y en la que encuentran acomodo todos los autores que sean capaces de convencer a los revisores de que sus manuscritos tienen la calidad para ser publicados. Psicothema es una revista de acceso abierto lo que significa que todo el contenido está a disposición de cualquier usuario o institución sin cargo alguno. Los usuarios pueden leer, descargar, copiar, distribuir, imprimir, buscar, o realizar enlaces a los textos completos de esta revista sin pedir permiso previo al editor o al autor, siempre y cuando la fuente original sea referenciada. Para acervos y repositorios, se prefiere que la cobertura se realice mediante enlaces a la propia web de Psicothema. Nos parece que una apuesta decidida por la calidad es el mejor modo de servir a nuestros lectores, cuyas sugerencias siempre serán bienvenidas.