Sexual Dysfunction in Women with Depression: A Hospital-Based Cross-sectional Comparative Study

Overview

Journal Indian J Psychol Med

Publisher Sage Publications

Specialty Psychiatry

Date 2020 Jan 31

PMID 31997865

Citations 4

Authors

R Mrinalini Reddy

R Arul Saravanan

Samir Kumar Praharaj

M Thirunavukarasu

Affiliations

Soon will be listed here.

Abstract

Background: There is a need to explore the sexual functioning of women with depression as one part of sexuality is that it helps in developing an intimate emotional and physical relationship with another person, and this relationship may serve as a buffer against life stresses. Our aim was to study the prevalence and types of sexual dysfunction in depressed women patients and to compare them with non-depressed women.

Materials And Methods: A total of 270 participants who attended a teaching hospital were selected for the study - 135 cases and 135 controls. Sociodemographic and clinical details were collected. Mini International Neuropsychiatry Interview (M.I.N.I), Hamilton Depression Rating Scale (HAM-D), Arizona Sexual Experiences (ASEX) scale, and Female Sexual Functioning Index (FSFI) scale were used. Sexual dysfunction was assessed in both groups.

Results: Among the cases, 47.40% had mild depression, 44.44% had moderate depression, and 8.15% were severely depressed. On the ASEX, 46.66% of the cases had sexual dysfunction, while it was only 8.89% among the controls. The difference in sexual dysfunction among cases and controls was statistically significant. Using the FSFI, 40% of the cases had female sexual dysfunction (FSD), and it was only 11.1% in controls.

Conclusion: Sexual dysfunction was more common in females with clinical depression than in those without depression. Numerous factors can operate in the causation of FSD. This study underlines the importance of screening females with depression for FSD, for its early diagnosis and management.

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References

Avasthi A, Kaur R, Prakash O, Banerjee A, Kumar L, Kulhara P . Sexual behavior of married young women: a preliminary study from north India. Indian J Community Med. 2009; 33(3):163-7. PMC: 2763687. DOI: 10.4103/0970-0218.39677. View

Sheehan D, Lecrubier Y, Sheehan K, Amorim P, Janavs J, Weiller E . The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry. 1999; 59 Suppl 20:22-33;quiz 34-57. View

Kar N, Koola M . A pilot survey of sexual functioning and preferences in a sample of English-speaking adults from a small South Indian town. J Sex Med. 2007; 4(5):1254-61. DOI: 10.1111/j.1743-6109.2007.00543.x. View

Clayton A . Female sexual dysfunction related to depression and antidepressant medications. Curr Womens Health Rep. 2002; 2(3):182-7. View

Singh J, Tharyan P, Kekre N, Singh G, Gopalakrishnan G . Prevalence and risk factors for female sexual dysfunction in women attending a medical clinic in south India. J Postgrad Med. 2009; 55(2):113-20. DOI: 10.4103/0022-3859.52842. View

McGahuey C, Gelenberg A, Laukes C, Moreno F, Delgado P, McKnight K . The Arizona Sexual Experience Scale (ASEX): reliability and validity. J Sex Marital Ther. 2000; 26(1):25-40. DOI: 10.1080/009262300278623. View

Verma K, Khaitan B, Singh O . The frequency of sexual dysfunctions in patients attending a sex therapy clinic in north India. Arch Sex Behav. 1998; 27(3):309-14. DOI: 10.1023/a:1018607303203. View

Fabre L, Smith L . The effect of major depression on sexual function in women. J Sex Med. 2011; 9(1):231-9. DOI: 10.1111/j.1743-6109.2011.02445.x. View

Montgomery S, Baldwin D, Riley A . Antidepressant medications: a review of the evidence for drug-induced sexual dysfunction. J Affect Disord. 2002; 69(1-3):119-40. DOI: 10.1016/s0165-0327(01)00313-5. View

10.

Hamilton M . A rating scale for depression. J Neurol Neurosurg Psychiatry. 1960; 23:56-62. PMC: 495331. DOI: 10.1136/jnnp.23.1.56. View

11.

Prado D, Mota V, Lima T . [Prevalence of sexual dysfunction in two women groups of different socioeconomic status]. Rev Bras Ginecol Obstet. 2010; 32(3):139-43. DOI: 10.1590/s0100-72032010000300007. View

12.

Moreira Jr E, Brock G, Glasser D, Nicolosi A, Laumann E, Paik A . Help-seeking behaviour for sexual problems: the global study of sexual attitudes and behaviors. Int J Clin Pract. 2005; 59(1):6-16. DOI: 10.1111/j.1742-1241.2005.00382.x. View

13.

Kendurkar A, Kaur B . Major depressive disorder, obsessive-compulsive disorder, and generalized anxiety disorder: do the sexual dysfunctions differ?. Prim Care Companion J Clin Psychiatry. 2008; 10(4):299-305. PMC: 2528235. DOI: 10.4088/pcc.v10n0405. View

14.

Cyranowski J, Bromberger J, Youk A, Matthews K, Kravitz H, Powell L . Lifetime depression history and sexual function in women at midlife. Arch Sex Behav. 2004; 33(6):539-48. DOI: 10.1023/B:ASEB.0000044738.84813.3b. View

15.

Casper R, Redmond Jr D, Katz M, Schaffer C, Davis J, Koslow S . Somatic symptoms in primary affective disorder. Presence and relationship to the classification of depression. Arch Gen Psychiatry. 1985; 42(11):1098-104. DOI: 10.1001/archpsyc.1985.01790340082012. View

16.

Leite A, Campos A, Dias A, Amed A, De Souza E, Camano L . Prevalence of sexual dysfunction during pregnancy. Rev Assoc Med Bras (1992). 2009; 55(5):563-8. DOI: 10.1590/s0104-42302009000500020. View

17.

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(3):888-93. View

18.

Abdo C, Oliveira Jr W, Moreira Jr E, Fittipaldi J . 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(2):160-6. DOI: 10.1038/sj.ijir.3901198. View

19.

Valadares A, Pinto-Neto A, Osis M, Sousa M, Costa-Paiva L, Conde D . 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 (Sao Paulo). 2008; 63(6):775-82. PMC: 2664278. DOI: 10.1590/s1807-59322008000600012. View

20.

Varghese K, Bansal R, Kekre A, Jacob K . Sexual dysfunction among young married women in southern India. Int Urogynecol J. 2012; 23(12):1771-4. DOI: 10.1007/s00192-012-1782-3. View