scholarly journals Sexual dysfunction in women with systemic lupus erythematosus

2021 ◽  
pp. 9-14
Author(s):  
Gabriela Vanesa Espasa ◽  
Luciana González Lucero ◽  
Yessika Jackeline Soria Curi ◽  
Susana Marcela Mazza ◽  
María Lilia Leguizamón ◽  
...  

Introduction: sexual dysfunction is the alteration in one or several phases of sexual activity. It can culminate in frustration, pain and a decrease in the frequency of sexual intercourse. Objectives: determine the frequency of sexual dysfunction and analyze associated factors in patients with SLE. Materials and methods: a descriptive cross-sectional study was conducted. We included patients with SLE, between 18 and 50 years of age, Secondary Sjogren’s syndrome, menopause, severe depression and illiterate patients were excluded. Demographic and disease-related variables were studied. The Depression Anxiety Stress Scale (DASS-21), and the Female Sexual Function Index (FSFI) were applied. Results: sixty women with SLE and 63 controls were evaluated. The prevalence of SD in SLE was 71.7% and there were significant differences in all domains of sexual function. The total FSFI score in patients with SLE was lower when compared to controls. According to the DASS-21 scale, stress, anxiety and depression were observed in at least half of lupus women, however no association was found between these variables and SD. Conclusions: the prevalence of SD in patients with SLE was high. Depression, Anxiety, and Stress were not determinants in the presence of SD.

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 929.2-929
Author(s):  
G. V. Espasa ◽  
L. Gonzalez Lucero ◽  
Y. Soria Curi ◽  
A. L. Barbaglia ◽  
S. M. Mazza ◽  
...  

Background:Sexual dysfunction is the alteration in one or several phases of sexual activity (desire, excitement, plateau, orgasm and resolution), which can culminate in frustration, pain and a decrease in the frequency of sexual intercourse. There are few studies that associate sexual dysfunction with Systemic Lupus Erythematosus (SLE) due to the difficulty in assessing it and its multifactorial cause.Objectives:Determine the frequency of sexual dysfunction and analyze associated factors in patients with SLE.Methods:A descriptive cross-sectional study was conducted. We included patients who attended the Rheumatology unit between May and July 2019; over 18 years of age, with a diagnosis of SLE according to the ACR 1997 and / or SLICC 2012 criteria, and healthy patients matched by age as control. Demographic and disease-related variables were studied. The DASS-21 (Depression Anxiety Stress Scale) scale that evaluates depression, anxiety and stress, and the Female Sexual Function Index (FSFI) that assesses 6 domains (desire, excitement, lubrication, orgasms, satisfaction and pain) were applied with a cut-off point ≤ 26.5 to define sexual dysfunction. Women over 50 years old, with secondary Sjogren’s syndrome, menopause, severe depression and illiterate patients were excluded.Results:One hundred and twenty three women were included (60 with SLE and 63 controls), with a mean age of 34.3 ± 8.3 and 31.7 ± 4.4 years respectively. The prevalence of sexual dysfunction in the SLE group was 71.7%; 95% CI = [58.5 – 82.5], and 23.8%, 95% CI = [13.9 – 36.2] in healthy patients. There were significant differences in all domains of sexual function between women with SLE and healthy group. In the desire, excitement and pain domains the differences were notable. The total FSFI score in patients with SLE was 18.2 ± 11.2 and in healthy women 28.3 ± 6.9 (p=0.001). Stress, anxiety and depression were observed in 58.4%, 58.3% and 50% of women with SLE and 19%, 20.6% and 28.5% of healthy women respectively (p=0.001). No association was found between sexual dysfunction and age, age at diagnosis, disease activity or treatment (pNS). No association was found in patients with SLE when analyzing the effect of sexual dysfunction in stress, depression and anxiety variables, in opposition to the healthy group (p<0.05).Conclusion:The prevalence of sexual dysfunction in patients with SLE was high (71.7%). Depression, Anxiety, and Stress were not decisive variables in Sexual Dysfunction.Disclosure of Interests:None declared


2021 ◽  
Author(s):  
Masoumeh Rajabi- Naeeni ◽  
Tahereh Dehdari ◽  
Mansoureh Jamshidimanesh ◽  
Leila Janani

Abstract Background: The population of older women is rapidly increasing in every country in the world, including Iran. Given the effect of Sexual Function (SF) and sexual health on older women’s health, the present study was conducted to determine Sexual Dysfunction (SD) and the factors predicting it in Iranian older women in Karaj. Methods: The present cross-sectional study was conducted on 550 eligible older women selected by stratified cluster sampling from those visiting health centers in Karaj between October 2019 and February 2020. Data were collected using self-report questionnaires including demographic questionnaire, the hospital anxiety and depression scale (HADS), and the Female Sexual Function Index (FSFI). To take account of the effect of sampling design on the analyses, survey command in Stata-14 was used. Results: A total of 94.5% of the participating women had SD, 74.4% reported desire disorder, 79.8% arousal disorder, 57.6% lubrication disorder, 65.3% orgasm disorder, and 72.2% sexual dissatisfaction, and 52.4% had dyspareunia. The participating women’s SF had significant relationships with physical activity, hysterectomy, spouse’s SD, and the intimate and emotional closeness with the spouse (P<0.05). SF had significant inverse relationships with age, duration of marriage and menopause, anxiety, and depression (P<0.001). Nonetheless, SF had no significant relationship with occupation, education, smoking, and type and frequency of childbirth. The results of the linear regression test showed that the duration of menopause (B=-0.04, P=0.023), spouse’s SD (B=-0.95, P<0.001), intimacy (B=13.89, P<0.001), emotional closeness (B=6.49, P<0.001), anxiety (B=-0.08, P=0.033), and depression (B=-0.24, P<0.001) predicted the participating women’s SF significantly. Conclusion: The majority of the participating women had SD. Attention mental health, spousal relationship, and spouse’s sexual health may have significant positive effects on the sexual health of Iranian older women.


2020 ◽  
pp. 1-3
Author(s):  
Jisha M. ◽  
Dr Assuma Beevi.T. M.

Introduction: Psychological and social effects of infertility may cause decline in the quality of life of infertile couples. A cross sectional study was conducted among 100 infertile couples, to find out the association between level of stress, anxiety and depression with their quality of life. Materials and methods: Data was collected using demographic and fertility information questionnaire, depression anxiety and stress scale (DASS-42) and fertility quality of life (fertiQol-malayalam). Results: Infertile couples experiences higher levels of depression, anxiety and stress and it is more among women,(depression-(15.36 +_ 9.23), stress(16.3+-7.52) anxiety (9.36+_6.33) than men (depression(12.52+_10.30 )(P=0.030), stress(12.84+_ 7.94 )(P=0-002 ) anxiety(7.50+_5-55). Levels of depression, anxiety and stress have significant negative relation with their quality of life. Infertile women has significantly lower quality of life (P= 0.002) than men. Conclusion: Interventions, to reduce depression, anxiety and stress among infertile couples may be helpful to improve their quality of life.


2020 ◽  
Vol 6 (2) ◽  
pp. 95
Author(s):  
Agus Hendra ◽  
Bella Risma Heryanti ◽  
Agni Laili Perdani

Stress adalah masalah kesehatan yang akan menjadi epidemik global pada abad ke-21. Mahasiswa keperawatan adalah kelompok masyarakat yang rentan akan stress dan dipicu oleh faktor akademik, klinik dan lingkungan. Dinamika perubahan belajar dan perbedaan proses akademik dari sekolah ke perguruan tinggi dan hal tersebut menjadi sumber utama stress pada mahasiswa baru. Tujuan penelitian ini adalah untuk menggambarkan tingkatan depresi, kecemasan, dan stress pada mahasiswa junior keperawatan.. Penelitian ini adalah cross-sectional study yang dilakukan di salah satu institusi keperawatan di Indonesia pada bulan Desember-January 2019. Teknik sampling yang digunakan adalah convenience sampling dengan Instrumen DASS (Depression Anxiety Stress Scale). Pengambilan data menggunakan online questionnaire form dan teknik analisa univariate data dengan SPSS Version 25. Rata-rata usia pada tahap remaja 19.13 (SD±0.59), 82% perempuan dan 80.8% tinggal bersama orang tua kandung (p < 0.000). Rata-rata tingkat depresi 16.24 (SD±9.71), kecemasan 13.71 (SD±0.59) atau berada pada kategori sedang dan rata-rata tingkat stress adalah 12.49 (SD±10.18) (p < 0.000). Total 25 (32.1%), 28 (35.9%) dan 52 (66.7%) responden pada depresi, kecemasan dan stress adalah normal. Depresi - stress berada pada rata-rata tertinggi 1.14 (SD ± 0.89) dan terendah adalah kecemasan - stress (SD±0.68). Identifikasi data awal tingkat stress, depresi dan kecemasan pada mahasiswa junior dibutuhkan oleh institusi sebagai upaya dalam melakukan manajemen stress. Tindakan kolaboratif bersama dapat diupayakan oleh berbagai pihak meliputi pelatihan teknik relaksasi, pengenalan strategi koping efektif ataupun penyediaan sumber-sumber yang dapat digunakan oleh mahasiswa sebagai upaya institusi dalam menciptakan proses akademik dan praktik klinis yang baik. 


2021 ◽  
Vol 71 (10) ◽  
pp. 2340-2343
Author(s):  
Ammar Ahmed ◽  
Muhammad Aqeel ◽  
Naeem Aslam ◽  
Bashir Ahmed

Objective: To identify the psychiatric features among patients having tinnitus and vertigo symptoms due to vestibulocochlear disturbances. Methods: A cross-sectional study was conducted on Vestibulocochlear disorder Patients aged 18 Years and above, having chief symptoms of vertigo and tinnitus for the past 3 months. Patients having any cardiac linked disease and experiencing side effects of some medicines were excluded from the study. Present study spanned from May to September, 2019 at Hearts International Hospital, Rawalpindi and Hearing and Balance clinic, Rawalpindi in collaboration with the Foundation University, Islamabad. Ethical approval was obtained from the ethics committee of the Psychology department of Foundation University, Islamabad. Psychiatric evaluation was conducted by incorporating Tinnitus Handicap Inventory (THI), Dizziness Handicap Inventory (DHI) and Depression, Anxiety, Stress Scale (DASS). Audiological evaluations were carried out to gauge the severity of symptoms. Results: Of the 202 subjects, 60 were female (30%) and 142 were male (70%), fulfilling the inclusion criterion. It was found that patients experiencing vertigo and tinnitus symptoms had a strong tendency to develop psychiatric problems such as stress, anxiety and depression. Significant differences were noted among male and female patients regarding the representation of psychiatric symptoms. Conclusion: Various factors contribute and interfere in the psychological process that further contribute and aggravate the severity and symptoms of tinnitus and vertigo. Patients experiencing symptoms like tinnitus and vertigo in this domain tend to have a deviant psychological profile that is analogous with other chronic diseases. Continuous...


2021 ◽  
Vol 21 (1) ◽  
pp. 15-19
Author(s):  
Ahmad Ghiffari ◽  
Syahrul Muhammad ◽  
M. Avif Ababil

The level of stress in each education programs differ between medical students and other scholars. Students should able to cope to normalize their stress. The study aims to determine the relationship between the duration of reading the Qur'an with the level of stress on students. The study design was a cross-sectional study, with a simple random sampling. The collecting data technique was using the Depression Anxiety Stress Scale (DASS) questionnaires and duration questionnaires followed by the chi-square analysis. The respondents are 90 medical students of Universitas Muhammadiyah Palembang. The results showed that the duration of reading the Qur'an among students is poor, and the moderate duration is correlated with a good stress level (p=0,002). Concluded that there is a relation to the duration of reading The Qur'an with the level of stress in medical students.


2019 ◽  
Vol 17 (3) ◽  
pp. 325-330
Author(s):  
Priscilla Samson

Background: Unresolved stress among nursing students may occur due to the failure to use effective coping strategies, which may lead to problems such as anxiety and depression.The purpose of this study was to determine the prevalence of stress, anxiety and depression among nursing students and examine its relationship with coping styles.Methods: This descriptive cross-sectional study was conducted among 680 nursing students enrolled in nine colleges affiliated to a university in Nepal during academic year 2018. Depression anxiety stress scale- 21 was used to assess the levels of depression, anxiety and stress. Coping was measured using brief cope inventory.Results: Majority of students (51%, n = 350) reported moderate to extremely severe levels of stress, anxiety, and depression.Students mostly used problem-focused coping strategies. A one-way MANOVA revealed statistically significant differences among the levels of problem- focused coping (Wilks’ Lambda = .96, F (3, 676) = 8.11. p = <.001 and emotion-focused coping (Wilk’s Lambda = .90, F (3,676) = 23.69,p = <.001 with stress, anxiety and depression. Conclusions: The findings can be sourced to create awareness among faculty and administrators of nursing colleges regarding high occurrence of stress, anxiety and depression among students. Future studies can focus on the need to establish the counseling centers in nursing colleges that may aid in teaching students the effective coping strategies.Keywords: Anxiety; brief cope inventory; depression; depression anxiety stress scale;nursing students; stress.


2022 ◽  
Author(s):  
Mahnaz Ashrafi ◽  
Nadia Jahangiri ◽  
Shahideh Jahanian Sadatmahalleh ◽  
Negin Mirzaei ◽  
Naiiere Gharagozloo Hesari ◽  
...  

Abstract Background Sexuality as a fundamental component of women’s health, can be affected by infertility. The current study aimed at comparing the prevalence of sexual dysfunction among women with the most common causes of infertility. Methods The current cross-sectional study was conducted on 240 infertile females with infertility due to polycystic ovary syndrome (PCOS, n=80), endometriosis (n=80) and male factor (n=80) at Royan Institute for Reproductive Biomedicine (Tehran, Iran) and 160 fertile women at health care centers, between May 2016 and June 2017. Sexual function was assessed by Female Sexual Function Index (FSFI). Data were analyzed using SPSS (version 25.00) and differences were regarded statistically significant at p < 0. 05. Results The prevalence of female sexual dysfunction was 98.8% in women with PCOS, 100.0% in those with endometriosis, and 80.0% in those with male factor infertility. Overall, 36.2% of the enrolled fertile women were suffering from sexual dysfunction. Conclusions There was an association between the prevalence of female sexual dysfunction or individual domain scores of the FSFI, and infertility etiologies. Therefore, infertility care providers are required to take this into consideration and develop preventive strategies in this regard.


Author(s):  
Gustavo Maximiliano Dutra da Silva ◽  
Sônia Maria Rolim Rosa Lima ◽  
Benedito Fabiano dos Reis ◽  
Carolina Furtado Macruz ◽  
Sóstenes Postigo

Abstract Objective The incidence of obesity, which is a chronic condition, has increased in recent years. The association between obesity and female sexual dysfunction remains unclear, particularly in postmenopausal women. In the present study, we evaluated whether obesity is a risk factor for sexual dysfunction in postmenopausal women. Methods This is a cross-sectional study that analyzed data from interviews of postmenopausal women at the Climacteric Outpatient Clinic from 2015 to 2018. After applying the inclusion and exclusion criteria, 221 women aged between 40 and 65 years old were selected and invited to participate in the study. Obesity was diagnosed according to body mass index (BMI). The participants were grouped into the following BMI categories: group 1, 18.5–24.9 kg/m2 (normal); group 2, 25.0–29.9 kg/m2 (overweight); and group 3, ≥30.0 kg/m2 (obese). Sexual function was assessed using the Female Sexual Function Index (FSFI) questionnaire. Cutoff points of ≥23 and ≥26.5 were adopted to define a diagnosis of female sexual dysfunction (FSD) based on the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, Text Revision by the American Psychiatric Association (DSM-IV-TR). Results The desire and arousal scores were statistically higher in the normal BMI group than in the obese group (p = 0.028 and p = 0.043, respectively). The satisfaction scores were statistically higher in the normal BMI group than in the overweight and obese groups (p < 0.05). The total FSFI score statistically differed among the BMI categories (p = 0.027). Conclusion In the present study, obese and overweight postmenopausal women had higher total scores than women with normal BMI. Our results show that obese and overweight postmenopausal women had a higher index of dysfunction in desire and arousal and lower sexual satisfaction than normal-weight women.


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