Department of Psychology, Queen's University, Kingston, Ontario, Canada.
J Sex Med. 2011 Mar;8(3):792-9. doi: 10.1111/j.1743-6109.2010.02154.x. Epub 2010 Dec 22.
Previous research on postpartum sexuality has primarily focused on the impact of physical factors on the resumption and frequency of sexual intercourse; fewer studies have focused on the impact of psychological factors on women's sexual functioning.
The aim of this study is to assess current sexual functioning and sexual behavior in women with and without symptoms of postpartum depression using validated measures of postpartum depression and sexual functioning.
Women attending postpartum appointments were consecutively recruited over a 12-month period and completed questionnaires assessing sexual functioning, current sexual behavior, and mental health.
The Female Sexual Function Index (FSFI), the Edinburgh Postnatal Depression Scale (EPDS), and items assessing current sexual behaviors.
A total of 77 women returned completed questionnaire packages (mean postpartum weeks: 13, range 3-24). Of these, 57 women (74%) had engaged in sexual activity with a partner in the 4 weeks prior to completing the questionnaire. The mean FSFI score was 23.0 (range 6-34), with 37 women (65%) scoring in the range associated with clinical sexual dysfunction. Women with elevated EPDS scores had significantly lower total FSFI, arousal, orgasm, and satisfaction FSFI subscale scores (all P values <0.005) than nondepressed women, suggesting more problematic sexual functioning. Desire, lubrication, and pain FSFI subscale scores were not significantly associated with depression status.
A substantial proportion of women experience sexual problems in the postpartum period; these problems are particularly pronounced among women with symptoms of postpartum depression. Longitudinal research is needed to better understand the relationship between sexual dysfunction and depression among postpartum women, and to identify implications for prevention and treatment of both conditions.
既往关于产后性生活的研究主要集中在身体因素对性生活恢复和频率的影响上；较少的研究关注心理因素对女性性功能的影响。
本研究旨在使用产后抑郁和性功能的有效评估工具，评估产后有和无产后抑郁症状女性的当前性功能和性行为。
在 12 个月的时间内，连续招募在产后就诊的女性，并让她们完成评估性功能、当前性行为和心理健康的问卷。
女性性功能指数（FSFI）、爱丁堡产后抑郁量表（EPDS）和评估当前性行为的项目。
共有 77 名女性返回了完整的问卷包（产后平均周数：13 周，范围 3-24 周）。其中，57 名女性（74%）在完成问卷前的 4 周内与伴侣发生过性行为。FSFI 的平均得分为 23.0（范围 6-34），37 名女性（65%）的得分处于与临床性功能障碍相关的范围内。EPDS 评分升高的女性的总 FSFI、唤起、性高潮和满意度 FSFI 子量表评分显著低于无抑郁女性（所有 P 值<0.005），表明性功能障碍更严重。欲望、润滑和疼痛 FSFI 子量表评分与抑郁状态无显著相关性。
相当一部分女性在产后期间存在性问题；这些问题在有产后抑郁症状的女性中更为明显。需要进行纵向研究，以更好地了解产后女性性功能障碍与抑郁之间的关系，并确定对两者的预防和治疗的影响。
