Centro Nacional de Salud Pública, Instituto Nacional de Salud, and Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Peru.
Climacteric. 2011 Dec;14(6):654-60. doi: 10.3109/13697137.2011.575480. Epub 2011 Sep 30.
To determine the association between sexual function and depression in sexually active, mid-aged women while controlling for sociodemographical and clinical factors.
Data were analyzed from 335 healthy, sexually active, Peruvian women (40-59 years) who simultaneously filled out the Female Sexual Function Index (FSFI), the Menopause Rating Scale (MRS), the Beck Depression Inventory (BDI) and a general questionnaire containing female/partner data. Correlations between the measures of all tools were analyzed.
The median age of studied women was 49 years; 76.7% had low schooling, 40% were postmenopausal and 15.2% used hormone therapy. Regarding the partner, 11% and 10.5% presented erectile dysfunction and premature ejaculation, respectively. FSFI total scores displayed significant correlations with BDI and MRS scores (total, psychological and urogenital). Multiple linear regression analysis was used to obtain an association model between sexual function and depression, explaining 88% of the variance. In this model, sexual function was inversely associated with depression, yet confounded by MRS urogenital scores. In addition, sexual function was inversely correlated to partner sexual function and to female MRS psychological scorings and positively to premenopausal status.
In this mid-aged series, sexual function was significantly associated with depression, in addition to hormonal status and partner sexual function.
在控制社会人口学和临床因素的情况下，确定性行为活跃的中年女性的性功能与抑郁之间的关联。
对同时填写女性性功能指数（FSFI）、绝经评定量表（MRS）、贝克抑郁量表（BDI）和包含女性/伴侣数据的一般问卷的 335 名健康、性行为活跃的秘鲁女性（40-59 岁）进行数据分析。分析所有工具的测量值之间的相关性。
研究女性的中位年龄为 49 岁；76.7%受教育程度低，40%处于绝经后状态，15.2%使用激素治疗。关于伴侣，分别有 11%和 10.5%存在勃起功能障碍和早泄。FSFI 总分与 BDI 和 MRS 评分（总分、心理和泌尿）呈显著相关。使用多元线性回归分析获得性功能与抑郁之间的关联模型，解释了 88%的方差。在该模型中，性功能与抑郁呈负相关，但与 MRS 泌尿评分混杂。此外，性功能与伴侣性功能呈负相关，与女性 MRS 心理评分呈正相关，与绝经前状态呈正相关。
在这个中年人群中，性功能与抑郁显著相关，除了与激素状态和伴侣性功能相关外。
