Theofilou Paraskevi A
Department of Psychology, University of Panteion, Athens, Greece.
Hemodial Int. 2012 Jan;16(1):76-81. doi: 10.1111/j.1542-4758.2011.00585.x.
Sexual functioning is composed of both physiological and psychological factors among patients with chronic kidney disease (CKD). However, the role of depression and anxiety has not yet been studied extensively. This study aimed to investigate the relation of depressive and anxiety symptoms to sexual functioning among hemodialysis (HD) and peritoneal dialysis patients. A sample of 144 patients was recruited from three general hospitals in the broader area of Athens, consisting of 84 patients undergoing in-center HD and 60 patients in continuous ambulatory peritoneal dialysis. Measurements were conducted with the following instruments: the World Health Organization Quality of Life instrument, the General Health Questionnaire (GHQ-28), the State-Trait Anxiety Inventory (STAI 1/STAI 2), and the Center for Epidemiologic Studies Depression Scale. The results indicated that satisfaction about sexual life had negative association with all the subscales of GHQ-28 questionnaire (somatic symptoms, anxiety/insomnia, social dysfunction, severe depression). Sexual functioning was also related negatively to depression as well as state and trait anxieties. Findings provide evidence that the presence of depressive and anxiety symptoms relates significantly to the negative evaluation of sexual functioning in patients with CKD.
在慢性肾脏病（CKD）患者中，性功能由生理和心理因素共同构成。然而，抑郁和焦虑的作用尚未得到广泛研究。本研究旨在调查血液透析（HD）和腹膜透析患者中抑郁和焦虑症状与性功能之间的关系。从雅典大区的三家综合医院招募了144名患者，其中包括84名接受中心血液透析的患者和60名持续性非卧床腹膜透析患者。使用以下工具进行测量：世界卫生组织生活质量量表、一般健康问卷（GHQ - 28）、状态 - 特质焦虑量表（STAI 1/STAI 2）以及流行病学研究中心抑郁量表。结果表明，性生活满意度与GHQ - 28问卷的所有子量表（躯体症状、焦虑/失眠、社会功能障碍、重度抑郁）呈负相关。性功能也与抑郁以及状态焦虑和特质焦虑呈负相关。研究结果提供了证据，表明抑郁和焦虑症状的存在与CKD患者性功能的负面评价显著相关。
