Kotková Petra, Weiss Petr
Centre for Psychiatric Rehabilitation in Kosmonosy, Czech Republic.
Clin Neurol Neurosurg. 2013 Apr;115(4):419-24. doi: 10.1016/j.clineuro.2012.06.020. Epub 2012 Jul 23.
This research deals with the topic of sexual life among people suffering from Parkinson's disease (PD) and with selected factors related to sexual functioning in these patients. Parkinson's disease is a serious chronic disease whose symptoms as well as treatment substantially affect the sexual life of the patients. Despite this fact, very little published work has dealt with this topic.
This research focuses on describing the structure of deterioration of sexual functions of the patients suffering from PD, and statistical analysis of the interdependence of selected factors (age, duration of the disease, subjective score of the impact of the disease, depression, anxiety) as well as the patients' sexual satisfaction. The most substantial factors influencing sexual satisfaction of men and women with PD are analysed and their impact assessed, the greatest stress being put on psychiatric factors.
The research project examined a group of 103 people with PD. In order to identify the specifics of the patients' sexual lives, two questionnaire-sets were designed (separate for men and women), containing psychological (BDI-II, STAI) and sexological (FSFI, IIEF, GRISS) questionnaires.
The main outcome measures were depression, state and trait anxiety, sexual satisfaction, erectile function, the Female Sexual Function Index.
The acquired data was statistically elaborated using the programme SPSS. The results of the sexological questionnaires show a decrease in overall sexual functioning and the presence of sexual dysfunctions related to PD. With the help of regression models it was elicited that in case of men with this illness, the most influential factor on their sexual life is depression and their subjective scoring of the illness, in the case of women the prevailing factors are depression and anxiety.
Sexuality for people suffering from Parkinson's disease is a very complex issue and psychiatric factors (depression, anxiety) have an important impact on the sexual functioning of the patients.
本研究探讨帕金森病（PD）患者的性生活话题以及与这些患者性功能相关的特定因素。帕金森病是一种严重的慢性疾病，其症状及治疗方法会极大地影响患者的性生活。尽管如此，关于这一话题的已发表研究却非常少。
本研究着重描述帕金森病患者性功能衰退的结构，并对选定因素（年龄、病程、疾病影响的主观评分、抑郁、焦虑）与患者性满意度之间的相互依存关系进行统计分析。分析影响帕金森病男性和女性性满意度的最重要因素，并评估其影响，其中最主要关注的是精神因素。
该研究项目对一组103名帕金森病患者进行了调查。为了确定患者性生活的具体情况，设计了两套问卷（男女分开），其中包含心理问卷（贝克抑郁量表第二版、状态-特质焦虑量表）和性学问卷（女性性功能指数、国际勃起功能指数、性功能障碍自评量表）。
主要观察指标为抑郁、状态焦虑和特质焦虑、性满意度、勃起功能、女性性功能指数。
使用SPSS软件对所获数据进行了统计处理。性学问卷结果显示，帕金森病患者的整体性功能下降，且存在与帕金森病相关的性功能障碍。通过回归模型得出，对于患有这种疾病的男性，对其性生活影响最大的因素是抑郁和他们对疾病的主观评分；对于女性，主要因素是抑郁和焦虑。
帕金森病患者的性问题是一个非常复杂的问题，精神因素（抑郁、焦虑）对患者的性功能有重要影响。
