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男性生殖器疣患者的性功能障碍。

Sexual dysfunction in men suffering from genital warts.

机构信息

Dermatology and Venereology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey.

出版信息

J Sex Med. 2013 Jun;10(6):1585-91. doi: 10.1111/jsm.12132. Epub 2013 Apr 2.

Abstract

INTRODUCTION

Human papillomavirus (HPV) infection can present clinically as genital warts (GWs) in both males and females. Much less is known about the psychosexual consequences of GW, and the studies on patients in this group are still quite limited.

AIMS

The aim of this study was to test two hypotheses: (i) sexual dysfunction (SD) is likely to occur in male patients suffering from GWs; (ii) if male SD exists, it may be associated with depression or anxiety.

METHODS

This was a pilot study with a prospective cross-sectional design. Male patients with GW (N for patient group = 116) were compared with male control cases (N for control group = 71) using the Arizona Sexual Experience Scale (ASEX), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI). The participants were evaluated by a dermatologist and a psychiatrist, respectively.

MAIN OUTCOME MEASURES

The associations between sexual dysfunction, depression, and anxiety among the participants were examined.

RESULTS

There was no difference between the groups in terms of sociodemographic changes. Sexual dysfunction was found to be significantly more common in the patients than controls (P = 0.000 < 0.001). When the subscores of ASEX were evaluated, they were found to be statistically significant between the two groups (P = 0.000 < 0.001). BDI and BAI scores were statistically higher in the patient group than in controls, and there was a positive correlation between BDI and BAI scores with ASEX total and subscores (P = 0.000 < 0.001).

CONCLUSIONS

Male patients with GW have higher rates of sexual dysfunction, depression, and anxiety when compared with the normal population. Men suffering from GW should be evaluated for possible sexual problems, besides depression and anxiety.

摘要

简介

人乳头瘤病毒(HPV)感染可导致男性和女性的生殖器疣(GWs)。GW 的心理社会后果知之甚少,该群体患者的研究仍然相当有限。

目的

本研究旨在检验两个假设:(i)GW 男性患者可能出现性功能障碍(SD);(ii)如果男性存在 SD,则可能与抑郁或焦虑有关。

方法

这是一项具有前瞻性横断面设计的初步研究。使用性经验量表(ASEX)、贝克抑郁量表(BDI)和贝克焦虑量表(BAI)比较了 GW 男性患者(患者组 N=116)和男性对照组(对照组 N=71)。由皮肤科医生和精神科医生分别对参与者进行评估。

主要观察指标

评估参与者之间性功能障碍、抑郁和焦虑之间的关联。

结果

两组在社会人口统计学变化方面没有差异。发现患者组的性功能障碍明显比对照组更常见(P=0.000 <0.001)。当评估 ASEX 的子分数时,两组之间存在统计学差异(P=0.000 <0.001)。与对照组相比,患者组的 BDI 和 BAI 评分更高,且 BDI 和 BAI 评分与 ASEX 总分和子分数之间呈正相关(P=0.000 <0.001)。

结论

与正常人群相比,GW 男性患者性功能障碍、抑郁和焦虑的发生率更高。GW 患者除抑郁和焦虑外,还应评估其可能存在的性功能问题。

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