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纤维肌痛女性患者配偶的生活质量、抑郁及性功能障碍

Quality of life, depression, and sexual dysfunction in spouses of female patients with fibromyalgia.

作者信息

Tutoglu Ahmet, Boyaci Ahmet, Koca Irfan, Celen Esra, Korkmaz Nurdan

机构信息

Department of Physical Medicine and Rehabilitation, Harran University Medical School, Yenisehir Kampusu, 63100, Sanliurfa, Turkey,

出版信息

Rheumatol Int. 2014 Aug;34(8):1079-84. doi: 10.1007/s00296-014-2944-z. Epub 2014 Jan 9.

Abstract

The aim of this study was to investigate the effects of the quality of life and psychological condition of female patients with fibromyalgia and their spouses on sexual function. A total of 32 female patients diagnosed with fibromyalgia and their spouses were analyzed. Thirty married couples were included in the study as the control group. The demographic data of the fibromyalgia patients were recorded, a visual analog scale was used to evaluate the level of pain, and the Fibromyalgia Impact Questionnaire was used to evaluate the impact of the symptoms on the quality of life of the patients. The quality of life of both the patients and the control group were evaluated using the Short Form 36 (SF-36), and psychological variables were evaluated using the Beck Depression Inventory (BDI) and Beck Anxiety Inventory. Sexual function was assessed using the Female Sexual Function Index for female participants and the International Index of Erectile Function (IIEF) for male participants. The IIEF erectile dysfunction scores were significantly lower in the spouses of female patients with fibromyalgia than in the control group (p < 0.05), and the BDI scores were significantly higher in the spouses of the female patients with fibromyalgia (p < 0.05). Among the SF-36 scores, the emotional and physical roles were significantly lower in the spouses of the female patients with fibromyalgia (p = 0.003 and p = 0.004, respectively). In all spouses of FMS patients and controls, there was a significantly negative correlation between erectile function, the BDI score, and to be married with FMS patient and positive correlations between erectile function and emotional role, social function, mental health, SF-36 pain score, and general health (p < 0.05 for all). In a linear regression model, BDI, to be married with FMS patient and general health were found to affect erectile function (beta regression coefficient = -0.572, SE = 0.082, p = 0.001; beta regression coefficient = -0.332, SE = 1.619, p = 0.007; beta regression coefficient = 0.445, SE = 0.065, p = 0.005, respectively). Being a spouse of a patient with fibromyalgia might significantly interfere with quality of life and lead to a high rate of sexual dysfunction. Spouses of patients with fibromyalgia might also be investigated for sexual dysfunction and quality of life. Treatment programs for this group should be considered.

摘要

本研究的目的是调查纤维肌痛女性患者及其配偶的生活质量和心理状况对性功能的影响。共分析了32例诊断为纤维肌痛的女性患者及其配偶。30对已婚夫妇作为对照组纳入研究。记录纤维肌痛患者的人口统计学数据,使用视觉模拟量表评估疼痛程度,使用纤维肌痛影响问卷评估症状对患者生活质量的影响。使用简短健康调查问卷(SF-36)评估患者和对照组的生活质量,使用贝克抑郁量表(BDI)和贝克焦虑量表评估心理变量。使用女性性功能指数评估女性参与者的性功能,使用国际勃起功能指数(IIEF)评估男性参与者的性功能。纤维肌痛女性患者配偶的IIEF勃起功能障碍评分显著低于对照组(p<0.05),纤维肌痛女性患者配偶的BDI评分显著高于对照组(p<0.05)。在SF-36评分中,纤维肌痛女性患者配偶的情感角色和身体角色评分显著较低(分别为p=0.003和p=0.004)。在所有纤维肌痛患者和对照组的配偶中,勃起功能、BDI评分与与纤维肌痛患者结婚之间存在显著负相关,勃起功能与情感角色、社会功能、心理健康、SF-36疼痛评分和总体健康之间存在正相关(所有p<0.05)。在一个线性回归模型中,发现BDI、与纤维肌痛患者结婚和总体健康会影响勃起功能(β回归系数=-0.572,标准误=0.082,p=0.001;β回归系数=-0.332,标准误=1.619,p=0.007;β回归系数=0.445,标准误=0.065,p=0.005)。作为纤维肌痛患者的配偶可能会显著干扰生活质量并导致性功能障碍的高发生率。纤维肌痛患者的配偶也应接受性功能障碍和生活质量的调查。应考虑针对该群体的治疗方案。

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