Ghajarzadeh Mahsa, Jalilian Rozita, Togha Mansoureh, Azimi Amirreza, Hosseini Pegah, Babaei Nazanin
Brain and Spinal Cord Injury Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Department of Neurology, Tehran University of Medical Sciences, Tehran, Iran.
Int J Prev Med. 2014 Sep;5(9):1113-8.
Migraine is a chronic disorder affecting women more than men. Sexual dysfunction is one the complaints of women with migraine, which is not regarded as it should be. The goal of this study was to determine sexual dysfunction in women with migraine, and possible effects of depression and sleep quality on their sexual function.
One hundred married migraineurs women were enrolled. All participants were asked to fill out valid and reliable Persian versions of Pittsburgh Sleep Questionnaire (PSQI), female sexual function index (FSFI) and beck depression inventory (BDI).
Mean BDI, PSQI, and FSFI scores were 15.1 ± 9.1, 7.6 ± 4, and 21.6 ± 8.8 in all patients, respectively. Sexual dysfunction found in 68% and 79% were poor sleepers. Mean BDI and PSQI scores were significantly higher in women with sexual dysfunction (FSFI < 26.55). There was significant negative correlation between BDI score and FSFI (r = -0.1, P = 0.001) as well as significant positive correlation between BDI and PSQI (r = 0.42, P < 0.001). Multiple linear regression analysis showed that BDI and age were independent predictors of FSFI score.
Physicians should consider sexual dysfunction in women with migraine along with depression and poor sleep in such cases.
偏头痛是一种慢性疾病,女性患者多于男性。性功能障碍是偏头痛女性患者的主诉之一,但未得到应有的重视。本研究的目的是确定偏头痛女性患者的性功能障碍情况,以及抑郁和睡眠质量对其性功能的可能影响。
招募了100名已婚偏头痛女性患者。所有参与者均被要求填写波斯语版有效且可靠的匹兹堡睡眠问卷(PSQI)、女性性功能指数(FSFI)和贝克抑郁量表(BDI)。
所有患者的BDI、PSQI和FSFI平均得分分别为15.1±9.1、7.6±4和21.6±8.8。68%存在性功能障碍的患者和79%睡眠质量差的患者存在性功能障碍。性功能障碍女性(FSFI<26.55)的BDI和PSQI平均得分显著更高。BDI得分与FSFI之间存在显著负相关(r=-0.1,P=0.001),BDI与PSQI之间存在显著正相关(r=0.42,P<0.001)。多元线性回归分析表明,BDI和年龄是FSFI得分的独立预测因素。
在这类病例中,医生应考虑偏头痛女性患者的性功能障碍以及抑郁和睡眠质量差的问题。