Park Jee Eun, Sohn Ji Hoon, Seong Su Jeong, Cho Maeng Je
1 Department of Psychiatry and Behavioral Science, Seoul National University College of Medicine and Seoul National University Hospital , Seoul, South Korea .
2 Department of Neuropsychiatry, Seoul National University Bundang Hospital , Seongnam, South Korea .
J Womens Health (Larchmt). 2015 Jun;24(6):515-23. doi: 10.1089/jwh.2014.5151. Epub 2015 Apr 24.
This study investigated the prevalence of sexual problems and associated factors, focusing particularly on comorbid psychiatric disorders, among older Korean women.
A nationally representative sample of women aged 50-74 years (n=3828) responded to in-person interviews using the Korean version of the Composite International Diagnostic Interview to assess psychiatric disorders and four symptoms of sexual dysfunction: (1) lack of sexual interest/sexual aversion, (2) dyspareunia, (3) loss of pleasure, and (4) other organic dysfunction (e.g., inability of sexual arousal). We examined the likelihood of sexual dysfunction by sociodemographic and clinical variables, including specific psychiatric disorders, and compared the characteristics of sexual dysfunction among women with and without a comorbid psychiatric disorder.
A total of 334 (8.7%) women reported one or more symptoms of sexual dysfunction during the year preceding the interview: lack of sexual interest/sexual aversion was most prevalent (7.7%), followed by loss of pleasure (4.2%), dyspareunia (2.4%), and other organic dysfunction (0.4%). Having a psychiatric disorder was associated with a 2.7-fold increase in the probability of sexual dysfunction. Among women with sexual dysfunction, having comorbid mental disorder was associated with being unmarried status, a symptom of loss of pleasure, and a history of sexual dysfunction before 50 years of age.
The present study suggests a relatively lower prevalence of sexual dysfunction than previously reported, but supports its strong association with psychiatric disorders among postmenopausal women. We should evaluate comorbid mental disorder with sexual dysfunction, especially among those having some characteristics.
本研究调查了韩国老年女性性功能问题的患病率及其相关因素，特别关注共病精神障碍。
以韩国全国范围内具有代表性的50 - 74岁女性样本（n = 3828）为研究对象，采用韩语版的复合国际诊断访谈进行面对面访谈，以评估精神障碍和性功能障碍的四种症状：（1）性欲缺乏/性厌恶；（2）性交疼痛；（3）性快感缺失；（4）其他器质性功能障碍（如性唤起障碍）。我们通过社会人口统计学和临床变量（包括特定精神障碍）来研究性功能障碍的可能性，并比较了患有和未患有共病精神障碍的女性性功能障碍的特征。
共有334名（8.7%）女性在访谈前一年报告了一种或多种性功能障碍症状：性欲缺乏/性厌恶最为普遍（7.7%），其次是性快感缺失（4.2%）、性交疼痛（2.4%）和其他器质性功能障碍（0.4%）。患有精神障碍会使性功能障碍的概率增加2.7倍。在性功能障碍的女性中，患有共病精神障碍与未婚状态、性快感缺失症状以及50岁前有性功能障碍病史有关。
本研究表明性功能障碍的患病率相对低于先前报道，但支持其与绝经后女性精神障碍的密切关联。我们应该评估性功能障碍患者的共病精神障碍，尤其是那些具有某些特征的患者。
