Chen S, Peng D, Xu X, Gao J, Dai F, Zuo C, Zhang Q
Department of Endocrinology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Department of Urology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Int J Impot Res. 2017 Sep;29(5):210-214. doi: 10.1038/ijir.2017.25. Epub 2017 Jun 29.
To estimate the prevalence of erectile dysfunction (ED) and the level of psychological distress and to assess the inter-associations of them among type 2 diabetic men, a cross-sectional observational study of 335 men with type 2 diabetes and 284 men without diabetes from a hospital in Hefei city, Anhui province, China, was conducted. The erectile function was assessed using the five-item version of the International Index of Erectile Function scale (IIEF-5). The evaluation of psychological distress was completed using a self-administered questionnaire, the Symptom Checklist 90-Revised (SCL-90-R). In this study, ED was more prevalent in type 2 diabetic men than that in the control group (58.51% vs 26.76%, P<0.001). All subscale scores of SCL-90-R were significantly higher in the group with type 2 diabetes (N=335) than those in the group without type 2 diabetes (N=284). All scores of SCL-90-R subscales were inversely correlated with IIEF-5 score. ED and psychological distress were strongly correlated in type 2 diabetic patients. Clinicians should be aware of the association between ED and psychological distress when treating men with type 2 diabetes.
为了评估勃起功能障碍（ED）的患病率和心理困扰程度，并评估2型糖尿病男性中两者之间的相互关系，在中国安徽省合肥市一家医院对335名2型糖尿病男性和284名非糖尿病男性进行了一项横断面观察性研究。使用国际勃起功能指数量表（IIEF-5）的五项版本评估勃起功能。使用自评问卷症状自评量表90修订版（SCL-90-R）完成心理困扰评估。在本研究中，2型糖尿病男性的ED患病率高于对照组（58.51%对26.76%，P<0.001）。2型糖尿病组（N=335）的SCL-90-R所有子量表得分均显著高于非2型糖尿病组（N=284）。SCL-90-R子量表的所有得分均与IIEF-5得分呈负相关。2型糖尿病患者的ED与心理困扰密切相关。临床医生在治疗2型糖尿病男性时应注意ED与心理困扰之间的关联。
