Nwakanma Nwaonu C, Ofoedu John N
Department of Psychiatry, Federal Medical Centre, Umuahia, Nigeria.
Department of Family Medicine, Federal Medical Centre, Umuahia, Nigeria.
S Afr J Psychiatr. 2016 Aug 19;22(1):979. doi: 10.4102/sajpsychiatry.v22i1.979. eCollection 2016.
The aim of this study was to investigate the relationship between erectile dysfunction (ED), marital adjustment and depression.
The survey was conducted among primary care patients at Federal Medical Centre, Umuahia. Subjects were 678 married, male primary care patients; aged 20-70 years (mean age = 45 years). ED was assessed by International Index of Erectile Function 5 (IIEF-5) score, the presence of clinically significant depressive symptoms was assessed with the 5-item version of the Center for Epidemiological Studies Depression Scale (CES-D), and marital adjustment was assessed with the Revised Dyadic Adjustment Scale (RDAS).
The prevalence of probable depression by CES-D and ED by IIEF-5 score was 20.9% and 26.0%, respectively. Marital distress was rampant (62.0%) among subjects with ED ( < 0.05, χ = 196.58). Erectile dysfunction was associated with marital adjustment ( < 0.05). Partial correlation revealed that depression affects both ED and marital adjustment, and is closely related to both variables.
Partner involvement and screening for depression should be emphasised in the care of patients with ED.
本研究旨在调查勃起功能障碍（ED）、婚姻调适与抑郁之间的关系。
该调查在乌穆阿希亚联邦医疗中心的初级保健患者中进行。研究对象为678名已婚男性初级保健患者，年龄在20至70岁之间（平均年龄 = 45岁）。通过国际勃起功能指数5（IIEF-5）评分评估勃起功能障碍，使用流行病学研究中心抑郁量表（CES-D）的5项版本评估临床上显著抑郁症状的存在情况，并用修订的二元调适量表（RDAS）评估婚姻调适情况。
根据CES-D得出的可能抑郁患病率和根据IIEF-5评分得出的勃起功能障碍患病率分别为20.9%和26.0%。在勃起功能障碍患者中，婚姻困扰很普遍（62.0%）（P < 0.05，χ² = 196.58）。勃起功能障碍与婚姻调适相关（P < 0.05）。偏相关分析显示，抑郁影响勃起功能障碍和婚姻调适，且与这两个变量密切相关。
在勃起功能障碍患者的护理中，应强调伴侣参与和抑郁筛查。
