Reddy R Mrinalini, Saravanan R Arul, Praharaj Samir Kumar, Thirunavukarasu M
Department of Psychiatry, SRM Medical College and Research Centre, Kattankulathur, Kancheepuram, Tamil Nadu, India.
Department of Psychiatry, Kasthurba Medical College, Manipal, Karnataka, India.
Indian J Psychol Med. 2020 Jan 6;42(1):46-51. doi: 10.4103/IJPSYM.IJPSYM_321_19. eCollection 2020 Jan-Feb.
There is a need to explore the sexual functioning of women with depression as one part of sexuality is that it helps in developing an intimate emotional and physical relationship with another person, and this relationship may serve as a buffer against life stresses. Our aim was to study the prevalence and types of sexual dysfunction in depressed women patients and to compare them with non-depressed women.
A total of 270 participants who attended a teaching hospital were selected for the study - 135 cases and 135 controls. Sociodemographic and clinical details were collected. Mini International Neuropsychiatry Interview (M.I.N.I), Hamilton Depression Rating Scale (HAM-D), Arizona Sexual Experiences (ASEX) scale, and Female Sexual Functioning Index (FSFI) scale were used. Sexual dysfunction was assessed in both groups.
Among the cases, 47.40% had mild depression, 44.44% had moderate depression, and 8.15% were severely depressed. On the ASEX, 46.66% of the cases had sexual dysfunction, while it was only 8.89% among the controls. The difference in sexual dysfunction among cases and controls was statistically significant. Using the FSFI, 40% of the cases had female sexual dysfunction (FSD), and it was only 11.1% in controls.
Sexual dysfunction was more common in females with clinical depression than in those without depression. Numerous factors can operate in the causation of FSD. This study underlines the importance of screening females with depression for FSD, for its early diagnosis and management.
有必要探索抑郁症女性的性功能，因为性的一部分功能在于它有助于与他人建立亲密的情感和身体关系，而这种关系可能作为应对生活压力的缓冲。我们的目的是研究抑郁症女性患者性功能障碍的患病率和类型，并将她们与非抑郁症女性进行比较。
本研究共选取了270名到一家教学医院就诊的参与者——135例病例和135名对照。收集了社会人口统计学和临床细节。使用了迷你国际神经精神病学访谈（M.I.N.I）、汉密尔顿抑郁评定量表（HAM-D）、亚利桑那性体验量表（ASEX）和女性性功能指数（FSFI）量表。对两组进行性功能障碍评估。
在病例组中，47.40%为轻度抑郁，44.44%为中度抑郁，8.15%为重度抑郁。在ASEX量表上，46.66%的病例存在性功能障碍，而对照组中这一比例仅为8.89%。病例组和对照组在性功能障碍方面的差异具有统计学意义。使用FSFI量表，40%的病例存在女性性功能障碍（FSD），而对照组中这一比例仅为11.1%。
临床抑郁症女性的性功能障碍比无抑郁症女性更为常见。FSD的病因可能涉及众多因素。本研究强调了对抑郁症女性进行FSD筛查对于早期诊断和管理的重要性。
