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尼古丁依赖的年轻成年人中的抑郁、性功能障碍和合并症

Depression, Sexual Dysfunction, and Medical Comorbidities in Young Adults Having Nicotine Dependence.

作者信息

Bhattacharyya Ranjan, Sanyal Debasish, Bhattacharyya Sumita, Chakraborty Kaustav, Neogi Rajarshi, Banerjee Bejoy Bikram

机构信息

Department of Psychiatry, Murshidabad Medical College and Hospital, Berhampore, West Bengal, India.

Department of Psychiatry, KPC Medical College and Hospital, Kolkata, West Bengal, India.

出版信息

Indian J Community Med. 2020 Jul-Sep;45(3):295-298. doi: 10.4103/ijcm.IJCM_153_19. Epub 2020 Sep 1.

Abstract

BACKGROUND

Nicotine dependence, depression, diabetes mellitus, hypertension, and hypothyroidism are risk factors of sexual dysfunction.

AIMS AND OBJECTIVES

The present study aims to find the prevalence of sexual dysfunction and the various sexual response cycle domains in individuals with nicotine dependence with and without comorbidities.

MATERIALS AND METHODS

A total of 52 individuals attending the tobacco cessation clinic were included in the study. To assess the primary outcome, Fagerstrom test for nicotine dependence, Arizona Sexual Experiences Scale, and Hamilton's Depression Rating Scale had been administered after validation in local vernacular.

RESULTS

In the sample, 32 (61.5%) were male and 20 (38.5) were female. The 17 participants (32.7%) met the criteria of low nicotine dependence, 5 (9.6%) participants met low to moderate, 11 participants (21.2%) had moderate dependence, and 19 (36.5%) participants met the criteria of high nicotine dependence.

CONCLUSIONS

The nicotine dependence is directly related to sexual dysfunction, and it affects various stages of the sexual response cycle. One-quarter of individuals of nicotine dependence also met the threshold criteria of depression. The interventions as primary and primordial preventions with awareness building and health education may be a cost-effective measure to prevent tobacco-related deaths.

摘要

背景

尼古丁依赖、抑郁症、糖尿病、高血压和甲状腺功能减退是性功能障碍的危险因素。

目的

本研究旨在确定合并或未合并其他疾病的尼古丁依赖个体性功能障碍的患病率以及性反应周期各阶段的情况。

材料与方法

本研究共纳入了52名前往戒烟诊所就诊的个体。为评估主要结果,在当地语言验证后,使用了尼古丁依赖的Fagerstrom测试、亚利桑那性体验量表和汉密尔顿抑郁量表。

结果

样本中,男性32名(61.5%),女性20名(38.5%)。17名参与者(32.7%)符合低尼古丁依赖标准,5名参与者(9.6%)符合低至中度标准,11名参与者(21.2%)有中度依赖,19名(36.5%)参与者符合高尼古丁依赖标准。

结论

尼古丁依赖与性功能障碍直接相关,且会影响性反应周期的各个阶段。四分之一的尼古丁依赖个体也符合抑郁症的阈值标准。通过提高认识和开展健康教育进行一级和原级预防干预可能是预防烟草相关死亡的一种具有成本效益的措施。

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