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复发性流产史女性抑郁症与性功能的关联:伊朗德黑兰的描述性相关性研究

Association of depression with sexual function in women with history of recurrent pregnancy Loss: descriptive-correlational study in Tehran, Iran.

作者信息

Azin Seyed Ali, Golbabaei Fahimeh, Warmelink J Catja, Eghtedari Sadaf, Haghani Shima, Ranjbar Fahimeh

机构信息

Reproductive Biotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran.

Nursing Care Research Centre, School of Nursing and Midwifery, Iran University of Medical Sciences, Rashid Yasemi St., Valiasr Ave, Tehran, Iran.

出版信息

Fertil Res Pract. 2020 Dec 8;6(1):21. doi: 10.1186/s40738-020-00089-w.

Abstract

PURPOSE

The present study aimed to investigate the relationship between depression and sexual function in women with recurrent pregnancy loss.

METHODS

In a cross-sectional correlational study, 130 consecutive patients with history of recurrent pregnancy loss were included who referred to Avicenna Fertility Center in Tehran, Iran during November 2018-February 2019. The outcomes were sexual dysfunction (Assessed with the Female Sexual Function Index) and depression (Evaluated with the Beck's Depression Inventory). The study data were analyzed by using Mann-Whitney and Kruskal-Wallis tests.

RESULTS

The study findings revealed that 40.8% of the participants suffered from some degrees of depression. The data analysis revealed that depression had a significant inverse correlation with sexual function and its domains (r = - 0.392, p < 0.001, R= 0.15). The spouse' education level and economic status demonstrated a significant relationship with women's sexual function (p = 0.01, p = 0.033). A significant relationship was also detected between women's depression and economic status (p = 0.028).

CONCLUSIONS

The study findings showed that women with RPL who had severe depression indicated lower score of sexual function. Since psychological and sexual problems are not reported to health care providers due to giving priority to fertility issues or considering such issues as taboos, the assessment of sexual and mental health needs to be part of the consultation in women with history of RPL, whether the patient seeks help for depression and sexual dysfunction or not.

摘要

目的

本研究旨在调查复发性流产女性中抑郁与性功能之间的关系。

方法

在一项横断面相关性研究中,纳入了130例有复发性流产病史的连续患者,这些患者于2018年11月至2019年2月期间前往伊朗德黑兰的阿维森纳生育中心就诊。结局指标为性功能障碍(采用女性性功能指数进行评估)和抑郁(采用贝克抑郁量表进行评估)。研究数据采用曼-惠特尼检验和克鲁斯卡尔-沃利斯检验进行分析。

结果

研究结果显示,40.8%的参与者患有某种程度的抑郁。数据分析表明,抑郁与性功能及其各个领域存在显著的负相关(r = -0.392,p < 0.001,R = 0.15)。配偶的教育水平和经济状况与女性的性功能存在显著关系(p = 0.01,p = 0.033)。女性的抑郁与经济状况之间也存在显著关系(p = 0.028)。

结论

研究结果表明,患有严重抑郁的复发性流产女性性功能得分较低。由于优先考虑生育问题或认为此类问题是禁忌,心理和性问题未向医疗保健提供者报告,因此无论患者是否因抑郁和性功能障碍寻求帮助,对有复发性流产病史女性的性健康和心理健康评估都需要成为咨询的一部分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5315/7722297/f31ad7856b5b/40738_2020_89_Fig1_HTML.jpg

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