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评估伊朗农村女性中抑郁症与性功能障碍的共现情况及相关因素:一项基于人群的研究。

Evaluating co-occurrence of depression and sexual dysfunction and related factors among Iranian rural women: A population-based study.

作者信息

Khademi Raheleh, Hosseini Seyed Hamzeh, Nia Hamid Sharif, Khani Soghra

机构信息

Student Research Committee, School of Nursing and Midwifery, Mazandaran University of Medical Sciences Sari, Iran.

Department of Psychiatry, Psychiatry and Behavioral Sciences Research Center, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.

出版信息

Biomedicine (Taipei). 2020 Mar 28;10(1):33-39. doi: 10.37796/2211-8039.1003. eCollection 2020.

DOI:10.37796/2211-8039.1003
PMID:33854911
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7608841/
Abstract

BACKGROUND AND OBJECTIVES

Sexual dysfunction and mood disorders have a high prevalence rate and their co-occurrence has been reported in previous studies. This study aimed to determine the prevalence of co-occurrence of sexual dysfunction and depression and related factors in women.

MATERIALS AND METHODS

This descriptive-analytical study was carried out on 826 married rural women aged 15-49 years in Sari, Iran in 2018, selected by random sampling. The participants filled the demographic and fertility questionnaires, as well as Beck's Depression Inventory and Female Sexual Function Index (FSFI).

RESULTS

In this study, 18% of the participants experienced the co-occurrence of depression and sexual dysfunction. In addition, results of the multiple logistic regression showed that forced marriage (OR = 0.31, CI 95%: 0.15 to 0.64, < 0.001), a one-level increase in the education of the spouse (OR = 0.76, CI 95%: 0.59 to 0.98, < 0.041), lack of history of depression (OR = 0.36, CI 95%: 0.20 to 0.66, < 0.001) and lack of vaginal infection (OR = 0.41, CI 95%: 0.27 to 0.62, < 0.001) were considered as factors contributing to a decline in the co-occurrence of depression and sexual dysfunction. On the other hand, not having a private bedroom (OR = 1.63, CI 95%: 1.09 to 2.43, < 0.017), no vehicle (OR = 1.52, CI 95%: 1.02 to 2.27, < 0.038), a history of sychiatric diseases (OR = 2.09, CI 95%: 1.2.0 to 3.65, < 0.009), lack of chronic diseases (OR = 2.11, CI 95%: 1.03 to 4.31, = 0.039) and lack of use of antidepressants (OR = 2.03, CI 95%: 2.03 to 1.03, < 0.039) increased the co-occurrence of depression and sexual dysfunction.

CONCLUSION

According to the results of the study, about one-fifth of the married rural women experienced the co-occurrence of depression and sexual dysfunction. If healthcare providers detect one of the disorders of depression or sexual dysfunction in a patient, it is suggested that the person be assessed in terms of the other disorder and the proper treatment be applied. Furthermore, the healthcare personnel must pay attention to factors related to the co-occurrence of these disorders in addition to providing a treatment program.

摘要

背景与目的

性功能障碍和情绪障碍的患病率较高,先前的研究已报道了它们的共现情况。本研究旨在确定女性性功能障碍与抑郁症共现的患病率及相关因素。

材料与方法

2018年,在伊朗萨里对826名年龄在15至49岁的已婚农村妇女进行了这项描述性分析研究,采用随机抽样选取。参与者填写了人口统计学和生育问卷,以及贝克抑郁量表和女性性功能指数(FSFI)。

结果

在本研究中,18%的参与者经历了抑郁与性功能障碍的共现。此外,多元逻辑回归结果显示,强迫婚姻(比值比[OR]=0.31,95%置信区间[CI]:0.15至0.64,P<0.001)、配偶教育程度提高一级(OR=0.76,95%CI:0.59至0.98,P<0.041)、无抑郁病史(OR=0.36,95%CI:0.20至0.66,P<0.001)和无阴道感染(OR=0.41,95%CI:0.27至0.62,P<0.001)被认为是导致抑郁与性功能障碍共现率下降的因素。另一方面,没有私人卧室(OR=1.63,95%CI:1.09至2.4

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