Quinto Rossella Mattea, Mastroeni Simona, Sampogna Francesca, Fania Luca, Fusari Roberta, Iani Luca, Abeni Damiano
Clinical Epidemiology Unit, Istituto Dermopatico dell'Immacolata, Dermatological Research Hospital (IDI-IRCCS), Rome, Italy.
Department of Human Sciences, European University of Rome, Rome, Italy.
Front Psychiatry. 2021 Oct 7;12:729104. doi: 10.3389/fpsyt.2021.729104. eCollection 2021.
Hidradenitis Suppurativa (HS) is a chronic skin disease involving intimate and sensitive areas and affecting physical and mental health. We investigated the prevalence of sexual desire and functioning impairment, and their associations with quality of life, anxiety, depression, minor psychiatric disorders (MPD), and clinical features (e.g., disease severity) in 77 patients with HS who completed self-report measures and answered to questions assessing socio-demographic characteristics, lifestyle habits, and hindered sexuality due to HS. The majority of patients reported hindered sexuality, and poor sexual functioning, while showing good levels of dyadic and solitary sexual desire. No associations were found between clinical severity and sexuality measures. Multivariate analyses showed significant associations of sexual outcome measures with alcohol consumption, low Body Mass Index, family history of HS, and severe skin symptoms. Moreover, we found that the presence of negative psychological factors (i.e., MPD, anxiety, poor mental status) increased the risk of sexual impairment. These findings underline the important role of psychological and sexual aspects in HS patients and suggest that physicians should consider the effect of disease burden on patients' sexual health.
化脓性汗腺炎（HS）是一种累及私密和敏感部位的慢性皮肤病，会影响身心健康。我们调查了77例完成自我报告测量并回答了评估社会人口学特征、生活习惯以及因HS导致性障碍问题的HS患者的性欲和性功能障碍患病率，及其与生活质量、焦虑、抑郁、轻度精神障碍（MPD）和临床特征（如疾病严重程度）之间的关联。大多数患者报告存在性障碍和性功能不佳，同时表现出较好的双性和单性性欲水平。未发现临床严重程度与性相关测量指标之间存在关联。多变量分析显示，性结果测量指标与饮酒、低体重指数、HS家族史和严重皮肤症状之间存在显著关联。此外，我们发现存在负面心理因素（即MPD、焦虑、精神状态不佳）会增加性障碍的风险。这些发现强调了心理和性方面在HS患者中的重要作用，并表明医生应考虑疾病负担对患者性健康的影响。
