Wainipitapong Sorawit, Chiddaycha Mayteewat, Charoenmakpol Natthaphon
Psychiatry, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
Center of Excellence in Transgender Health (CETH), Chulalongkorn University, Bangkok, Thailand.
Gen Psychiatr. 2023 Mar 27;36(2):e100989. doi: 10.1136/gpsych-2022-100989. eCollection 2023.
Sexual dysfunction is common among patients with psychiatric disorders but might be under-reported due to Asian sociocultural factors. Recognition of sexual dysfunction and associated factors in this vulnerable population would help clinicians properly assess and manage related conditions.
We aimed to examine the prevalence of sexual dysfunction and its associated factors among patients with psychiatric disorders in Thailand.
This was a cross-sectional study. We enrolled participants aged 18 and older who visited the psychiatry clinic at King Chulalongkorn Memorial Hospital in Bangkok, Thailand between August 2020 and December 2021. Demographic and clinical data were assessed, and all psychiatric disorders and sexual dysfunctions were diagnosed by clinical interview using the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Statistical analysis was done to explore the association between sexual dysfunction and related factors.
Sexual dysfunction was diagnosed in 101 (50.0%) of the total 202 participants. The mean (standard deviation, SD) age was 30.2 (9.0) years, and the majority of patients were men (54.5%), single (81.2%), employed (47.5%) and had a coexisting depressive disorder (48.0%). Multivariable logistic regression analysis showed a significant association between sexual dysfunction and quality of life, unemployment, and the dosage of antidepressants and benzodiazepines.
The prevalence of sexual dysfunction among this population was relatively high. However, the findings may represent only a portion of affected psychiatric patients for others with sexual dysfunction symptoms but without functional impairment did not meet the diagnostic criteria for sexual dysfunction. Improvement of quality of life and optimising antidepressant/benzodiazepine dosage should be further investigated for promoting sexual function in patients with mental disorders.
性功能障碍在精神疾病患者中很常见，但由于亚洲社会文化因素，可能存在报告不足的情况。认识这一弱势群体中的性功能障碍及其相关因素将有助于临床医生正确评估和管理相关病症。
我们旨在研究泰国精神疾病患者中性功能障碍的患病率及其相关因素。
这是一项横断面研究。我们纳入了2020年8月至2021年12月期间在泰国曼谷朱拉隆功国王纪念医院精神科门诊就诊的18岁及以上参与者。评估了人口统计学和临床数据，所有精神疾病和性功能障碍均通过使用《精神疾病诊断与统计手册》第五版进行临床访谈来诊断。进行统计分析以探讨性功能障碍与相关因素之间的关联。
在总共202名参与者中，有101名（50.0%）被诊断为性功能障碍。平均（标准差，SD）年龄为30.2（9.0）岁，大多数患者为男性（54.5%）、单身（81.2%）、就业（47.5%）且并存抑郁症（48.0%）。多变量逻辑回归分析显示性功能障碍与生活质量、失业以及抗抑郁药和苯二氮䓬类药物的剂量之间存在显著关联。
该人群中性功能障碍的患病率相对较高。然而，这些发现可能仅代表部分受影响的精神科患者，因为其他有性功能障碍症状但无功能损害的患者不符合性功能障碍的诊断标准。应进一步研究改善生活质量和优化抗抑郁药/苯二氮䓬类药物剂量以促进精神疾病患者的性功能。
