Kowalczyk Robert, Krystyan Tomasz, Krzystanek Marek, Piekarska-Bugiel Katarzyna, Waszyńska Katarzyna, Daren Artur, Kurpisz Jacek, Nowosielski Krzysztof, Lew-Starowicz Zbigniew, Klon Weronika
Faculty of Psychology, Pedagogy and Humanities, Andrzej Frycz Modrzewski Kracow University, Kraków, Poland.
Department of Psychiatry and Psychotherapy, Medical University of Silesia, Katowice, Poland.
Postep Psychiatr Neurol. 2024 Jun;33(2):54-58. doi: 10.5114/ppn.2024.141052. Epub 2024 Jul 10.
This study aimed to outline the picture of the sexual functions of male patients with affective disorders as an important part of their lives.
The sample consisted of 57 male patients diagnosed with mood disorders in remission. They were interviewed for demographic and clinical data, asked to fill in number of self-descriptive questionnaires' Sexual Function of Man (SFM/K), the Montgomery-Åsberg Depression Scale (MADRS) and Young Mania Scale (YMRS), and the Alcohol Use Disorders Identification Test (AUDIT).
Lower levels of sexual functioning were experienced by patients who had suffered from affective disorder for a longer time, and who had a diagnosis of recurrent depressive disorder (F33), in comparison with patients with bipolar disorder (F31). The most common sexual dysfunction was premature ejaculation, while the rarest was erectile dysfunction. An occurrence of any sexual disorder at least once in the past was reported by 66% of all patients. Participants did not have problems with alcohol usage.
A worse quality of sexual functioning was associated with a longer history of affective disorder. Sexual dysfunction can be affected by even the most minor depressive and manic-depressive components. The tools used excluded non-heterosexual patients. Further research based on bigger samples is required.
本研究旨在勾勒情感障碍男性患者性功能状况，将其作为患者生活的重要组成部分。
样本包括57名被诊断为处于缓解期心境障碍的男性患者。对他们进行了人口统计学和临床数据访谈，要求填写多份自我描述问卷，包括《男性性功能问卷》（SFM/K）、蒙哥马利-阿斯伯格抑郁量表（MADRS）、青年躁狂量表（YMRS）以及酒精使用障碍识别测试（AUDIT）。
与双相情感障碍（F31）患者相比，患有情感障碍时间较长且被诊断为复发性抑郁症（F33）的患者性功能水平较低。最常见的性功能障碍是早泄，而最罕见的是勃起功能障碍。66%的患者报告过去至少出现过一次任何性功能障碍。参与者在酒精使用方面没有问题。
性功能质量较差与情感障碍病史较长有关。即使是最轻微的抑郁和躁郁症状也可能影响性功能障碍。所使用的工具排除了非异性恋患者。需要基于更大样本进行进一步研究。
