Rathod Anuradha, Sawant Neena, Bandgar Tushar
Department of Psychiatry, Seth GSMC and KEM Hospital, Mumbai, Maharashtra, India.
Department of Endocrinilogy, Seth GSMC and KEM Hospital, Mumbai, Maharashtra, India.
Indian J Psychiatry. 2024 Sep;66(9):853-858. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_293_24. Epub 2024 Sep 19.
Type 2 diabetes affects 10.5% of adults globally, with sexual dysfunction being one of the complications, of which erectile dysfunction is the most commonly reported one with the prevalence ranging from 35% to 90%. There are a few studies exploring links between sexual dysfunction, depressive symptoms, and marital satisfaction, which is the reason we undertook the study.
To study the prevalence of sexual dysfunction, depressive symptoms, and marital satisfaction in male patients with diabetes and correlation between the three parameters.
A total of 120 male patients with type 2 diabetes were assessed for sexual dysfunction using ICD-10 criteria and International Index of Erectile Function, depressive symptoms using Beck Depression Inventory, and marital satisfaction using Dyadic Adjustment Scale (DAS).
The mean age of patients at diagnosis of diabetes was 42.32 ± 7.48 years, and the mean duration of diabetes was 7.35 ± 3.76 years. Mean HbA1c was 9.05 ± 2.25% with only 22 patients having good glycemic control. Eight-eight patients reported sexual dysfunction with lack of genital response, premature ejaculation, and orgasmic dysfunction being common. Thirty-two patients had depressive symptoms, with borderline clinical depressive symptoms and moderate depressive symptoms in 14 patients each. Marital satisfaction was affected with the total mean DAS score being 93.95 ± 18.34. There was a negative correlation seen between sexual function and depressive symptoms and also between sexual function and increasing age, with a positive correlation seen between sexual function and marital satisfaction. Poor glycemic control was significantly associated with clinically diagnosed erectile and orgasmic dysfunction.
Sexual dysfunctions, depressive symptoms, and marital distress are highly prevalent in patients with type 2 diabetes, warranting timely detection and management. The three parameters are significantly correlated with each other, and poor glycemic control is significantly associated with sexual dysfunction. Psychiatric liaison would improve outcomes.
2型糖尿病影响着全球10.5%的成年人，性功能障碍是其并发症之一，其中勃起功能障碍是最常被报道的，患病率在35%至90%之间。有一些研究探讨了性功能障碍、抑郁症状和婚姻满意度之间的联系，这就是我们开展这项研究的原因。
研究糖尿病男性患者性功能障碍、抑郁症状和婚姻满意度的患病率以及这三个参数之间的相关性。
总共120例2型糖尿病男性患者，采用国际疾病分类第10版（ICD - 10）标准和国际勃起功能指数评估性功能障碍，使用贝克抑郁量表评估抑郁症状，使用二元调适量表（DAS）评估婚姻满意度。
患者确诊糖尿病时的平均年龄为42.32±7.48岁，糖尿病平均病程为7.35±3.76年。平均糖化血红蛋白（HbA1c）为9.05±2.25%，只有22例患者血糖控制良好。88例患者报告存在性功能障碍，生殖器反应缺乏、早泄和性高潮功能障碍较为常见。32例患者有抑郁症状，其中14例有临界临床抑郁症状，14例有中度抑郁症状。婚姻满意度受到影响，DAS总平均分为93.95±18.34。性功能与抑郁症状之间以及性功能与年龄增长之间呈负相关，性功能与婚姻满意度之间呈正相关。血糖控制不佳与临床诊断的勃起和性高潮功能障碍显著相关。
2型糖尿病患者中，性功能障碍、抑郁症状和婚姻困扰非常普遍，需要及时检测和处理。这三个参数之间存在显著相关性，血糖控制不佳与性功能障碍显著相关。精神科联络将改善治疗效果。
