King's College London, Department of Neurosciences, Institute of Psychiatry, Psychology & Neuroscience and Parkinson's Foundation Centre of Excellence, King's College Hospital, London, UK.
Parkinson's Foundation Centre of Excellence, King's College Hospital London, Dubai, UAE.
Sci Rep. 2024 Nov 21;14(1):28845. doi: 10.1038/s41598-024-79668-6.
Sexual dysfunction (SD) is a common non-motor symptom in people with Parkinson's disease (PD) yet underreported and undertreated specifically in many ethnic PD groups because of religious, social and personal perceptions. We conducted the first single-centre cross-sectional study in the United Arab Emirates of SD in 513 consecutive patients who agreed to complete the survey questionnaires. Data was collected on SD using the Nonmotor Symptoms Scale (NMSS), Index of Erectile Function, and Female Sexual Function Index. Our results show that the non-Emirati group had higher NMSS-SD scores than the Emirati group. SD was reported independent of ethnicity, race and disease stage (p < 0.001). SD correlated with worsening quality of life (p < 0.001) and anxiety domain, especially in young PD patients (p < 0.001). Our data concludes that there is no significant difference in SD between different ethnicity groups, contrary to common perception. SD appears to be underreported in this population and needs addressing using culturally sensitive bespoke counselling.
性功能障碍（SD）是帕金森病（PD）患者常见的非运动症状，但由于宗教、社会和个人观念的原因，在许多特定的种族 PD 群体中，SD 被报告和治疗不足。我们在阿拉伯联合酋长国进行了首次针对 513 例连续患者的单中心横断面研究，这些患者同意完成调查问卷。使用非运动症状量表（NMSS）、勃起功能指数和女性性功能指数来收集 SD 数据。我们的结果表明，非阿联酋组的 NMSS-SD 评分高于阿联酋组。SD 与生活质量恶化相关（p<0.001），与焦虑域相关，尤其是在年轻的 PD 患者中（p<0.001）。我们的数据得出的结论是，不同种族群体之间的 SD 没有显著差异，这与普遍看法相反。在该人群中，SD 的报告不足，需要使用文化敏感的定制咨询来解决。
