The Psychological Impact of Diabetes as a Risk Factor for Erectile Dysfunction at the Layla Qasim Center in Erbil City, Iraq.

Background Diabetes mellitus is a chronic metabolic disorder that can lead to various complications, including erectile dysfunction (ED). Therefore, this study aimed to investigate the relationship between ED and psychological factors (anxiety, stress, and depression) in Erbil City, Iraq. Methodology Using a purposive sampling method, this cross-sectional study was conducted from June 15th to November 27th, 2023, at the Layla Qasim Center in Erbil City. The questionnaire included demographic information, the Depression, Anxiety and Stress Scale - 21 Items for assessing depression, anxiety, and stress, and the International Index of Erectile Dysfunction Questionnaire. Statistical analysis was performed using Stata version 12 (StataCorp LLC, College Station, TX, USA). Significance levels were considered at p-values <0.05. Results A total of 403 participants were included in the study. The mean score for depression was 9.95 ± 4.99, indicating moderate levels of depression. Anxiety levels were more severe, with a mean score of 9.25 ± 4.25, while stress levels were moderate with a mean score of 11.63 ± 3.91. ED scores indicated mild-to-moderate ED, with a mean score of 13.46 ± 4.30. There was a significant negative correlation between ED and depression (r = -0.11, p < 0.001), anxiety (r = -0.16, p < 0.001), and stress (r = -0.13, p < 0.001). Conclusions The study demonstrated a significant negative correlation between ED, depression, anxiety, and stress among diabetic patients. Policymakers and healthcare providers should develop targeted interventions to address psychological factors and support ED in diabetic patients.