Occurrence Of Sexual Dysfunctions Research Articles

Psychological Background of Sexual Dysfunctions – a Comparative Study on Hungarian and Spanish Samples

IntroductionSexual dysfunctions are prevalent issues affecting individuals’ sexual well-being and relationships. These conditions encompass a range of difficulties in sexual functioning, from desire and arousal to orgasm and pain. Psychological factors, such as dysfunctional beliefs about sexuality, play a significant role in the development and perpetuation of sexual dysfunctions (Nobre, Pinto-Gouveia, 2006; Nobre, Pinto-Gouveia, 2008). Additionally, personality traits, particularly those associated with the Dark Triad (Machiavellianism, narcissism, and psychopathy), have been suggested as potential protective factors to sexual problems, probably in interaction with sexual assertiveness and a wider experience in sexual behavior (Pilch, Smolorz, 2019).ObjectivesThis study investigates the interplay between sexual dysfunctions, sexual dysfunctional beliefs, and Dark Triad personality traits, and compares the differences and similarities in the two different cultural (Hungarian and Spanish) samples.MethodsBoth samples were collected online by sharing the questionnaires on various platforms. Apart from the demographic and sexuality related background questions (age, sex, gender, sexual orientation, sexual lifestyle, etc.) our set of questionnaires included the Arizona Sexual Experience Scale (ASEX), Sexual Dysfunctional Beliefs Questionnaire (SDBQ, Male and Female Version) and The Short Dark Triad Questionnaire (SD3).ResultsThe Hungarian sample consists of 465 participants, the Spanish of 215. However, the processing of the data is still underway, our preliminary results show, that there is a connection between the number of dysfunctional beliefs and occurrence of sexual dysfunctions. Just like Dark Triad traits seem to have negative correlation with dysfunctions.Conclusions Our research gives an opportunity to a better understanding of the psychological background of sexual dysfunctions. By taking in consideration the relationship between dysfunctional beliefs and said disorders, professionals can optimize sexual education to aid the prevention of them. Nevertheless, our findings can help the practice of psychotherapy in finding more advanced treatments, thus improving individuals’ overall sexual, and general well-being.Disclosure of InterestNone Declared

A mathematical model to start a discussion on cybersex addiction

Cybersex is the use of the Internet and its services to achieve sexual arousal and pleasure. This use, however, can become excessive and uncontrolled. Common consequences of a problematic engagement in online sexual activities are the deterioration of real-life romantic relationships and the occurrence of sexual dysfunctions, even in young population. Here, a simplistic mathematical model based on differential equations is proposed to investigate the impact of cybersex on the human population growth. This model is analysed from a dynamical system theory perspective. This study can be presented in a class on differential equations and it can be the starting point for talking about Internet sex addiction.

Sexual dysfunction prevalence, risk factors, and help-seeking behavior in opioid agonist treatment and general psychiatry: a cross-sectional study.

Mental disorders pose a high risk for the occurrence of sexual dysfunctions (SD). This study aimed to investigate prevalence of risk factors and help-seeking behavior for sexual dysfunctions in patients with opioid use disorder compared to patients seeking psychotherapeutic help. Ninety-seven patients at two opioid agonist treatment (OAT) centers and 65 psychotherapeutic patients from a psychiatric practice (PP) in Switzerland were included in the study. Self-report assessments comprised sexual functioning (IIEF: International Index of Erectile Function; FSFI: Female Sexual Function Index), depressive state, psychological distress, alcohol consumption, nicotine use, and a self-designed questionnaire on help-seeking behavior. We used chi-squared and Mann-Whitney U tests for group comparisons and binary logistic regression models to identify variables predicting the occurrence of sexual dysfunctions. There was no statistically significant difference (p = 0.140) in the prevalence of SD between OAT (n = 64, 66.0%) and PP sample (n = 35, 53.8%). OAT patients scored significantly higher in scales assessing nicotine use (p < 0.001) and depressive state (p = 0.005). Male OAT patients scored significantly worse on the Erectile Function scale (p = 0.005) and female PP patients scored significantly worse on the FSFI Pain domain (p = 0.022). Opioid use disorder, higher age, and being female predicted the occurrence of SD in the total sample. In the OAT sample, only higher age remained predictive for the occurrence of SD. A lack of help-seeking behavior was observed in both groups, with only 31% of OAT patients and 35% of PP patients ever having talked about their sexual health with their treating physician. SD are common among psychiatric patients receiving OAT and general psychiatric patients seeking psychotherapy. Professionals providing mental healthcare to patients must emphasize prevention and routine assessments of sexual functioning needs.

Sexual Dysfunctions among Veterans with and without PTSD.

Research on the relationship between posttraumatic stress disorder (PTSD) and sexual dysfunctions (SD) has clearly recognized the association among these conditions. The main objective of this research was to compare the levels of the overall and the level of certain domains of sexual functioning among veterans with and those without PTSD. Two hundred and fifty veterans with PTSD and 187 veterans without PTSD were included in the comparative study. The following assessments were conducted: LEC-5, PCL-5, ITQ, IIEF, PEDT, and MINI. Veterans with PTSD had significantly higher levels of all types of SD in the PTSD group compared with the non-PTSD veterans. Veterans with PTSD more frequently experienced psychiatric and somatic comorbidities and use of medication that may contribute to the occurrence and severity of SD. The present study emphasized that SDs are an important issue among patients with PTSD. The study comprehensively accounted for conditions that may contribute to the occurrence and severity of SD among veterans with PTSD. Future directions of the research that could further improve the healthcare of the patients were indicated.

Sexual disorders in the men treated in a psychiatric ward.

An attempt to assess the impact of dual diagnosis - mental illness and addiction on the occurrence of sexual dysfunctions, and evaluation of problems with sexual functioning in men treated in a psychiatric ward. 140 psychiatrically hospitalized men (mean age 40.4 ± 12.7 years) with the diagnosis of schizophrenia, affective disorders, anxiety disorders, addiction and double diagnosis (schizophrenia and addiction) took part in the study. The Sexological Questionnaire, developed by Professor Andrzej Kokoszka, and the International Index of Erectile Function IIEF-5 were used in the study. The occurrence of sexual dysfunctions in the study group was reported in 83.6% of patients. The most common was reduction in sexual needs (53.6%) and orgasm delay (40%). Depending on the research tool used, erectile dysfunction appeared in 38.6% of respondents (according to Kokoszka's Questionnaire) and 61.4% of patients (IIEF-5). Severe erectile dysfunction was more common in the group of patients without a partner (12.4% vs. 0; p = 0.000) compared to people in relationships and in the group with anxiety disorders (p = 0.028) compared to groups with other mental disorders. In the group of people with dual diagnosis (DD), sexual dysfunctions were observed more frequently in comparison to patients with schizophrenia (p = 0.034). Treatment lasting over 5 years was more often associated with sexual dysfunctions (p = 0.007). In the DD group, lack of orgasm and excessive sexual needs were more frequent in comparison to people with one diagnosis (p = 0.0145; p = 0.035). Sexual dysfunctions are more common in patients with DD in comparison to patients diagnosed with schizophrenia. Lack of a partner and the duration of psychiatric treatment over 5 years is associated with more frequent occurrence of sexual dysfunctions.

P-02-18 Estimation of Combined Treatment Efficiency of Sexual Dysfunctions in Patients after Surgery for Benign Prostatic Hyperplasia

The purpose of the study was to evaluate the effectiveness of the combined treatment of sexual dysfunctions (SD) in patients with benign prostatic hyperplasia. 160 men who underwent surgery for BPH and had manifestations of SD were examined, they were divided into two groups: group A 77 patients (48.1%), operated byTURP and having SD up to surgery; group B included 83 (51.9%) patients in whom SD occurred after TURP. The period between surgery and inclusion in the study was ≥3 months. After surgery, patients received combination therapy: tamsulosin 0.4 mg OD and Serenoa repens (SR) extract 320 mg OD for 12 months. Evaluated on 1, 3, 6 and 12 months. After 12 months of observation, a strong linear relationship (r=0.96) was revealed between the severity of LUTS and the degree of ED, which accounted for 91.5% in the structure of SD. SD appeared in 85.0% of cases with orgasmic dysfunction, retrograde ejaculation mainly in the operated patients (90.6% versus 73.3%; p< 0.05) and a decrease in their libido (69.4% versus 30.7% among others ; p< 0.05). Characteristic was a decrease in the quality of life on the scales of the physical (with the existence of SD before surgery) and the mental components (the occurrence of SD after surgery). In 89% of cases, subclinical personal and situational anxiety was detected in all groups. The inclusion of individual rational psychotherapy in treatment, depending on the prevalence of depression form, was used in 70.0%, in 61.0% in the presence of SD before TUR and in 74.7% of SD development after surgery.

Evaluation of sexual dysfunction and quality of life in patients with severe mental illness: A cross-sectional study from a tertiary care center in Chhattisgarh.

Background:Sexual dysfunctions (SDs) are common and lead to psychological distress and impair quality of life (QOL). However, little attention has been paid to explore SD in severe mental illnesses (SMIs). Hence, this study aimed to evaluate the occurrence of SD and its impact on the QOL in persons suffering from schizophrenia, bipolar disorder, and depression and compare it with healthy controls.Materials and Methods:In this cross-sectional study, 79 clinically stable patients and 50 healthy controls underwent evaluation for SD on the Arizona Sexual Experience Scale, and their QOL was measured using the WHO QOL-BREF scale. Chi-square test was used for the categorical variables, whereas comparison of continuous variables was done by t-test with post hoc corrections.Results:Compared to healthy controls, patients with depression had significantly higher rates of SD in the domain of obtaining penile erection (P = 0.019), ability to reach orgasm (P = 0.03), and satisfaction from orgasm (P = 0.01). Patients with schizophrenia had higher rates of problems in achieving arousal (P < 0.01), penile erection (P = 0.03), and satisfaction from orgasm (P = 0.03), whereas those with bipolar disorder only differed significantly on the domain of ability to reach orgasm (P = 0.03). However, patients fared better than the controls on various domains of QOL (except social domain).Conclusion:A significant number of patients with SMI suffer from SD. Hence, it should be made a routine practice to evaluate and address the problem of SDs in patients with SMI.

&lt;b&gt;Occurrence of sexual dysfunctions in mastectomized females with or without breast reconstruction

Breast cancer ranks second as the most common in women. Surgery, the usual initial treatment of the disease, triggers important changes in the patient´s self-image and interferes in sexuality. Breast reconstruction usually improves life quality and has a positive psychological effect. It was developed a current transversal, observational qualitative research that comprised data collection at the Mastology Service of a hospital in the central region of the state of Rio Grande do Sul, Brazil, aiming to compare the prevalence of sexual dysfunctions in mastectomized females with or without breast reconstruction. The sample consisted of 28 females, aged between 36 and 73 years (53.77±10.77), of whom 17 did not undergo breast reconstruction (G1) and 11 had breast reconstruction (G2). The evaluation card adapted by Etienne & Waitman and Female Sexual Function Index (FSFI) were applied. Descriptive statistics of the evaluated variables, coupled to the normality test of Shapiro-Wilk were undertaken; correlation test of Pearson and correlation test of Spearman were employed respectively for co-relationships of symmetrical and asymmetrical variables. G2 has sexual dysfunction in all domains, whereas G1, although with total score above cut-off point, reveals predictive rates for sexual dysfunction, except in the domain satisfaction. The latter, coupled to libido, showed statistically significant difference between the two groups.

Health Care in Patients with Sexual Dysfunctions

Objective: Previous studies have confirmed the high prevalence of sexual dysfunction and its impact on quality of life. However, this factor has not yet been properly recognized in medical care. Our aim was to inquire about occurrence of sexual dysfunctions and sexual anamnesis in primary care patients. Methods: 801 patients aged between 18 and 40 were included in the study. Female sexual dysfunction was measured by the FSFI, erectile dysfunction by the IEEF-5. Health-related quality of life was measured by the SF12, sexual satisfaction by the NSSS-SD, partnership satisfaction and health by the VAS and depression by the PHQ-9. Patients were also asked about their health care experiences. Results: The study indicates that 35.6% of the women reported sexual dysfunction and 28.2% of the men erectile dysfunction. Patients with sexual dysfunction reported lower levels of quality of life, sexual satisfaction, partnership satisfaction and health, but higher levels of depression than patients without sexual dysfunction. In case of 85.1% of the women and 98.1% of the men, no complete sexual anamnesis was conducted. Only 10.3% of women and 7.2% of men received the offer to talk about sexual problems. 66.7% of women and 53.1% of men would like their doctor to initiate such talks. 84.8% of the women and 93.2% of the men with sexual dysfunction described themselves as untreated. Conclusion: Sexual disorders influence the quality of life and should have greater priority in medical care. Questions regarding sexual health and sexual counselling ought to be integrated into routine medical examinations.

Sexual Dysfunction, Paraphilias and their Relationship to Childhood Abuse in Men who have Sex with Men

ABSTRACT This study aimed to examine 1) the occurrence of sexual dysfunctions and paraphilias and 2) the relationship between childhood abuse and current sexual disorders in a MSM sample. Participants were MSM in the Midwest who completed baseline surveys prior to attending a sexual health seminar. Most men reported a sexual dysfunction or paraphilia. Thirty-nine percent of the sample reported childhood abuse. Results indicated childhood abuse was associated with a significant increased risk of male erectile disorder (OR = 1.83) and secondary sexual dysfunction (OR = 2.01). The intent of the study was to generate hypotheses to guide future research efforts.

Gender differences in efficacy and sexual function in long-term trazodone treatment (preliminary results)

Objects. To evaluate the effect of trazodone on depressive or anxiety symptoms and sexual function depending on patient gender. Method. A total of 111 patients (59 men, 52 women) subjected to long-term treatment with trazodone were studied. The effect of the therapy was recorded according to the Clinical Global Impression – Severity of Illness (CGI-S) scale. The incidence of sexual dysfunction was assessed on the Utvalg for Kliniske Undersogelser (UKU) scale. Results. The effect of the therapy was similar in both genders. The incidence of diminished sexual desire was low and comparable in both genders; orgasmic dysfunctions were present only in women at the level of statistical significance. A positive correlation between the severity of the illness and the occurrence of diminished sexual desire and orgasmic dysfunction was found in women but not in men. Conclusion. The occurrence of sexual dysfunctions in trazodone therapy was lower than in population. It seems that trazodone is an effective therapy of depressive and anxiety symptoms in both genders and it is convenient for sexually active patients, because the occurrence of sexual dysfunctions was present the general to a low degree.

Sexual dysfunction among patients treated with antidepressants—a Hungarian retrospective study

The authors have investigated the incidence and several aspects of sexual problems in Hungarian outpatients ( N = 637) treated by antidepressive medication. In this multicentre epidemiological survey the sexual dysfunctions (SD) was assessed by psychiatrists using structured interviews. Seventy-eight of the sample has sexual problems, more than half of them mentioned SD after starting antidepressive medication. Comparing various groups of antidepressants, patients taking a RIMA compound reported the occurrence of SD not so often as in TCA or SSRI groups, where the rate of SD was very high. Authors pointed out that physicians have to pay special attention to this problem in everyday clinical practice, since the recognition and treatment of sexual dysfunction is critical for the patient’s satisfaction, medication compliance and the quality of life.