A population study of the association between sexual function, sexual satisfaction and depressive symptoms in men

Nicolosi, Alfredo; Moreira, Edson Duarte; Villa, Marco; Glasser, Dale B.

doi:10.1016/j.jad.2003.12.008

Cited by 176 publications

(123 citation statements)

References 35 publications

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“…The prevalence of moderate or complete ED (IIEF score p16) has been reported 78% among Saudi patients with diabetes, 23 73% in the current study, 66% among Japanese patients 24 and 64% among Chinese men with diabetes. 25 Our findings consistent with previous studies 1,2,9,10,13,23 showed that ED is associated with age, duration of diabetes, CVD, depression and poor metabolic control. ED is often related to the severity and duration of diabetes.…”

Section: Discussionsupporting

confidence: 91%

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Association between comorbidity and erectile dysfunction in patients with diabetes

2005

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The aims of this study were to determine the prevalence of erectile dysfunction (ED) and its relationship with comorbidity in patients with diabetes. The study population comprised of 312 consecutive patients aged 20 years or over residing in the city of Hamadan in Iran in 2005. Depression was assessed by the modified version of the Beck Depression Inventory (BDI-II) and ED by the short form of the International Index of Erectile Function (IIEF-5) questionnaire. Potential confounding was controlled by stratification and by a logistic regression model. The prevalence of moderate or complete ED (IIEF score p11) was 34% and that of moderate or severe depressive symptoms 30%. Each 1-year increment in diabetes duration was associated with a 10% higher risk of ED. The risk of ED was higher in men with depression (odds ratio (OR) ¼ 10.7, 95% CI 5.4-21.1) and in those with cardiovascular disease (CVD) (OR ¼ 2.0, 95% CI 1.1-3.6). CVD was associated with ED only in elderly men, whereas depression was related to ED in both young and older subjects. The risk of ED was higher in subjects with both depression and CVD (OR ¼ 17.2, 95% CI 6.8-43.1 compared with men free from both diseases). Subjects who consumed fruits weekly or seldom had a higher risk of ED (OR ¼ 3.2) compared with those who consumed daily. Our study shows a strong association between depressive symptoms and ED. The association is much stronger for older men. Depression and CVD may interact with one another in relation to a higher risk of ED. A diet rich in fruits may have a beneficial effect on erectile function.

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Section: Discussionsupporting

confidence: 91%

“…8 There is also a bidirectional relationship between depression and ED. 9,10 Depressive symptoms cause ED, and depression is a consequence of ED. Both conditions have a negative effect on the quality of life of patients and their partners.…”

Section: Introductionmentioning

confidence: 99%

Association between comorbidity and erectile dysfunction in patients with diabetes

2005

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“…Comorbidity between male erectile dysfunction and depression is known to be high but the nature of the relationship between the two conditions is unclear. 26,27 Although the distress of erectile dysfunction may contribute to the development of depression, it is also possible that depressive illness may lead to erectile difficulties. There have been data from a prospective study suggesting that the incidence of erectile dysfunction is increased among men with depression.…”

Section: Discussionmentioning

confidence: 99%

A population-based survey of sexual activity, sexual problems and associated help-seeking behavior patterns in mature adults in the United States of America

et al. 2009

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To study sexual activity, the prevalence of sexual dysfunction and related help-seeking behaviors among mature adults in the United States of America, a telephone survey was conducted in [2001][2002]. A total of 1491 individuals (742 men/749 women) aged 40-80 years completed the survey. Overall, 79.4% of men and 69.3% of women had engaged in sexual intercourse during the 12 months preceding the interview. Early ejaculation (26.2%) and erectile difficulties (22.5%) were the most common male sexual problems. A lack of sexual interest (33.2%) and lubrication difficulties (21.5%) were the most common female sexual problems. Less than 25% of men and women with a sexual problem had sought help for their sexual problem(s) from a health professional. Many men and women in the United States report continued sexual interest and activity into middle age and beyond. Although a number of sexual problems are highly prevalent, few people seek medical help.

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“…Patients presenting with ED should be screened for depression while patients with depression will need to be screeened for ED (Araujo et al, 1998). One study by Nicolosi et al, 2004, found a relationship between ED, depression, sexual activity and sexual satisfaction.…”

Section: Depressionmentioning

confidence: 99%

Erectile Dysfunction and Quality of Life

Fatt¹

2012

Erectile Dysfunction - Disease-Associated Mechanisms and Novel Insights Into Therapy

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A population study of the association between sexual function, sexual satisfaction and depressive symptoms in men

Abstract: The findings suggest that depressive symptoms are linked to ED by the mediation of decreased sexual activity and the dissatisfaction generated by the inability to have a healthy sexual life.

Cited by 176 publications

References 35 publications

Association between comorbidity and erectile dysfunction in patients with diabetes

Association between comorbidity and erectile dysfunction in patients with diabetes

A population-based survey of sexual activity, sexual problems and associated help-seeking behavior patterns in mature adults in the United States of America

Erectile Dysfunction and Quality of Life

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