Correlation between depressive symptoms and sexual dysfunction in postpartum women during the COVID-19 pandemic

Lorentz, Marcela Siliprandi; Chagas, Luciana Borges; Perez, Anselmo José; Cassol, Paulo Antonio da Silva; Vettorazzi, Janete; Lubianca, Jaqueline Neves

doi:10.1016/j.ejogrb.2020.12.039

Cited by 22 publications

(14 citation statements)

References 13 publications

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“…Men presented lower sexual desire than women Cocci et al [ 35 ] Italy Quantitative - 1515 women/men Mdn = 21; [ 19 – 25 ] Ad hoc questionnaire 40% of respondents reported an increase in sexual desire and autoerotism during the pandemic, but no increases in sexual intercourse or sexual satisfaction, which significantly decreased Coombe et al [ 47 ] Australia Quantitative April 23–May 11, 2020 965 (70% women) Mdn = 24; [ 18 – 76 , 78 ] Ad hoc questionnaire Most participants (53.5%) reported having less sex during lockdown than in 2019, especially those without a regular partner. Solo sex activities increased: 14.6% reported using sex toys more often and 26.0% reported masturbating more often Culha et al [ 41 ] Turkey Quantitative May 2–May 26, 2020 89 women 96 men in healthcare 30.65 ± 5.99; [ 18 – 53 ] FSFI [ 26 ] IIEF [ 77 ] Sexual desire, sexual intercourse/masturbation frequency, duration of foreplay, and duration of sexual intercourse decreased during the pandemic. Participants privileged non-face to face sexual positions Daneshfar et al [ 39 ] Iran Quantitative - 296 married women 33.68 ± 6.47; [ 18 – 27 , 29 – 46 ] FSFI [ 26 ] Sexual dysfunction impacted quality of life and was related with lower marital satisfaction.…”

Section: Resultsmentioning

confidence: 99%

“…Multiple regression analysis showed that age, partner relationship, and sexual desire were closely related to sexual frequency Li et al [ 40 ] China Quantitative May 1 – May 5, 2020 426 women 541 men 26.6 ± 4.86; [ 16 – 27 , 29 – 36 ] Ad hoc questionnaire 22% of participants reported a decrease in sexual desire, 41% experienced a decrease in the sexual intercourse frequency, and 30% reported an increase in the frequency of masturbation. 31% reported a deterioration in partner relationships during the pandemic Lorentz [ 53 ] Brazil Quantitative, longitudinal November 2019–March 2020 50 women Mdn = 25; [ 23 – 26 , 29 – 34 ] FSFI [ 26 ] There were no changes in the FSFI scores at the three evaluated times were reported, but depressive symptoms increased across times Luetke et al [ 60 ] USA Quantitative April 10–April 20, 2020 381 women 365 men [ 18 – 94 ] Ad hoc questionnaire Among individuals in relationships, 34% reported some degree of conflict with their romantic partners. Those experiencing frequent coronavirus-related conflict were more likely to report decreased frequency of solo and partnered sexual behaviors compared to those not experiencing any such conflict, exhibiting a dose-response trend among partnered sexual behaviors Micelli et al [ 59 ] Italy Quantitative - 944 women 538 men [ 18 – 27 , 29 – 47 ] Ad hoc questionnaire From 18.1% participants who were planning to have a child before the pandemic, 37.3% abandoned the intention, related to worries of future economic difficulties (58%) and consequences on pregnancy (58%).…”

Section: Resultsmentioning

confidence: 99%

“…However, some studies found that men were experiencing lower sexual desire [ 27 , 50 ] and more sexual dysfunction [ 41 ] compared to women. Pregnant women may be more severely affected in terms of sexual function [ 51 , 52 ] and, possibly, puerperal women too, although it is unclear from this study if the decline in sexual function was pandemic related [ 53 ]. In addition, being older [ 36 , 44 , 45 ] and having a higher education [ 33 , 51 ] were linked to declines in sexual functioning and sexual activity.…”

Section: Resultsmentioning

confidence: 99%

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Women’s Sexual Health During the Pandemic of COVID-19: Declines in Sexual Function and Sexual Pleasure

Oliveira

Carvalho

2021

Curr Sex Health Rep

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Purpose of the Review The World Health Association declared COVID-19 a pandemic more than 1 year ago. We conducted a systematic review of the literature on the topic of women’s sexual health during the pandemic, with a focus on sexual function and sexual pleasure. Our aim is to describe current findings and to discuss implications for women’s sexual health during this period. Recent Findings Thirty-four articles, from 18 countries, were identified. These studies addressed topics ranging from individual aspects, such as cognitive, emotional, and personality factors affecting sexuality during the pandemic, to contextual factors, including relationship, childrearing, and employment status in this period. Summary Research identified a deterioration of women’s sexual function across countries, with an emphasis on sexual desire. Most studies found decreases in the frequency of sexual intercourse during the pandemic and increases in solitary sexual behavior. Many women also experienced declines in sexual satisfaction and relationship satisfaction. Findings suggested that gender inequalities contributed to lower indices of sexual function and satisfaction, and might have exacerbated the pleasure gap between men and women.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Women’s Sexual Health During the Pandemic of COVID-19: Declines in Sexual Function and Sexual Pleasure

Oliveira

Carvalho

2021

Curr Sex Health Rep

View full text Add to dashboard Cite

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“…Previous studies have reported that the prevalence of postpartum mental health disorders, such as depression and anxiety, during the COVID-19 pandemic ranged from 15 to 44% [ 15 , 18 , 22 , 23 , 24 , 25 , 26 ]. According to a recent systematic review, few studies have investigated the prevalence of anxiety in the postpartum period [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Depression, Anxiety, and Perceived Stress in Postpartum Mexican Women during the COVID-19 Lockdown

Suárez-Rico

Estrada-Gutiérrez

Sánchez-Martínez

et al. 2021

IJERPH

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The COVID-19 lockdown represents a new challenge for mental health researchers and clinical practitioners. This cross-sectional study aimed to investigate the prevalence of depression, anxiety, and perceived stress in postpartum Mexican women. The study included 293, 4–12-week postpartum women over the age of 18. The Edinburgh Postpartum Depression Scale (EPDS), Trait-State Trait Anxiety Inventory (T-STAI), and Ten Perceived Stress Scale (PSS-10), which are all questionnaires validated for the Mexican population, were applied using a web-based online survey. Prevalence and 95% confidence intervals (CIs) were calculated. The mean ± standard deviation (SD) of the maternal age was 29.9 ± 6.3 years; the EPDS score: 11 ± 6, T-STAI score: 41.7 ± 12.3, and PSS-10 score: 17.1 ± 7. The prevalence (95% CI) of the postpartum depression symptoms was 39.2% (34–45%), trait anxiety symptoms were found among 46.1% (32–43%) of the participants, and moderate and high perceived stress were in 58% (52–64) and 10.9% (7.8–15) of the participants, respectively. The prevalence of depressive symptoms, generalized anxiety, and perceived stress was higher among postpartum Mexican women during the COVID-19 outbreak than before the lockdown. Our findings highlight the importance of monitoring perinatal mental health during pandemics and the need to design effective psychologic interventions for these patients.

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“…Although there are some studies already conducted on sexual health, only few empirical studies have focused on the associated factors. Studies done among various physiological and demographic groups during the pandemic have highlighted the role of depressive symptoms, anxiety, stress, and clinico-behaviors including addictions for being associated with SH ( 12 – 17 ). Often, sexual and mental health issues have been studied together ( 18 ).…”

Section: Introductionmentioning

confidence: 99%

Quality of Life, Sexual Health, and Associated Factors Among the Sexually Active Adults in a Metro City of India: An Inquiry During the COVID-19 Pandemic-Related Lockdown

et al. 2022

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BackgroundSexual dysfunction (SD) and its effect on our life is an important but less studied topic especially during post-COVID era. This study examines the extent of SD and other mental health predictors and their effect on quality of life.MethodsA cross-sectional survey of sexually active adults was conducted in an Indian metro-city. Along with sociodemographic data, sexual dysfunction, depression, anxiety, stress, and quality of life were assessed by Arizona Sexual Experience Scale (ASEX), Depression Anxiety and Stress Scale (DASS), and WHOQOL-BREF, respectively. Structural equations modeling was used to understand their relationship.ResultsOut of the total 1,376 respondents, 80.52% were male, 65.98% were married, and 48.54% were graduates. The mean age of the participants was 34.42 (±9.34) years. Of the participants, 27.18% had sexual dysfunction. Majority of the respondents did not have depression (59.30%), anxiety (52.33%), or stress (44.48%). Mild and moderate levels were the commonest findings among those who had depression, anxiety, or stress. Among the respondents, 27.18% had sexual dysfunction as per the ASEX instrument. Increase in age and female gender were associated with sexual dysfunction overall and also all its components. Presence of depression adversely affected ease of achieving orgasm and satisfaction from orgasm and was associated with sexual dysfunction overall. The respondents had a mean score of 73.57 (±13.50) as per the WHO-QOL. Depression and stress emerged as statistically significant factors for poor quality of life, while sexual dysfunction was not associated statistically.ConclusionMore than one-fourth of the study population reported sexual dysfunction during the first wave of the pandemic in India. The study findings highlight the role of poor mental health issues in this regard. In fact, issues like depression and stress were associated with poor quality of life as well. The current findings unequivocally warrant specific interventions to improve mental health of the respondents.

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Correlation between depressive symptoms and sexual dysfunction in postpartum women during the COVID-19 pandemic

Cited by 22 publications

References 13 publications

Women’s Sexual Health During the Pandemic of COVID-19: Declines in Sexual Function and Sexual Pleasure

Women’s Sexual Health During the Pandemic of COVID-19: Declines in Sexual Function and Sexual Pleasure

Prevalence of Depression, Anxiety, and Perceived Stress in Postpartum Mexican Women during the COVID-19 Lockdown

Quality of Life, Sexual Health, and Associated Factors Among the Sexually Active Adults in a Metro City of India: An Inquiry During the COVID-19 Pandemic-Related Lockdown

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