Sexual Dysfunction among Follow-up Patients with Schizophrenia in Southwest Ethiopia.

Abstract

Background: Sexual dysfunction is a broad collection of illnesses marked by major clinical changes in a person's capacity to respond to or enjoy sexual pleasure. Patients with schizophrenia are highly experience sexual dysfunction. The current study is conducted to address the dearth of data on sexual dysfunction status among follow-up patients with schizophrenia in Ethiopia despite the disorder is known for its severe clinical complications and disabilities. Method: Hospital-based cross-sectional study design and systematic random sampling technique was used to select 423 follow-up patients with schizophrenia in Southwest Ethiopia. The Change in Sexual Functioning Questionnaire (CSFQ-14) was used to measure sexual dysfunction. Logistic regression model, 95% CI odds ratio, p-value < 0.05, and descriptive statistics were employed. Results: A total of 419 participants were interviewed with 99.05% response rate. The mean age of study participants was 35.1 ± 8.98 years. Majority of the respondents, 281 (67.1%) were males. Sexual dysfunction was expected to affect 66.3% of people (95% confidence interval: 61.6%, 70.9%). Having an older age (AOR 2.69; 95% CI: 1.214, 5.967, & 6.73; 95% CI: 2.767, 16.368), being male gender (AOR 2.44; 95% CI: 1.449, 4.108), longer illness duration (AOR 4.04; 95% CI: 2.150, 7.586), atypical antipsychotic use (AOR 3.74; 95% CI: 2.270, 6.149), and having poor quality of life (AOR 3.01; CI: 1.851, 4.881) became significantly associated with Sexual dysfunction in this study. Conclusion: In the present study, 2/3 of follow-up patients with schizophrenia suffer from sexual dysfunction which is alarming state to professionals in mental health as well as interventions designing organizations.