Sexual Dysfunction in Depression: Gynecological and Psychiatric Interactions

Veras, André Barciela; Rassi, Arabella; Yukizaki, Livia Mitsue Gomes; Franco, Flávia Schueler; Novo, Luisa Duarte; Valença, Alexandre Martins; Nardi, Antônio Egídio

doi:10.1007/s11195-009-9121-4

Cited by 3 publications

(1 citation statement)

References 21 publications

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“…However, the latter study was based on a cross‐sectional design, and it is possible that sexual dissatisfaction also predicts depression because reduced pleasure in such an important aspect of life possibly generates deep distress . Thus, the aforementioned study shares the cross‐sectional limitations as other cross‐sectional ones, all suffering from a severely restricted ability to draw causal inferences . Although numerous studies have focused on depression either as a predictor or as an outcome of sexual dissatisfaction, they have also generally overlooked the possibility of reciprocal relationships .…”

Section: Introductionmentioning

confidence: 99%

The Prospective Associations Between Depression and Sexual Satisfaction Among Female Medical Students

Peleg-Sagy

Shahar

2013

The Journal of Sexual Medicine

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Introduction The direction of the relationships between depression and sexual dissatisfaction is unclear. Possibly, these relationships are influenced by different elements/components of depression represented by different measures (i.e., Center for Epidemiologic Studies Depression Scale [CES-D], which highlights mood, vs. Beck Depression Inventory version II [BDI-II], which focuses on cognition and physical symptoms). High-achieving women—such as female medical students, interns, and residents—might be particularly prone to both depression and sexual dissatisfaction. Aim The aim of this study is to examine the direction of the longitudinal associations between depressive symptoms and sexual dissatisfaction in high-achieving, romantically involved female Israeli medical students and interns/residents using both CES-D and BDI-II. Methods One hundred ninety-four female medical students from the first, fourth, and seventh (internship) years from all medical schools in Israel who were currently involved in romantic relationships were assessed twice over a 1-year interval using both CES-D and BDI-II. Cross-lagged structural equation modeling analyses were employed. Main Outcome Measures Depressive symptoms were measured by the CES-D and the BDI-II. Sexual satisfaction was assessed by the “partner-satisfaction” factor of the Pinney Sexual Satisfaction Inventory. Results Elevated levels of CES-D-measured depression were found (26% at T1 and 13% at T2 above the stricter cutoff point). The direction of the longitudinal association between depressive symptoms and sexual dissatisfaction changed according to the depression measure used: baseline CES-D-measured depression predicted an increase in sexual dissatisfaction over time (β=0.148, P =0.016). Baseline sexual satisfaction predicted an increase in BDI-II-measured depression (β=0.136, P =0.045). Conclusion High-achieving, “fully-functioning” female medical students suffer from elevated levels of CES-D-measured depressed mood. Depressed mood might lead to sexual dissatisfaction, which in turn is likely to bring about “clinical,” BDI-II-measured depression. We recommend a routine assessment of depressed mood and sexual dissatisfaction in this population, as well as increased access to tailored intervention for both clinical challenges.

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Section: Introductionmentioning

confidence: 99%

The Prospective Associations Between Depression and Sexual Satisfaction Among Female Medical Students

Peleg-Sagy

Shahar

2013

The Journal of Sexual Medicine

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Sexual dysfunction in patients with polycystic ovary syndrome: clinical and hormonal correlations

Veras

Bruno

Ávila

et al. 2011

Comprehensive Psychiatry

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Sexual dysfunction, depression, and marital dissatisfaction among Brazilian couples

Galati

Hollist

Egito

et al. 2023

The Journal of Sexual Medicine

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Background Health professionals treating sexual dysfunction and relational dissatisfaction recognize that they are multifactorial phenomena, and depression can be bidirectionally associated with both. Aim The purpose of this study was to investigate sexual dysfunction in heterosexual couples in relation to the quality of their marital relationship and depression symptoms. Methods The sample consisted of 100 heterosexual couples recruited in Brazil. Both partners of each couple completed the Golombok-Rust Inventory of Sexual Satisfaction and the Golombok-Rust Inventory of Marital Satisfaction, which were translated and adapted, and the Beck Depression Inventory, which was validated for the Brazilian population. Both partners completed their questionnaires separately, and the couple’s surveys were linked to preserve conjugal data for dyadic analysis. The Actor-Partner Interdependence Model was used to understand how sexual dysfunction in couples is related to depression and relationship quality among and between partners. Results Sexual dysfunction was found to be strongly associated with dissatisfaction in the relationship (husbands, β = 0.57, P < 0.001; wives, β = 0.60, P < 0.001), and a positive association was found between depressive symptoms and marital dissatisfaction (husbands, β = .32, P < .001; wives β = .40, P < .001). Clinical Implication The results suggest that it is important for health professionals to be aware of the dyadic impact of struggles with both sex and the relationship and the presence of depression symptoms in patients who seek care for sexual complaints or depression and who are in a marital relationship. Strengths and Limitations The different results found for men and women may shed light on the biopsychosocial dimensions of human sexuality. When treated as a purely physical experience, sex is myopic. In this study we demonstrated psychosocial aspects associated with gender and sexuality, and the partner’s variables were found to have a greater impact on women than they did on the men. A limitation of this study is that the sample is not generalizable as it is not demographically representative of all socioeconomic groups in Brazil. Furthermore, the participants in this sample did not have clinical levels of depression, so the results cannot be extended to couples in which one or both spouses have depressive disorder. Conclusion It was found that sexual dysfunction is strongly associated with the quality of the couple relationship, and that the quality of relationship plays a mediating role between depression and marital quality, especially for the women.

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Sexual Dysfunction in Depression: Gynecological and Psychiatric Interactions

Cited by 3 publications

References 21 publications

The Prospective Associations Between Depression and Sexual Satisfaction Among Female Medical Students

The Prospective Associations Between Depression and Sexual Satisfaction Among Female Medical Students

Sexual dysfunction in patients with polycystic ovary syndrome: clinical and hormonal correlations

Sexual dysfunction, depression, and marital dissatisfaction among Brazilian couples

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