Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/9857
Title: A population study of the association between sexual function, sexual satisfaction and depressive symptoms in men.
Authors: Nicolosi, Alfredo
Moreira Júnior, Edson Duarte
Villa, Marco
Glasser, Dale B
Affilliation: National Research Council. Institute of Biomedical Technologies. Department of Epidemiology. Milan, Italy / School of Public Health. Columbia University. Gertrude H. Sergievsky Center. New York, NY, USA
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
National Research Council. Institute of Biomedical Technologies. Department of Epidemiology. Milan, Italy
Pfizer Inc. New York, NY, USA
Abstract: Background: Depression and erectile dysfunction (ED) have a complex and bi-directional relationship. We examined the relationships between erectile dysfunction and depressive symptoms or diagnosed depression, sexual activity and sexual satisfaction. Methods: A population survey of men aged 40–70 years was carried out in Brazil, Italy, Japan and Malaysia in 1997–1998. A questionnaire was used to collect life style, sexual behaviors and medical data. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression Scale. ED was classified as moderate or complete if the men reported they were ‘‘sometimes’’ or ‘‘never’’ able to achieve and maintain an erection satisfactory for sexual intercourse. Only men with a sexual partner and not taking psychoactive drugs were considered. Results: Diagnosed depression was reported by 2.0% of the men, depressive symptoms by 21.0%. The prevalence of moderate or complete ED was 17.8%. Sexual satisfaction related to the frequency of sexual intercourse and inversely related to depressive symptoms. Depressive symptoms were positively associated with being single (odds ratio [OR] 1.7), widowed, separated or divorced (OR 2.2), moderate or complete ED (1.8), heart disease (1.6) and smoking (1.6), and negatively associated with age, physical activity and frequency of sexual intercourse. Limitations: Cross-sectional studies cannot establish a temporal cause–effect relationship. However, the confirmation of known associations reassures about the validity of the original findings. Conclusions: 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
Keywords: Depressive symptoms
Depression
Erectile dysfunction
Population
Prevalence
Sexual activity
DeCS: Comparação Transcultural
Transtorno Depressivo/epidemiologia
Disfunção Erétil/epidemiologia
Satisfação Pessoal
Comportamento Sexual
Adulto
Idoso
Brasil
Comorbidade
Estudos Transversais
Transtorno Depressivo/diagnóstico
Disfunção Erétil/diagnóstico
Inquéritos Epidemiológicos
Humanos
Itália
Japão
Malásia
Masculino
Meia-Idade
Razão de Chances
Issue Date: 2004
Publisher: Elsevier
Citation: NICOLOSI, A. et al. A population study of the association between sexual function, sexual satisfaction and depressive symptoms in men. Journal of Affect Disorders, v. 82, n. 2, p. 235-243, 2004.
DOI: 10.1016/j.jad.2003.12.008
ISSN: 0165-0327
Copyright: open access
Appears in Collections:BA - IGM - Artigos de Periódicos

Files in This Item:
File Description SizeFormat 
Nicolosi A A population study....pdf248.36 kBAdobe PDFView/Open



FacebookTwitterDeliciousLinkedInGoogle BookmarksBibTex Format mendeley Endnote DiggMySpace

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.