Abstract
Amaç: Bu çalışmanın amacı kadın ve erkek panik bozukluk (PB) hastalarında cinsel işlev bozukluğunun sıklığını değerlendirmek ve cinsiyetler arası karşılaştırma yapmaktır.
Gereç ve Yöntem: DSM-5’e göre primer tanısı PB olan, cinsel olarak aktif, psikotrop ilaç kullanmayan, 36±6yaş aralığında olan 33 kadın, 35±7 yaş aralığında olan 24 erkek olmak üzere toplam 57 olgu çalışmaya alınmıştır. Tüm olgulara bireysel bilgi toplama formu ve Arizona Cinsel Yaşantılar Ölçeği (ACYÖ) uygulanmış ve cinsel işlev bozuklukları (CİB) sorgulanmıştır.
Bulgular: Arizona Cinsel Yaşantılar Ölçeği’nin Türkçe formunun önerilen kesim puanına göre; tüm katılımcıların %77,2 sinde CİB vardı. Kadınların %81,8’inde, erkeklerin %70,8 inde CİB saptandı. ACYÖ toplam puanları açısından kadın ve erkek arasında anlamlı bir fark vardı. Cinsel istek, orgazm tatmini açısından kadın ve erkek arasında anlamlı bir fark yoktu. Uyarılma, lubrikasyon/ereksiyon, orgazma ulaşabilme alt boyut puanları kadınlarda anlamlı olarak daha yüksekti. Kadınların %30,4’ünde, erkeklerin %36,5’inde olmak üzere her iki cinsiyette de en sık cinsel isteksizlik vardı.
Sonuç: PB hastalarında cinsel işlev bozukluğu sıktır. PB olan kadın ve erkek hastalarda en sık cinsel isteksizlik vardır. Kadın PB hastalarında erkek PB hastalarına göre uyarılma ve orgazm sorunları daha sık görülmektedir.
Supporting Institution
Başkent Üniversitesi Tıp Fakültesi
Project Number
KA22/284
References
- Yetkin N, İncesu C. Cinsel işlev bozukluklarında kullanılan terimlerin gözden geçirilmesi. Noro Psikiyatr Ars. 1997;34:214-18.
- American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed. Arlington, VA, American Psychiatric Association, 2013.
- İncesu C. Cinsel işlev bozukluklarında ilk basamak değerlendirme ve ayırıcı tanı. Psikiyatri Dünyası. 1999;2:39-48.
- Ware MR, Emmanuel NP, Johnson MR. Selfreported sexual dysfunctions in anxiety disorder patients. Psychopharmacol Bull. 1996;32:530.
- Minnen AV, Kampman M. The interaction between anxiety and sexual functioning: a controlled study of sexual functioning in women with anxiety disorders. Sex Relation Ther. 2000;15:47-57.
- Simon JA. Low sexual desire-is it all in her head? Pathophysiology, diagnosis, and treatment of hypoactive sexual desire disorder. Postgrad Med. 2010;122:128-36.
- Malary M, Khani S, Pourasghar M, Moosazadeh M, Mater HZ. Biopsychosocial determinants of hypoactive sexual desire in women: A narrative review. Sociomed. 2015;27:383-9.
- Figueira I, Possidente E, Marques C, Hayes K. Sexual dysfunction: a neglected complication of panic disorder and social phobia. Arch Sex Behav. 2001;30:369-76.
- Aydın H, Tamam L. Panik bozuklukta cinsel işlev bozukluğu sıklığı. 43. Ulusal Psikiyatri Kongresi Özet Kitabı. 23-27 Ekim 2007, İstanbul.
- Mercan S, Karamustafalioglu O, Ayaydin EB, Akpinar A, Goksan B, Gonenli S et al. Sexual dysfunction in female patients with panic disorder alone or with accompanying depression. Int J Psychiatry Clin Pract. 2006;10:235-40.
- McGahuey CA, Gelenberg AJ, Laukes CA, Moreno FA, Delgado PL, McKnight KM et al. The Arizona Sexual Experience Scale (ASEX): reliability and validity. J Sex Marital Ther. 2000;26:25-40.
- Soykan A. The reliability and validity of Arizona Sexual Experiences Scale in Turkish ESRD patients undergoing hemodialysis. Int J Impot Res. 2004;16:531-4.
- İncesu C. Cinsel işlevler ve cinsel işlev bozuklukları. Klinik Psikiyatri Dergisi. 2004;7:3-13.
- Wang YT, Chen HH, Lin CH, Lee SH, Chan CH, Huang SS. Newly diagnosed panic disorder and the risk of erectile dysfunction: A population-based cohort study in Taiwan. Psychiatry Res. 2016;244:229-34.
- Okulate G, Olayinka O, Dogunro AS. Erectile dysfunction: prevalence and relationship to depression, alcohol abuse and panic disorder. Gen Hosp Psychiatry. 2003;25:209-13.
- Bradford A, Meston C. The impact of anxiety on sexual arousal in women. Behav Res Ther. 2006;44:1067-77.
- Adams AE, Haynes SN, Brayer MA. Cognitive distraction in female sexual arousal Psychophysiology. 1985;22:689-96.
- Hawton K. Sex Therapy: A Practical Guide. Oxford, Oxford University Press. 1985.
- Brotto LA. The DSM diagnostic criteria for hypoactive sexual desire disorder in women. Arch Sex Behav. 2010;39:221-39.
- Hartmann U, Philippsohn S, Heiser K, Kuhrb A, Mazur B. Why do women with panic disorders not panic during sex (or do they)? Results of an empirical study on the relationship of sexual arousal and panic attacks. Sex Relation Ther. 2008;23:203-16.
- Barlow DH. Causes of sexual dysfunction: The role of anxiety and cognitive interference. J Consult Clin Psycho. 1986;54;140-8.
Abstract
Purpose: The aim of this study is to evaluate the frequency of sexual dysfunction in male and female panic disorder (PD) patients and to make a comparison between genders.
Materials and Methods: A total of 57 cases, including 33 females aged 36±6 years and 24 males aged 35±7 years, who were sexually active, did not use psychotropic drugs, with primary diagnosis of PD according to DSM-5, were included in the study. Individual information collection forms and the Arizona Sexual Experiences Scale (ASEX) were applied to all cases, and sexual dysfunctions (SD) were questioned.
Results: According to the suggested cut-off score of the Turkish version of the Arizona Sexual Experiences Scale, 77.2% of all participants had SD. SD was detected in 81.8% of women and 70.8% of men. There was a significant difference between men and women in terms of ASEX total scores. There was no significant difference between men and women in terms of sexual desire and orgasm satisfaction. Sub-dimension scores of arousal, lubrication/erection, and reaching orgasm were significantly higher in females. Sexual reluctance was the most common in both genders, with 30.4% of women and 36.5% of men.
Conclusion: Sexual dysfunction is common among PD patients. Sexual reluctance is the most common in male and female patients with PD. Arousal and orgasm problems are more common in female PD patients than in male PD patients.
Project Number
KA22/284
References
- Yetkin N, İncesu C. Cinsel işlev bozukluklarında kullanılan terimlerin gözden geçirilmesi. Noro Psikiyatr Ars. 1997;34:214-18.
- American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed. Arlington, VA, American Psychiatric Association, 2013.
- İncesu C. Cinsel işlev bozukluklarında ilk basamak değerlendirme ve ayırıcı tanı. Psikiyatri Dünyası. 1999;2:39-48.
- Ware MR, Emmanuel NP, Johnson MR. Selfreported sexual dysfunctions in anxiety disorder patients. Psychopharmacol Bull. 1996;32:530.
- Minnen AV, Kampman M. The interaction between anxiety and sexual functioning: a controlled study of sexual functioning in women with anxiety disorders. Sex Relation Ther. 2000;15:47-57.
- Simon JA. Low sexual desire-is it all in her head? Pathophysiology, diagnosis, and treatment of hypoactive sexual desire disorder. Postgrad Med. 2010;122:128-36.
- Malary M, Khani S, Pourasghar M, Moosazadeh M, Mater HZ. Biopsychosocial determinants of hypoactive sexual desire in women: A narrative review. Sociomed. 2015;27:383-9.
- Figueira I, Possidente E, Marques C, Hayes K. Sexual dysfunction: a neglected complication of panic disorder and social phobia. Arch Sex Behav. 2001;30:369-76.
- Aydın H, Tamam L. Panik bozuklukta cinsel işlev bozukluğu sıklığı. 43. Ulusal Psikiyatri Kongresi Özet Kitabı. 23-27 Ekim 2007, İstanbul.
- Mercan S, Karamustafalioglu O, Ayaydin EB, Akpinar A, Goksan B, Gonenli S et al. Sexual dysfunction in female patients with panic disorder alone or with accompanying depression. Int J Psychiatry Clin Pract. 2006;10:235-40.
- McGahuey CA, Gelenberg AJ, Laukes CA, Moreno FA, Delgado PL, McKnight KM et al. The Arizona Sexual Experience Scale (ASEX): reliability and validity. J Sex Marital Ther. 2000;26:25-40.
- Soykan A. The reliability and validity of Arizona Sexual Experiences Scale in Turkish ESRD patients undergoing hemodialysis. Int J Impot Res. 2004;16:531-4.
- İncesu C. Cinsel işlevler ve cinsel işlev bozuklukları. Klinik Psikiyatri Dergisi. 2004;7:3-13.
- Wang YT, Chen HH, Lin CH, Lee SH, Chan CH, Huang SS. Newly diagnosed panic disorder and the risk of erectile dysfunction: A population-based cohort study in Taiwan. Psychiatry Res. 2016;244:229-34.
- Okulate G, Olayinka O, Dogunro AS. Erectile dysfunction: prevalence and relationship to depression, alcohol abuse and panic disorder. Gen Hosp Psychiatry. 2003;25:209-13.
- Bradford A, Meston C. The impact of anxiety on sexual arousal in women. Behav Res Ther. 2006;44:1067-77.
- Adams AE, Haynes SN, Brayer MA. Cognitive distraction in female sexual arousal Psychophysiology. 1985;22:689-96.
- Hawton K. Sex Therapy: A Practical Guide. Oxford, Oxford University Press. 1985.
- Brotto LA. The DSM diagnostic criteria for hypoactive sexual desire disorder in women. Arch Sex Behav. 2010;39:221-39.
- Hartmann U, Philippsohn S, Heiser K, Kuhrb A, Mazur B. Why do women with panic disorders not panic during sex (or do they)? Results of an empirical study on the relationship of sexual arousal and panic attacks. Sex Relation Ther. 2008;23:203-16.
- Barlow DH. Causes of sexual dysfunction: The role of anxiety and cognitive interference. J Consult Clin Psycho. 1986;54;140-8.
Details
| Primary Language | English |
|---|---|
| Subjects | Psychiatry |
| Journal Section | Research |
| Authors | |
| Project Number | KA22/284 |
| Early Pub Date | September 26, 2023 |
| Publication Date | September 30, 2023 |
| Acceptance Date | September 19, 2023 |
| Published in Issue | Year 2023 Volume: 48 Issue: 3 |
