Relationship of the sexual functions with the clinical parameters, radiological scores and the quality of life in male patients with ankylosing spondylitis

Sarıyıldız, Mustafa Akif; Batmaz, İbrahim; Dilek, Banu; Inanir, Ahmet; Bez, Yasin; Tahtasız, Mehmet; Em, Serda; Çevik, Remzi

doi:10.1007/s00296-012-2432-2

Cited by 19 publications

(40 citation statements)

References 31 publications

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“…In some studies, a mild correlation was determined between sexual dysfunction and disease activity in male and female AS patients, while a strong correlation was found in others. 11,29,30 Unlike the literature, we detected no correlation between sexual dysfunction and BASDAI, likely due to our small sample size excluding patients with extra articular involvement and arthritis. Moreover, fatigue was reported to be more common in AS patients compared to controls 38 and affect sexual health negatively.…”

Section: Discussioncontrasting

confidence: 94%

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Evaluation of Sexual Dysfunction in Females With Ankylosing Spondylitis

Akkurt

Yılmaz

et al. 2016

Arch Rheumatol

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Objectives: This study aims to evaluate sexual function in females with ankylosing spondylitis (AS), compare them with healthy controls, and demonstrate the effects of AS on female sexual functions. Patients and methods: Fifty-four AS patients (mean age 39.33±8.57 years; range 20 to 55 years) and 56 similar aged healthy controls were included in the study. Depression levels and sexual functions of all participants were evaluated by the Beck Depression Inventory and Female Sexual Function Index (FSFI), respectively. Other assessment methods included the visual analog scale for pain, fatigue, and importance of sexual life; Bath Ankylosing Spondylitis Disease Activity Index for disease activity, Bath Ankylosing Spondylitis Functional Index for functionality, Bath Ankylosing Spondylitis Metrology Index for spinal mobility, and Short Form-36 (SF-36) for quality of life. Results: Total FSFI and all FSFI subscale scores and number of weekly sexual intercourse were significantly lower while Beck Depression Inventory score was significantly higher in females with AS when compared to controls. In AS patients with depression, total FSFI score and FSFI subscales scores of desire and arousal were significantly lower than those without depression. In females with AS, there were negative correlations between total FSFI score and duration of complaint, Beck Depression Inventory score, Bath Ankylosing Spondylitis Metrology Index score, visual analog scale score, age, and duration of marriage while positive correlations existed between total FSFI score and visual analog scale importance of sexual life score and number of weekly sexual intercourse, SF-36 fatigue, SF-36 social function, SF-36 pain, and SF-36 mental component scores. Conclusion: Sexual dysfunction was more common in female AS patients without marked impairment in body image and hip involvement when compared to normal population. Sexual problems which are generally neglected should be handled regardless of disease activity when evaluating patients with AS and establishing a treatment plan.

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Section: Discussioncontrasting

confidence: 94%

“…Similarly, a great number of studies have shown a correlation between sexual dysfunction and depression in AS patients. 11,29,30 Therefore, we think that considering depression in the treatment of AS patients may not only improve patients' psychological status but also improve their sexual function.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Sexual Dysfunction in Females With Ankylosing Spondylitis

Akkurt

Yılmaz

et al. 2016

Arch Rheumatol

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“…Increased emotional strain in rheumatic disorders is mainly considered as a result of physical factors such as chronic pain, physical disability, disease activity, and duration of the disease, with the interference of personality traits, like perceived ability to cope with illness and appearance concerns [24–28]. Similarly, sexual dysfunction has been consistently met at an increased prevalence among patients with rheumatic disorders, although the multifactorial nature of the disease and the absence of abundant and solid data in this specific group of patients have not yet allowed the secure identification of predisposing factors.…”

Section: Discussionmentioning

confidence: 99%

Association Between Mental Health Disorders and Sexual Dysfunction in Patients Suffering from Rheumatic Diseases

Anyfanti

Pyrpasopoulou

Triantafyllou

et al. 2014

The Journal of Sexual Medicine

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Introduction Sexual functioning may be notoriously affected in patients suffering from rheumatic diseases, yet the extent to which physical and/or psychological factors contribute to sexual dysfunction in this particular group of patients remains underinvestigated. Aim This cross-sectional study aimed at investigating whether an association exists between psychological status (anxiety, depression) and sexual dysfunction, independently of other physical factors, in patients with rheumatic disorders. Methods A total of 509 consecutive rheumatologic patients, aged 54.7 ± 14.2 years, 423 female and 86 male, were studied. Female and male sexual function was evaluated with the Female Sexual Dysfunction Index (FSFI) and the International Index of Erectile Function (IIEF) questionnaire, respectively. The Hamilton Anxiety Scale and the Zung Self-Rating Depression Scale were used to detect presence of anxiety and depression, respectively. Main Outcome Measures Sexual dysfunction affected 69.9%, anxiety 37.5%, and depression 22% of our patients. Results A strong and negative correlation was found between anxiety and both FSFI (r = −0.169, P < 0.001) and IIEF score (r = −0.304, P = 0.004). Similarly, depressive symptomatology was strongly and negatively correlated with both FSFI (r = −0.178, P < 0.001) and IIEF score (r = −0.222, P = 0.04). In the logistic regression analysis, apart from increasing age and female sex, depression (P = 0.027) and anxiety (P = 0.049) were identified as the only predictors of sexual dysfunction, even after adjustment for a variety of physical factors. Conclusions Mental distress and sexual dysfunction are extremely common in rheumatologic patients. Sexual dysfunction is significantly associated with anxiety and depression in both men and women and may be independently predicted by their presence in this group of patients. Physicians dealing with rheumatologic patients should be aware of these results and incorporate screening and treatment of the above comorbidities in the global assessment of their patients, in order to alleviate the disease-emerging mental and physical burden and improve their quality of life.

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“…Several studies concur with the negative role of anxiety and depression on erectile function of AS patients. [18,22] Besides Shen et al shown the association between disturbed social function impeded by depression and sexual dysfunction. [23] Quality of life is impeded by both chronic diseases and sexual dysfunctions.…”

Section: Discussionmentioning

confidence: 99%

“…The mean IIEF-5 scores of AS and control group were reported as 22 and 29 respectively (p<0.0001). [18][19][20] In a meta-analysis by Fan D et al including six studies, 340 AS patients and 337 healthy males, the erectile function of AS patients was significantly worse than their healthy counterparts (SMD -0.52, 95% CI -0.68 -0.37). In another metaanalysis by Liu YF et al which included 5 case-controlled trials, a mean decrease of -3.07 was calculated in IIEF scores of patients with AS.…”

Section: Discussionmentioning

confidence: 99%