Sexual dysfunction and its determinants in <scp>M</scp>alaysian women with rheumatoid arthritis

Shahar, Mohammad Arif; Hussein, H.; Sidi, Hatta; Shah, Shamsul Azhar; Said, Mohd Fuaad

doi:10.1111/j.1756-185x.2012.01753.x

Cited by 23 publications

(37 citation statements)

References 23 publications

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“…The most affected dimensions of sexuality were: lower scores in the domains of desire, arousal, orgasm and satisfaction in women with RA than in controls. Our results are approximately similar to those found in the literature [17–20]. The percentage of RA patients experiencing sexual problems ranged in previous studies from 29 to 76% [17, 18].…”

Section: Discussionsupporting

confidence: 92%

“…Our results are approximately similar to those found in the literature [17–20]. The percentage of RA patients experiencing sexual problems ranged in previous studies from 29 to 76% [17, 18]. To the best of our knowledge, there were few RA studies using FSFI as a measure of sexual dysfunction.…”

Section: Discussionsupporting

confidence: 90%

“…To the best of our knowledge, there were few RA studies using FSFI as a measure of sexual dysfunction. Shahar and al assessed sexual function in women with RA using the FSFI score, they reported a lower prevalence of FSD (29.4%) [17]. Similarly, coskun and all reported that 68.75% of Turkish women with RA had a sexual dysfunction according to FSFI score versus 15% of healthy controls.…”

Section: Discussionmentioning

confidence: 99%

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Sexual dysfunction and its determinants in Moroccan women with rheumatoid arthritis

et al. 2016

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IntroductionTo assess the prevalence of sexual dysfunction in married women with rheumatoid arthritis (RA) and compare it with a control group and to determine its association with clinical and disease activity factors.MethodsWe conducted a cross-sectional study including sixty married women with a confirmed diagnosis of Rheumatoid Arthritis according to the American College of Rheumatology (ACR)/ European League against Rheumatism (EULAR) 2010 Criteria, aged 18 or over and having sexual activity. Our controls were healthy volunteers women matched for age. Clinical and sociodemographic characteristics were collected. Sexual function was assessed by a self-reported questionnaire the index of female sexual function (FSFI). Sociodemographic and disease activity profiles were compared between those who had and did not have sexual dysfunction.ResultsThe prevalence of female sexual dysfunction in women with rheumatoid arthritis attending El Ayachi hospital was 71.9%, it was 54% in controls. There was a significant difference in the total FSFI score between patients 18.29±9.09 and controls 23.05±7.91 (p=0.016). We found a statistically significant difference between the two groups in almost all dimensions of sexual function (desire, arousal, orgasm, satisfaction), except for pain and lubrication. In multivariate analysis, pain assessed by visual analogue scale (VAS) and depression assessed by hospital anxiety and depression score (HAD) were the independent determinants of sexual dysfunction.ConclusionOur study suggests that sexual dysfunction is more common among patients with RA compared to controls. These dysfunctions were related to desire, arousal, orgasm and satisfaction. Pain and depression appear to be the most important predictors of sexual dysfunction.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

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Sexual dysfunction and its determinants in Moroccan women with rheumatoid arthritis

et al. 2016

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“…Panush et al 39 demonstrated that in 85% of their patients, the increased disease activity with joint swelling was a major limiting factor for initiating sexual activity. Furthermore, Shahar et al 40 showed significant correlation between sexual function index score (assessed by Malay Version of FSFI) with erythrocyte sedimentation rate (r=-0.364, p=0.009) and disease activity score in 28 joints (r=-0.268, p=0.057), patient's age (r=0.520, p<0.001), duration of marriage (r=-0.355, p=0.001), husband's age (r=-0.460, p=0.001), age of oldest child (r=-0.449, p=0.001), and age of youngest child (r=-0.627, p<0.001). Yilmaz et al 41 reported a strong negative correlation between total female sexual function score with disease activity scores in 28 joints, a moderate negative correlation between total female sexual function score with HAQ, BDI, visual analog scale scores, age, and morning stiffness and weak negative correlation between total female sexual function score and body mass index in females with RA.…”

Section: Discussionmentioning

confidence: 99%

Sexual Function in Females With Rheumatoid Arthritis: Relationship With Physical and Psychosocial States

et al. 2016

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Objectives: This study aims to assess the frequency rates of sexual problems and associated factors in a cohort of married females with rheumatoid arthritis (RA). Patients and methods:The study included 200 female RA patients (mean age 44.2±9.1 years; range 18 to 55 years) and 100 age matched healthy control females (mean age 42.5±6.3 years; range 18 to 55 years). Mean duration of RA was 5.8±4.1 years. All participants were assessed by Health Assessment Questionnaire Disability Index, Numerical Rating Pain Scale, Sexual Disability Scale, psychiatric interview, Beck Depression Inventory, and Spielberger's State-Trait Anxiety Inventory. Results: Majority of the patients had grade II physical disability (62%), moderate pain (55%), depression (46%), and anxiety (77%). Sexual disability and loss of sexual desire and satisfaction were reported in 4% to 77.8% of patients which varied with age, duration of RA, degree of physical disability, and psychiatric comorbidities. Multiple regression analysis showed that scores of sexual disability and loss of sexual desire and satisfaction were significantly associated with scores of Health Assessment Questionnaire Disability Index (β=0.347; p=0.018; β=0.501; p=0.001) and depression (β=0.304; p=0.043; β=0.550; p=0.001). Conclusion:We may conclude that the frequencies of sexual problems in females with RA are high and closely related to physical disability and psychiatric comorbidities.

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“…El Miedany et al [22] found that pain was the least contributing domain in patients with RA with SD (73%), whereas orgasmic disorder was the most prevalent (96.8%). Shahar et al [27] revealed that satisfaction domain was the most affected among patients with RA (49%), and orgasm was the least affected domain (7.8%). Besides, Lin et al [18] revealed highest standardized score (mean/total score '%') with satisfaction domain, whereas arousal showed the lowest standardized score.…”

Section: Discussionmentioning

confidence: 99%

Sexual dysfunction in women in the reproductive age with rheumatoid arthritis: A case-control study

et al. 2018

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Introduction: Rheumatoid arthritis (RA) is a widespread disease that has a profound effect on the patient's quality of life. ِ Aim:The aim was to evaluate the rate of sexual dysfunction (SD) in women with RA and to assess the possible association between SD and disease activity, severity of morning stiffness, functional disability and psychological status. Patients and Methods: A case-control study was conducted on 200 sexually active, women in the reproductive age. A total of 100 women with RA attending the rheumatology clinics of two reference hospitals in Upper Egypt and 100 arthritis-free age-and sex-matched healthy controls were compared regarding the scores of Arabic Female Sexual Function Index (ArFSFI) and Hospital anxiety and depression scale (HADS). Additionally, women with RA were evaluated via Health Assessment Questionnaire (HAQ) and Disease Activity Score (DAS-28). Results: The mean ages of patients (35.96.4± years) and controls (34.45.4± years) were insignificantly different (P>0.05). Mean FSFI total and domain scores of patients were significantly lower than controls (P<0.001). Overall, 94% of patients and 30% of controls (P<0.001) reported SD. Among women with RA (n: 100), lower SF scores were reported among those with morning stiffness (n: 14, P<0.05). Women with RA who exhibited SD had higher levels of anxiety, depression, and disease activity (P<0.05) than those without SD. However, both subgroups were not different regarding HAQ. Conclusion: The present study found an SD rate of 94% among sexually active women with RA. RA could have an extensively negative effect on all aspects of female sexuality, particularly on lubrication and orgasm dimensions. Moreover, SD in women with RA is significantly associated with disease activity, severity of morning stiffness, depression, and anxiety levels, but not with functional disability (HAQ).

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Sexual dysfunction and its determinants in Malaysian women with rheumatoid arthritis

Abstract: We found in this study that the prevalence of FSD in rheumatoid arthritis in our centers was 29.4%. Age and family dynamics appear to be more important predictors compared to disease activity.

Cited by 23 publications

References 23 publications

Sexual dysfunction and its determinants in Moroccan women with rheumatoid arthritis

Sexual dysfunction and its determinants in Moroccan women with rheumatoid arthritis

Sexual Function in Females With Rheumatoid Arthritis: Relationship With Physical and Psychosocial States

Sexual dysfunction in women in the reproductive age with rheumatoid arthritis: A case-control study

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