SEXUAL FUNCTIONING IN MEN AND WOMEN IN MAJOR DEPRESSION: A COMPARATIVE STUDY
Abstract
Objective: Normal sexual expression is an integral part of physical, social as well as psychological well-being of a person, and major depression is one of the many illnesses that has the high propensity of disrupting it. Much have been studied about male sexual dysfunction in depression, but stigmata of depressive disorder on female sexuality are less studied. Our aim was to study the prevalence and nature of this dysfunction in both the sexes in depression.
Method: 117 sexually active adult consenting drug-naïve patients (74 male and 43 female) diagnosed with severe depressive episode without psychotic symptoms (as per ICD-10) without any addiction, comorbidities or chronic medication were selected, and assessed using Changes in Sexual Functioning Questionnaire (CSFQ) in our Psychiatry OPD.
Results: Prevalence of sexual dysfunction was 71.6% & 90.7% for male and female patients respectively. Majority of women (90.7%) suffered from orgasmic difficulties, whereas most of the men (70.3%) had lack of desire/interest.
Conclusion: Our study showed that sexual dysfunction is highly prevalent in depressive disorder, and women bear its brunt more than men. Its prompt recognition and management should lead to better care.
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The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. World Health Organization; 1992. 380 p.
Association AP. Diagnostic and Statistical Manual of Mental Disorders (DSM-5®). American Psychiatric Pub; 2013. 1679 p.
Williams K, Reynolds MF. Sexual Dysfunction in Major Depression. CNS Spectr. 2006;11(S9):19–23.
Mathew RJ, Weinman ML. Sexual dysfunctions in depression. Arch Sex Behav. 1982 Aug;11(4):323–8.
Baldwin DS. Depression and sexual dysfunction. Br Med Bull. 2001 Mar 1;57(1):81–99.
Clayton AH, McGarvey EL, Clavet GJ. The Changes in Sexual Functioning Questionnaire (CSFQ): Development, reliability, and validity. Psychopharmacol Bull. 1997;33(4):731–45.
Clayton AH, McGarvey EL, Clavet GJ, Piazza L. Comparison of sexual functional in clinical and nonclinical populations using the changes in Sexual Functioning Questionnaire (CSFQ). Psychopharmacol Bull. 1997;33(4):747.
Clayton AH, Owens JE, McGarvey EL. Assessment of paroxetine-induced sexual dysfunction using the Changes in Sexual Functioning Questionnaire. Psychopharmacol Bull. 1995;
Prakash O, Rao TS. Sexuality research in India: An update. Indian J Psychiatry. 2010 Jan 1;52(7):260.
Grover S, Dutt A, Avasthi A. An overview of Indian research in depression. Indian J Psychiatry. 2010 Jan;52(Suppl1):S178.
Rao TSS, Nagaraj AKM. Female sexuality. Indian J Psychiatry. 2015 Jul;57(Suppl 2):S296.
Chakraborty K, Thakurata RG. Indian concepts on sexuality. Indian J Psychiatry. 2013 Jan;55(Suppl 2):S250.
Thakurta RG, Singh OP, Bhattacharya A, Mallick AK, Ray P, Sen S, et al. Nature of Sexual Dysfunctions in Major Depressive Disorder and its Impact on Quality of Life. Indian J Psychol Med. 2012 Dec;34(4):365.
Roy P, Manohar S, Raman R, Rao TSS, Darshan MS. Female sexual dysfunction: A comparative study in drug naive 1st episode of depression in a general hospital of South Asia. Indian J Psychiatry. 2015 Sep;57(3):242.
Thakurdesai A, Sawant N. A prospective study on sexual dysfunctions in depressed males and the response to treatment. Indian J Psychiatry. 2018 Dec;60(4):472.
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