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Depression and anxiety in men with sexual dysfunction: a retrospective study
Ravi Philip Rajkumar1, Arun Kumar Kumaran2
1Department of Psychiatry, Jawaharlal Institute of Postgraduate Medical Education and Research, Dhanvantari Nagar, Pondicherry, 605 006, India.
Comprehensive Psychiatry
|March 31, 2015
Summary
Anxiety and depression affect a significant number of men with erectile dysfunction (ED) or premature ejaculation (PE). These mental health conditions often precede sexual dysfunction and require careful screening and management.
Area of Science:
- Psychiatry
- Sexual Medicine
- Mental Health
Background:
- Comorbid anxiety and depression are frequent in men with sexual disorders like ED and PE.
- These conditions are often undiagnosed and untreated, complicating their relationship with sexual dysfunction.
- The study investigates the prevalence and factors associated with anxiety and depression in men with ED or PE.
Purpose of the Study:
- To determine the frequency of comorbid anxiety and depressive disorders in men with erectile dysfunction (ED) or premature ejaculation (PE).
- To identify clinical and demographic correlates of these comorbid conditions.
- To understand the temporal relationship between mental health disorders and sexual dysfunction.
Main Methods:
- Retrospective review of case records for 64 men with ED or PE.
- Data extraction on comorbid anxiety and depressive disorders from 2010-2014.
- Analysis of clinical and demographic associations.
Main Results:
- 12.5% of men had comorbid depressive disorders; 23.4% had anxiety disorders.
- Anxiety and depressive disorders often predated the onset of sexual dysfunction.
- Depression linked to suicidal ideation and lack of libido; anxiety linked to performance anxiety and PE.
Conclusions:
- A substantial minority of men with sexual dysfunction experience depression and anxiety.
- Screening for anxiety and depression is recommended for men with ED or PE.
- Further research into the link between anxiety disorders and sexual performance anxiety is warranted.
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