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Sexual function in patients with bipolar disorder type I evaluated in symptomatic remission: a cross-sectional study
Juliana Socorro Casqueiro1, Vitor Fernandes de Almeida2, Gabriela Léda-Rêgo3
1rograma de Pós-Graduação em Medicina e Saúde Pública, Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil. Centro de Estudos dos Transtornos de Humor e de Ansiedade (CETHA), UFBA, Salvador, BA, Brazil. Departamento de Neurociências e Saúde Mental, Faculdade de Medicina, UFBA, Salvador, BA, Brazil. Escola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brazil.
Bipolar disorder (BD) patients experience significantly higher rates of sexual dysfunction (SD) compared to healthy individuals. This sexual dysfunction is linked to poorer quality of life (QoL) in BD patients.
Area of Science:
- Psychiatry
- Sexual Medicine
- Quality of Life Research
Background:
- Bipolar disorder (BD) is a chronic mental health condition impacting various life aspects.
- Sexual function is crucial for quality of life (QoL) but remains understudied in BD patients.
- Decreased sexual function is a common impairment in individuals with BD.
Purpose of the Study:
- To compare sexual function in euthymic Bipolar Disorder type I (BD-I) patients versus healthy controls (HC).
- To identify clinical and socio-demographic factors associated with sexual dysfunction (SD) in BD-I patients.
- To evaluate the impact of SD on QoL among BD-I patients.
Main Methods:
- A cross-sectional study involving 132 BD-I patients and 61 HCs.
- Participants completed the Arizona Sexual Scale (ASEX) and WHOQoL-BREF.
- BD-I patients were compared to HCs, and grouped by presence or absence of SD.
Main Results:
- BD-I patients exhibited a higher prevalence of SD (42.4%) than HCs (16.4%).
- SD in BD-I was associated with female gender, older age, and longer duration of untreated illness.
- Patients with SD reported significantly worse QoL scores across all domains.
Conclusions:
- There is a high prevalence of sexual dysfunction in Bipolar Disorder type I patients.
- Sexual dysfunction is significantly associated with diminished quality of life in BD-I.
- Addressing sexual dysfunction is crucial for improving overall well-being in BD patients.
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