ソリアシスにおける二次元的および性的機能:トルコ人集団における比較研究
Filiz Kulacaoglu1, Yusuf Ezel Yildirim1, Hande Yelgen Ilyas2
1Department of Psychiatry, Health Sciences University Prof. Dr. Mazhar Osman Bakırköy Psychiatric and Neurological Diseases Research and Training Hospital, Istanbul, Türkiye.
まとめ
牛皮は,患者と配偶者の両方の性的機能と関係に大きな影響を及ぼし,かなりの心理社会的負担を強調しています. 介護におけるこれらの問題への対処は,影響を受けたカップルの生活の質を向上させることができます.
科学分野:
- 皮膚科 皮膚科について
- 心理学 心理学とは
- 公衆衛生は公衆衛生である.
背景:
- 牛皮病は慢性炎症性皮膚疾患で,認知されていない心理的,対人的な効果があります.
- 牛皮の心理的社会的な負担は,患者だけでなく,配偶者にも及ぶ.
- 二次性調整と性機能の評価は,牛皮病の包括的な影響を理解するために重要です.
研究 の 目的:
- 牛皮の患者とその配偶者の二次元的適応と性機能を評価する.
- これらのアウトカムを健康な対照群と比較する.
- 牛皮病患者の性機能不全に影響を与える要因を特定する.
主な方法:
- ソーリアーシス患者 (n=47),配偶者 (n=40) と健康な対照群 (n=42) を対象とした比較研究.
- Psoriasis Area and Severity Index (PASI),Dermatology Life Quality Index (DLQI),Short Form-12 (SF-12),Dyadic Adjustment Scale-Revised (RDAS),Beck Depression Inventory (BDI),Beck Anxiety Inventory (BAI),およびArizona Sexual Experiences Scale (ASEX) を含む検証されたアンケートを活用した.
主要な成果:
- 患者 (83%) と配偶者 (65%) の間で,対照群 (50%) と比較して,高度の性機能障害が観察されました.
- 患者および配偶者は,対照群よりも著しく低い二次調整スコア (RDAS) を報告しました.
- うつ病の症状と疾患の持続時間は,牛皮の患者における性機能障害の有意な予測因子でした.
結論:
- 牛皮は,患者およびそのパートナーの双方に重大な心理的社会的負担を課します.
- 性的機能不全と二次性調整障害は,牛皮の患者とその配偶者に多く見られます.
- 関係性および性的幸福度の評価を臨床ケアに統合することで,牛皮で苦しんでいるカップルの生活の質が全体的に向上する可能性があります.
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