Evaluation of sexual function in patients presenting with Behçet's disease with or without depression

• Published in: Journal of the European Academy of Dermatology and Venereology 2013-10, Vol.27 (10), p.1244-1251
• Main Authors: Gül, I.G., Kartalcı, Ş., Cumurcu, B.E., Karıncaoğlu, Y., Yoloğlu, S., Karlıdağ, R.
• Format: Article
• Language: English
• Subjects: Activities of Daily Living - psychology; Adult; Anxiety - epidemiology; Behcet Syndrome - complications; Behcet Syndrome - epidemiology; Behcet Syndrome - psychology; Case-Control Studies; Comorbidity; Depression - complications; Depression - epidemiology; Depression - psychology; Female; Follow-Up Studies; Humans; Intelligence Tests; Male; Middle Aged; Personal Satisfaction; Prevalence; Sexual Dysfunction, Physiological - epidemiology; Sexual Dysfunctions, Psychological - epidemiology
• ISSN: 0926-9959; 1468-3083
• DOI: 10.1111/j.1468-3083.2012.04698.x

Aim  Sexual dysfunction has been found in many disorders that are chronic or disabling. The aim of this study was to evaluate the sexual satisfaction levels, sexual function and their relationship with the mental state in a group of patients being followed‐up with a diagnosis of Behçet’s disease (BD). Method  A total of 50 BD patients and 50 control‐group subjects were administered the Hamilton Depression Rating Scale (HDRS), Hamilton Anxiety Rating Scale (HARS), Golombok Rust Sexual Satisfaction Scale (GRISS) and Arizona Sexual Experiences Scale (ASEX). Results  The ASEX, GRISS total, HDRS and HARS scores were significantly higher in the patient group than the control subjects (P = 0.0001, P = 0.007, P = 0.0001, P = 0.0001 respectively). Sexual dissatisfaction was seen in 40 (80%) of the patient‐group and 16 (32%) of the control‐group subjects according to the GRISS (P = 0.0001). Female study participants had higher mean scores than the control subjects for the ASEX, GRISS total scores and the GRISS satisfaction, avoidance, vaginismus and orgasm subscale scores (P = 0.0001, P = 0.002, P = 0.02, P = 0.001, P = 0.006, P = 0.03 respectively). Male study participants had different mean scores for the controls regarding the ASEX scores and the GRISS impotence, premature ejaculation, satisfaction and frequency subscale scores (P = 0.01, P = 0.01, P = 0.0001, P = 0.03, P = 0.007 respectively). Discussion  The negative effect of the disorder on the biological and functional status and daily living activities in BD patients also influences the patients’ sexual experiences and satisfaction. The negative effects of chronic diseases such as BD should therefore be defined and the disorder evaluated from a wide perspective during the treatment process.