Multipl Sklerozlu Erkek Hastalarda Cinsel Disfonksiyonun Değerlendirilmesi
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Tarih
2018
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Erkek cinselliği üzerine multiple skleroz (MS)’un etkileriniaraştırmak.Yöntem: Vaka grubuna 61 MS’li erkek hasta, kontrol grubuna 60sağlıklı erkek birey dahil edildi. MS’li hastaların fonksiyonel durumlarıGenişletilmiş Özürlülük Durum Skalası (Expanded Disability StatusScala –EDSS), depresyon düzeyleri Beck Depresyon Ölçeği (BDİ), ağrıdüzeyleri Vizüel Analog Skala (VAS), cinsel işlevleri International Indexof Erectile Function (IIEF) ve yaşam kaliteleri short form-36 (SF-36) iledeğerlendirildi.Bulgular: MS’li hastalar EDSS 5,5 olan 45 hasta ve EDSS 5,5 olan 19hasta şeklinde sınıflandırıldı. MS’li hastalarda ortalama VAS ve BDİskorları kontrol grubuna göre istatistiksel olarak anlamlı derecede yüksekidi (p0,05). MS’li hastalarda ortalama IIEF skorları ve SF-36 tüm altgrup skorları kontrol grubuna göre istatistiksel olarak anlamlı derecededüşük idi (p0,05). MS’li hasta grubunda EDSS ortalaması 2,752,42idi. MS’li erkek hastalarda IIEF skorları ile SF-36 mental ve fizikselkomponent ortalamaları arasında pozitif yönde korelasyon mevcut ikenIIEF skorları ile yaş, hastalık süresi, atak sayısı, evlilik yılı, EDSS, VAS veBDI skorları arasında negatif yönde korelasyon mevcut idi (p0,00). BDI17 depresyon lehine değerlendirildiğinde MS’li hastaların %62,5’unda,kontrol grubunun %11,7’inde depresyon saptandı (p0,001).Sonuç: MS’li erkek hastalarda cinsel fonksiyonlar olumsuz yöndeetkilenmektedir. MS’li erkek hastalarda cinsel fonksiyonlar; artmışözürlülük (EDSS), ağrı ve eşlik eden depresyon düzeyi ile ilişkiligörünmektedir. Bu nedenle, MS’li erkek hastalar takipleri sırasındaözürlülük yanında cinsel işlev bakımından da değerlendirilmelidir.
Introduction: To investigate the effects of multiple sclerosis (MS) onmale sexuality.Methods: While 61 men with MS were included into the study group, 60healthy men constituted the control group in the study. In MS patients,such parameters as functional status and depression levels were assessedwith the Expanded Disability Status Scala (EDSS) and the Beck DepressionScale (BDS), other parameters such as pain levels, sexual function andquality of life (QoL) were evaluated with the Visual Analog Scala (VAS),the International Index of Erectile Function (IIEF) and the short form-36(SF-36), respectively.Results: Patients with MS were classified as 45 with EDSS 5.5 and 19with EDSS 5.5. Mean VAS and BDI scores patients with MS were foundstatistically significantly higher, compared with those of the controls(p0.05). Mean IIEF and all sub-group scores of SF-36 of patients withMS were found to be statistically significantly lower, compared withthose of the control group (p0.05). Mean EDSS in patients with MS was2.752.42. While there was a positive correlation between IIEF scores ofpatients with MS, and mean mental and physical components of SF-36,a negative correlation was found between IIEF scores in MS patients, andage, disease duration, number of attacks, number of marital years andscores of EDSS, VAS and BDI (p0.00). When BDI 17 was accepted asthe threshold for depression, the depression was detected in 62.5% ofpatients with MS and 11.7% of the controls (p0.001).Conclusion: Sexual functions are affected negatively in male patientswith MS and seem to be associated with increased disability, pain andaccompanying depression. Therefore, male patients with MS should alsobe evaluated with regard to sexual function, as well as disability duringtheir follow-ups.
Introduction: To investigate the effects of multiple sclerosis (MS) onmale sexuality.Methods: While 61 men with MS were included into the study group, 60healthy men constituted the control group in the study. In MS patients,such parameters as functional status and depression levels were assessedwith the Expanded Disability Status Scala (EDSS) and the Beck DepressionScale (BDS), other parameters such as pain levels, sexual function andquality of life (QoL) were evaluated with the Visual Analog Scala (VAS),the International Index of Erectile Function (IIEF) and the short form-36(SF-36), respectively.Results: Patients with MS were classified as 45 with EDSS 5.5 and 19with EDSS 5.5. Mean VAS and BDI scores patients with MS were foundstatistically significantly higher, compared with those of the controls(p0.05). Mean IIEF and all sub-group scores of SF-36 of patients withMS were found to be statistically significantly lower, compared withthose of the control group (p0.05). Mean EDSS in patients with MS was2.752.42. While there was a positive correlation between IIEF scores ofpatients with MS, and mean mental and physical components of SF-36,a negative correlation was found between IIEF scores in MS patients, andage, disease duration, number of attacks, number of marital years andscores of EDSS, VAS and BDI (p0.00). When BDI 17 was accepted asthe threshold for depression, the depression was detected in 62.5% ofpatients with MS and 11.7% of the controls (p0.001).Conclusion: Sexual functions are affected negatively in male patientswith MS and seem to be associated with increased disability, pain andaccompanying depression. Therefore, male patients with MS should alsobe evaluated with regard to sexual function, as well as disability duringtheir follow-ups.
Açıklama
Anahtar Kelimeler
Nörolojik Bilimler, Psikiyatri, Multiple Skleroz, Seksüel Disfonksiyon, Kronik Hastalık, Erkek Cinsiyet, Ağrı, Depresyon, Yaşam Kalitesi, Multiple Sclerosis, Sexual Dysfunction, Chronic Disease, Male Gender, Pain, Depression, Quality Of Life
Kaynak
Nöropsikiyatri Arşivi
WoS Q Değeri
Scopus Q Değeri
Cilt
55
Sayı
4
Künye
Odabaş, Ö F., Gümüş, H., Akkurt, H E., Uca, A U., Yılmaz, H. (2018). Multipl Sklerozlu Erkek Hastalarda Cinsel Disfonksiyonun Değerlendirilmesi. Nöropsikiyatri Arşivi. 55, 4, 349 - 353.
