Sexual dysfunction in female hemodialysis patients: A multicenter study
Journal
Kidney International
Journal Volume
68
Journal Issue
2
Pages
760-765
Date Issued
2005
Author(s)
Peng Y.-S.
Kao T.-W.
Lu C.-S.
Chiang S.-S.
Yang C.-S.
Huang Y.-C.
Yang C.-C.
Tsai D.-M.
Chen P.-Y.
Liao C.-S.
Chen W.-Y.
Abstract
Background. Sexual function is one aspect of physical functioning. Sexual dysfunction, no matter the etiology, could cause distress. In female hemodialysis patients, sexual problems have often been neglected in clinical performance and research. Methods. We conducted this study by use of self-reported questionnaires. A total of 578 female hemodialysis patients in northern Taiwan were included in this study. Demographic data, comorbid diseases, medications in use, biochemical, and hematologic parameters were analyzed. All patients were asked to complete by themselves three questionnaires: (1) the Index of Female Sexual Function (IFSF) to assess sexual function; (2) the Beck Depression Inventory (BDI) (Chinese version) to rate the severity of depressive symptoms; and (3) the 36-item Short Form Health Survey Questionnaire (SF-36, Taiwan Standard Version 1.0) to survey their quality of life. Results. A total of 138 female patients were enrolled into further analysis. The mean age was 48.7 ± 11.2 years old. The mean IFSF score was 24.5 ± 9.3. Age, BDI score, and serum triglyceride levels were the independent factors of dysfunction in each sexual functional dimension. Patients with higher IFSF scores had significantly higher scores in physical functioning and mental health (P = 0.007 and 0.018, respectively). Patients with higher intercourse satisfaction had significantly higher general health scores (P = 0.001). Conclusion. Sexual dysfunction is frequent in the female hemodialysis population. It is strongly associated with increasing age, dyslipidemia, and depression. The subjects with sexual dysfunction had poorer quality of life. The diagnosis and treatment of sexual dysfunction should be included in the clinical assessment. ? 2005 by the International Society of Nephrology.
Other Subjects
adult; age distribution; article; Beck Depression Inventory; comorbidity; controlled study; demography; depression; disease severity; female; female sexual dysfunction; hemodialysis patient; human; mental health; priority journal; quality of life; questionnaire; satisfaction; scoring system; self report; Short Form 36; Taiwan; triacylglycerol blood level; aged; chronic kidney failure; clinical trial; depression; middle aged; multicenter study; prevalence; psychological aspect; renal replacement therapy; sexual dysfunction; statistical model; statistics; Adult; Aged; Aged, 80 and over; Comorbidity; Depression; Female; Humans; Kidney Failure, Chronic; Linear Models; Middle Aged; Prevalence; Quality of Life; Questionnaires; Renal Dialysis; Sexual Dysfunction, Physiological
Publisher
Nature Publishing Group
Type
journal article