[终身阴道痉挛女性抑郁、焦虑障碍的患病率及其与性功能的关系]。

E. Yıldırım, Munevver Hacioglu Yildirim, H. Karaş
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引用次数: 16

摘要

目的:在阴道痉挛患者中,对抑郁和焦虑障碍的患病率缺乏了解是值得注意的。本研究的目的是调查焦虑症和重度抑郁症的患病率,并检查这些疾病与终身阴道痉挛的女性性功能的关系。方法:144名被诊断为阴道痉挛的女性被纳入研究。对参与者进行DSM-IV -I轴障碍(SCID-I)结构化临床访谈中的抑郁和焦虑障碍部分以及Golombok-Rust性满意度量表(GRISS)。结果:79.86%的病例至少有一种焦虑障碍和/或抑郁共病。最常见的共病是特异性恐惧症(63.9%)。其次是重度抑郁症(35.4%)、社交焦虑症(13%)、恐慌症(10%)、强迫症(5%)和广泛性焦虑症(2%)。在GRISS上,与无合并症的患者相比,合并抑郁患者的平均回避得分更高,合并惊恐障碍患者的非沟通得分更高。结论:阴道痉挛患者抑郁和焦虑障碍的患病率高于一般人群,特别是特异性恐惧症。这些精神疾病的高合并症和所有性领域的功能破坏都强调了在评估这些患者时采用整体方法的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Prevalence of Depression and Anxiety Disorders and Their Relationship with Sexual Functions in Women Diagnosed with Lifelong Vaginismus].
OBJECTIVE In patients with vaginismus, the Lack of knowledge on rates of depression and anxiety disorders is noteworthy. The aim of the present study was to investigate the prevalance of anxiety disorders and major depression and to examine the relationship of these  omorbidities with sexual functions in women diagnosed with lifelong vaginismus.  METHOD: One hundred and fourty-four women who were diagnosed with vaginismus were recruited for the study. Depression and anxiety disorders section of the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) and Golombok-Rust Inventory of Sexual Satisfaction (GRISS) were administered to the participants.  RESULTS: At least one comorbid anxiety disorder and/or depression was found in 79.86 % of the cases. The most common comorbid disorder was specific phobia (63.9%). This was followed by major depression (35.4%), social anxiety disorder (13%), panic disorder (10%), obsessive compulsive disorder (5%) and generalized anxiety disorder (2%). On GRISS, mean avoidance score was higher in patients with comorbid depression and non-communication score was higher in patients with comorbid panic disorder when compared to patients with no comorbidity.  CONCLUSION: The prevalence of depression and anxiety disorders, especially spesific phobia, was higher in patients with vaginismus than the general population. Both high comorbidity of these psychiatric disorders and disruption of functions in all domains of sexuality emphasize the importance of holistic approach in evaluation of these patients.
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