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Int. J. Environ. Res. Public Health 2017, 14(9), 1073; https://doi.org/10.3390/ijerph14091073

Relationships of Sexual Dysfunction with Depression and Acceptance of Illness in Women and Men with Type 2 Diabetes Mellitus

1
Faculty of Health Sciences, University of Bielsko-Biala, 43-309 Bielsko-Biala, Poland
2
Department of Gerontology and Geriatric Nursing, School of Health Sciences, Medical University of Silesia, 40-752 Katowice, Poland
3
Department of Clinical Nursing Faculty of Health Sciences, Medical University, 50-367 Wroclaw, Poland
4
Department of Nursing Propaedeutics, School of Health Sciences, Medical University of Silesia, 40-752 Katowice, Poland
5
Chair of Woman’s Health, School of Health Sciences in Katowice, Medical University of Silesia, 40-752 Katowice, Poland
*
Author to whom correspondence should be addressed.
Received: 31 August 2017 / Revised: 11 September 2017 / Accepted: 14 September 2017 / Published: 16 September 2017
(This article belongs to the Collection Health Care and Diabetes)
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Abstract

An increased prevalence of sexual disorders has been reported in patients with type 2 diabetes. The aim of this study is the assessment of the influence of the psychical condition, the concentration of glycated hemoglobin, the duration of diabetes, the body mass index, the age, and the subjective acceptance of the illness on sexual disorders occurring in women and men with type 2 diabetes. The study enrolled 215 patients (114 women and 101 men) with type 2 diabetes and 183 controls. Sexuality was determined in all of the studied subjects using: the Female Sexual Function Index (FSFI) in women and the International Index of Erectile Function (IIEF) in men. The occurrence of depression symptoms was determined using the Beck Depression Inventory (BDI), whereas the acceptance of the illness in diabetic patients using the Acceptance of Illness Scale (AIS). A sexual dysfunction was found in 68% of the studied diabetic women and 17% of controls. The point values of all the examined FSFI domains were significantly lower in women with diabetes than in controls (p < 0.001). Erectile disorders occurred in 82% of the studied men with diabetes and in 41% of the controls (p < 0.001). The point values of all the domains of FSFI and IIEF demonstrated a significantly negative correlation with the total BDI score, which was higher in patients with diabetes than in patients without diabetes, and a positive correlation with the total AIS score (p < 0.001). The occurrence of sexual dysfunction in patients with diabetes correlated with the age and the duration of diabetes. We conclude that sexual disorders in patients with type 2 diabetes demonstrate the correlation with the occurrence of depression and the acceptance of their illness. Sexual disorders in diabetic patients occur more frequently in older patients and in those with a longer duration of diabetes. View Full-Text
Keywords: sexual disorders; type 2 diabetes; mental condition of patients; acceptance of illness sexual disorders; type 2 diabetes; mental condition of patients; acceptance of illness
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Bąk, E.; Marcisz, C.; Krzemińska, S.; Dobrzyn-Matusiak, D.; Foltyn, A.; Drosdzol-Cop, A. Relationships of Sexual Dysfunction with Depression and Acceptance of Illness in Women and Men with Type 2 Diabetes Mellitus. Int. J. Environ. Res. Public Health 2017, 14, 1073.

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