关键词: Depression cross-sectional study female sexual dysfunction genito-pelvic pain/penetration non-penetrative sexual activity retrospective vaginismus

Mesh : Humans Female Cross-Sectional Studies Adult Depression / psychology Vaginismus / psychology physiopathology Retrospective Studies Sexual Behavior / psychology physiology Middle Aged Young Adult Psychiatric Status Rating Scales

来  源:   DOI:10.1177/03000605241244762   PDF(Pubmed)

Abstract:
OBJECTIVE: This cross-sectional study aimed to explore the association between non-penetrative sexual activities (NPSA) and depression levels in women diagnosed with vaginismus.
METHODS: A cross-sectional retrospective study was conducted between March 2016 and June 2019, after approval by the Fırat University Faculty of Medicine ethics committee. Participants comprised married women referred to our female sexual dysfunction outpatient clinic with vaginismus. Diagnosis of vaginismus was established following comprehensive evaluations, including gynecological examination and psychiatric assessment. Sociodemographic data and Beck Depression Inventory (BDI) scores were collected. We compared depression levels between women who engaged in NPSA and those who did not.
RESULTS: Of the 75 women with primary vaginismus included in the study, 18 did not engage in any NPSA and 57 engaged in at least one NPSA. The average BDI score of those who engaged in NPSA was significantly lower than those who did not. A negative correlation was found between the number of NPSA engaged in and BDI scores (r = -0.494).
CONCLUSIONS: Women with vaginismus had high depression scores, but engaging in NPSA was associated with lower depression levels. The findings suggest that incorporating NPSA into clinical interventions may be beneficial for managing depression in women with vaginismus.
摘要:
目的:本横断面研究旨在探讨非穿透性性活动(NPSA)与诊断为阴道痉挛的女性抑郁水平之间的关系。
方法:在2016年3月至2019年6月之间进行了一项横断面回顾性研究,该研究得到了费拉特大学医学院伦理委员会的批准。参与者包括已婚妇女,他们提到了我们患有阴道痉挛的女性性功能障碍门诊。阴道痉挛的诊断是在综合评估后确定的,包括妇科检查和精神病评估。收集社会人口统计学数据和贝克抑郁量表(BDI)得分。我们比较了参与NPSA的女性和未参与NPSA的女性之间的抑郁水平。
结果:在纳入研究的75名原发性阴道痉挛的女性中,18人没有参与任何NPSA,57人参与至少一个NPSA。从事NPSA的人的平均BDI得分明显低于不从事NPSA的人。参与的NPSA数量与BDI评分呈负相关(r=-0.494)。
结论:患有阴道痉挛的女性抑郁评分较高,但参与NPSA与较低的抑郁水平相关。研究结果表明,将NPSA纳入临床干预措施可能有利于治疗患有阴道痉挛的女性抑郁症。
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