背景:银屑病关节炎(PsA)是一种主要影响关节和关节的慢性炎症性疾病。此外,它与抑郁综合征(DS)有关,心血管疾病,高血压(HT),糖尿病(DM),肥胖和牛皮癣(Pso)。很少有研究旨在分析肌肉骨骼系统与性功能(SF)的关系。
方法:在诊断为PsA的患者中提出了一项横断面观察性研究,应用自我管理的验证问卷来确定SF的变化:MGH-SFQ和CSFQ-14,评估性功能的4个领域;Qualisex和DLQI分别设计用于关节和皮肤病学病理学,探索性方面。目的是描述PsA患者性功能改变的存在;分析社会人口统计学特征之间的关联,合并症(Pso,DS,心血管危险因素)和患者对SF的治疗;并根据性别描述SF的差异。
结果:对72例患者进行评估。据观察,与SF得分较低相关的PsA患者的变量是CSFQ-14和MGH-SFQ中的性别和年龄;年收入,用NSAIDs治疗,在性领域的某些领域,DL和抑郁症与较差的结果有关。
结论:PsA患者SF受损,尤其是女性,年长的病人,那些年收入低的人,DL和情绪障碍。抗炎治疗与更好的SF相关。全球范围内,慢性疾病和心理负担是性功能障碍的相关因素。
BACKGROUND: Psoriatic arthritis (PsA) is a chronic inflammatory disorder that primarily affects the joints and entheses. In addition, it is associated with depressive syndrome (DS), cardiovascular disease, hypertension (HT), diabetes mellitus (DM), obesity and psoriasis (Pso). There are few studies aimed to analyze the association of the involvement of the musculoskeletal system with sexual function (SF).
METHODS: A cross-sectional observational study was proposed in patients diagnosed with PsA, to whom self-administered validated questionnaires were applied to determine alterations in SF: MGH-SFQ and CSFQ-14, which assess the 4 domains of sexual function; Qualisex and DLQI designed for joint and dermatological pathology respectively, which explore sexual aspects. The objective was to describe the existence of altered sexual function in patients with PsA; analyze the association between sociodemographic characteristics, comorbidities (Pso, DS, cardiovascular risk factors) and the treatments of patients on SF; and describe differences of SF according to gender.
RESULTS: 72 patients were evaluated. It was observed that the variables of patients with PsA that were associated with lower scores in SF were gender and age in the CSFQ-14 and MGH-SFQ; annual incomes, treatment with NSAIDs, DL and depression were associated with worse results in some domains of the sexual sphere.
CONCLUSIONS: Patients with PsA had impaired SF, especially women, elder patiens, those with low annual incomes, DL and emotional disorders. Anti-inflammatory treatments were associated with better SF. Globally, the chronic disease and the psychological burden behaved as factors associated with sexual dysfunction.