NDT Advance Access originally published online on November 22, 2006
Nephrology Dialysis Transplantation 2007 22(3):857-861; doi:10.1093/ndt/gfl666
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The association of higher depressive symptoms and sexual dysfunction in male haemodialysis patients
1Department of Internal Medicine, Far Eastern Memorial Hospital, 2National Taiwan University Hospital, 3Shin-Kong Wu Ho-Su Memorial Hospital, 4En Chu Kong Hospital, 5Cathay General Hospital, 6Taipei Municipal Ho-Ping Hospital, 7Da-Chien General Hospital and 8Graduate Institute of Basic Medical Science Chang Gung University, Taiwan, ROC
Correspondence and offprint requests to: Tun-Jun Tsai, PhD, Division of Nephrology, Department of Internal Medicine, National Taiwan University Hospital, No. 7, Chung-Shan South Road, Taipei 10016, Taiwan ROC. Email: paul{at}ha.mc.ntu.edu.tw Chee-Jen Chang, PhD, Graduate Institute of Basic Medical Science, Chang Gung University, No. 5, Fu-Hsing Street, Kuei Shan Hsiang, Tao-Yuan, Taiwan, ROC. Email: cjchang{at}mail.cgu.edu.tw
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Abstract |
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Background. The prevalence of sexual dysfunction among male haemodialysis patients is high. Sexual dysfunction is composed of both physiological and psychological factors. However, the role of pyschological depression is still obscure.
Methods. A multicentre cross-sectional study of 411 male haemodialysis patients was conducted to define the determinants of sexual dysfunction. Mid-week pre-dialytic biochemical and haematological parameters were obtained. All patients were required to complete three questionnaires by themselves: (i) the International Index of Erectile Function (IIEF, Chinese version); (ii) the Beck Depression Inventory (BDI, Chinese version) and (iii) the 36-item Short Form Health Survey Questionnaire (SF-36, Taiwan Standard Version 1.0).
Results. In total, 154 male patients completed the IIEF questionnaire. Their mean age was 50.2 ± 10.7 years. A linear multivariable regression analysis demonstrated advanced age, diabetes and the presence of depressive symptoms to be independently associated with sexual dysfunction. Subjects with sexual dysfunction had significantly lower quality of life scores.
Conclusions. The presence of depressive symptoms, highly prevalent in haemodialysis patients, is an independent factor of sexual dysfunction in male haemodialysis patients. In a comprehensive approach to the management of sexual dysfunction, a thorough evaluation of psychological depression must be included.
Keywords: depression; haemodialysis; quality of life; sexual dysfunction
*The authors wish it to be known that, in their opinion the authors Chee-Jen Chang and Tun-Jun Tsai contributed equally to this work.
Received for publication: 9. 8.06
Accepted in revised form: 16.10.06
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