Impairment of Sexual Desire in Treatment-Resistant Depression: Prevalence and Correlates.

Journal: The primary care companion for CNS disorders

Volume: 24

Issue: 6

Year of Publication: 2022

Affiliated Institutions:  Treatment-Resistant Depression Outpatient Clinic, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil. Sexual Dysfunction Unit, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil. Department of Epidemiology, Institute of Social Medicine, State University of Rio de Janeiro, Rio de Janeiro, Brazil. Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.

Abstract summary 

To assess sexual desire in patients with treatment-resistant depression (TRD). Baseline data were analyzed from an ongoing cohort study at an outpatient clinic specializing in TRD treatment in Brazil. The cohort comprised consecutive patients with the diagnosis of TRD who sought treatment at this center between November 2015 and January 2021. The Hamilton Depression Rating Scale (HDRS) genital symptoms item (item 14) was used as a proxy to assess sexual desire. Sixty-five participants with TRD were included. There was sexual desire impairment in 67.7% of patients. Men (87.5%) were more affected than women (61.2%), and this difference was statistically significant ( = .05). Depression severity was associated with greater complaints of this aspect of sexual function ( < .01). Participants with TRD had a high prevalence of sexual desire impairment, which was associated with greater depressive symptom severity and male sex. The findings suggest that health care professionals should systematically assess sexual desire in patients with TRD in daily clinical practice. Further longitudinal studies are needed in larger samples using specific instruments for assessing sexual dysfunction and comparing TRD and non-TRD populations.

Authors & Co-authors:  Gonçalves Walter Dos Santos WDS Lassen Roseane Dorte Halkjaer RDH Sardinha Aline A Coutinho Evandro Silva Freire ESF Baldwin David S DS Nardi Antonio E AE Appolinario Jose Carlos JC

Study Outcome 

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Statistics
Citations : 
Authors :  7
Identifiers
Doi : 22m03275
SSN : 2155-7780
Study Population
Men,Male,Women
Mesh Terms
Humans
Other Terms
Study Design
Cohort Study,Longitudinal Study,Cross Sectional Study
Study Approach
Country of Study
Publication Country
United States