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. 2016 Aug 19;22(1):979.
doi: 10.4102/sajpsychiatry.v22i1.979. eCollection 2016.

Depressive symptoms and marital adjustment among primary care patients with erectile dysfunction in Umuahia, Nigeria

Nwaonu C Nwakanma  1 , John N Ofoedu  2
Affiliations

Depressive symptoms and marital adjustment among primary care patients with erectile dysfunction in Umuahia, Nigeria

Nwaonu C Nwakanma et al. S Afr J Psychiatr. .

Abstract

Objectives: The aim of this study was to investigate the relationship between erectile dysfunction (ED), marital adjustment and depression.

Methods: The survey was conducted among primary care patients at Federal Medical Centre, Umuahia. Subjects were 678 married, male primary care patients; aged 20-70 years (mean age = 45 years). ED was assessed by International Index of Erectile Function 5 (IIEF-5) score, the presence of clinically significant depressive symptoms was assessed with the 5-item version of the Center for Epidemiological Studies Depression Scale (CES-D), and marital adjustment was assessed with the Revised Dyadic Adjustment Scale (RDAS).

Results: The prevalence of probable depression by CES-D and ED by IIEF-5 score was 20.9% and 26.0%, respectively. Marital distress was rampant (62.0%) among subjects with ED (p < 0.05, χ2 = 196.58). Erectile dysfunction was associated with marital adjustment (p < 0.05). Partial correlation revealed that depression affects both ED and marital adjustment, and is closely related to both variables.

Conclusion: Partner involvement and screening for depression should be emphasised in the care of patients with ED.

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Conflict of interest statement

The authors declare that they have no financial or personal relationships which may have inappropriately influenced them in writing this article.

Figures

FIGURE 1
FIGURE 1
Distribution of depressive features and marital adjustments among subjects with erectile dysfunction.
See this image and copyright information in PMC

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