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. 2020 Jul;56(3):642-648.
doi: 10.1111/ppc.12480. Epub 2020 Feb 11.

A study on sexual functioning in adults with attention-deficit/hyperactivity disorder

Samaneh Amani Jabalkandi  1 , Firoozeh Raisi  2 , Zahra Shahrivar  2   3 , Abolfazl Mohammadi  1 , Alipasha Meysamie  4 , Reihaneh Firoozikhojastefar  5 , Fatemeh Irani  6
Affiliations

A study on sexual functioning in adults with attention-deficit/hyperactivity disorder

Samaneh Amani Jabalkandi et al. Perspect Psychiatr Care. 2020 Jul.

Abstract

Purpose: Sexual dysfunction has been ignored in adults with attention-deficit hyperactivity disorder (A-ADHD). This study examined sexual function in adults with ADHD compared to a healthy control group.

Design and methods: The experimental group (N = 63, mean age = 31.11 ± 4.29, females = 31) were recruited among referrals with ADHD to an outpatient A-ADHD clinic. The DIVA-2 (Diagnostic Interview for ADHD in adults) and the schedule for affective disorders and schizophrenia (SADS) were used to assess for A-ADHD and comorbid psychiatric disorders, respectively. The healthy groups (N = 66, mean age = 31.37 ± 4.30, females = 31) were demographically matched and had no psychiatric disorders based on the Conners' Adult ADHD Rating Scales-Self Report, Short Version and SADS. Sexual functions were evaluated using the Female Sexual Function Index (FSFI) for females and International Index of Erectile Function (IIEF) for males.

Findings: Females with ADHD compared to the control group showed significantly (P < .001) poorer scores in all FSFI domains (desire, arousal, orgasm, satisfaction, pain, and lubrication). The IIEF mean scores in the males with A-ADHD were lower (P = .00) than their counterparts for all the subscales including orgasm, erectile function, intercourse satisfaction, and overall satisfaction, except for the desire (P = .75). The orgasmic function had a significant negative correlation with Conners Adult ADHD Rating Scale-Self Report: Short total scores in males (r = -.48) and females (r = -.40).

Practice implications: This study provides preliminary information on greater difficulties with sexual function in adults with ADHD. Assessment of sexual function in referrals with A-ADHD is suggested.

Keywords: ADHD; adult; sexual function.

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References

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