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. 2023 Feb 4;11(1):36.
doi: 10.1186/s40359-023-01074-w.

Factors associated with anxiety and depression in patients with erectile dysfunction: a cross-sectional study

Yang Xiao #  1 , Tongjin Xie #  1 , Jingxuan Peng  2 , Xun Zhou  1 , Jinsong Long  1 , Mohan Yang  1 , Haiyan Zhu  3 , Jianfu Yang  4
Affiliations

Factors associated with anxiety and depression in patients with erectile dysfunction: a cross-sectional study

Yang Xiao et al. BMC Psychol. .

Abstract

Background: Few studies have investigated factors associated with anxiety and depression among patients with erectile dysfunction (ED). This study aimed to investigate associated factors and the prevalence of anxiety and depression in this special group in China.

Methods: Data from 511 patients with ED aged 18-60 years were collected between July 2021 and April 2022. The 5-item International Index of Erectile Function (IIEF-5) questionnaire, self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate erectile function, anxiety and depression, respectively. Univariate analysis and multivariate linear regression analyses were used to explore the associated factors of depression and anxiety.

Results: The prevalence of anxiety and depression among ED patients was 38.16% and 64.97%, respectively. The mean anxiety index score was 47.37 ± 6.69 points, and the mean depression index was 54.72 ± 9.10 points. Multiple linear regression analysis showed that worse ED, low education level, and smoking were positively associated with increased risk of anxiety and depression. In addition, younger age, longer onset time, and irregular sleep were positively associated with high risk of anxiety, and irregular exercise was associated with severe depression.

Conclusions: The prevalence of depression and anxiety in ED patients is high, and the severity of ED, age, education level, smoking, onset time, regular sleep, and exercise were associated with anxiety or depression. Reversible risk factors should be avoided and individualized psychological support services are necessary for ED patients.

Keywords: Anxiety; Depression; Erectile dysfunction; SAS; SDS.

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Conflict of interest statement

The authors declare that they have no competing interests.

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References

    1. NIH Consensus Conference NIH consensus development panel on impotence. JAMA. 1993;270(1):83–90. - PubMed
    1. Salonia A, Bettocchi C, Boeri L, Capogrosso P, Carvalho J, Cilesiz NC, et al. European association of urology guidelines on sexual and reproductive health-2021 update: male sexual dysfunction. Eur Urol. 2021;80(3):333–357. - PubMed
    1. Goldstein I, Goren A, Li VW, Tang WY, Hassan TA. Epidemiology update of erectile dysfunction in eight countries with high burden. Sex Med Rev. 2020;8(1):48–58. - PubMed
    1. Quilter M, Hodges L, von Hurst P, Borman B, Coad J. Male Sexual function in New Zealand: a population-based cross-sectional survey of the prevalence of erectile dysfunction in men aged 40–70 years. J Sex Med. 2017;14(7):928–936. - PubMed
    1. Melman A, Gingell JC. The epidemiology and pathophysiology of erectile dysfunction. J Urol. 1999;161(1):5–11. - PubMed