Abstract
Background
Sexual function is extremely complicated, and various factors including psychological issues can influence women’s behavior. The purpose of this study was to assess female sexual dysfunction (FSD) and its related factors in women with anxiety disorder in Beni-Suef, Upper Egypt.
Subjects and methods
A cross-sectional study was carried out between July and October 2017 with a sample size of 119 women of reproductive age and diagnosed with anxiety using The Beck Anxiety Inventory (BAI) at the Psychiatric Outpatient Clinic of Beni-Suef General Hospital, Upper Egypt. Sexual dysfunction was assessed using the Arabic version of the Female Sexual Function Index (ArFSFI).
Results
The mean age of the enrolled women was 33.3 ± 7.2 years. Of these, 43.7% had mild anxiety, 33.6% moderate anxiety, and 22.7% severe anxiety, and 76 (77.6%) had FSD. Dysfunctions in lubrication, arousal and experience of pain were the most commonly reported problems at 95%, 88.2% and 84.9%, respectively. The BAI scores were negatively correlated with the scores of the various FSFI domains (p < 0.05). Old age, irregular menstrual cycles, and long periods of marriage were risk factors for developing FSD (p < 0.05).
Conclusion
FSD is highly prevalent in patients with anxiety. Higher anxiety scores inversely correlated with the patients’ sexuality. Further research should focus on possible roles for counseling programs on mitigating the negative sexual consequences of anxiety.
Similar content being viewed by others
Change history
18 July 2018
In table 4: column 3, row 1 - n = 78 (%) should be 35.0 ± 7.4. The correct table is shown below.
18 July 2018
In table 4: column 3, row 1 - n?=?78 (%) should be 35.0???7.4. The correct table is shown below.
References
Anis TH, Gheit SA, Saied HS, Al kherbash SA (2011) Arabic translation of female sexual function index and validation in an Egyptian population. J Sex Med 8(12):3370–3378
Balon R (2006) Mood, anxiety and physical illness. Body and mind, or mind and body? Depress Anxiety 23:377–387
Basson R, Berman J, Burnett A, Derogatis L, Ferguson D, Fourcroy J et al (2000) Report of the international consensus development conference on female sexual dysfunction: definitions and classifications. J Urol 163:888–893
El Atrash G, Ali MH, Abdelwahab HA, Abdelreheem LA, Shamaa M (2014) The assessment of sexual dysfunction in Egyptian women with lower urinary tract symptoms. Arab J Urol 12:234–238
Elnashar AM, El-Dien Ibrahim M, El-Desoky MM, Ali OM, El-Sayd Mohamed Hassan M (2007) Female sexual dysfunction in lower Egypt. BJOG 114:201–206
Hassanin IM, Helmy YA, Fathalla MM, Shahin AY (2010) Prevalence and characteristics of female sexual dysfunction in a sample of women from upper Egypt. Int J Gynecol Obstet 108:219–223
Hayes RD, Dennerstein L, Bennett CM, Fairley CK (2008) What is the ‘true’ prevalence of female sexual dysfunctions and does the way we assess these conditions have an impact? J Sex Med 5:777–787
Ibrahim ZM, Ahmed MR, Ahmed WAS (2013) Prevalence and risk factors for female sexual dysfunction among Egyptian women. Arch Gynecol Obstet 287(6):1173–1180. https://doi.org/10.1007/s00404-012-2677-8
Johnson SD, Phelps DL, Cottler LB (2004) The association of sexual dysfunction and substance use among a community epidemiological sample. Arch Sex Behav 33:55–63
Julian LJ (2011) Measures of anxiety: state-trait anxiety inventory (STAI), Beck anxiety inventory (BAI), and hospital anxiety and depression scale-anxiety (HADS-A). Arthritis Care Res 63(Suppl 11):S467–S472
Laumann EO, Nicolosi A, Glasser DB, Paik A, Gingell C, Moreira E et al (2005) Sexual problems among women and men aged 40–80: prevalence and correlates identified in the global study of sexual attitudes and behaviors. Int J Impot Res 17(1):39–57
Levine KB, Williams RE, Hartmann KE (2008) Vulvovaginal atrophy is strongly associated with female sexual dysfunction among sexually active postmenopausal women. Menopause 15:661–666
Montgomery KA (2008) Sexual desire disorders. Psychiatry (Edgmont) 5(6):50–55
Molina-Leyva A, Almodovar-Real A, Carrascosa JC-R, Molina-Leyva I, Naranjo-Sintes R, Jimenez-Moleon JJ (2015) Distribution pattern of psoriasis, anxiety and depression as possible causes of sexual dysfunction in patients with moderate to severe psoriasis. An Bras Dermatol 90(3):338–345
Mostafa AM, Khamis Y, Helmy HK, Arafa AE, Abbas AM (2017) Prevalence and patterns of female sexual dysfunction among overweight and obese premenopausal women in upper Egypt; a cross sectional study. Middle East Fertil Soc J. https://doi.org/10.1016/j.mefs.2017.08.006
Pereira VM, Nardi AE, Silva AC (2013) Sexual dysfunction, depression, and anxiety in young women according to relationship status: an online survey. Trends Psychiatry Psychother 35(1):55–61
Salonia A, Munarriz R, Naspro R (2004) Women’s sexual dysfunction: a pathophysiological review. Br J Urol 93(8):1156–1164
Schnatz PF, Whitehurst SK, O’Sullivan DM (2010) Sexual dysfunction, depression, and anxiety among patients of an inner-city menopause clinic. J Women's Health 19:1843–1849
Sepehrian F, Hosseinpoor L (2012) Female sexual dysfunction and its related factors in urmia. Urmia Med J 23(2):148–154
Shadman Z, Akhoundan M, Poorsoltan N, Larijani B, Arzaghi SM, Khoshniat M (2014) Factors associated with sexual function in Iranian women with type 2 diabetes mellitus: partner relationship as the most important predictor. Iran Red Crescent Med J 16(3):e14941. https://doi.org/10.5812/ircmj.14941
Theofilou PA (2012) Sexual functioning in chronic kidney disease: the association with depression and anxiety. Hemodial Int 16(1):76–81
Van Minnen A, Kampman M (2000) The interaction between anxiety and sexual functioning: a controlled study of sexual functioning in women with anxiety disorders. Sex Relatsh Ther 15:47–57. https://doi.org/10.1080/14681990050001556
Wiegel M, Meston C, Rosen R (2005) The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther 31:1–20
World Health Organization (1975) Education and treatment in human sexuality: the training of health professionals. World Health Organization, Geneva, Switzerland
Yazdanpanahi Z, Beygi Z, Akbarzadeh M, Zare N (2016) To investigate the relationship between stress, anxiety and depression with sexual function and its domains in women of reproductive age. Int J Med Res Health Sci 5(10):223–231
Funding
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare that they have no conflict of interest.
Additional information
The original version of this article was revised: In table 4: column 3, row 1 - n = 78 (%) should be 35.0±7.4.
Rights and permissions
About this article
Cite this article
Arafa, A.E., Senosy, S.A. Female sexual dysfunction in Egyptian women with anxiety: prevalence and patterns. J Public Health (Berl.) 26, 545–549 (2018). https://doi.org/10.1007/s10389-018-0896-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10389-018-0896-6