The relationship between depression and erectile dysfunction
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Normal sexual function is a biopsychosocial process; sexual dysfunction almost always has organic and psychologic components, and it requires multidisciplinary, goal-directed evaluation and treatment. Factors such as aging, declining testosterone levels, medical illness, certain medications, and comorbid depressive illness can contribute to sexual dysfunction. Erectile dysfunction (ED) is the most common male sexual dysfunction encountered in the clinical setting. Comorbidity between ED and depressive illness is high, but the causal relationship is unclear, and likely bidirectional. In this article, we review the existing literature on the relationship between depression and ED.
KeywordsMajor Depressive Disorder Erectile Dysfunction Sexual Function Sexual Dysfunction Apomorphine
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References and Recommended Reading
- 1.Feldman HA, Goldstein I, Hatzichristou G, et al.: Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. J Urol 1994, 151:73–80.Google Scholar
- 2.NIH Consensus Panel on Impotence: Impotence. JAMA 1993, 270:83-90.Google Scholar
- 10.American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders: edn 4, revised. Washington, DC: American Psychiatric Association; 1994:100-102.Google Scholar
- 11.Seidman SN, Rieder RO: Sexual behavior through the life cycle: an empirical approach. In American Psychiatric Press Review of Psychiatry, vol 14. Edited by Oldham J, Riba M. Washington, DC: American Psychiatric Press; 1995:639–676.Google Scholar
- 15.Ashton AK, Hamer R, Rosen RC: Serotonin reuptake inhibitorinduced sexual dysfunction and its treatment: a largescale retrospective study of 596 psychiatric outpatients. J Sex Marital Ther 1997, 23:165–175.Google Scholar
- 19.Araujo AB, Durante R, Feldman HA, et al.: The relationship between depressive symptoms and male erectile dysfunction: cross-sectional results from the Massachusetts Male Aging Study. Psychosom Med 1998, 60:458–465. This paper establishes the strong epidemiologic relationship between ED (using reliable criteria) and depression (using CES-D cutoff > 16).PubMedGoogle Scholar
- 26.van Driel MF, Mooibroek JJ, van de Wiel HBM, et al.: Intracavernous pharmacotherapy: psychological, sexological and medical aspects. Int J Impot Res 1991, 3:95–104.Google Scholar
- 27.Steers W, for the Sildenafil Study Group: Meta-analysis of the efficacy of sildenafil (VIAGRA) in the treatment of severe erectile dysfunction. J Urol 1998, 159(suppl):238.Google Scholar
- 30.Price D: Sildenafil citrate (Viagra) efficacy in the treatment of erectile dysfunction in patients with common concomitant conditions. Int J Clin Pract 1999, 102(suppl):S21-S23.Google Scholar
- 31.Seidman S, Rosen R, Roose SP, et al.: Sildenafil citrate for erectile dysfunction and depression. XI World Congress of Psychiatry, Hamburg, Germany, August, 1999.Google Scholar