Advertisement

Archives of Sexual Behavior

, Volume 30, Issue 4, pp 369–377 | Cite as

Sexual Dysfunction: A Neglected Complication of Panic Disorder and Social Phobia

  • Ivan Figueira
  • Elizabete Possidente
  • Carla Marques
  • Kelly Hayes
Article

Abstract

Little is known about sexual dysfunctions comorbid with anxiety disorder. The aim of this study is to evaluate retrospectively the sexual function of social phobic patients in comparison with a panic disorder sample. Using a semistructured interview (SCID-I), 30 patients with social phobia and 28 patients with panic disorder were examined. The DSM-IV criteria were employed to diagnose sexual dysfunctions in this sample; however, the “C” criterion, which states that “the sexual dysfunction cannot be related to other Axis I disorders,” was excluded. Panic disorder patients reported a significantly greater proportion of sexual disorders compared with social phobics: 75% (21/28) vs. 33.3% (10/30) (p = .0034). Sexual aversion disorder was the most common sexual dysfunction in both male (35.7%; 5/14) and female (50%; 7/14) panic disorder patients, and premature ejaculation was the most common sexual dysfunction in male social phobic patients: 47.4% (9/19). These results suggest that sexual dysfunctions are frequent and neglected complications of social phobia and panic disorder.

sexual dysfunctions phobic disorders panic disorder anxiety disorders 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

REFERENCES

  1. American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders, American Psychiatric Association, Washington DC.Google Scholar
  2. Balon, R. (1996). Antidepressants in the treatment of premature ejaculation. J. Sex Marital Ther. 22: 85-96.Google Scholar
  3. Cooper, A. J. (1969). A clinical study of “coital anxiety” in male potency disorder. J. Psychosom. Res. 13: 143-147.Google Scholar
  4. First, M. B., Spitzer, R. L., Gibbon, M., and Williams, J. B. W. (1995). Structured Clinical Interview for DSM-IV Axis I Disorders-Patient Edition, New York State Psychiatric Institute, New York.Google Scholar
  5. Gorman, J. M., and Kent, J. M. (1999). SSRIs and SNRIs: Broad spectrum of efficacy beyond major depression. J. Clin. Psychiatry 60 (Suppl. 4): 33-38.Google Scholar
  6. Kaplan, H. S. (1987). Sexual Aversion, Sexual Phobias, and Panic Disorder, Brunner / Mazel, NewYork.Google Scholar
  7. Kaplan, H. S. (1988). Anxiety and sexual dysfunction. J. Clin. Psychiatry 49 (Suppl.): 21-25.Google Scholar
  8. Kaplan, H. S., Fyer, A. J., and Novick, A. (1982). The treatment of sexual phobias: The combined use of antipanic medication and sex therapy. J. Sex Marital Ther. 8: 3-28.Google Scholar
  9. Kindler, S., Dolberg, O. T., Cohen, H., Hirschmann, S., and Kotler, M. (1997). The treatment of comorbid premature ejaculation and panic disorder with fluoxetine. Clin. Neuropharmacol. 20: 466-471.Google Scholar
  10. Labbate, L. A., Grimes, J., Hines, A., Oleshansky, M. A., and Arana, G. W. (1998). Sexual dysfunction induced by serotonin reuptake antidepressants. J. Sex Marital Ther. 24: 3-12.Google Scholar
  11. Laumann, E. O., Paik, A., and Rosen, R. C. (1999). Sexual dysfunction in the United States: Prevalence and predictors. JAMA 281: 537-544.Google Scholar
  12. Leary, M. R., and Dobbins, S. E. (1983). Social anxiety, sexual behavior, and contraceptive use. J. Pers. Soc. Psychol. 45: 1347-1354.Google Scholar
  13. Liebowitz, M. R. (1999). Update on the diagnosis and treatment of social anxiety disorder. J. Clin. Psychiatry 60 (Suppl. 18): 22-26.Google Scholar
  14. Rachman, S. (1961). Sexual disorders and behavior therapy. Am. J. Psychiatry 118: 235.Google Scholar
  15. Read, S., King, M., and Watson, J. (1997). Sexual dysfunction in primary medical care: Prevalence, characteristics and detection by the general practitioner. J. Public Health Med. 4: 387-391.Google Scholar
  16. Redmond, D. E., Jr., Kosten, T. R., and Reiser, M. F. (1983). Spontaneous ejaculation associated with anxiety: Psychophysiological considerations. Am. J. Psychiatry 140: 1163-1166.Google Scholar
  17. Sbrocco, T., Weisberg, R. B., Barlow, D. H., and Carter, M. M. (1997). The conceptual relationship between panic disorder and male erectile dysfunction. J. Sex Marital Ther. 23: 212-220.Google Scholar
  18. Stekel, W. (1927). Impotence in the Male, Liveright, New York.Google Scholar
  19. Sterba, R. (1942). Introduction to the psychoanalytic theory of the libido. Nervous and Mental Disease Monograph Series 68: 56.Google Scholar
  20. Vroege, J. A., Gijs, L., and Hengeveld, M. W. (1998). Classification of sexual dysfunctions: Towards DSM-V and ICD-11. Compr. Psychiatry 39: 333-337.Google Scholar
  21. Waldinger, M. D., and Olivier, B. (1998). Selective serotonin reuptake inhibitor-induced sexual dysfunction: Clinical and research considerations. Int. Clin. Psychopharmacol 13 (Suppl. 6): S27-S33.Google Scholar
  22. Wolpe, J. (1958). Psychotherapy by Reciprocal Inhibition, Stanford University Press, Stanford.Google Scholar

Copyright information

© Plenum Publishing Corporation 2001

Authors and Affiliations

  • Ivan Figueira
    • 1
  • Elizabete Possidente
    • 1
  • Carla Marques
    • 1
  • Kelly Hayes
    • 2
  1. 1.Anxiety and Depression ProgramFederal University of Rio de JaneiroRio de Janeiro
  2. 2.History of Religions Program, Divinity School, University of ChicagoUniversity of ChicagoChicago

Personalised recommendations