OBEZ VE OBEZ OLMAYAN KADINLARDA CİNSEL İŞLEV BOZUKLUĞU SIKLIĞININ KARŞILAŞTIRILMASI

Amaç: Polikliniğimize başvuran obez kadınlarda cinsel işlev bozukluğu, depresyon ve anksiyete düzeylerini belirlemek ve beden kitle indeksleriyle ilişkisini araştırmak amaçlanmıştır. Yöntem: Çalışmamızda, organik ve/veya psikiyatrik hastalığı olmayan cinsel aktif obez kadınlar vaka grubunu ve obez olmayan cinsel aktif, herhangi bir psikiyatrik hastalık tanısı olmayan ve/veya tedavisi görmeyen kadın bireyler kontrol grubunu oluşturdu. Tüm katılımcılara; sosyodemografik veri toplama formu, Arizona Cinsel Yaşantılar Ölçeği Kadın Formu (ACYÖ-K), Beck Anksiyete Ölçeği (BAÖ), Beck Depresyon Ölçeği (BDÖ), Kadın Cinsel İşlev Ölçeği (FSFI) uygulanarak her iki gruptaki cinsel işlev bozukluk sıklığı karşılaştırıldı. Bulgular: Araştırmaya katılan kadınların (n=102) yaşları 29 ile 57 yaş aralığında olup, ortalaması 43,60±6,44 yıldır. Çalışmaya katılan obez kadınlar (vaka) ve obez olmayan (kontrol) arasında yaş ortalaması açısından anlamlı bir fark bulunmamıştır (p>0,05). Obezite varlığına göre Arizona Cinsel Yaşantılar Ölçeği, Beck Depresyon ve Anksiyete Ölçeği, toplam FSFI ve ağrı hariç diğer FSFI alt grup puanları arasında istatistiksel olarak anlamlı farklılık saptanmış olup; obez olan grubun cinsel disfonksiyon sıklığı, anksiyete ve depresyon düzeyi, obez olmayan gruptan yüksek bulunmuştur (p

Anahtar Kelimeler:

Obezite, Cinsel fonksiyon bozukluğu, Depresyon, Anksiyete

THE COMPARISON OF SEXUAL DYSFUNCTION RATES AMONG OBESE AND NON-OBESE PEOPLE

Aim: To determine the levels of depression, anxiety and sexual dysfunction in obese female patients and to investigate their relationship to body-mass index. Method: The study group was selected among obese sexually active female patients who presented to the obesity clinic without organic and/or psychiatric disorders that could possibly effect sexual functions while the control group was selected among non-obese sexually active female patients without pyschiatric diagnoses or who do not undergo treatment for such disorders. All patients completed sociodemographic data questionnaire, Arizona Sexual Experience Scale – Female questionnaire, Beck Anxiety Scale, Beck Depression Scale, Female Sexual Function Index (FSFI) and two groups were compared to each other. Results: The age range for the women in the study (n=102) was between 29 and 57 with a mean of 43,60±6,44 years. The was no statistically signicant difference between mean ages of the obese and non-obese groups in the study (p>0.05). In the presence of obesity, statistically significant difference between the groups were found in the scores of Arizona Sexual Experiences Scale, Beck Depression and Anxiety Scales, total FSFI and subgroups of FSFI except for pain, with the obese group demonstrating a higher frequency of sexual dysfunction, anxiety and depression compared to the non-obese group (p

Keywords:

Obesity, Sexual dysfunction, Depression, Anxiety,

PDF

___

1. Bilgic D, Gokyildiz S, Kizilkaya Beji N, Yalcin O, Gungor Ugurlucan F. Quality of life and sexual functıon in obese women with pelvic floor dysfunction. Women Health. 2019;59(1):101–13.
2. Wingfield LR, Kulendran M, Laws G, Chahal H, Scholtz S, Purkayastha S. Change in
3. World Health Organization. Defining Sexual Health. [Internet]. Availablefrom: https://doi.org/10.1016/j.appet.2017.08.019https://www.who.int/reproductivehealth/topics/sexual_health/sh_definitions/en/2020.10.31
4. Kadioglu P, Yetkin DO, Sanli O, Yalin AS, Onem K, Kadioglu A. Obesity might not be a risk factor for female sexual dysfunction. BJU Int. 2010;106(9):1357–61.
5. Türkseven A, Söylemez İ, Dursun P. CİNSEL İŞLEV BOZUKLUKLARI İLE EVLİLİK UYUMU ARASINDAKİ İLİŞKİ. Kriz Derg. 28(1):9–20.
6. Pantasri T, Norman RJ. The effects of being overweight and obese on female reproduction: a review. Gynecol Endocrinol. 2014;30(2):90–4.
7. Cabler S, Agarwal A, Flint M, Du Plessis SS. Obesity: modern man’s fertility nemesis.
8. Sánchez-Zarza SC, Mezones-Holguín E, López-Baena MT, Soto-Becerra P, Pérez-López FR, Gavilanes AWD, et al. Association between depressed mood and sexual function among mid-aged Paraguayan women. Climacteric. 2020;1–8.
9. A. McGahuey Cindi A. Laukes, Francisco A. Moreno, Pedro L. Delgado, Kathy M. McKnight, Rachel Manber, Cynthia AJG. The Arizona sexual experience scale (ASEX): reliability and validity. J Sex &Marital Ther. 2000;26(1):25–40.
10. Soykan A. The reliability and validity of Arizona sexual experiences scale in Turkish ESRD patients undergoing hemodialysis. Int J Impot Res. 2004;16(6):531–4.
11. Wiegel M, Meston C, Rosen R. The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther. 2005;31(1):1–20.
12. AYGİN D, ASLAN FETİ. Kadın Cinsel İşlev Ölçeği’nin Türkçeye Uyarlaması. Turkiye Klin J Med Sci. 2005;25(3):393–9.
13. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An Inventory for Measuring Depression. Arch Gen Psychiatry. 1961;4(6):561–71.
14. Tegin B. Depresyonda bilişsel süreçler: Beck modeline göre bir inceleme. Psikol Derg. 1987;6(21):116–23.
15. Beck AT, Epstein N, Brown G, Steer RA. An Inventory for Measuring Clinical Anxiety: Psychometric Properties. J Consult Clin Psychol. 1988;56(6):893–7.
16. Ulusoy M, Sahin NH, Erkmen H. The Beck anxiety inventory: psychometric properties. J Cogn Psychother. 1998;12(2):163–72.
17. Esposito K, Giugliano D. Obesity, the metabolic syndrome, and sexual dysfunction. Int J Impot Res. 2005;17(5):391–8.
18. Yaylali GF, Tekekoglu S, Akin F. Sexual dysfunction in obese and overweight women. Int J Impot Res. 2010;22(4):220–6.
19. Erenel AŞ, Kılınc FN. Does obesity increase sexual dysfunction in women? Sex Disabil. 2013;31(1):53–62.
20. Bajos N, Wellings K, Laborde C, Moreau C. Sexuality and obesity, a gender perspective: results from French national random probability survey of sexual behaviours. Bmj. 2010;340.
21. Rae G. A note on using stratified alpha to estimate the composite reliability of a test composed of interrelated nonhomogeneous items. Psychol Methods. 2007;12(2):177.
22. Faubion SS, Fairbanks F, Kuhle CL, Sood R, Kling JM, Vencill JA, et al. Association Between Body Mass Index and Female Sexual Dysfunction: A Cross-sectional Study from the Data Registry on Experiences of Aging, Menopause, and Sexuality. J Sex Med. 2020 Oct;17(10):1971–80.
23. Gonenir-Erbay L, Ozlu M, Sahin I, Evren B, Kayaalp C, Karlidag R. The effect of body mass index on the sexual functions of morbidly obese female patients. Dusunen Adam The Journal of Psychiatry and Neurological Sciences 2017; 30: 338-343.
24. Rabiepoor, H R Khalkhali, E Sadeghi What kind of sexual dysfunction is most common among overweight and obese women in reproductive age? International Journal of Impotance Research volüme 29, 61-64 (2017).
25. Sônia Maria Rolim Rosa Lima , Benedito Fabiano dos Reis,Carolina Furtado Macruz , Sóstenes Postigo Evaluation of Obesity Influence in the Sexual Function of Postmenopausal Women: A Cross- Sectional Study Rev. Bras. Ginecol. Obstet. vol.41 no.11 Rio de Janeiro Nov. 2019 Epub Dec 20, 201