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首页> 外文期刊>The journal of sexual medicine >Sexual Functioning and Distress among Premenopausal Women with Uncomplicated Type 1 Diabetes
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Sexual Functioning and Distress among Premenopausal Women with Uncomplicated Type 1 Diabetes

机译：单纯性1型糖尿病绝经前妇女的性功能和困扰

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Introduction. Current studies indicate that women with type 1 diabetes (T1DM) have a high prevalence of sexual disorders although data on the prevalence of sexual dysfunction are limited when sexual distress is included. Aim. The frequency and the possible correlates of distressful sexual disorders in a highly selected group of type 1 diabetic women. Methods. The sexual function, sexual distress, and general health status were assessed in 44 premenopausal women with uncomplicated T1DM and 47 healthy controls, using the Female Sexual Function Index (FSFI), the Female Sexual Distress Scale (FSDS), and the General Health Questionnaire-28 (GHQ-28). Main Outcome Measures. The impact of sexual distress on the frequency of female sexual dysfunction (FSD). Results. The frequency of sexual disorders according to the FSFI was significantly higher in diabetic compared to control women (25% vs. 8.5%, respectively, P<0.05). Diabetic women had significantly lower median (first to third quartile) total FSFI score compared to control group (30.55 [26.08-33.08] vs. 33.50 [30.70-34.30], P=0.001). Desire, arousal, and satisfaction were the sexual domains significantly affected in the diabetic group. Diabetic women had significantly higher median (first to third quartile) FSDS score compared to control group (6.5 [2.3-15.8] vs. 4.0 [1.0-10.5]P=0.043). FSD (combined pathological FSFI and FSDS scores) was present in higher proportion of diabetic women (15.9%) compared to controls (2.1%) (P=0.020). GHQ-28 score was comparable between the groups. However, in the diabetic group, FSD was related with anxiety, depression, and low educational level. Diabetes-related factors were not associated with FSD. Conclusions. Pre-menopausal women with uncomplicated T1DM have significantly higher frequency of FSD compared to healthy controls, when the criterion of sexual distress is included. Psychosomatic and contextual factors implicated in sexual distress are correlates of FSD.
机译：介绍。当前的研究表明，尽管包括性困扰在内的性功能障碍患病率数据有限，但1型糖尿病（T1DM）妇女的性疾患患病率较高。目标。高度选择的1型糖尿病女性群体中困扰性疾病的发生频率及其可能的相关性。方法。使用女性性功能指数（FSFI），女性性窘迫量表（FSDS）和《一般健康状况调查表》对44例T1DM并发的绝经前女性和47名健康对照者的性功能，性困扰和总体健康状况进行了评估。 28（GHQ-28）。主要观察指标。性困扰对女性性功能障碍（FSD）频率的影响。结果。与对照组相比，糖尿病患者根据FSFI进行性疾病的频率明显更高（分别为25％和8.5％，P <0.05）。与对照组相比，糖尿病女性的FSFI总中位数（第一至第三四分位数）显着降低（30.55 [26.08-33.08]与33.50 [30.70-34.30]，P = 0.001）。欲望，唤醒和满足是糖尿病组中显着影响的性领域。与对照组相比，糖尿病女性的FSDS中位数（第一至第三四分位数）明显更高（6.5 [2.3-15.8] vs. 4.0 [1.0-10.5] P = 0.043）。与对照组（2.1％）相比，糖尿病女性（15.9％）的比例更高（FSD和FSDS病理综合评分）（P = 0.020）。两组之间的GHQ-28得分相当。但是，在糖尿病组中，FSD与焦虑症，抑郁症和低文化程度有关。糖尿病相关因素与FSD无关。结论。当纳入性困扰标准时，与健康对照组相比，患有单纯性T1DM的绝经前妇女的FSD发生率明显更高。性困扰中涉及的心身和情境因素是FSD的相关因素。

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