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首页> 外文期刊>The journal of sexual medicine >Erectile dysfunction is the main determinant of psychological distress in men with spinal cord injury
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Erectile dysfunction is the main determinant of psychological distress in men with spinal cord injury

机译：勃起功能障碍是脊髓损伤男性心理困扰的主要决定因素

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Introduction. The weight of erectile dysfunction (ED) among the various determinants of psychological distress in men with spinal cord injury (SCI) remains to be clarified. Aim. The aim of this article was to evaluate psychological distress features in SCI men with or without ED. Methods. Forty consecutive patients with neurologically stable SCI were included in the study. Functional independence (FI) was assessed by Barthel Index (BI), which was divided into global score (questions 1-10) and bowel/bladder subscore (questions 5 and 6). Erectile function was evaluated with Sexual Health Inventory for Men (SHIM). Main Outcome Measures. Psychological distress was assessed with the Symptom Checklist-90-revised (SCL-90-R), scoring nine primary dimensions and their combination as Global Severity Index, a global index of psychological distress. Results. All SCL-90-R scores and the percentage of patients with scores >75th percentile of the entire study population were significantly higher in the group with ED (N=21) than without ED (N=19). Most of SCL-90-R subscales were inversely correlated with SHIM score. ED was exhibited by a high proportion (84%) of men with thoracolumbar lesions but by no patients with cervical lesions. Men with cervical lesions exhibited significantly lower SCL-90-R scores than those with thoracolumbar lesions, in spite of lower FI. However, the thoracolumbar group also reported a more severe bowel/bladder dysfunction. At multivariate logistic regression analysis, ED score significantly explained the variance of most of SCL-90-R dimension scores, whereas no association was revealed between global BI and any score of SCL-90-R dimensions. Bowel/bladder BI explained only to a very low extent the variance of depressive symptoms. Conclusions. Healthcare providers should be aware of the importance of managing ED in spinal cord-injured men, as it represents a major determinant of their psychological distress, independently of the degree of FI impairment.
机译：介绍。在患有脊髓损伤（SCI）的男性的各种心理困扰决定因素中，勃起功能障碍（ED）的权重仍有待阐明。目标。本文的目的是评估有或没有ED的SCI男性的心理困扰特征。方法。该研究包括连续40例神经学稳定的SCI患者。功能独立性（FI）由Barthel Index（BI）进行评估，分为整体评分（问题1-10）和肠/膀胱评分（问题5和6）。男性勃起功能通过《男性性健康清单》（SHIM）进行评估。主要观察指标。用修订的症状清单90（SCL-90-R）对心理困扰进行评估，对9个主要方面及其综合得分进行评分，作为全球严重程度指数（心理疾病的全球指数）。结果。 ED组（N = 21）的所有SCL-90-R得分和得分> 75％的患者百分比显着高于没有ED的组（N = 19）。大多数SCL-90-R量表与SHIM得分呈负相关。患有胸腰部病变的男性中高比例（84％）表现为ED，但是没有宫颈病变的患者。尽管FI较低，但宫颈病变男性的SCL-90-R评分仍显着低于胸腰椎病变男性。然而，胸腰椎组也报告了更严重的肠/膀胱功能障碍。在多因素logistic回归分析中，ED评分显着解释了大多数SCL-90-R维度评分的差异，而总体BI与任何SCL-90-R维度得分之间均未发现关联。肠/膀胱BI仅在很小程度上解释了抑郁症状的变化。结论。医疗保健提供者应该意识到在脊髓损伤的男性中管理ED的重要性，因为它是他们心理困扰的主要决定因素，而与FI损伤的程度无关。

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