engleski

Depression , lower urinary tract symptoms and sexual dysfunction in Croatian obese patients

Introduction/Objectives: Depression is highly prevalent among individuals suffering from obesity, and so are various other somatic complaints and disorders. The aim of this research is to assess the association between symptoms of depression, lower urinary tract symptoms (LUTS) and sexual dysfunction in Croatian obese patients. Participants, Materials/Methods: This cross- sectional study was carried out in a tertiary healthcare centre in an outpatient clinic for treatment of obesity. Overall, 111 participants (73% women), mean age 49.03 ± 12.21 years, BMI>30, were included. ICIQ-OABqol questionnaire was used to assess the quality of life in patients with LUTS. Sexual dysfunction was evaluated through Arizona Sexual Experience Scale (ASEX). Depression was documented with the general information questionnaire where patients marked all the illnesses they were being treated for. Statistical analysis included bivariate Pearson’s correlations. Results: Significant correlation was found between the presence of depression and the impact of urinary symptoms (r=0.21, p=0.03). Furthermore, significant correlations were observed between the impact of urinary symptoms and following complaints: pain/uneasiness (r=0.29, p=0.001), anxiety/melancholy (r=0.3, p=0.001) and sleep disorders (r=0.25, p=0.01). According to our study, sexual dysfunction was (significantly related to depression (r=0.22, p=0.03). Moreover, sexual dysfunction also significantly correlates with pain/uneasiness (r=0.22, p=0.03) and anxiety/melancholy (r=0.2, p=0.04). In addition, a significant association was observed between obtaining an overall score above 3.8 (standard cut-off score) on the sexual dysfunction questionnaire (ASEX) and the presence of depression (r=0.27, p=0.01). Finally, an overall score above 3.8 on ASEX was significantly associated with pain/uneasiness (r=0.23, p=0.02) and anxiety/melancholy (r=0.21, p=0.04). Conclusion: While the presence of depression was associated with sexual dysfunction and the impact of urinary symptoms in obese individuals, cross- sectional data precludes causality assessment. It remains to be determined whether treating symptoms of depression might alleviate those somatic difficulties.

depression ; LUTS ; ASEX

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