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Sexual dysfunction and its determinants in Moroccan women with rheumatoid arthritis

INTRODUCTION: To assess the prevalence of sexual dysfunction in married women with rheumatoid arthritis (RA) and compare it with a control group and to determine its association with clinical and disease activity factors. METHODS: We conducted a cross-sectional study including sixty married women wi...

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Autores principales: Khnaba, Dina, Rostom, Samira, Lahlou, Racha, Bahiri, Rachid, Abouqal, Redouane, Hajjaj-Hassouni, Najia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4992373/
https://www.ncbi.nlm.nih.gov/pubmed/27583080
http://dx.doi.org/10.11604/pamj.2016.24.16.9081
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author Khnaba, Dina
Rostom, Samira
Lahlou, Racha
Bahiri, Rachid
Abouqal, Redouane
Hajjaj-Hassouni, Najia
author_facet Khnaba, Dina
Rostom, Samira
Lahlou, Racha
Bahiri, Rachid
Abouqal, Redouane
Hajjaj-Hassouni, Najia
author_sort Khnaba, Dina
collection PubMed
description INTRODUCTION: To assess the prevalence of sexual dysfunction in married women with rheumatoid arthritis (RA) and compare it with a control group and to determine its association with clinical and disease activity factors. METHODS: We conducted a cross-sectional study including sixty married women with a confirmed diagnosis of Rheumatoid Arthritis according to the American College of Rheumatology (ACR)/ European League against Rheumatism (EULAR) 2010 Criteria, aged 18 or over and having sexual activity. Our controls were healthy volunteers women matched for age. Clinical and sociodemographic characteristics were collected. Sexual function was assessed by a self-reported questionnaire the index of female sexual function (FSFI). Sociodemographic and disease activity profiles were compared between those who had and did not have sexual dysfunction. RESULTS: The prevalence of female sexual dysfunction in women with rheumatoid arthritis attending El Ayachi hospital was 71.9%, it was 54% in controls. There was a significant difference in the total FSFI score between patients 18.29±9.09 and controls 23.05±7.91 (p=0.016). We found a statistically significant difference between the two groups in almost all dimensions of sexual function (desire, arousal, orgasm, satisfaction), except for pain and lubrication. In multivariate analysis, pain assessed by visual analogue scale (VAS) and depression assessed by hospital anxiety and depression score (HAD) were the independent determinants of sexual dysfunction. CONCLUSION: Our study suggests that sexual dysfunction is more common among patients with RA compared to controls. These dysfunctions were related to desire, arousal, orgasm and satisfaction. Pain and depression appear to be the most important predictors of sexual dysfunction.
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spelling pubmed-49923732016-08-31 Sexual dysfunction and its determinants in Moroccan women with rheumatoid arthritis Khnaba, Dina Rostom, Samira Lahlou, Racha Bahiri, Rachid Abouqal, Redouane Hajjaj-Hassouni, Najia Pan Afr Med J Research INTRODUCTION: To assess the prevalence of sexual dysfunction in married women with rheumatoid arthritis (RA) and compare it with a control group and to determine its association with clinical and disease activity factors. METHODS: We conducted a cross-sectional study including sixty married women with a confirmed diagnosis of Rheumatoid Arthritis according to the American College of Rheumatology (ACR)/ European League against Rheumatism (EULAR) 2010 Criteria, aged 18 or over and having sexual activity. Our controls were healthy volunteers women matched for age. Clinical and sociodemographic characteristics were collected. Sexual function was assessed by a self-reported questionnaire the index of female sexual function (FSFI). Sociodemographic and disease activity profiles were compared between those who had and did not have sexual dysfunction. RESULTS: The prevalence of female sexual dysfunction in women with rheumatoid arthritis attending El Ayachi hospital was 71.9%, it was 54% in controls. There was a significant difference in the total FSFI score between patients 18.29±9.09 and controls 23.05±7.91 (p=0.016). We found a statistically significant difference between the two groups in almost all dimensions of sexual function (desire, arousal, orgasm, satisfaction), except for pain and lubrication. In multivariate analysis, pain assessed by visual analogue scale (VAS) and depression assessed by hospital anxiety and depression score (HAD) were the independent determinants of sexual dysfunction. CONCLUSION: Our study suggests that sexual dysfunction is more common among patients with RA compared to controls. These dysfunctions were related to desire, arousal, orgasm and satisfaction. Pain and depression appear to be the most important predictors of sexual dysfunction. The African Field Epidemiology Network 2016-05-06 /pmc/articles/PMC4992373/ /pubmed/27583080 http://dx.doi.org/10.11604/pamj.2016.24.16.9081 Text en © Dina Khnaba et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Khnaba, Dina
Rostom, Samira
Lahlou, Racha
Bahiri, Rachid
Abouqal, Redouane
Hajjaj-Hassouni, Najia
Sexual dysfunction and its determinants in Moroccan women with rheumatoid arthritis
title Sexual dysfunction and its determinants in Moroccan women with rheumatoid arthritis
title_full Sexual dysfunction and its determinants in Moroccan women with rheumatoid arthritis
title_fullStr Sexual dysfunction and its determinants in Moroccan women with rheumatoid arthritis
title_full_unstemmed Sexual dysfunction and its determinants in Moroccan women with rheumatoid arthritis
title_short Sexual dysfunction and its determinants in Moroccan women with rheumatoid arthritis
title_sort sexual dysfunction and its determinants in moroccan women with rheumatoid arthritis
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4992373/
https://www.ncbi.nlm.nih.gov/pubmed/27583080
http://dx.doi.org/10.11604/pamj.2016.24.16.9081
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