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https://hdl.handle.net/123456789/1661| Τύπος: | Άρθρο σε επιστημονικό περιοδικό |
| Τίτλος: | Climacteric symptoms, age, and sense of coherence are associated with sexual function scores in women after menopause |
| Συγγραφέας: | [EL] Αρμένη, Αναστασία[EN] Armeni, Anastasia [EL] Αρμένη, Ελένη[EN] Armeni, Eleni [EL] Αυγουλέα, Αρετή[EN] Augulea, Areti [EL] Στεργιώτης, Στέφανος[EN] Stergiotis, Stefanos [EL] Καππάρος, Γεώργιος[EN] Kaparos, Georgios [EL] Αλεξάνδρου, Ανδρέας[EN] Alexandrou, Andreas [EL] Ελευθεριάδης, Μακάριος[EN] Eleftheriades, Makarios [EL] Γεωργόπουλος, Νεοκλής[EN] Georgopoulos, Neoklis [EL] Βλάχος, Νικόλαος[EN] Vlahos, Nicolaos [EL] Λαμπρινουδάκη, Ειρήνη[EN] Lambrinoudaki, Irene |
| Ημερομηνία: | 19/01/2023 |
| Περίληψη: | Background: Postmenopausal sexual function presupposes the integration of hormonal, neural, and vascular interactions and is subject to optimal crosstalk among psychological, interpersonal, cultural, and environmental factors. Sense of coherence (SOC) reflects a person’s ability to cope with stressors and may influence the occurrence of menopausal symptoms and sexual dysfunction. Aim: To investigate the association of severity of climacteric symptoms, cardiometabolic risk factors, and SOC with sexual function in postmenopausal women. Methods: Overall 281 sexually active postmenopausal women without significant psychopathology or cardiovascular disease attending the Menopause Unit of Aretaieion Hospital were evaluated by the Female Sexual Function Index (FSFI), Greene Climacteric Scale, Beck Depression Scale, and Sense of Coherence Scale. Hormonal and biochemical parameters and cardiometabolic risk factors were evaluated. FSFI scores<26.5 were considered pathologic. Outcomes: Total and subdomain scores of sexual response were determined. Results: Pathologic FSFI scores were found in 79.7% of the sample. Linear models of multivariable regression analysis showed that FSFI scores were associated with (1)Beck scores (b=−0.200;95%CI,−0.472to−0.073,P=.001), vasomotor symptom severity (b=−0.324;95%CI,−0.985to0.051;P<.001),and age and (2)SOC (b=0.150,95%CI,0.036-0.331;P=.008), vasomotor symptom severity(b=−0.361;95%CI,−0.743to0.245;P<.001),and age. Both models were adjusted for menopausal age, diabetes mellitus, hypertension, type of menopause, and menopausal hormone therapy intake. SOC was associated with Beck depression scores (β=−0.487,P<.001;GreeneClimactericScaletotalscores,β=−0.199,P<.001). FSFI score<26.5vs>26.5 was associated with SOC (oddsratio,0.982;95%CI,0.563to1.947;P=.006) and moderate to severe vasomotor symptom severity (odds ratio,2.476;95%CI,1.478to3.120;P=.009) independent of age, diabetes mellitus, hypertension, menopausal hormone therapy intake, type of menopause, or Beck depression classification. Clinical Implications: The results indicate the importance of psychometric assessment of postmenopausal women when presenting with scores of low sexual function. The severity of vasomotor symptoms should also be addressed in any case. Strengths and Limitations: This is the first study investigating the relationship between SOC and sexuality in menopause in a carefully selected homogenous population. Limitations included the cross-sectional design and the fact that sexual distress was not assessed. Conclusions: Pathologic FSFI scores were highly prevalent in this sample of postmenopausal women. FSFI is associated positively with age and severity of vasomotor symptoms and negatively with SOC. |
| Γλώσσα: | Αγγλικά |
| Σελίδες: | 11 |
| DOI: | 10.1093/jsxmed/qdac031 |
| EISSN: | 1743-6109 |
| Θεματική κατηγορία: | [EL] Ενδοκρινολογία, Διαβήτης και Μεταβολισμός[EN] Endocrinology, Diabetes and Metabolism |
| Λέξεις-κλειδιά: | sexuality; menopause; sense of coherence; climacteric symptoms |
| Κάτοχος πνευματικών δικαιωμάτων: | © The Author(s) 2023. Published by Oxford University Press on behalf of The International Society of Sexual Medicine. All rights reserved |
| Όροι και προϋποθέσεις δικαιωμάτων: | All rights reserved. For permissions, please e-mail: journals.permissions@oup.com |
| Ηλεκτρονική διεύθυνση του τεκμηρίου στον εκδότη: | https://academic.oup.com/jsm/article/20/3/313/6991245 |
| Ηλεκτρονική διεύθυνση περιοδικού: | https://academic.oup.com/jsm |
| Τίτλος πηγής δημοσίευσης: | Journal of Sexual Medicine |
| Τεύχος: | 3 |
| Τόμος: | 20 |
| Σελίδες τεκμηρίου (στην πηγή): | 313-323 |
| Σημειώσεις: | This research is cofinanced by Greece and the European Union (European Social Fund) through the operational program Human Resources Development, Education and Lifelong Learning in the context of the project Reinforcement of Postdoctoral Researchers–Second Cycle (MIS-5033021), implemented by the State Scholarships Foundation. |
| Εμφανίζεται στις συλλογές: | Μεταδιδακτορικοί ερευνητές |
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