Erectile Dysfunction and Depression: Category or Dimension?

Authors: Strand, Julia1; Wise, Thomas N.2; Fagan, Peter J.2; Schmidt, Chester W.3

Source: Journal of Sex & Marital Therapy, Volume 28, Number 2, 1 March 2002 , pp. 175-181(7)

Publisher: Routledge, part of the Taylor & Francis Group

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Abstract:

Depression, as a risk factor for erectile dysfunction (ED), has received minimal systematic attention. One-hundred twenty men with ED evaluated in a sexual behaviors clinic were studied. The categorical Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; American Psychiatric Association, 1994) diagnosis of a depressive disorder was found in only 14 subjects (14.7%). Dimensional quantification of depression was measured with the Brief Symptom Inventory (BSI). The BSI data revealed clinically significant elevations of depression and other dysphoric affects. The presence of a comorbid medical diagnosis did not affect the rates of categorical diagnosis of depression or the dimensional levels. The five factors of personality in the NEO-PI were within normal range. The data demonstrates that men with ED are affectively distressed but infrequently meet criteria for categorical DSM-IV depression.

Document Type: Research article

DOI: http://dx.doi.org/10.1080/00926230252851906

Affiliations: 1: Sexual Behaviors Consultation Unit, Johns Hopkins Hospital and the Department of Psychiatry and Behavior Science, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA 2: Sexual Behaviors Consultation Unit, Johns Hopkins Hospital and the Department of Psychiatry and Behavior Science, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA 3: Sexual Behaviors Consultation Unit, Johns Hopkins Hospital and the Department of Psychiatry and Behavior Science, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

Publication date: 2002-03-01

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