Assosiation between Sexual Function and Anxiety in Post Acute Myocardial Infarction Patient
Background: Sexual dysfunction and anxiety frequently happens on patients after acute myocardial infarction (AMI) and can affect patients’ quality of life. The purpose of this study was to examine the assosiation of sexual function post-AMI patients with anxiety.
Methods: It was a cross-sectional study. Respondents are patients in Integrated Cardiac Clinic of Cipto Mangunkusumo Hospital that meet inclusion and exclusion criteria. They signed informed consent. Sexual function was assessed using International Index of Erectyle Function (IIEF) and anxiety was assessed using Hamilton Anxiety Rating Scale (HAM-A).
Results: Post-AMI patients had erectile dysfunction (82.5%), orgasm dysfunction (72.5%) and libido dysfunction (93.8%). Respondents expressed sexual intercourse dissatisfaction (97.5%) and overall dissatisfaction (90%). The proportion of post-AMI anxiety was 52.5%. There was no assosiation between sexual function post-AMI with anxiety.
Conclusion: Anxiety and sexual dysfunction post-AMI is a considerable problem. Factors that affect anxiety and sexual dysfunction post-AMI needs to be explored further so that an integrated management guidelines could be proposed.
2. Scott KM, Fitzgerald CM. Sexual Dysfunction and disability. In: Braddom RL, ed. Physical medicine and rehabilitation. 4th ed. Philadelphia: Elsevier Saunders. 2011;661-682.
3. Hanssen TA, Nordrehaug JE, Eide GE, Bjelland I, Rokne B. Anxiety and depression after acute myocardial infarction: an 18-month follow-up study with repeated measures and comparison with a reference population. Eur J Cardiovasc Prev Rehabil. Dec 2009;16(6):651-659.
4. Kriston L, Gunzler C, Agyemang A, Bengel J, Berner MM. Effect of sexual function on health-related quality of life mediated by depressive symptoms in cardiac rehabilitation. findings of the SPARK project in 493 patients. J Sex Med. Jun 2010;7(6):2044-2055.
5. Schumann J, Zellweger MJ, Valentino MD, Simone Piazzalonga, Hoffmann A. Sexual dysfunction before and after cardiac rehabilitation. Rehabilitation Research and Practice. 2010;2010:1-8.
6. Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J,Mishra A. The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology. Jun 1997;49(6):822-830.
7. Rosen R, Cappelleri J, Gendrano N. The International Index of Erectile Function (IIEF): a state-of-the-science review. International Journal of Impotence Research. 2002;14:226-244.
8. Hocaoglu C, H.Yeloglu C, Polat S. Cardiac diseases and anxiety disorders. In: Szirmai Ã, ed. Anxiety and related disorders: InTech. 2011;139-150.
9. Ruzic A, Persic V, Miletic B, et al. Erectile dysfunction after myocardial infarction– Myth or a real problem? Coll. Antropol. 2007;31(1):185-188.
10. Harini M, Widjajalaksmi. Effect of stroke on male sexual function: A pilot study of assosiated morbidity. Indonesian Journal of Physical Medicine & Rehabilitation. 2014;3.
11. Puchalski B, Szymañski FM, Kowalik R, Filipiak KJ, Opolski G. The prevalence of sexual dysfunction before myocardial infarction in population of Polish men: a retrospective pilot study. Kardiologia Polska. 2013;71(11):1168-1173.
12. Puchalski B, Szymañski F, Kowalik R, Filipiak KJ. Sexual dysfunctions in men in the first 9 months after myocardial infarction. Psychiatr. Pol. 2013;47(5):811-826.
13. Gustad LT, Laugsand LE, Janszky I, Dalen1 H, Bjerkeset O. Symptoms of anxiety and depression and risk of acute myocardial infarction: the HUNT 2 study. European Heart Journal 7. 2014;35:1394-1403.
14. Steinke EE, Wright DW. The role of sexual satisfaction, age, and cardiac risk factors in the reduction of post-MI anxiety. Eur J Cardiovasc Nurs. Sep 2006;5(3):190-196.
15. Akhtar MS, Malik SB, Khan MA. Psychosocial factors associated with symptoms of depression and anxiety following acute myocardial infarction. Pak J Med Sci. April 2008;24(2):192-197.
16. Sand MS, Fisher W, Rosen R, Heiman J, Eardley I. Erectile dysfunction and constructs of masculinity and quality of life in the multinational men’s attitudes to life events and sexuality (MALES) Study. J Sex Med. 2008;5:583-594.
17. Vacanti LJ, Caramelli B. Age and psychologic disorders. Variables associated to post-infarction sexual dysfunction. Arq Bras Cardiol. Aug 2005;85(2):110-114.
18. Vacanti L, Caramelli B. Distress: Associated variables of erectile dysfunction post-acute myocardial infarction. A pilot study. Int J Impot Res. Mar-Apr 2005;17(2):204-206.
19. Abdo CHN, Júnior WMdO, Júnior EM, Abdo JA, Fittipaldi JAS. The impact of psychosocial factors on the risk of erectile dysfunction and inhibition of sexual desire in a sample of the Brazilian population. Sao Paulo Med J. 2005;123(1):11-14.
20. Nicolosi A, Moreira ED, Jr., Shirai M, Bin Mohd Tambi MI, Glasser DB. Epidemiology of erectile dysfunction in four countries: cross-national study of the prevalence and correlates of erectile dysfunction. Urology. Jan 2003;61(1):201-206.
21. Ka?ka D, Domaga?a Z, Dworak J, et al. Association between physical exercise and quality of erection in men with ischaemic heart disease and erectile dysfunction subjected to physical training. Kardiologia Polska 2013. 2013;71(6):573-580.
22. Djurovic A, Maric D, Brdareski Z, et al. Sexual rehabilitation after myocardial infarction and coronary bypass surgery: Why do we not perform our job? Vojnosanitetski Pregled. 2010;67(7).
23. WHO. International classification of functioning, disability and health: ICF: World Health Organization. 2001.
24. Harris J. Sexual functioning assessment. In: Mpofu E, Oakland T, eds. Rehabilitation and health assessment: Applying ICF guidelines. New York: Springer. 2010.
25. Kostis JB, Jackson G, Rosen R, et al. Sexual dysfunction and cardiac risk (the Second Princeton Consensus Conference). Am J Cardiol. Dec 26 2005;96(12B):85M-93M.
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