The relationship of sexual dysfunction and quality of life in patients with type 2 diabetes

Year 2024, , 12 - 22, 29.01.2024

Gülden Anataca , Selda Çelik

https://doi.org/10.46310/tjim.1258050

Abstract

Objective: Diabetes, along with being able to play a role in the formation of many health problems such as psychological, psychosocial, and sexual dysfunction, also indirectly affects the duration and quality of life. This research was conducted as a descriptive, cross-sectional research model to determine the relationship between sexual dysfunction and the quality of life of patients diagnosed with type 2 diabetes.
Methods: The research sample consisted of 485 individuals diagnosed with type 2 diabetes. The data were collected through the General Information Form, the Female Sexual Function Index, the Erection Function International Assessment Form, and the Quality of Life Scale (SF-36).
Results: It was found that 91% of women have sexual dysfunction and are experiencing sexual desire (92.2%), orgasmic function, arousal (92.9%), and pain, satisfaction, and lubrication (92.5%), respectively. This rate was found to be 91.3% in men, and the degree of erectile dysfunction was found to be moderate (55%), mild (21.6%) and severe (14.7%), respectively. It was found that the problems experienced in the areas of sexual dysfunction were in the sub-dimensions of general satisfaction 20.6%, orgasmic function 49.5%, and sexual desire 50.9%. And relationship satisfaction is 72.5%. In the study, it was found that sexual dysfunction affects the quality of life in both sexes, and the scale sub-dimensions have a statistically significant difference (p < 0.05). It was found that the physical role difficulty, physical function, emotional role, mental health, and social function sub-dimension score had a statistically significant difference in men and women with sexual dysfunction, and the pain and vitality sub-dimension scores in men were significantly lower compared to those without sexual dysfunction (p < 0.05).
Conclusion: As a result, sexual dysfunction is common in men and women with Type 2 Diabetes Mellitus, and in parallel, the quality of life is low.

Keywords

Type 2 diabetes, sexual dysfunction, erectile dysfunction, sexuality, quality of life

References

• Al-Lawati JA. Diabetes mellitus: A local and global public health emergency! Oman Med J. 2017 May;32(3):177-179. doi: 10.5001/omj.2017.34.
• International Diabetes Federation. IDF Diabetes Atlas 2017. 8th ed. Available at: https:// diabetesatlas.org/upload/resources/previous/ files/8/IDF_DA_8e-EN-final.pdf. Accessed Sep 18, 2022.
• Güney E. Sexual dysfunction in men and women with diabetes. In: Imamoglu S, Satman I, Akalin S, Yilmaz C, Salman S, eds. Diabetes Mellitus from the Past to the Future. TEMD Diabetes Study and Education Group. Ankara: BAYT Scientific Research Press Publication and Promotion Ltd. Şti.; 2015:421-8.
• Williams G, Pickup JC. Sexual problems in diabetes. In: The Diabetes Handbook. 3rd ed. Translator Karşıdağ K. Massachusetts: Blackwell Publishing Ltd.; 2004:10-203.
• Eren İ, Erdi Ö, Çivi İ. The quality of life in the patients with type II diabetes mellitus and effects of complications on the quality of life. J Clin Psy. 2004;7(2):85-94 (in Turkish). Özdemir İ, Hocaoğlu Ç, Koçak M, Ersöz HÖ. Quality of life and psychiatric symptoms in the patients with type 2 diabetes mellitus. Düşünen Adam-The Journal of Psychiatry and Neurological Sciences. 2011;24(2):128-38. doi: 10.5350/ DAJPN2011240206.
• Uysal Y, Akpınar E. Illness perception and depression of type 2 diabetic patients. Cukurova Medical Journal. 2013;38(1);31-40 (in Turkish).
• 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. 1997 Jun;49(6):822-30. doi: 10.1016/ s0090-4295(97)00238-0.
• Salant P, Dillman DA. How to Conduct Your Own Survey. John Wiley & Sons, Inc: 1994.
• Rosen RC, Cappelleri JC, Gendrano N 3rd. The International Index of Erectile Function (IIEF): a state-of-the-science review. Int J Impot Res. 2002 Aug;14(4):226-44. doi: 10.1038/sj.ijir.3900857.
• Yildiz H, Pinar R. Sexual dysfunction in patients with myocardial infarction. Anadolu Kardiyol Derg. 2004 Dec;4(4):309-17 (in Turkish).
• Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, Ferguson D, D’Agostino R Jr. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000 Apr-Jun;26(2):191-208. doi: 10.1080/009262300278597.
• Aygin D, Eti Aslan F. The Turkish adaptation of the female sexual function index. Turkiye Klinikleri J Med Sci. 2005;25(3):393-9 (in Turkish).
• Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992 Jun;30(6):473-83.
• Pınar R. Sağlık araştırmalarında yeni bir kavram: yaşam kalitesi - bir yaşam kalitesi ölçeğinin kronik hastalarda geçerlik ve güvenirliğinin incelenmesi. Florence Nightingale Journal of Nursing. 1995;9(38):85-95 (in Turkish).
• Mutagaywa RK, Lutale J, Aboud M, Kamala BA. Prevalence of erectile dysfunction and associated factors among diabetic men attending diabetic clinic at Muhimbili National Hospital in Dar- es-Salaam, Tanzania. Pan Afr Med J. 2014 Mar 26;17:227. doi: 10.11604/pamj.2014.17.227.2695.
• Adebusoye LA, Olapade-Olaopa OE, Ladipo MM, Owoaje ET. Prevalence and correlates of erectile dysfunction among primary care clinic attendees in Nigeria. Glob J Health Sci. 2012 Jun 8;4(4):107-17. doi: 10.5539/gjhs.v4n4p107.
• Doruk H, Akbay E, Cayan S, Akbay E, Bozlu M, Acar D. Effect of diabetes mellitus on female sexual function and risk factors. Arch Androl. 2005 Jan- Feb;51(1):1-6. doi: 10.1080/014850190512798.
• Peter J, Riley CK, Layne B, Miller K, Walker L. Prevalence and risk factors associated with erectile dysfunction in diabetic men attending clinics in Kingston, Jamaica. Journal of Diabetology. 2012 May–Aug:3(2):2.
• Yenigün M, Ener M. Diabetes mellitus and erectile dysfunction. In: Yenigün M, Altuntaş Y, eds. Diabetes Mellitus in All Aspects. İstanbul: Nobel Publishing House; 2001:479-502.
• Walle B, Lebeta KR, Fita YD, Abdissa HG. Prevalence of erectile dysfunction and associated factors among diabetic men attending the diabetic clinic at Felege Hiwot Referral Hospital, Bahir Dar, North West Ethiopia, 2016. BMC Res Notes. 2018 Feb 15;11(1):130. doi: 10.1186/s13104-018- 3211-2.
• Cleveringa FG, Meulenberg MG, Gorter KJ, van den Donk M, Rutten GE. The association between erectile dysfunction and cardiovascular risk in men with Type 2 diabetes in primary care: it is a matter of age. J Diabetes Complications. 2009 May-Jun;23(3):153-9. doi: 10.1016/j. jdiacomp.2007.12.003.
• Corona G, Giorda CB, Cucinotta D, Guida P, Nada E; Gruppo di studio SUBITO-DE. Sexual dysfunction at the onset of type 2 diabetes: the interplay of depression, hormonal and cardiovascular factors. J Sex Med. 2014 Aug;11(8):2065-73. doi: 10.1111/jsm.12601.
• Akkus E, Kadioglu A, Esen A, Doran S, Ergen A, Anafarta K, Hattat H; Turkish Erectile Dysfunction Prevalence Study Group. Prevalence and correlates of erectile dysfunction in Turkey: a population- based study. Eur Urol. 2002 Mar;41(3):298-304. doi: 10.1016/s0302-2838(02)00027-1.
• Yalçın Y, Yalçın F, Eriçin Ö, Şafak A, Oğuz A. Diabetes mellitus ve erektil disfonksiyon. Diabet Bilimi. 2003;1(4):127-9 (in Turkish).
• Yıldız H, Pinar R. Evaluation of sexual dysfunction in diabetic patients. Published doctoral thesis. Marmara University Institute of Health Sciences Department of Internal Medicine Nursing. Istanbul, 2018.
• Erol B, Tefekli A, Sanli O, Ziylan O, Armagan A, Kendirci M, Eryasar D, Kadioglu A. Does sexual dysfunction correlate with deterioration of somatic sensory system in diabetic women? Int J Impot Res. 2003 Jun;15(3):198-202. doi: 10.1038/ sj.ijir.3900998.
• Muniyappa R, Norton M, Dunn ME, Banerji MA. Diabetes and female sexual dysfunction: moving beyond “benign neglect”. Curr Diab Rep. 2005 Jun;5(3):230-6. doi: 10.1007/s11892-005-0014-3.
• Guay AT. Sexual dysfunction in the diabetic patient. Int J Impot Res. 2001 Dec;13 Suppl 5:S47- 50. doi: 10.1038/sj.ijir.3900779.
• Bargiota A, Dimitropoulos K, Tzortzis V, Koukoulis GN. Sexual dysfunction in diabetic women. Hormones (Athens). 2011 Jul- Sep;10(3):196-206. doi: 10.14310/horm.2002.1309.
• Miocic J, Car N, Metelko Z. Sexual dysfunction in women with diabetes mellitus. Diabetologia Croatica. 2008;37(2):35-42.
• Giraldi A, Kristensen E. Sexual dysfunction in women with diabetes mellitus. J Sex Res. 2010 Mar;47(2):199-211. doi: 10.1080/00224491003632834.
• Topçu K, Bektas H. Evaluation of sexual functions in ındividuals with type 2 diabetes mellitus. Published doctoral dissertation. Akdeniz University Institute of Health Sciences Department of Internal Medicine Nursing. Antalya, 2015.
• Yıldız H, Pınar R. Diyabetli kadınlarda ihmal edilen bir konu: Cinsel yaşam. Hemşirelik Forumu. 2004;7(3):11-3 (in Turkish).
• Çelik S, Bülbül E. Sexual dysfunction in diabetic women. In: Health Sciences Current Research and New Trends/2, Ed. Guler A. Cetinje-Montenegro 2020:109-21.
• Dogan T, Tugut N, Golbasi Z. The relationship between sexual quality of life, happiness, and satisfaction with life in married Turkish women. Sex Disabil. 2013 May;31(3):239-47. doi: 10.1007/ s11195-013-9302-z.
• Auld RB, Brock G. Sexuality and erectile dysfunction: Results of a national survey. J Sex Reprod Med. 2002;2(2):50-4. doi: 10.4172/1488-5069.1000034.
• Lau JT, Kim JH, Tsui HY. Prevalence of male and female sexual problems, perceptions related to sex and association with quality of life in a Chinese population: a population-based study. Int J Impot Res. 2005 Nov-Dec;17(6):494-505. doi: 10.1038/ sj.ijir.3901342.
• Okur M, Gümüş B, Üçer O, Karataş TC, Özmen E, Büyüksu C. Influence of the erectile dysfunction on quality of life accompanying diabetes mellitus: a longitudinal, controlled study. Urol Res Pract. 2008 Jul;34(1):31-6.
• Penson DF, Latini DM, Lubeck DP, Wallace KL, Henning JM, Lue TF; Comprehensive Evaluation of Erectile Dysfunction (ExCEED) database. Do impotent men with diabetes have more severe erectile dysfunction and worse quality of life than the general population of impotent patients? Results from the Exploratory Comprehensive Evaluation of Erectile Dysfunction (ExCEED) database. Diabetes Care. 2003 Apr;26(4):1093-9. doi: 10.2337/diacare.26.4.1093.
• Litwin MS, Nied RJ, Dhanani N. Health-related quality of life in men with erectile dysfunction. J Gen Intern Med. 1998 Mar;13(3):159-66. doi: 10.1046/j.1525-1497.1998.00050.x.
• De Berardis G, Pellegrini F, Franciosi M, Belfiglio M, Di Nardo B, Greenfield S, Kaplan SH, Rossi MC, Sacco M, Tognoni G, Valentini M, Nicolucci A; QuED (Quality of Care and Outcomes in Type 2 Diabetes) Study Group. Longitudinal assessment of quality of life in patients with type 2 diabetes and self-reported erectile dysfunction. Diabetes Care. 2005 Nov;28(11):2637-43. doi: 10.2337/diacare.28.11.2637.
• Ishak IH, Low WY, Othman S. Prevalence, risk factors, and predictors of female sexual dysfunction in a primary care setting: a survey finding. J Sex Med. 2010 Sep;7(9):3080-7. doi: 10.1111/j.1743-6109.2010.01848.x.
• Olarinoye J, Olarinoye A. Determinants of sexual function among women with type 2 diabetes in a Nigerian population. J Sex Med. 2008 Apr;5(4):878- 86. doi: 10.1111/j.1743-6109.2007.00649.x.
• Basson RJ, Rucker BM, Laird PG, Contry R. Sexuality of women with diabetes. J Sex Reprod Med. 2001;1(1):11-20. doi: 10.4172/1488- 5069.1000004. SD and QoL in patients with type 2 diabetes
• Laumann EO, Nicolosi A, Glasser DB, Paik A, Gingell C, Moreira E, Wang T; GSSAB Investigators’ Group. Sexual problems among women and men aged 40-80 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. Int J Impot Res. 2005 Jan-Feb;17(1):39-57. doi: 10.1038/sj.ijir.3901250.
• Enzlin P, Mathieu C, Van Den Bruel A, Vanderschueren D, Demyttenaere K. Prevalence and predictors of sexual dysfunction in patients with type 1 diabetes. Diabetes Care. 2003 Feb;26(2):409-14. doi: 10.2337/diacare.26.2.409.