The Relationship Between Depression and Sexual Problems in Patients with Peripheral Artery Disease

Yıl 2023, Cilt: 7 Sayı: 1, 19 - 27, 19.04.2023

Firdevs Ebru Özdemir , Mualla Yılmaz

Öz

This study was conducted to determine the relationship between depression and sexual problems in individuals with peripheral arterial disease. The sample of this descriptive study consisted of 122 patients who applied to a University Hospital Cardiovascular Surgery Department with the diagnosis of peripheral artery disease between October 21, 2015, and May 30, 2016. Data were collected using three data collection tools: Personal Information Form, Beck Depression Inventory, and Arizona Sexual Experiences Scale. Clinical depression was found in 13.9% of patients with peripheral artery disease, moderate depression in 48.4% and severe depression in 7.4%. Beck Depression Inventory mean scores of female patients (21.46±7.85) were higher than male patients (22.64±3.77), Arizona Sexual Experiences Scale total score averages of female patients (23.23±3.96) were higher than Arizona Sexual Experiences of male patients included in the study. In addition, it was determined that there was no significant relationship between depression levels and sexual problems of individuals with peripheral artery disease (p<0.005). Sexual problems and depression levels that may occur should be evaluated by nurses and psychiatric nurses who care for peripheral arterial patients. It is recommended that more research be conducted to determine the mental and sexual problems that patients may experience.

Anahtar Kelimeler

Peripheral artery disease, depression, sexuality, nursing

The Relationship Between Depression and Sexual Problems in Patients with Peripheral Artery Disease

Öz

Bu çalışma periferik arter hastalığı olan bireylerde depresyon ve cinsel sorunlar arasındaki ilişkiyi belirlemek amacıyla yapılmıştır. Tanımlayıcı tipte olan bu çalışmanın örneklemini, 21 Ekim 2015 ve 30 Mayıs 2016 arasında bir Üniversite Hastanesi Kalp ve Damar Cerrahisi Anabilim Dalı'na periferik arter hastalığı tanısı ile başvuran 122 hasta oluşturmuştur. Veriler, Kişisel Bilgi Formu, Beck Depresyon Envanteri ve Arizona Cinsel Yaşantılar Ölçeği olmak üzere üç veri toplama aracı kullanılarak toplanmıştır. Periferik arter hastalığı olan hastaların %13,9'unda klinik depresyon, %48,4'ünde orta şiddette ve %7,4'ünde şiddetli depresyon saptanmıştır. Çalışmaya alınan kadın hastaların Beck Depresyon Envanteri puan ortalamaları (21.46±7.85), erkek hastalardan (22.64±3.77), kadın hastaların Arizona Cinsel Yaşantılar Ölçeği toplam puan ortalamaları (23.23±3.96) erkek hastaların Arizona Cinsel Yaşantılar Ölçeği toplam puanlarından (22.64±3.77) yüksek bulunmuştur. Ayrıca, periferik arter hastalığı olan bireylerin depresyon düzeyleri ile cinsel sorunları arasında anlamlı bir ilişki olmadığı belirlenmiştir (p<0.005). Oluşabilecek cinsel sorunlar ve depresyon düzeyleri periferik arter hastalarına bakım veren hemşire ve psikiyatri hemşireleri tarafından değerlendirilmelidir. Hastaların yaşayabilecekleri ruhsal ve cinsel sorunların belirlenmesine yönelik daha fazla araştırma yapılması önerilmektedir.

Anahtar Kelimeler

Periferik arter hastalığı, depresyon, cinsellik, hemşirelik

Kaynakça

• Aboyans, V., Ricco, J. B., Bartelink, M., Björck, M., Brodmann, M., Cohnert, T., Collet, J. P., Czerny, M., De Carlo, M., Debus, S., Espinola-Klein, C., Kahan, T., Kownator, S., Mazzolai, L., Naylor, A. R., Roffi, M., Röther, J., Sprynger, M., Tendera, M., Tepe, G., … ESC Scientific Document Group. (2018). 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS): Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteriesEndorsed by: the European Stroke Organization (ESO)The Task Force for the Diagnosis and Treatment of Peripheral Arterial Diseases of the European Society of Cardiology (ESC) and of the European Society for Vascular Surgery (ESVS). European Heart Journal, 39(9), 763–816. https://doi.org/10.1093/eurheartj/ehx095
• Açıkgöz, F. (2011). Nursing approach models for sexual health. Androl Bul., 47, 305-307.
• Aday, A.W., & Matsushita, K. (2021). Epidemiology of peripheral artery disease and polyvascular disease. Circ Res., 128, 1818-1832. https://doi.org/10.1161/CIRCRESAHA.121.318535
• Aksöyek, A., & Canatar, T. (2015). Sexuality and Sexual Education. Turkish Journal of Family Medicine & Primary Care., 9(2), 54-58. https://doi:10.5455/tjfmpc.175393
• Alzamora, M. T., Forés, R., Baena-Díez, J. M., Pera, G., Toran, P., Sorribes, M., Vicheto, M., Reina, M. D., Sancho, A., Albaladejo, C., Llussà, J., & PERART/ARTPER study group (2010). The peripheral arterial disease study (PERART/ARTPER): prevalence and risk factors in the general population. BMC Public Health, 10, 38. https://doi: 10.1186/1471-2458-10-38
• Atlantis, E., & Sullivan, T. (2012). Bidirectional association between depression and sexual dysfunction: A systematic review and meta-analysis. The Journal Sexual Medicine, 9(6), 1497–1507. https://doi:10.1111/j.1743-6109.2012.02709.x
• Balkanay, O.O., & Ömeroğlu, S.N. (2017). Approach to peripheral artery disease in the elderly. Türk Kardiyoloji Derneği Arşivi, 45(5), 96-101. https://doi:10.5543/tkda.2017.08444
• Beck, A.T., Ward, C.H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archieves of General Psychiatry, 4, 561–571. https://doi:10.1001/archpsyc.1961.01710120031004.
• Benjamin, E. J., Muntner, P., Alonso, A., Bittencourt, M. S., Callaway, C. W., Carson, A. P., Chamberlain, A. M., Chang, A. R., Cheng, S., Das, S. R., Delling, F. N., Djousse, L., Elkind, M., Ferguson, J. F., Fornage, M., Jordan, L. C., Khan, S. S., Kissela, B. M., Knutson, K. L., Kwan, T. W., … American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee (2019). Heart Disease and Stroke Statistics-2019 Update: A Report from the American Heart Association. Circulation, 139 (10), e56–e528. https://doi.org/10.1161/CIR.0000000000000659
• Blanche, M.T., & Durrheim, K. (2007). Research in practice applied methods for sociel sciences. UCT Press.
• Blumentals, W.A., Gomez-Caminero, A., Joo, S., & Vannappagari, V. (2003). Is erectile dysfunction predictive of peripheral vascular disease? Aging Male, 6(4), 217–221. https://doi:10.1080/13685530312331309752
• Brostow, D.P., Petrik, M.L., Starosta, A.J., & Waldo, S.W. (2017). Depression in patients with peripheral artery disease: A systematic review. Eur J Cardiovasc Nurs., 16(3), 181– 193. https://doi:10.1177/1474515116687222
• Crawford, F., Welch, K., Andras, A., & Chappell, F.M. (2016). Ankle brachial index for the diagnosis of lower limb peripheral artery disease. Cochrane Database Syst Rev., 9, CD010680. https://doi:10.1002/14651858.CD010680
• Chung, E. (2019). Sexuality in Ageing Male: Review of Pathophysiology and Treatment Strategies for Various Male Sexual Dysfunctions. Medical Sciences, 7(10), 98. https://doi:10.3390/medsci7100098
• Derya, Y.A., Taşhan, T.S., Uçar, T., Karaaslan, T., & Tunç, A.Ö. (2017). The Effect of Attitudes towards Gender Roles on Sexual Taboos. Gümüşhane University Journal Of Health Sciences, 6(1), 1 – 8.
• Foley, T.R., Waldo, S.W., & Armstrong, E.J. (2016). Medical Therapy in Peripheral Artery Disease and Critical Limb Ischemia. Curr Treat Options Cardiovasc Med., 18, 42. https://doi: 10.1007/s11936-016-0464-8.
• Forbes, M.K, Baillie, A.J, & Schniering, C.A. (2016). A structural equation modeling analysis of the relationships between depression, anxiety, and sexual problems over time. Journal of Sexuality Research, 53, 942–54.
• Gerhard-Herman, M. D., Gornik, H. L., Barrett, C., Barshes, N. R., Corriere, M. A., Drachman, D. E., Fleisher, L. A., Fowkes, F. G., Hamburg, N. M., Kinlay, S., Lookstein, R., Misra, S., Mureebe, L., Olin, J. W., Patel, R. A., Regensteiner, J. G., Schanzer, A., Shishehbor, M. H., Stewart, K. J., Treat-Jacobson, D., … Walsh, M. E. (2017). 2016 AHA/ACC Guideline on the Management of Patients with Lower Extremity Peripheral Artery Disease: a report of the American College of Cardiology/ American Heart Association Task Force on Clinical Practice Guidelines. Circulation, 135, e726-e79. https://doi: 10.1161/CIR.0000000000000471
• Grenon, S.M., Cohen, B.E., Smolderen, K.G., Vittinghoff, E., Whooley, M.A., & Hiramoto, J. (2014). Peripheral artery disease, gender, and depression in the Heart and Soul Study. J Vasc Surg., 60, (2), 396-403. https://doi:10.1016/j.jvs.2014.02.013
• Hisli, N. (1988). A Study on the Validity of the Beck Depression Inventory. Journal of Psychology, 6, 118-126.
• İncesu, C. (2004). Sexual functions and sexual dysfunctions. Journal of Clinical Psychiatry, 3, 3-13.
• Kara, A., Özçakar, N., & Kartal, M. (2016). Peripheral artery disease reliability and validity study of walking impairment questionnaire. Nobel Med., 12(1), 67-73.
• Karabay, Ö., Karaçelik, M, Yıllık, L, Tekin, N., İriz, A.B., Kumdereli, S., Gürbüz, A., Çalkavur, T. (2012). Ischemic peripheral artery disease: A screening survey. Turkish Journal of Thoracic and Cardiovascular Surgery, 20(3), 450-457. https://doi: 10.5606/tgkdc.journal.2012.089
• Kumsar, A.K., & Yılmaz, F.T. (2014). Overview of Quality of Life in Chronic Diseases. Erciyes University Faculty of Health Sciences Journal, 2(2), 62-70.
• Libby, P., Buring, J. E., Badimon, L., Hansson, G. K., Deanfield, J., Bittencourt, M. S., Tokgözoğlu, L., & Lewis, E. F. (2019). Atherosclerosis. Nat Rev Dis Primers, 5, 56. https://doi:10.1038/s41572-019-0106-z
• McGahuey, C. A., Gelenberg, A. J., Laukes, C. A., Moreno, F. A., Delgado, P. L., McKnight, K. M., & Manber, R. (2000). The Arizona Sexual Experience Scale (ASEX): Reliability and validity. Journal of Sex & Marital Therapy, 26(1), 25–40. https://doi.org/10.1080/009262300278623
• Marbach, J.A., Almufleh, S.A., So, D., & Chong A.Y. (2020). Peripheral artery disease: current diagnosis and management. Br J Cardiol, 27(suppl 1), 9–14. https://doi:10.5837/bjc2020.s03
• McDermott, M. M., Guralnik, J. M., Tian, L., Kibbe, M. R., Ferrucci, L., Zhao, L., Liu, K., Liao, Y., Gao, Y., & Criqui, M. H. (2016). Incidence and Prognostic Significance of Depressive Symptoms in Peripheral Artery Disease. Journal of the American Heart Association, 5(3), e002959. https://doi.org/10.1161/JAHA.115.002959
• Olinic, D.M., Tataru, D.A., Homorodean, C., Spinu, M., & Olinic, M. (2018). Antithrombotic treatment in peripheral artery disease. Vasa, 47 (2), 99-108. https://doi: 10.1024/0301-1526/a000676
• Önal, A.E., Bozbuğa, N., Uğurlucan, M., Yıldırım, İ.G., Ezirmik, E., Gülle, B.T., Bakan, D.Ç., Baran, A., Akyurt, L.E.A., Sözen, A.B., Hapçıoğlu, S.B., and Dayıoğlu, E. (2020). Investigation of peripheral arterial disease in Silivri district of Istanbul. Nobel Medicus, 16(1), 31-39.
• Patel, T., Baydoun, H., Patel, N. K., Tripathi, B., Nanavaty, S., Savani, S., Mojadidi, M. K., Agarwal, N., Patel, G., Patel, S., & Pancholy, S. (2020). Peripheral arterial disease in women: the gender effect. Cardiovasc. Revaskülarizasyon Med, 21(3), 404 – 408. https://doi:10.1016/j.carrev.2019.05.026
• Polonsky, T.S.; Taillon, L.A., Sheth, H., Min, J.K., Archer, S.L., & Ward, R.P. (2009). The association between erectile dysfunction and peripheral arterial disease as determined by screening ankle-brachial index testing. Atherosclerosis, 207(2), 440–444. https://doi:10.1016/j.atherosclerosis.2009.05.005
• Ramirez, J.L, Drudi L.M, & Grenon S.M. (2018). Review of biologic and behavioral risk factors linking depression and peripheral artery disease. Vasc Med In Press, 23(5), 478-488. https://doi:10.1177/1358863X18773161
• Reddy, R.M., Saravanan, R.A., Praharaj, S.K., & Thirunavukarasu, M. (2020). Sexual Dysfunction in Women with Depression: A Hospital-Based Cross-sectional Comparative Study. Indian Journal of Psychological Medicine, 42(1), 46–51. https://doi: 10.4103/IJPSYM.IJPSYM_321_19
• Schramm, K., & Rochon, P.J. (2018). Gender Differences in Peripheral Vascular Disease. Seminars in Interventional Radiology, 35(1), 9–16. https://doi: 10.1055/s-0038-1636515
• Sivrikaya, S.K., Unsal, A., & Karabulutlu, E.Y. (2014). Sexual dysfunction and depression in Turkish women with type 2 diabetes mellitus. Sex. Disabil, 32(1), 3–13. https://doi:10.1007/s11195-013-9337-1
• Smolderen, K.G., Aquarius, A.E., de Vries, J., Smith, O.R., Hamming, J.F., & Denollet, J. (2008). Depressive symptoms in peripheral artery disease: a follow-up study on prevalence, stability, and risk factors. J Affect Disord, 110(1-2):27-35. https://doi:10.1016/j.jad.2007.12.238
• Soykan, A., (2004). The Reliability and Validity of Arizona Sexual Experiences Scale In Turkish ESRD Patients Undergoing Hemodialysis. Int J Impot Res, 16(6), 531-534. https://doi:10.1038/sj.ijir.3901249
• Şen, S., Usta, E., Aygin, D., & Sert, H. (2015). Health professionals' approaches to aging and sexuality. Andrology Bulletin, 17, 64-7.
• Wongkongkam, K., Thosingha, O., Ruangsetakit, C., Phuntep, K., & Tonklai, S. (2018). Psychological factors associated with functional recovery among patients with a peripheral arterial disease after lower extremity bypass. Journal of Vascular Nursing, 37(1), 3-10. https://doi: 10.1016/j.jvn.2018.10.004