Sexuality and subjective wellbeing in male patients with congenital heart disease.

Vigl, M; Hager, A; Bauer, U; Niggemeyer, E; Wittstock, B; Köhn, FM; Hess, J; Kaemmerer, H

doi:10.1136/hrt.2008.156695

journal article

Dokumenttyp:: Journal Article
Autor(en):: Vigl, M; Hager, A; Bauer, U; Niggemeyer, E; Wittstock, B; Köhn, FM; Hess, J; Kaemmerer, H
Titel:: Sexuality and subjective wellbeing in male patients with congenital heart disease.
Abstract:: OBJECTIVE: To assess physical and psychological concerns related to sexuality, the prevalence of erectile dysfunction and their relationship to patients' quality of life. DESIGN: Questionnaire-based survey. SETTING: Tertiary care centre. PATIENTS: Consecutive sample of 332 men with congenital heart disease (age 18-59 years; median 23). MAIN OUTCOME MEASURES: Besides various components concerning sexuality, the International Index of Erectile Function, a generic health-related quality-of-life instrument (SF-12) and a depression scale (ADS) were included. RESULTS: Men under the age of 40 engage less frequently in sexual relationships than their peers from the general population. Fears before or during sexual intercourse (9.9%), as well as physical symptoms such as dyspnoea (9.0%), feelings of arrhythmia (9.0%) or chest pain (5.1%) are common. 10.0% reached a score on the International Index of Erectile Function indicative of an erectile dysfunction. Men with erectile dysfunction scored significantly worse on the SF-12 mental (43.5 vs 51.8, p<0.001) as well as on the physical sum scale (46.3 vs 52.6, p = 0.002) than patients without erectile problems. Additionally, in the group of men without erectile dysfunction only 3.2% showed signs of depressive symptoms, whereas among men with erectile dysfunction this figure increased to 33.3% (p<0.001) CONCLUSIONS: The concern of sexuality should be integrated into the regular consultations of these patients. The strong association between sexual health and subjective wellbeing emphasises the need for diagnosis and, if necessary, treatment of these problems.
Zeitschriftentitel:: Heart
Jahr:: 2009
Band / Volume:: 95
Heft / Issue:: 14
Seitenangaben Beitrag:: 1179-83
Sprache:: eng
Volltext / DOI:: doi:10.1136/hrt.2008.156695
PubMed:: http://view.ncbi.nlm.nih.gov/pubmed/19364753
Print-ISSN:: 1355-6037
TUM Einrichtung:: Klinik für Kinderkardiologie und angeborene Herzfehler (Prof. Hess)
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mediaTUM Gesamtbestand Einrichtungen Schools TUM School of Medicine and Health Departments Clinical Medicine Lehr- und Forschungskooperationen mit den Kliniken und Instituten am Deutschen Herzzentrum Klinik für Kinderkardiologie und angeborene Herzfehler (DHM) (Prof. Ewert)2009