Sexual Dysfunction, Depression and Quality of Life in Patients With HIV Infection

authors:

avatar Mahmood Amini Lari 1 , avatar Hosain Faramarzi 1 , avatar Mesbah Shams 2 , avatar Maryam Marzban 3 , * , avatar Hasan Joulaei 4

Shiraz HIV/AIDS Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Namazi Hospital , endocrine & Metabolism research center, Shiraz University of Medical Sciences, Shiraz, Iran
PhD student in Epidemiology, School of Public Health, Bushehr University Of Medical Sciences, Bushehr, Iran
Health Policy Research Center Shiraz University of Medical Sciences, Shiraz, Iran
Iranian Journal of Psychiatry and Behavioral Sciences: Vol.7, issue 1; 61-8
published online: June 30, 2013
article type: Original Article
received: September 02, 2011
revised: October 03, 2012
accepted: March 27, 2013

how to cite: Amini Lari M, Faramarzi H, Shams M, Marzban M, Joulaei H. Sexual Dysfunction, Depression and Quality of Life in Patients With HIV Infection. Iran J Psychiatry Behav Sci. 2013;7(1): 61-8. 

Abstract

Objective: In Iran, psychological aspect of HIV infection is poorly understood. The purposes of this study were to evaluate sexual dysfunction, depression rate and health-related quality of life and evaluate the association between sexual dysfunction, depression and quality of life in a group of HIV+ subjects in Shiraz, Iran.
Methods: In this cross-sectional study, 278 male HIV-positive patients who had referred to voluntary counseling and testing and methadone maintenance therapy centers were recruited based on convenience sampling from May to October 2010. The purpose of the study was explained and interested individuals provided informed consent and completed validated questionnaires [Medical Outcomes Study Short Form-36 (SF-36), Brief Male Sexual Function Inventory (BMSFI), Beck Depression Inventory-short form(BDI)] to assess overall health related quality of life (HRQOL), sexual function, and depression.
Results: Average age of the participants was 34.9 ± 10.7 years and 37.5% were severely depressed. Ordinal logistic regression indicated that sexual drive (-0.15; CI: -0.28 to -0.027), ejaculation (-1.91, CI: -2.71 to -1.12), and problem assessment (-0.098, CI: -0.17 to -0.02) had significant effect on depression type. Depression was significantly correlated with poorer quality of life in all domains. Pearson’s correlation coefficients between the BMSFI and the domains of SF- 36 indicated that sexual drive (r= 0.215), ejaculation (r= 0.297) and problem assessment (r= 0.213) were significantly correlated with emotional wellbeing.
Conclusion: Sexual function and depression showed association with quality of life. Effective treatment of depression and sexual function may improve the quality of life of HIV-infected person.
Declaration of interest: None.
Citation: Amini Lari M, Faramarzi H, Shams M, Marzban M, Joulaei H. Sexual dysfunction, d

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