title: Relationship between female sexual difficulties and mental health in patients referred to two public and private settings in Tehran, Iran.
abstract: BACKGROUND
  Sexual difficulty has various effects on patients suffering from this condition that can impact on interpersonal and marital relationships. Sexual function may be adversely affected by stress of any kind and emotional disorders. There have been limited studies focusing on the mental health of those suffering from this problem.
  
  
  OBJECTIVE
  To determine the relationship between sexual difficulties and mental health in female patients seeking help in psychiatric clinics.
  
  
  METHODS
  The study was based on the case-control design methodology in which the case group consisted of 165 outpatients of two psychiatric clinics, who were diagnosed with different mental disorders such as depression, anxiety, phobia, aggression, and somatic complaints (33 subjects for each type of disorder). The 33 subjects in the control group were chosen among the patients' relatives and visitors who had no history of either seeking psychiatric help or taking psychiatric drugs. The subjects of both case and control groups were selected based on a convenience sampling method. Moreover, the data were collected based on two techniques of "interview" and "questionnaire;" the latter was of three different subcategories, each dealt with demographic characteristics, sexual difficulties, and a Symptom Check-List-90-Revised.
  
  
  METHODS
  Assessing female sexual difficulties associated with mental health and differences between women with and without psychiatric problems.
  
  
  RESULTS
  The obtained results indicated that there was a significant difference between the prevalence of sexual difficulties (e.g., sexual desire and orgasm disorders) in the case group and that of the control group. It was also revealed that there was a significant difference between the depressed, aggressive, as well as those with somatic complaints, and their control group counterparts.
  
  
  CONCLUSIONS
  In Iran, sexual difficulties seem to be more frequent in those seeking psychiatric help in clinics than in those within the normal population.
authors.affiliation: Department of Psychiatry, Shaheed Beheshti Medical University, Tehran, Iran.
authors.forename: Mahyar
authors.initials: M
authors.lastname: Azar
authors.forename: Sima
authors.initials: S
authors.lastname: Noohi
authors.forename: Ali Reza
authors.initials: AR
authors.lastname: Shafiee Kandjani
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D003466:Cultural Characteristics; D005260:Female; D006801:Humans; D007297:Inpatients; D007492:Iran; D001523:Mental Disorders / Q000150:complications*; D008603:Mental Health; D008875:Middle Aged; D010865:Pilot Projects; D011567:Psychiatric Department, Hospital / Q000145:classification; D012107:Research Design; D012720:Severity of Illness Index; D012735:Sexual Dysfunction, Physiological / Q000209:etiology*; D020018:Sexual Dysfunctions, Psychological / Q000209:etiology*; D011795:Surveys and Questionnaires; D016387:Women's Health