title: Association between sexual function and depression in sexually active, mid-aged, Peruvian women.
abstract: OBJECTIVE
  To determine the association between sexual function and depression in sexually active, mid-aged women while controlling for sociodemographical and clinical factors.
  
  
  METHODS
  Data were analyzed from 335 healthy, sexually active, Peruvian women (40-59 years) who simultaneously filled out the Female Sexual Function Index (FSFI), the Menopause Rating Scale (MRS), the Beck Depression Inventory (BDI) and a general questionnaire containing female/partner data. Correlations between the measures of all tools were analyzed.
  
  
  RESULTS
  The median age of studied women was 49 years; 76.7% had low schooling, 40% were postmenopausal and 15.2% used hormone therapy. Regarding the partner, 11% and 10.5% presented erectile dysfunction and premature ejaculation, respectively. FSFI total scores displayed significant correlations with BDI and MRS scores (total, psychological and urogenital). Multiple linear regression analysis was used to obtain an association model between sexual function and depression, explaining 88% of the variance. In this model, sexual function was inversely associated with depression, yet confounded by MRS urogenital scores. In addition, sexual function was inversely correlated to partner sexual function and to female MRS psychological scorings and positively to premenopausal status.
  
  
  CONCLUSIONS
  In this mid-aged series, sexual function was significantly associated with depression, in addition to hormonal status and partner sexual function.
authors.affiliation: Centro Nacional de Salud Pública, Instituto Nacional de Salud, and Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Peru.
authors.forename: E
authors.initials: E
authors.lastname: Mezones-Holguin
authors.forename: W
authors.initials: W
authors.lastname: Córdova-Marcelo
authors.forename: F
authors.initials: F
authors.lastname: Lau-Chu-Fon
authors.forename: C
authors.initials: C
authors.lastname: Aguilar-Silva
authors.forename: J
authors.initials: J
authors.lastname: Morales-Cabrera
authors.forename: R
authors.initials: R
authors.lastname: Bolaños-Díaz
authors.forename: F R
authors.initials: FR
authors.lastname: Pérez-López
authors.forename: P
authors.initials: P
authors.lastname: Chedraui
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology* / Q000503:physiopathology / Q000523:psychology; D004522:Educational Status; D007172:Erectile Dysfunction / Q000453:epidemiology / Q000503:physiopathology / Q000523:psychology; D005260:Female; D020249:Hormone Replacement Therapy / Q000706:statistics & numerical data; D006801:Humans; D016014:Linear Models; D008297:Male; D008593:Menopause / Q000502:physiology / Q000523:psychology; D008875:Middle Aged; D010568:Peru / Q000453:epidemiology; D012735:Sexual Dysfunction, Physiological / Q000453:epidemiology* / Q000503:physiopathology / Q000523:psychology; D020018:Sexual Dysfunctions, Psychological / Q000453:epidemiology* / Q000503:physiopathology / Q000523:psychology; D012747:Sexual Partners; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D014566:Urogenital System / Q000502:physiology