title: Effects of low sleep quality on sexual function, in women with fibromyalgia.
abstract: Sexual dysfunction is a common experience in women with fibromyalgia. However, the physiopathology of this association is unclear. We aimed to evaluate whether sleep disturbance has an influence on sexual function in women with fibromyalgia. Fifty-four sexually active premenopausal women with fibromyalgia were enrolled in the study. The following questionnaires were used: the Female Sexual Function Index (FSFI), the Pittsburgh Sleep Quality Index (PSQI), the Fibromyalgia Impact Questionnaire (FIQ) and the Beck Depression Inventory (BDI). Appropriate statistical analyses were used by using SPSS 18. The mean FSFI score was 25.344 ± 6.52 and showed no correlation with age, body mass index, BDI or duration of fibromyalgia. However, a positive correlation between sexual dysfunction and low sleep quality was found (r=0.43; P=0.001). In addition, the median FSFI score was 29.2 (27.2-32.4) in patients with higher sleep quality (PSQI⩽5), whereas it was 21.4 (18.9-25.3) in patients with lower sleep quality (PSQI>5) (P<0.001). There was a positive correlation between sexual dysfunction and symptoms of fibromyalgia as indicated by a higher FIQ score (r=0.37; P=0.006). Sexual dysfunction in female patients with fibromyalgia may be due to low sleep quality. Treatment of the sleep disorder may improve female sexual function.
authors.affiliation: Adnan Menderes University School of Medicine, Department of Urology, Aydin, Turkey.
authors.forename: A S
authors.initials: AS
authors.lastname: Amasyali
authors.affiliation: Adnan Menderes University School of Medicine, Department of Physical Therapy and Rehabilitation, Aydin, Turkey.
authors.forename: E
authors.initials: E
authors.lastname: Taştaban
authors.affiliation: Adnan Menderes University School of Medicine, Department of Algology, Aydin, Turkey.
authors.forename: S Y
authors.initials: SY
authors.lastname: Amasyali
authors.affiliation: Adnan Menderes University School of Medicine, Department of Physical Therapy and Rehabilitation, Aydin, Turkey.
authors.forename: Y
authors.initials: Y
authors.lastname: Turan
authors.affiliation: Adnan Menderes University School of Medicine, Department of Urology, Aydin, Turkey.
authors.forename: E
authors.initials: E
authors.lastname: Kazan
authors.affiliation: Balikesir University School of Medicine, Department of Urology, Balikesir, Turkey.
authors.forename: E
authors.initials: E
authors.lastname: Sari
authors.affiliation: Istanbul Medeniyet University Faculty of Medicine, Department of Urology, Goztepe Kadikoy, Istanbul.
authors.forename: B
authors.initials: B
authors.lastname: Erol
authors.affiliation: Adnan Menderes University School of Medicine, Department of Biostatistics, Aydin, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Cengiz
authors.affiliation: Adnan Menderes University School of Medicine, Department of Urology, Aydin, Turkey.
authors.forename: H
authors.initials: H
authors.lastname: Erol
mesh_terms: D000328:Adult; D005260:Female; D005356:Fibromyalgia / Q000150:complications*; D006801:Humans; D012735:Sexual Dysfunction, Physiological / Q000209:etiology*; D012893:Sleep Wake Disorders / Q000150:complications*; D011795:Surveys and Questionnaires