title: Association between personal basic information, sleep quality, mental disorders and erectile function: a cross-sectional study among 334 Chinese outpatients.
abstract: Male erectile dysfunction (ED) may cause anxiety and depression, while mental disorders and sleep disturbances may also be closely related to ED. However, the exact nature of their relationship remains unclear, and whether personal basic background data affect erectile function is unknown. We conducted a cross-sectional study among Chinese outpatients with ED from January 2012 to December 2014. All the men answered a questionnaire collecting information about mental health status, sleep disturbances and personal data, underwent a physical examination and had a blood sample drawn. Sleep disturbances were assessed on the basis of a 19-item version of the Pittsburgh Sleep Quality Index, which includes questions on sleep patterns during the past month. Among the 462 patients, 128 patients with alcohol abuse, diabetes, hypertension, hyperlipidaemia, psychiatric drugs, neurologic injury or abnormal hormones were excluded from the study; 86.27% and 68.66% of the patients suffered from anxiety and depression respectively. Sleep quality and anxiety symptoms significantly affected erectile function, whereas personal income and education level had no significant effects. Our study suggested that it is necessary to pay attention to the psychological status of patients with ED, especially anxiety disorder. Sleep quality may be an important factor affecting erectile function according to the personal data.
authors.affiliation: Department of Urology, Yijishan Hospital, Wannan Medical College, Wuhu, China.
authors.forename: Q S
authors.initials: QS
authors.lastname: Cheng
authors.affiliation: Department of Sexual Medicine, Yijishan Hospital, Wannan Medical College, Wuhu, China.
authors.forename: T
authors.initials: T
authors.lastname: Liu
authors.affiliation: Department of Urology, Yijishan Hospital, Wannan Medical College, Wuhu, China.
authors.forename: H B
authors.initials: HB
authors.lastname: Huang
authors.affiliation: Department of Sexual Medicine, Yijishan Hospital, Wannan Medical College, Wuhu, China.
authors.forename: Y F
authors.initials: YF
authors.lastname: Peng
authors.affiliation: Department of Urology, Yijishan Hospital, Wannan Medical College, Wuhu, China.
authors.forename: S C
authors.initials: SC
authors.lastname: Jiang
authors.affiliation: Department of Urology, Yijishan Hospital, Wannan Medical College, Wuhu, China.
authors.forename: X B
authors.initials: XB
authors.lastname: Mei
mesh_terms: D000328:Adult; D001007:Anxiety / Q000453:epidemiology* / Q000523:psychology; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology* / Q000523:psychology; D007172:Erectile Dysfunction / Q000453:epidemiology* / Q000523:psychology; D006801:Humans; D007206:Individuality; D008297:Male; D008875:Middle Aged; D010045:Outpatients; D015995:Prevalence; D011788:Quality of Life; D012307:Risk Factors; D012893:Sleep Wake Disorders / Q000453:epidemiology* / Q000523:psychology; D011795:Surveys and Questionnaires
keywords: anxiety; depression; erectile function; sleep quality