Anxiety, COVID-19, Depression, Healthcare workers, Sexual dysfunction
Citation Information :
Kumar S, Gopal A, Kota S, Kayarpady A, Rudra PN. Sexual Functioning and Its Association with Psychological Symptoms among Doctors Working in a COVID-19 Care Facility: A Cross-sectional Survey. Ind J Priv Psychiatry 2021; 15 (2):87-91.
Background: Psychological symptoms which are common among frontline healthcare workers (HCWs) can be devastating and can affect sexual functioning of this population.
Aims: The article was to assess sexual functioning among the frontline doctors and to study the association between sexual functioning and psychological symptoms.
Materials and methods: It was a cross-sectional survey conducted among 150 doctors treating COVID-19 patients in a tertiary care teaching hospital. The survey tools included a sociodemographic questionnaire, Depression, Anxiety, and Stress Scale-21 (DASS-21), and Changes in Sexual Functioning Questionnaire (CSFQ) which was sent using a Google Forms link to all participants after informed consent. Chi-square test, t-test, Pearson correlation, and multivariate logistic regression were used. p <0.05 was considered statistically significant.
Results: Sexual dysfunction was present in 21 (31.62%) males and 65 (65%) females. Both males and females with severe stress had lower global sexual functioning scores (p = 0.02, 0.02). Those with severe stress had reduced sexual frequency, sexual pleasure, and sexual excitement. Global sexual dysfunction was predicted by age >25 years in males, working hours >100/month, and severe stress in both males and females.
Conclusion: Sexual dysfunction was common in both male and female frontline doctors. Presence of stress, higher age, and greater working hours were associated with poor sexual functioning with decreased sexual desire, sexual pleasure, and sexual arousal.
Chew QH, Wei KC, Vasoo S, et al. Narrative synthesis of psychological and coping responses towards emerging infectious disease outbreaks in the general population: practical considerations for the COVID-19 pandemic. Singapore Med J 2020;61(7):350–356. DOI: 10.11622/smedj.2020046.
Tham KY, Tan YH, Loh OH, et al. Psychological morbidity among emergency department doctors and nurses after the SARS outbreak. Ann Acad Med Singap. 2004;33(5 Suppl):S78-S79.DOI: 10.1177/102490790501200404.
Chua SE, Cheung V, Cheung C, et al. Psychological effects of the SARS outbreak in Hong Kong on high-risk health care workers. Can J Psychiatry 2004;49(6):391–393. DOI: 10.1177/070674370404900609.
Poon E, Liu KS, Cheong DL, et al. Impact of severe respiratory syndrome on anxiety levels of front-line health care workers. Hong Kong Med J 2004;10(5):325–330. PMID: 15479961.
Banerjee D, Rao TS. Sexuality, sexual well being, and intimacy during COVID-19 pandemic: an advocacy perspective. Indian J Psychiatry 2020;62(4):418–426. DOI: 10.4103/psychiatry.IndianJPsychiatry_484_20.
Gloster AT, Rhoades HM, Novy D, et al. Psychometric properties of the depression anxiety and stress scale-21 in older primary care patients. J Affect Disord 2008;110(3):248–259. DOI:10.1016/j.jad.2008.01.023.
Keller A, McGarvey EL, Clayton AH. Reliability and construct validity of the Changes in Sexual Functioning Questionnaire short-form (CSFQ-14). J Sex Marital Ther 2006;32(1):43–52. DOI: 10.1080/00926230500232909.
India State-Level Disease Burden Initiative Mental Disorders Collaborators. The burden of mental disorders across the states of India: The Global Burden of Disease Study 1990–2017. Lancet Psychiatry 2020;7(2):148–161. DOI: 10.1016/S2215-0366(19)30475-4.
Bancroft J. Impact of environment, stress, occupational, and other hazards on sexuality and sexual behavior. Environ Health Perspect 1993;101:101–107. DOI: 10.2307/3431382.
O’Sullivan LF. Sexual function and problems with adolescents and young adults. Curr Sex Health Rep 2015;7:12–18. DOI: 10.1007/s11930-014-0035-5.
Gupta S, Sahoo S. Pandemic and mental health of the frontline healthcare workers: a review and implications in the Indian context amidst COVID-19. Gen Psychiatr 2020;33(5):e100284. DOI: 10.1136/gpsych-2020-100284.