Beyond Motor Symptoms: A Comprehensive Analysis of Sexual Dysfunction in Cervical Dystonia Servikal Distonide Cinsel İşlev Bozukluğu Üzerine Kapsamlı Bir Değerlendirme
Medical Journal of Bakirkoy, cilt.21, sa.1, ss.90-96, 2025 (ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 21 Sayı: 1
- Basım Tarihi: 2025
- Doi Numarası: 10.4274/bmj.galenos.2024.2024.12-4
- Dergi Adı: Medical Journal of Bakirkoy
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, CINAHL, EMBASE, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.90-96
- Anahtar Kelimeler: Dystonia, non-motor symptoms, sexual dysfunction
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Dystonia is a neurological disorder marked by involuntary muscle contractions, leading to repetitive movements or abnormal postures. While non-motor symptoms like anxiety, depression are well-documented, the prevalence and impact of sexual dysfunction in cervical dystonia remain understudied. This study explores the prevalence of sexual dysfunction and its relationship with other factors in cervical dystonia patients. Methods: This prospective study included 28 patients with cervical dystonia. Data were collected using the Beck Depression Inventory (BDI), Tsui Rating Scale for cervical dystonia (Tsui), visual analog scale (VAS), and Arizona Sexual Experiences Scale (ASLS). Analyses included descriptive statistics, correlation, multiple regression, and subgroup analyses. Results: 71.4% of patients reported sexual dysfunction. No significant correlations were found between ASLS scores and age, disease duration, BDI, or Tsui scores. A moderate, non-significant correlation existed between ASLS and VAS scores (r=0.331, p=0.082). Subgroup analysis showed the highest ASLS scores in patients aged 50-60 and those with 5-10 years of disease duration. A significant difference in ASLS scores was observed between males and females (p=0.05), with females having higher scores. Additionally, comparisons between patients with and without sexual dysfunction showed no significant association with comorbidities. Conclusion: Sexual dysfunction is prevalent in cervical dystonia, notably in older females with higher depression and pain levels. Comprehensive care addressing both motor and non-motor symptoms is crucial. Future research should focus on longitudinal studies and therapeutic interventions.