http://www.jurology.com/pt/re/juro/abstract.00005392-200511000-00079.htm

     PSYCHIATRIC MORBIDITY IS FREQUENTLY UNDETECTED IN PATIENTS
     WITH ERECTILE DYSFUNCTION.

    Journal of Urology. 174(5):1913-1916, November 2005.

    MALLIS, DIMITRIOS; MOYSIDIS, KYRIAKOS; NAKOPOULOU, EVANGELIA;
    PAPAHARITOU, STAMATIS; HATZIMOURATIDIS, KONSTANTINOS; HATZICHRISTOU,
    DIMITRIOS

    Abstract: Purpose: We investigated the prevalence of psychiatric
    morbidity in patients with erectile dysfunction (ED).

    Materials and Methods: Consecutive patients who attended an
    andrology outpatient clinic complaining of ED were recruited
    for study purposes. ED severity was evaluated by the International
    Index of Erectile Function erectile function domain score. The
    psychiatric diagnosis was established by a semistructured
    clinical interview as well as by the Mini International
    Neuropsychiatric Interview 5 Diagnostic and Statistical Manual
    of Mental Disorders-IV. The Beck Depression Inventory was also
    incorporated as a complementary tool to assess depressive symptom
    severity.

    Results: The study included 103 patients 20 to 76 years old
    (mean age +/- SD 47.06 +/- 14.78) with ED. Most patients were
    classified with moderate and severe ED (26.2% and 44.7%,
    respectively). A detectable psychiatric condition was present
    in 63.1% of the patients, including depressive disorders in
    25.2%, anxiety disorders in 11.7%, depression-anxiety comorbidity
    in 6.8% and personality disorders in 5.8%. A positive psychiatric
    anamnesis was identified in 41 cases, while 24 were newly
    diagnosed. No significant association was found between the
    duration and severity of ED, and psychiatric morbidity or the
    severity of depressive symptoms (p >0.05). A positive association
    was found between the severity of depressive symptoms and the
    patient tendency to discuss the problem with their partner (p
    <0.01).

    Conclusions: Psychiatric morbidity is highly prevalent in
    patients with ED, potentially affecting treatment outcome.
    Because lifetime psychological problems were reported by more
    than half of the patients, a psychosocial history seems mandatory.
    Partner support appeared to have a significant role in the
    patient psychological state.

    Copyright (C) 2005 by American Urological Association, Inc.