The prevalence of sexual dysfunction, anxiety and depression in pre-dialysis chronic kidney disease patients in Uyo, Nigeria

Background: Chronic kidney disease (CKD) is a progressive condition that spans years or even decades. It is therefore associated with comorbidities as well as other complications among which include erectile dysfunction (ED), anxiety, and depression. Method: This was a cross- sectional descripti...

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Main Authors: Akpan EE, Udo AIA, Umoh AV
Format: Article
Language:English
Published: Nigerian Medical Association, Akwa Ibom State Branch 2025-01-01
Series:Ibom Medical Journal
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Online Access:http://ibommedicaljournal.org/index.php/imjhome/article/view/592
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author Akpan EE
Udo AIA
Umoh AV
author_facet Akpan EE
Udo AIA
Umoh AV
author_sort Akpan EE
collection DOAJ
description Background: Chronic kidney disease (CKD) is a progressive condition that spans years or even decades. It is therefore associated with comorbidities as well as other complications among which include erectile dysfunction (ED), anxiety, and depression. Method: This was a cross- sectional descriptive study involving 54 male pre-dialysis patients seen in the renal clinic of the University of Uyo Teaching Hospital, Uyo, Nigeria. The history of erectile dysfunction (ED) was taken using the abridge five-item version of the 15-item well-validated International Index of Erection Function (IIEF-5) questionnaire. Anxiety and depression were evaluated using the simple hospital anxiety and depression scale (HADS) screening tool. Results: Fifty-four (54) pre-dialysis male patients were recruited, aged between 26 and 67 with a mean age of 49.65 ±8.37. Only 1(1.87%) was single, 53(98.13%) were married. The prevalence of erectile dysfunction was 81.5%. Erectile dysfunction had a significant association with depression and anxiety. Respondents had Anxiety, with a Borderline of 7(29%), clinical casenesss 31(57.4%) against normal of 16 (29.6%). While 35(64.8%) had depression, borderline 15(27.8%), caseness of 20(37%) against normal 19(35.2%). Anxiety and depression had a strong association with erectile dysfunction p= 0.02 and p= 0.01 respectively. Conclusion: There is a high prevalence of ED, anxiety, and depression among pre-dialysis male patients. ED is strongly associated with anxiety and depression. There is a need always to evaluate our male CKD patients for ED, anxiety, and depression and possibly consider treatment in severe cases.
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spelling doaj-art-ec52d6e4ab584497b026e29ffeaa2d682025-01-12T11:36:08ZengNigerian Medical Association, Akwa Ibom State BranchIbom Medical Journal1597-71882735-99642025-01-0118110.61386/imj.v18i1.592The prevalence of sexual dysfunction, anxiety and depression in pre-dialysis chronic kidney disease patients in Uyo, NigeriaAkpan EE0Udo AIA1Umoh AV2Department of Internal Medicine, Faculty of Clinical Sciences, University of Uyo, NigeriaDepartment of Internal Medicine, Faculty of Clinical Sciences, University of Uyo, NigeriaDepartment of Internal Medicine, Faculty of Clinical Sciences, University of Uyo, Nigeria Background: Chronic kidney disease (CKD) is a progressive condition that spans years or even decades. It is therefore associated with comorbidities as well as other complications among which include erectile dysfunction (ED), anxiety, and depression. Method: This was a cross- sectional descriptive study involving 54 male pre-dialysis patients seen in the renal clinic of the University of Uyo Teaching Hospital, Uyo, Nigeria. The history of erectile dysfunction (ED) was taken using the abridge five-item version of the 15-item well-validated International Index of Erection Function (IIEF-5) questionnaire. Anxiety and depression were evaluated using the simple hospital anxiety and depression scale (HADS) screening tool. Results: Fifty-four (54) pre-dialysis male patients were recruited, aged between 26 and 67 with a mean age of 49.65 ±8.37. Only 1(1.87%) was single, 53(98.13%) were married. The prevalence of erectile dysfunction was 81.5%. Erectile dysfunction had a significant association with depression and anxiety. Respondents had Anxiety, with a Borderline of 7(29%), clinical casenesss 31(57.4%) against normal of 16 (29.6%). While 35(64.8%) had depression, borderline 15(27.8%), caseness of 20(37%) against normal 19(35.2%). Anxiety and depression had a strong association with erectile dysfunction p= 0.02 and p= 0.01 respectively. Conclusion: There is a high prevalence of ED, anxiety, and depression among pre-dialysis male patients. ED is strongly associated with anxiety and depression. There is a need always to evaluate our male CKD patients for ED, anxiety, and depression and possibly consider treatment in severe cases. http://ibommedicaljournal.org/index.php/imjhome/article/view/592Erectile dysfunctionchronic kidney diseasedepressionanxiety
spellingShingle Akpan EE
Udo AIA
Umoh AV
The prevalence of sexual dysfunction, anxiety and depression in pre-dialysis chronic kidney disease patients in Uyo, Nigeria
Ibom Medical Journal
Erectile dysfunction
chronic kidney disease
depression
anxiety
title The prevalence of sexual dysfunction, anxiety and depression in pre-dialysis chronic kidney disease patients in Uyo, Nigeria
title_full The prevalence of sexual dysfunction, anxiety and depression in pre-dialysis chronic kidney disease patients in Uyo, Nigeria
title_fullStr The prevalence of sexual dysfunction, anxiety and depression in pre-dialysis chronic kidney disease patients in Uyo, Nigeria
title_full_unstemmed The prevalence of sexual dysfunction, anxiety and depression in pre-dialysis chronic kidney disease patients in Uyo, Nigeria
title_short The prevalence of sexual dysfunction, anxiety and depression in pre-dialysis chronic kidney disease patients in Uyo, Nigeria
title_sort prevalence of sexual dysfunction anxiety and depression in pre dialysis chronic kidney disease patients in uyo nigeria
topic Erectile dysfunction
chronic kidney disease
depression
anxiety
url http://ibommedicaljournal.org/index.php/imjhome/article/view/592
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