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A Study on Sexual Functioning in Adults With Attention-Deficit/Hyperactivity Disorder Publisher Pubmed



Amani Jabalkandi S1 ; Raisi F2 ; Shahrivar Z2, 3 ; Mohammadi A1 ; Meysamie A5 ; Firoozikhojastefar R4 ; Irani F6
Authors
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Authors Affiliations
  1. 1. Department of Clinical Psychology, School of Medicine, Roozbeh Psychiatric Hospital, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Psychiatry, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Research Center for Cognitive and Behavioral Sciences, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Roozbeh Psychiatric Hospital, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Community and Preventive Medicine, School of Medicine, Tehran University of Medical Sciences/University of Tehran, Tehran, Iran
  6. 6. Department of Psychology, Center for Interdisciplinary Brain Research (CIBR), University of Jyvaskyla, JYU, Jyvaskyla, Finland

Source: Perspectives in Psychiatric Care Published:2020


Abstract

Purpose: Sexual dysfunction has been ignored in adults with attention-deficit hyperactivity disorder (A-ADHD). This study examined sexual function in adults with ADHD compared to a healthy control group. Design and Methods: The experimental group (N = 63, mean age = 31.11 ± 4.29, females = 31) were recruited among referrals with ADHD to an outpatient A-ADHD clinic. The DIVA-2 (Diagnostic Interview for ADHD in adults) and the schedule for affective disorders and schizophrenia (SADS) were used to assess for A-ADHD and comorbid psychiatric disorders, respectively. The healthy groups (N = 66, mean age = 31.37 ± 4.30, females = 31) were demographically matched and had no psychiatric disorders based on the Conners' Adult ADHD Rating Scales—Self Report, Short Version and SADS. Sexual functions were evaluated using the Female Sexual Function Index (FSFI) for females and International Index of Erectile Function (IIEF) for males. Findings: Females with ADHD compared to the control group showed significantly (P <.001) poorer scores in all FSFI domains (desire, arousal, orgasm, satisfaction, pain, and lubrication). The IIEF mean scores in the males with A-ADHD were lower (P =.00) than their counterparts for all the subscales including orgasm, erectile function, intercourse satisfaction, and overall satisfaction, except for the desire (P =.75). The orgasmic function had a significant negative correlation with Conners Adult ADHD Rating Scale—Self Report: Short total scores in males (r = −.48) and females (r = −.40). Practice Implications: This study provides preliminary information on greater difficulties with sexual function in adults with ADHD. Assessment of sexual function in referrals with A-ADHD is suggested. © 2020 Wiley Periodicals, Inc.
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