Get access

Depressive Symptoms as a Predictor of Sexual Function during Pregnancy

Authors

  • Shiow-Ru Chang PhD,

    Corresponding author
    1. School of Nursing, College of Medicine and Hospital, National Taiwan University, Taipei, Taiwan
      Shiow-Ru Chang, RN, PhD, School of Nursing, College of Medicine and Hospital, National Taiwan University, No.1, Sec. 1, Jen-Ai Road, 100 Taipei, Taiwan. Tel: +886-2-23123456 ext. 88425; Fax: +886-2-23219913; E-mail: srchang@ntu.edu.tw
    Search for more papers by this author
  • Hong-Nerng Ho MD,

    1. Department of Obstetrics and Gynecology, College of Medicine and Hospital, National Taiwan University, Taipei, Taiwan
    Search for more papers by this author
  • Kuang-Ho Chen PhD,

    1. Central Taiwan University of Science and Technology, Taichung, Taiwan
    Search for more papers by this author
  • Ming-Kwang Shyu MD, PhD,

    1. Department of Obstetrics and Gynecology, College of Medicine and Hospital, National Taiwan University, Taipei, Taiwan
    Search for more papers by this author
  • Lian-Hua Huang PhD,

    1. School of Nursing, College of Medicine and Hospital, National Taiwan University, Taipei, Taiwan
    Search for more papers by this author
  • Wei-An Lin MD

    1. College of Medicine and Hospital, National Taiwan University, Taipei, Taiwan
    Search for more papers by this author

Shiow-Ru Chang, RN, PhD, School of Nursing, College of Medicine and Hospital, National Taiwan University, No.1, Sec. 1, Jen-Ai Road, 100 Taipei, Taiwan. Tel: +886-2-23123456 ext. 88425; Fax: +886-2-23219913; E-mail: srchang@ntu.edu.tw

ABSTRACT

Introduction.  Biopsychological and sociocultural factors have been reported to be associated with sexual function in pregnancy. To date, very few studies have focused on the relationship between sexual function and depression during pregnancy.

Aim.  To determine whether depressive symptoms predict overall sexual function, desire, arousal, lubrication, orgasm, satisfaction, and pain during pregnancy by using the Female Sexual Function Index (FSFI).

Methods.  Pregnant women undergoing prenatal examinations were randomly selected for this cross-sectional investigation. The study included 555 pregnant women who completed the Taiwanese versions of the Center for Epidemiologic Studies Depression Scale (CES-D), FSFI, and a demographic questionnaire during pregnancy.

Main Outcome Measures.  CES-D scores for depressive symptoms, scores for overall sexual function on the FSFI, and the FSFI domains: desire, arousal, lubrication, orgasm, satisfaction, and pain.

Results.  After adjusting for demographic factors, CES-D scores during the first trimester negatively predicted overall sexual function (P = 0.0004), arousal (P = 0.0104), lubrication (P = 0.0016), orgasm (P = 0.0022), and pain (P < 0.0001). Moreover, CES-D scores during the third trimester negatively predicted sexual desire (P = 0.0005) and satisfaction (P < 0.0001). Furthermore, gestational age negatively predicted overall sexual function, arousal, lubrication, orgasm, and pain (all P < 0.0001). Parity was a positive predictor of overall sexual function, arousal, lubrication, and orgasm (all P < 0.0005). Medical conditions were positive predictors of sexual desire (P = 0.0023).

Conclusions.  The present study revealed that depressive symptom scores during early and late pregnancy were significant negative predictors of sexual function during pregnancy. Chang S-R, Ho H-N, Chen K-H, Shyu M-K, Huang L-H, and Lin W-A. Depressive symptoms as a predictor of sexual function during pregnancy. J Sex Med **;**:**–**.

Get access to the full text of this article

Ancillary