Defining the impact of Peyronie's disease on the psychosocial status of gay men Journal Article
| Authors: | Salter, C. A.; Nascimento, B.; Terrier, J. E.; Taniguchi, H.; Bernie, H.; Miranda, E.; Jenkins, L.; Schofield, E.; Mulhall, J. P. |
| Article Title: | Defining the impact of Peyronie's disease on the psychosocial status of gay men |
| Abstract: | Background: Little sexual health research has been conducted in gay men. Anecdotally, this population seems to experience more bother related to Peyronie's disease (PD). Objectives: To examine the impact of PD on psychosocial factors in gay vs straight men. Materials and Methods: All PD patients who were seen in the sexual medicine clinic were included. They completed three instruments: the PD questionnaire (PDQ), Self-Esteem and Relationship (SEAR) questionnaire, and a depression questionnaire (CES-D). We described demographics and sexual variables by sexual orientation. We then compared PDQ items and summary scores by sexual orientation, using a series of independent samples t tests. Results: 34 consecutive gay and 464 straight men were included. Age and baseline characteristics were similar between the two cohorts, with the exception that fewer gay men were partnered (56% vs 87%, P <.01), and those with a partner had a shorter relationship duration: 109 ± 9 months vs 262 ± 175 months, P <.01. For the SEAR questionnaire, gay men demonstrated a more significant psychosocial impact of PD overall with lower SEAR sums (41 vs 57, P =.01) and a lower sexual relationship subdomain score (28 vs 47, P <.01). 41% of gay men vs 26% of straight men had CES-D scores consistent with depression as defined by a score of ≥16 (P =.09). In the PDQ domains, gay men scored less favorably with regard to bother scores (7 vs 5, P =.03) and pain scores (8 vs 4, P =.04). Discussion: Gay men with PD experience significantly more psychosocial impact as evidenced by less favorable SEAR sum and sexual relationship scores, CES-D scores, and PDQ pain and bother domain scores. Conclusion: The psychosocial impact of PD is significant in all men, but it appears to be greater in gay men. Published 2020. This article is a U.S. Government work and is in the public domain in the USA |
| Keywords: | adult; controlled study; middle aged; major clinical study; comparative study; demography; sexual satisfaction; cohort analysis; depression; prostaglandin; comorbidity; papaverine; sexual orientation; sexual function; sexual intercourse; libido; sexual behavior; social psychology; penis erection; peyronie disease; phentolamine; self esteem; medical history; center for epidemiological studies depression scale; doppler flowmetry; psychosocial impact; human; male; priority journal; article; bother; homosexual male; genital system disease assessment; peyronie’s disease; peyronie disease questionnaire; self esteem and relationship questionnaire; self-concept assessment |
| Journal Title: | Andrology |
| Volume: | 9 |
| Issue: | 1 |
| ISSN: | 2047-2919 |
| Publisher: | Wiley Blackwell |
| Date Published: | 2021-01-01 |
| Start Page: | 233 |
| End Page: | 237 |
| Language: | English |
| DOI: | 10.1111/andr.12899 |
| PUBMED: | 32909401 |
| PROVIDER: | scopus |
| PMCID: | PMC8787861 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 1 March 2021 -- Source: Scopus |
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