The effect of covid-19 anxiety on sexual function of health care providers; a cross-sectional survey study

  • Maryam Firouzabadi Instructor of midwifery department of nursing and midwifery sirjan school of medical sciences
  • Naimeh Pourramezani Instructor of Neonatal Intensive Care Nursing, Department of Nursing and Midwifery, Sirjan school of Medical Sciences, Sirjan, Iran;ORCID 0000-0003-1220-8821; npourramezani@yahoo.com; +989131792291 https://orcid.org/0000-0003-1220-8821
  • Fatemeh Alavi-Arjas PhD Student of Reproductive Health, Student Research Committee, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran; ORCID 0000-0001-9706-9052; alavimidwifery@gmail.com; +989106809712 https://orcid.org/0000-0001-9706-9052
  • Mohadeseh Balvardi Instructor of Biostatistics, Department of Public Health, Sirjan school of Medical Sciences, Sirjan, Iran;ORCID 0000-0001-7321-7292; Mbalvardi_biostat90@yahoo.com; +989134458149 https://orcid.org/0000-0001-7321-7292
  • Neda Badrabadi Instructor of Midwifery, Department of Nursing and Midwifery, Sirjan school of Medical Sciences, Sirjan, Iran; ORCID 0000-0002-3336-8616; nedabadrabadi96@gmail.com; +989103748553 https://orcid.org/0000-0002-3336-8616
DOI: https://doi.org/10.5937/mckg56-36544
Keywords: sexual function; anxiety; healthcare provider; Coronavirus pandemic

Abstract


Introduction: Coronavirus disease epidemic in 2019 (COVID-19) posed a big challenge to healthcare providers.

Objectives: The present study aimed to explore the relationship between coronavirus anxiety and the sexual function of healthcare providers.

Methods: In this study, an online non-probability sample survey was used to explore the relationship between anxiety and sexual function in health care providers during COVID-19 pandemic. The questionnaire included Female Sexual Function Index (FSFI) and Corona Disease Anxiety Scale (CDAS).

Result: A total of 300 health care providers were investigated in this study. The estimated self-reported rates of mild anxiety symptoms were 49%, moderate 29.2% and severe were 29.9%. the total mean score of FSFI of healthcare providers were (19.1 (SD=4.4)). The results showed that on the total scale, 40.9% of health care providers had mild anxiety. The results also indicated that female sexual function is inversely correlated with Corona anxiety. Also, it was shown that corona anxiety is inversely correlated with sexual functioning.

Conclusions: this study concluded the negative impact of the COVID-19 pandemic on anxiety and sexual function in healthcare providers. Therefore, psychological or sexual assistance may be beneficial.

Keywords: sexual function; anxiety; healthcare provider; Coronavirus pandemic

References


  1. Pfefferbaum, B. and C.S.J.N.E.J.o.M. North, Mental health and the Covid-19 pandemic. 2020. 383(6): p. 510-512.

  2. da Silva, F.C.T., M.L.R.J.P.i.N.-P. Neto, and B. Psychiatry, Psychological effects caused by the COVID-19 pandemic in health professionals: a systematic review with meta-analysis. 2020: p. 110062.

  3. Mallet, J., et al., Addictions in the COVID-19 era: current evidence, future perspectives a comprehensive review. 2020: p. 110070.

  4. Wang, C., et al., Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. 2020. 17(5): p. 1729.

  5. Cox, C.L.J.J.o.m.e., ‘Healthcare Heroes’: problems with media focus on heroism from healthcare workers during the COVID-19 pandemic. 2020. 46(8): p. 510-513.

  6. Shaukat, N., D.M. Ali, and J.J.I.J.o.E.M. Razzak, Physical and mental health impacts of COVID-19 on healthcare workers: a scoping review. 2020. 13(1): p. 1-8.

  7. Mokhtari, R., S. Moayedi, and M.J.I.j.o.m.h.n. Golitaleb, COVID‐19 pandemic and health anxiety among nurses of intensive care units. 2020. 29(6): p. 1275.

  8. Rajkumar, R.P.J.A.j.o.p., COVID-19 and mental health: A review of the existing literature. 2020. 52: p. 102066.

  9. Lai, J., et al., Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. 2020. 3(3): p. e203976-e203976.

  10. Krammer, S., et al., Adjustment disorder, depression, stress symptoms, Corona related anxieties and coping strategies during the Corona pandemic (COVID-19) in Swiss medical staff. 2020. 70(7): p. 272-282.

  11. Cai, H., et al., Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of coronavirus disease 2019 (COVID-19) in Hubei, China. 2020. 26: p. e924171-1.

  12. Çelmeçe, N. and M.J.F.i.p. Menekay, The effect of stress, anxiety and burnout levels of healthcare professionals caring for COVID-19 patients on their quality of life. 2020. 11: p. 3329.

  13. Du, J., et al., Psychological symptoms among frontline healthcare workers during COVID-19 outbreak in Wuhan. 2020. 67: p. 144.

  14. Wu, K. and X.J.M.s.m.b.r. Wei, Analysis of psychological and sleep status and exercise rehabilitation of front-line clinical staff in the fight against COVID-19 in China. 2020. 26: p. e924085-1.

  15. Shigemura, J., et al., Public responses to the new coronavirus 2019 (2019-nCoV) in Japan: consequences for mental health and target populations. 2020. 74(4): p. 281-282.

  16. Cheng, C. and M.W.J.J.o.p. Cheung, Psychological responses to outbreak of severe acute respiratory syndrome: a prospective, multiple time‐point study. 2005. 73(1): p. 261-285.

  17. Michael, A., V.J.H.P.C. O'Keane, and Experimental, Sexual dysfunction in depression. 2000. 15(5): p. 337-345.

  18. Saks, B.R.J.J.o.c.p.m.s., Identifying and discussing sexual dysfunction. 1999.

  19. Ibarra, F.P., et al., Impact of the COVID-19 pandemic on the sexual behavior of the population. The vision of the east and the west. 2020. 46: p. 104-112.

  20. Schiavi, M.C., et al., Love in the time of COVID-19: sexual function and quality of life analysis during the social distancing measures in a group of Italian reproductive-age women. 2020. 17(8): p. 1407-1413.

  21. Lehmiller, J.J., et al., Less sex, but more sexual diversity: Changes in sexual behavior during the COVID-19 coronavirus pandemic. 2021. 43(1-2): p. 295-304.

  22. Jacob, L., et al., Challenges in the practice of sexual medicine in the time of COVID-19 in the United Kingdom. 2020. 17(7): p. 1229-1236.

  23. Li, W., et al., Challenges in the practice of sexual medicine in the time of COVID-19 in China. 2020. 17(7): p. 1225-1228.

  24. Nik-Azin, A., et al., Evaluation of sexual function, quality of life, and mental and physical health in pregnant women. 2013. 7(4): p. 171.

  25. Rosen, R.C., G.A.J.J.o.s. Bachmann, and m. therapy, Sexual well-being, happiness, and satisfaction, in women: the case for a new conceptual paradigm. 2008. 34(4): p. 291-297.

  26. Mollaioli, D., et al., Benefits of sexual activity on psychological, relational, and sexual health during the COVID-19 breakout. 2021. 18(1): p. 35-49.

  27. Alipour, A., et al., Preliminary validation of the Corona Disease Anxiety Scale (CDAS) in the Iranian sample. 2020. 8(32): p. 163-175.

  28. Isidori, A.M., et al., Outcomes assessment: Development and validation of a 6-item version of the Female Sexual Function Index (FSFI) as a diagnostic tool for female sexual dysfunction. 2010. 7(3): p. 1139-1146.

  29. Salari, N., et al., Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. 2020. 16(1): p. 1-11.

  30. Şahin, M.K., et al., Prevalence of depression, anxiety, distress and insomnia and related factors in healthcare workers during COVID-19 pandemic in Turkey. 2020. 45(6): p. 1168-1177.

  31. Paybast, S., et al., The anxiety disorder among the healthcare providers during the COVID-19 infection pandemic: A Systematic Review. 2020. 7(3): p. 115.

  32. Neitzke, A.B.J.C., medicine, and psychiatry, An illness of power: gender and the social causes of depression. 2016. 40(1): p. 59-73.

  33. Adams, J.G. and R.M.J.J. Walls, Supporting the health care workforce during the COVID-19 global epidemic. 2020. 323(15): p. 1439-1440.

  34. Zhang, T., B.J.S.B. Li, and P.a.i. journal, Job crafting and turnover intention: The mediating role of work engagement and job satisfaction. 2020. 48(2): p. 1-9.

  35. Vickers, N.J.J.C.b., Animal communication: when i’m calling you, will you answer too? 2017. 27(14): p. R713-R715.

  36. Pérez-López, F.R., et al., Assessment of sexual function and related factors in mid-aged sexually active Spanish women with the six-item Female Sex Function Index. 2012. 19(11): p. 1224-1230.

  37. Fairbanks, F., et al., Sexual function, anxiety and depression in women with benign breast disease. A case-control study. 2017. 63(10): p. 876-882.

  38. Dèttore, D., M. Pucciarelli, and E. Santarnecchi, Anxiety and female sexual functioning: An empirical study. Journal of sex & marital therapy, 2013. 39(3): p. 216-240.

  39. Güzel, A. and A.J.I.J.o.M.S. Döndü, Changes in sexual functions and habits of healthcare workers during the ongoing COVID-19 outbreak: a cross-sectional survey study. 2021: p. 1-9.

  40. Karsiyakali, N., et al., Evaluation of the sexual functioning of individuals living in Turkey during the COVID-19 pandemic: an internet-based nationwide survey study. Sexual medicine, 2021. 9(1): p. 100279.

  41. Pérez-López FR, F.-A.A., Trabalón-Pastor M, Vara C, Chedraui P, Group MRAR. , Assessment of sexual function and related factors in mid-aged sexually active Spanish women with the six-item Female Sex Function Index. Menopause, 2012. 19


(11): p. 1224-30.



  1. Khoei, E.M., et al., Elements associated with Iranian women's sexual behaviours: A cross-sectional study. International Journal of Reproductive BioMedicine, 2018. 16(5): p. 349.

  2. Aslan, E., et al., Prevalence and risk factors for low sexual function in women: a study of 1,009 women in an outpatient clinic of a university hospital in Istanbul. 2008. 5(9): p. 2044-2052.

  3. Güvel, S., et al., Evli kadinlarda cinsel fonksiyonlara etkin faktörler. 2003. 29(1): p. 43-48.

  4. Chedraui, P., et al., Assessment of sexuality among middle-aged women using the Female Sexual Function Index. 2009. 12(3): p. 213-221.

  5. Shifren, J.L., et al., Sexual problems and distress in United States women: prevalence and correlates. 2008. 112(5): p. 970-978.

  6. Safarinejad, M.J.I.j.o.i.r., Female sexual dysfunction in a population-based study in Iran: prevalence and associated risk factors. 2006. 18(4): p. 382-395.

  7. Hayes, R.D., et al., Risk factors for female sexual dysfunction in the general population: Exploring factors associated with low sexual function and sexual distress. 2008. 5(7): p. 1681-1693.

  8. Sidi, H., et al., Epidemiology: The prevalence of sexual dysfunction and potential risk factors that may impair sexual function in malaysian women. 2007. 4(2): p. 311-321.

  9. Chedraui, P., et al., Assessment of sexual function of mid-aged Ecuadorian women with the 6-item Female Sexual Function Index. 2012. 71(4): p. 407-412.

  10. Darooneh, T., et al., A study on the relationship of economic and demographic factors with sexual and marital satisfaction in a sample of Iranian women, 2015-2016. 2017.

  11. Theofilou, P.A.J.H.I., Sexual functioning in chronic kidney disease: the association with depression and anxiety. 2012. 16(1): p. 76-81.

  12. Kaya, B., et al., Anxiety, depression and sexual dysfunction in women with chronic pelvic pain. 2006. 21(02): p. 187-196.

  13. Sepehrian, F. and Hosseinpoor, FEMALE SEXUAL DYSFUNCTION AND ITS RELATED FACTORS IN URMIA %J Studies in Medical Sciences. 2012. 23(2): p. 148-154.

Published
2022/12/30
Issue
Vol. 56 No. 2 (2022): MEDICINSKI ČASOPIS
Section
Original Scientific Paper