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Erectile dysfunction and depression: category or dimension?

Julia Strand·Thomas N Wise·Peter J Fagan·Chester W Schmidt
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Abstract

Depression, as a risk factor for erectile dysfunction (ED), has received minimal systematic attention. One-hundred twenty men with ED evaluated in a sexual behaviors clinic were studied. The categorical Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; American Psychiatric Association, 1994) diagnosis of a depressive disorder was found in only 14 subjects (14.7%). Dimensional quantification of depression was measured with the Brief Symptom Inventory (BSI). The BSI data revealed clinically significant elevations of depression and other dysphoric affects. The presence of a comorbid medical diagnosis did not affect the rates of categorical diagnosis of depression or the dimensional levels. The five factors of personality in the NEO-PI were within normal range. The data demonstrates that men with ED are affectively distressed but infrequently meet criteria for categorical DSM-IV depression.

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Major Depressive DisorderErectile DysfunctionHumansMaleMiddle AgedJournal Article

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Julia Strand, Thomas N Wise, Peter J Fagan, Chester W Schmidt. Erectile dysfunction and depression: category or dimension?. https://doi.org/10.1080/00926230252851906

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