E-ISSN 2148-5607
1 Department of Geriatric Medicine, Dokuz Eylül University School of Medicine, İzmir, Turkey  
2 Department of Gastroenterology, Ankara University School of Medicine, Ankara, Turkey  
Turk J Gastroenterol ; : -


Background/Aims: Inflammatory bowel disease (IBD) has major impact on patients’ quality of life (QoL), mood and sexual life. The purpose of this study was to show the effect of disease type and activity on sexual life, QoL in IBD patients.


Materials and Methods: Total 122 IBD patients and sex, age matched 42 control cases were included study. Demographic characteristics were recorded. IBD patients’ disease activity was assessed by Harvey-Bradshaw Index in Crohn’s Disease (CD) and the Mayo-Clinical Ulcerative Colitis Activity Index in Ulcerative Colitis (UC). All participants were subjected to complete three questionnaires: SF-36, Hospital Anxiety and Depression Scales (HAD-A, HAD-D), Arizona Sexual Experience Scale (ASEX). 


Results: There was no difference in terms of demographic characteristics between three groups, except cigarette exposure in CD. UC, CD patients’ disease activity wasn’t different (p>0.05).  The mean HAD-A score was significantly higher in the CD group, whereas mean HAD-D score was higher in IBD groups than control group (p<0.05). Anxiety was seen in women more frequently. SF-36 scale scores were found to be lower in the UC and CD groups than the control group (p<0.05). Mean ASEX scores of women with UC (19.59±7.59) and CD (19.38±6.27) were both significantly higher than control group (15±4.76). Although, mean ASEX scores of men were not different, some ASEX subscores of IBD groups were worse than control.


Conclusion: Inflammatory bowel disease is a chronic disease which has multiple complications that affects patients’ psychosocial life. Patients have more anxiety, depression and sexual dysfunction when their disease were active. Patients should be screened for psychological diseases, sexual dysfunction, and necessary treatments should be given.


Cite this article as: Ateş Bulut E, Törüner M. The influence of disease type and activity to sexual life and health quality in inflammatory bowel disease. Turk J Gastroenterol 2018; DOI: 10.5152/tjg.2018.18250

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