Vol. 7, Issue 1, Part A (2025)

Objectives: To study the prevalence and severity of sexual dysfunction and insomnia in female patients of clinically diagnosed depression.

Methods: The study was carried out on 210 females fulfilling the ICD-11 criteria for depression including first episode of depression, “recurrent depressive disorder, and bipolar affective disorder with current episode of depression” were included in the study. FSFI, ISI and HDRS scales were used to assess female sexual dysfunction, insomnia and depression.

Results: Mild, moderate, severe, and very severe depression was present in 28 (13.33%), 85 (40.48%), 60 (28.57%), and 37 (17.62%) participants. Female sexual dysfunction was present in 154 (73.33%) patients. In 3 (1.43%) of the patients there were no clinically significant insomnia, 95 (45.24%) had subthreshold insomnia, and 88 (41.90%) had moderate clinical insomnia, and 24 (11.43%) had severe clinical insomnia. Compared to women without sexual dysfunction, those with sexual dysfunction had significantly higher mean total HDRS score (19.92 ± 6.01 vs. 17.61 ± 4.73, P=0.01).HDRS score showed significantly positive correlation with insomnia severity index (ISI) (r= 0.272, P=0.0001) and negative correlation with FSFI (r= -0.323, p<0.0001).

Conclusion: The prevalence of sexual dysfunction was 73.33%. Depression had significant correlation with sexual dysfunction as well as insomnia.