Sexual dysfunction: a neglected complication of panic disorder and social phobia

Arch Sex Behav. 2001 Aug;30(4):369-77. doi: 10.1023/a:1010257214859.


Little is known about sexual dysfunctions comorbid with anxiety disorder. The aim of this study is to evaluate retrospectively the sexual function of social phobic patients in comparison with a panic disorder sample. Using a semistructured interview (SCID-I), 30 patients with social phobia and 28 patients with panic disorder were examined. The DSM-IV criteria were employed to diagnose sexual dysfunctions in this sample; however, the "C" criterion, which states that "the sexual dysfunction cannot be related to other Axis I disorders," was excluded. Panic disorder patients reported a significantly greater proportion of sexual disorders compared with social phobics: 75% (21/28) vs. 33.3% (10/30) (p = .0034). Sexual aversion disorder was the most common sexual dysfunction in both male (35.7%; 5/14) and female (50%; 7/14) panic disorder patients, and premature ejaculation was the most common sexual dysfunction in male social phobic patients: 47.4% (9/19). These results suggest that sexual dysfunctions are frequent and neglected complications of social phobia and panic disorder.

MeSH terms

  • Adult
  • Comorbidity
  • Female
  • Humans
  • Interview, Psychological
  • Male
  • Masturbation / psychology
  • Panic Disorder / diagnosis
  • Panic Disorder / epidemiology*
  • Panic Disorder / psychology
  • Phobic Disorders / diagnosis
  • Phobic Disorders / epidemiology*
  • Phobic Disorders / psychology
  • Prevalence
  • Psychiatric Status Rating Scales
  • Retrospective Studies
  • Sexual Dysfunctions, Psychological / diagnosis
  • Sexual Dysfunctions, Psychological / epidemiology*
  • Sexual Dysfunctions, Psychological / psychology