Advertisement
Biological Psychiatry
Advanced searchSave search
Original article| Volume 34, ISSUE 3, P171-177, August 01, 1993

Download started.

Ok

Diabetes, sleep disorders, and male sexual function

DOI:https://doi.org/10.1016/0006-3223(93)90388-T
Diabetes, sleep disorders, and male sexual function
Previous ArticleEffects of chronic lithium and carbamazepine treatment on G-protein subunit expression in rat cerebral cortex
Next ArticleAcute effects of neuroleptics on unmedicated schizophrenic patients and controls
      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      The prevalence and role of sleep disorders in the sexual problems of diabetic patients remain unexplored. This study was conducted on 40 diabetic men carefully screened to exclude the confounding effects of other medical illnesses or drugs likely to impair sexual function and 40 age-matched healthy volunteers. They underwent an extensive psychosexual interview, medical and psychiatric evaluations, and three recorded nights in a sleep laboratory. Electroencephalogram, eye movements, muscle tone, and nocturnal penile tumescence were monitored continouusly. Respiratory airflow and bilateral anterior tibialis recordings were obtained during the first sleep session. Diabetic men had significantly higher prevalences of respiratory and periodic leg movement disturbances during sleep. There was clinical, although not nocturnal penile tumescence, evidence suggesting that respiratory abnormalities during sleep are associated with erectile difficulties in diabetic men. Future studies should include blood oxygenation and respiratory effort measures to clarify the significance of sleep-related airflow disturbances in diabetic patients.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Biological Psychiatry
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Register: Create an account
      Institutional Access: Sign in to ScienceDirect

      References

        • Catterall J.R.
        • Calverley P.M.A.
        • Ewing D.J.
        • Shapiro C.M.
        • Clarke B.F.
        • Douglas R.J.
        Breathing, sleep and diabetic autonomic neuropathy.
        Diabetes. 1984; 33: 1025-1027
        • Endicott J.
        • Spitzer R.L.
        A diagnostic interview. The Schedule for Affective Disorders and Schizophrenia.
        Arch Gen Psychiatry. 1978; 35: 837-844
        • Fisher C.
        • Schiavi R.C.
        • Edwards A.
        • Davis D.M.
        • Reitman M.
        • Fine J.
        Evaluation of nocturnal penile tumescence in the differential diagnosis of sexual impotence.
        Arch Gen Psychiatry. 1979; 36: 431-437
        • Folstein M.F.
        • Folstein S.F.
        • McHugh P.R.
        “Mini-Mental State”: A practical method for grading the cognitive state of patients for the clinician.
        J Psychiatr Res. 1975; 12: 189-198
        • Gislason T.
        • Almquist M.
        Somatic diseases and sleep complaints. An epidemiological study of 3201 Swedish men.
        Acta Med Scand. 1987; 221: 475-481
        • Guilleminault C.
        • Eldrige F.L.
        • Tirkian A.
        • Simmons F.B.
        • Dement W.C.
        Sleep apnea syndrome due to upper airway obstruction. A review of 25 cases.
        Arch Intern Med. 1977; 137: 296-300
        • Guilleminault C.
        • Briskin J.G.
        • Greenfield M.S.
        • Silvestri R.
        The impact of autonomic nervous system dysfunction on breathing during sleep.
        Sleep. 1981; 4: 263-278
        • Hyyppa M.T.
        • Kronholm E.
        Quality of sleep and chronic illness.
        J Clin Epidemiol. 1989; 42: 633-638
        • McCulloch D.K.
        • Campbell I.W.
        • Wu F.C.
        • Prescott R.J.
        • Clarke B.F.
        The prevalence of diabetic impotence.
        Diabetologia. 1980; 18: 279-283
        • Mosko S.S.
        • Dickel M.J.
        • Paul T.
        • et al.
        Sleep apnea and sleep-related periodic leg movements in community resident seniors.
        J Am Geriatr Soc. 1988; 36: 502-508
      11. Peter J.H. Podszus T. von Wichert P. Sleep Related Disorders and Internal Diseases. Springer-Verlag, Berlin1987
        • Rechtschaffen A.
        • Kales A.
        A Manual of Standardized Terminology, Techniques and Scoring System for Sleep Stages.
        US Government Printing Office, Washington, DC1968
        • Rees P.J.
        • Prior J.G.
        • Cochrane G.M.
        • Clark T.J.H.
        Sleep apnea in diabetic patients with autonomic neuropathy.
        J R Soc Med. 1981; 74: 192-195
        • Reynolds C.F.
        • Kupfer D.J.
        • Taska L.S.
        • Hoch C.C.
        • Sewitch D.E.
        • Spiker D.G.
        Sleep of healthy seniors: a revisit.
        Sleep. 1985; 8: 20-29
        • Schiavi R.C.
        Nocturnal penile tumescence in the evaluation of erectile disorders: a critical review.
        J Sex Marital Ther. 1988; 14: 83-96
        • Schiavi R.C.
        • Hogan B.
        Sexual problems in diabetes melitus: psychological aspects.
        Diabetes Care. 1979; 2: 9-17
        • Schiavi R.C.
        • Fisher C.
        • Quadland M.
        • Glover A.
        Nocturnal penile tumescent evaluation of erectile function in insulin-dependent diabetic men.
        Diabetologia. 1985; 28: 90-94
        • Schiavi R.C.
        • Schreiner-Engel P.
        • Mandeli J.
        • Schanzer H.
        • Cohen E.
        Healthy aging and male sexual function.
        Am J Psychiatry. 1990; 147: 766-771
        • Schiavi R.C.
        • Mandeli J.
        • Schreiner-Engel P.
        • Chambers A.
        Aging, sleep disorders, and male sexual function.
        Biol Psychiatry. 1991; 30: 15-24
        • Schiavi R.C.
        • Stimmel B.B.
        • Mandeli J.
        • Rayfield E.J.
        Diabetes mellitus and male sexual function: a controlled study.
        Diabetologia. 1993;
        • Schmidt H.S.
        • Wise H.A.
        Significance of impaired penile tumescence and associated polysomnographic abnormalities in the impotent patient.
        J Urol. 1981; 126: 348-351
        • Selzer M.R.
        The Michigan Alcoholism Screening Test.
        Am J Psychiatry. 1971; 127: 1653-1658

      Article info

      Publication history

      Received in revised form: May 13, 1993
      Received: February 22, 1993

      Footnotes

      ☆This research was supported with HSPHS research grants DK 39106 and AG 06895 and by a grant (SM 01RR 00071) for the Mount Sinai General Clinical Research Center from the National Center for Research Resources, National Institute of Health.

      Identification

      DOI: https://doi.org/10.1016/0006-3223(93)90388-T

      Copyright

      © 1993 Published by Elsevier Inc.

      ScienceDirect

      Access this article on ScienceDirect
      We use cookies to help provide and enhance our service and tailor content. To update your cookie settings, please visit the for this site.
      Copyright © 2023 Elsevier Inc. except certain content provided by third parties. The content on this site is intended for healthcare professionals.


      RELX