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Year 2025, Volume: 15 Issue: 3, 568 - 576, 30.09.2025
https://doi.org/10.33808/clinexphealthsci.1595863

Abstract

Project Number

-

References

  • Xing Y, Wong GW-K. Environmental influences and allergic diseases in the Asia-Pacific region: what will happen in the next 30 years? Allergy Asthma Immunol Res. 2022;14(1):21-39. https://doi.org/10.4168/aair.2022.14.1.21
  • Chauhan G, Khokhar C. Quality of life in allergic rhinitis patients. Int J Indian Psychol. 2015;2(2):114-122.
  • González-Núñez V, Valero AL, Mullol J. Impact of sleep as a specific marker of quality of life in allergic rhinitis. Curr Allergy Asthma Rep. 2013;13(2):131-141. https://doi.org/10.1007/s11882-012-0330-z
  • Hoehle LP, Speth MM, Phillips KM, Gaudin RA, Caradonna DS, Gray ST, Sedaghat AR. Association between symptoms of allergic rhinitis with decreased general health-related quality of life. Am J Rhinol Allergy. 2017;31(4):235-239. https://doi.org/10.2500/ajra.2017.31.4444
  • Campbell AP, Hoehle LP, Phillips KM, Caradonna DS, Gray ST, Sedaghat AR. Depressed mood is associated with loss of productivity in allergic rhinitis. Allergy. 2018;73(5):1141-1144. https://doi.org/10.1111/all.13387
  • Cuffel B, Wamboldt M, Borish L, Kennedy S, Crystal-Peters J. Economic consequences of comorbid depression, anxiety, and allergic rhinitis. Psychosomatics. 1999;40(6):491-496. https://doi.org/10.1016/S0033-3182(99)71187-4
  • Meltzer EO. Allergic rhinitis: burden of illness, quality of life, comorbidities, and control. Immunol Allergy Clin North Am. 2016;36(2):235-248. https://doi.org/10.1016/j.iac.2015.12.002
  • Price D, Scadding G, Ryan D, Bachert C, Canonica GW, Mullol J, Klimek L, Pitman R, Acaster S, Murray R, Bousquet J. The hidden burden of adult allergic rhinitis: UK healthcare resource utilisation survey. Clin Transl Allergy. 2015;5 (39):1-12. https://doi.org/10.1186/s13601-015-0083-6
  • Jalalia MM, Soleimani R, Jalali SM, Mohisafat B. Evaluation of the effects of allergic rhinitis treatment on sexual functioning, sleep, and fatigue parameters. Rev Fr Allergol. 2020;60(2):55-60. https://doi.org/10.1016/j.reval.2019.04.002
  • Jaruvongvanich V, Mongkolpathumrat P, Chantaphakul H, Klaewsongkram J. Extranasal symptoms of allergic rhinitis are difficult to treat and affect quality of life. Allergol Int. 2016;65(2):199–203. https://doi.org/10.1016/j.alit.2015.11.006
  • Yu J, Cheng Z, Zheng H, Zhuang Y. Quality of life and anxiety and depression symptoms in elderly patients with allergic rhinitis. Chin J Geriatr. 2017;36(8):895–898.
  • Thompson A, Sardana N, Craig TJ. Sleep impairment and daytime sleepiness in patients with allergic rhinitis: the role of congestion and inflammation. Ann Allergy Asthma Immunol. 2013;111(6):446-451. https://doi.org/10.1016/j.anai.2013.05.020
  • Jaruvongvanich V, Mongkolpathumrat P, Chantaphakul H, Klaewsongkram J. Extranasal symptoms of allergic rhinitis are difficult to treat and affect quality of life. Allergol Int. 2016;65(2):199–203. https://doi.org/10.1016/j.alit.2015.11.006
  • Sabharwal G, Craig TJ. The effect of rhinitis on sleep, quality of life, daytime somnolence, and fatigue. In: Pawankar R, Holgate ST, Rosenwasser LJ, Sheikh A, editors. Allergy and Asthma: Practical Diagnosis and Management. Cham: Springer International Publishing; 2016. p.87–97. https://doi.org/10.1007/978-3-319-30835-7_7
  • Tamm S, Cervenka S, Forsberg A, Jonsson Fagerlund M, Rasmussen LS, Zetterberg H, Erlandsson Harris H, Stridh P, Christensson E, Granström A, Schening A, Dymmel K, Knave N, Terrando N, Maze M, Borg J, Varrone A, Halldin C, Blennow K, Farde L, Eriksson LI. Evidence of fatigue, disordered sleep and peripheral inflammation, but not increased brain TSPO expression, in seasonal allergy: a [11C]PBR28 PET study. Brain Behav Immun. 2018;68:146–157. https://doi.org/10.1016/j.bbi.2017.10.013
  • Benninger MS, Benninger RM. The impact of allergic rhinitis on sexual activity, sleep, and fatigue. Allergy Asthma Proc. 2009;30 (4): 358-65
  • Gürlek F, Taşdemir E, Çoban S. Does allergic rhinitis have effect on erectile dysfunction? J Reconstr Urol. 2018;8(2):44-49. https://doi.org/10.5336/urology.2018-61260
  • Özler GS, Özler S. Quality of sexual life in males with allergic rhinitis. J Clin Anal Med. 2016;7(2):155-157. https://doi.org/10.4328/JCAM.2602
  • Máspero JF, Serrano FS. Allergic rhinitis and sexual dysfunction. Curr Treat Options Allergy. 2017;4(1):62-70. https://doi.org/10.1007/s40521-017-0112-x
  • Su VY-F, Liu C-J, Lan M-Y, Chen Y-M, Su K-C, Lee Y-C, Chen T-J, Chou K-T. Allergic rhinitis and risk of erectile dysfunction: a nationwide population-based study. Allergy. 2013;68(4):440–445. https://doi.org/10.1111/all.12100.
  • Lenz ER, Pugh LC, Milligan RA, Gift A, Suppe F. The middle-range theory of unpleasant symptoms: an update. Adv Nurs Sci. 1997;19(3):14–27. https://doi.org/10.1097/00012272-199703000-00003
  • Lenz ER, Pugh LC, Gift A, Milligan RA. Collaborative development of middle-range nursing theories: toward a theory of unpleasant symptoms. Adv Nurs Sci. 1995;17(3):1–13. https://doi.org/10.1097/00012272-199503000-00003
  • Mohammad JM, Soleimani R, Jalali SM, Mohisafat B. Quality of life in patients with allergic rhinitis in the north of Iran. J Clin Diagn Res. 2018;12(6):MC1–MC4. https://doi.org/10.7860/JCDR/2018/32872.11694
  • Hancı D, Altun H, Başer E, Ceylan E, Yılmaz M, Karasoy DS. Sinonazal Sonuç Testinin (SNOT-22) Türkçeye çevirisi, kültürler arası adaptasyonu ve validasyonu. ENT Updates. 2015;5(2):51–57. https://doi.org/10.2399/jmu.2015002006 (Turkish)
  • Hopkins C, Gillett S, Slack R, Lund VJ, Browne JP. Psychometric validity of the 22-item Sinonasal Outcome Test. Clin Otolaryngol. 2009;34(5):447–455. https://doi.org/10.1111/j.1749-4486.2009.01995.x
  • Rosen C, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, Ferguson D, D’Agostino R Jr. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26(2):191–208. https://doi.org/10.1080/009262300278597
  • Aygin D, Eti Aslan F. Kadın cinsel işlev ölçeği’nin Türkçeye uyarlaması. Turkiye Klinikleri Tıp Bilimleri Derg. 2005;25(3):393-397 (Turkish)
  • Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A. The International Index of Erectile Function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology. 1997;49(6):822–830. https://doi.org/10.1016/S0090-4295(97)00238-0
  • Buysse DJ, Reynolds CF III, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213. https://doi.org/10.1016/0165-1781(89)90047-4
  • Ağargün M. Pittsburgh uyku kalitesi indeksinin geçerliği ve güvenirliği. Turk Psikiyatri Derg. 1996;7:107-115 (Turkish).
  • Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. The Fatigue Severity Scale: application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol. 1989;46(10):1121–1123. https://doi.org/10.1001/archneur.1989.00520460115022
  • Armutlu K, Korkmaz NC, Keser I, Sümbüloğlu V, Akbiyik DI, Güney Z, Karabudak R. The validity and reliability of the Fatigue Severity Scale in Turkish multiple sclerosis patients. Int J Rehabil Res. 2007;30(1):81–85. https://doi.org/10.1097/MRR.0b013e3280146ec4
  • Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4(6):561–571. https://doi.org/10.1001/archpsyc.1961.01710120031004
  • Hisli N. Beck depresyon envanterinin üniversite öğrencileri için geçerliliği ve güvenilirliği. Turk Psikiyatri Derg. 1989;7:3-13 (Turkish).
  • Steer RA, Ranieri WF, Beck AT, Clark DA. Further evidence for the validity of the Beck Anxiety Inventory with psychiatric outpatients. J Anxiety Disord. 1993;7(3):195–205. https://doi.org/10.1016/0887-6185(93)90002-3
  • Ulusoy M, Şahin NH, Erkmen H. The Beck Anxiety Inventory: psychometric properties. J Cogn Psychother. 1998;12(2):163-172.
  • Bedolla-Barajas M, Morales-Romero J, Pulido-Guillén NA, Robles-Figueroa M, Plascencia-Domínguez BR. Rhinitis as an associated factor for anxiety and depression amongst adults. Braz J Otorhinolaryngol. 2017;83(4):432–438. https://doi.org/10.1016/j.bjorl.2016.05.00
  • Kim DH, Han K, Kim SW. Relationship between allergic rhinitis and mental health in the general Korean adult population. Allergy Asthma Immunol Res. 2016;8(1):49-54. https://doi.org/10.4168/aair.2016.8.1.49
  • Lu Z, Chen L, Xu S, Bao Q, Ma Y, Guo L, Zhang S, Huang X, Cao C, Ruan L. Allergic disorders and risk of depression: a systematic review and meta-analysis of 51 large-scale studies. Ann Allergy Asthma Immunol. 2018;120(3):310–317.e2. https://doi.org/10.1016/j.anai.2017.12.011
  • Atlantis E, Sullivan T. Bidirectional association between depression and sexual dysfunction: a systematic review and meta-analysis. J Sex Med. 2012;9(6):1497-1507. https://doi.org/10.1111/j.1743-6109.2012.02709.x
  • Fabre LF, Smith LC. The effect of major depression on sexual function in women. J Sex Med. 2012;9(1):231-239. https://doi.org/10.1111/j.1743-6109.2011.02445.x
  • Kalmbach DA, Pillai V, Kingsberg SA, Ciesla JA. The transaction between depression and anxiety symptoms and sexual functioning: a prospective study of premenopausal, healthy women. Arch Sex Behav. 2015;44(6):1635–1642. https://doi.org/10.1007/s10508-014-0381-4
  • Oliveira C, Nobre PJ. The role of trait-affect, depression, and anxiety in women with sexual dysfunction: a pilot study. J Sex Marital Ther. 2013; 39 (5): 436-442. https://doi.org/10.1080/0092623X.2012.665813
  • Shifren JL, Monz BU, Russo PA, Segreti A, Johannes CB. Sexual problems and distress in United States women: prevalence and correlates. Obstet Gynecol. 2008;112(5):970–978. https://doi.org/10.1097/AOG.0b013e3181898cdb
  • Rajkumar RP, Kumaran AK. Depression and anxiety in men with sexual dysfunction: a retrospective study. Compr Psychiatry. 2015;60:114-118. https://doi.org/10.1016/j.comppsych.2015.03.001
  • Strand J, Wise TN, Fagan PJ, Schmidt CW Jr. Erectile dysfunction and depression: category or dimension? J Sex Marital Ther. 2002;28(2):175–181. https://doi.org/10.1080/00926230252851906
  • Zhang X (Xiansheng Zhang), Gao J (Jingjing Gao), Liu J (Jishuang Liu), Xia L, Yang J, Hao Z, Zhou J, Liang C (Chaozhao Liang). Prevalence rate and risk factors of depression in outpatients with premature ejaculation. Biomed Res Int. 2013;2013:317468. https://doi.org/10.1155/2013/317468
  • Meyer IH, Sternfels P, Fagan JK, Ford JG. Asthma-related limitations in sexual functioning: an important but neglected area of quality of life. Am J Public Health. 2002;92(5):770–772. https://doi.org/10.2105/AJPH.92.5.770
  • Kaptein AA, van Klink RCJ, de Kok F, Scharloo M, Snoei L, Broadbent E, Bel EHD, Rabe KF. Sexuality in patients with asthma and COPD. Respir Med. 2008;102(2):198–204. https://doi.org/10.1016/j.rmed.2007.09.012
  • Mollaioli D, Ciocca G, Limoncin E, Di Sante S, Gravina GL, Carosa E, Lenzi A, Jannini EAF. Lifestyles and sexuality in men and women: the gender perspective in sexual medicine. Reprod Biol Endocrinol. 2020;18(1):10. https://doi.org/10.1186/s12958-019-0557-9

Determinants of Sexual Dysfunction in Allergic Rhinitis According to the Unpleasant Symptoms Theory: A Comparative Study

Year 2025, Volume: 15 Issue: 3, 568 - 576, 30.09.2025
https://doi.org/10.33808/clinexphealthsci.1595863

Abstract

Objective: Sexual dysfunction, a key component of adults’ quality of life, is under-studied in allergic rhinitis. This study aimed to compare sexual dysfunction in individuals with and without allergic rhinitis and to examine the effects of physiological, psychological, and situational factors, as conceptualized by the Theory of Unpleasant Symptoms.
Methods: This descriptive and between-groups comparative study was conducted between September 2020 and September 2021 in the otorhinolaryngology outpatient clinic. Data were collected from 249 patients with allergic rhinitis and 235 healthy individuals using validated scales that assess depression, anxiety, fatigue, sleep quality, nasal symptoms, and sexual function. Logistic regression analysis was used to identify factors associated with sexual dysfunction.
Results: Compared to the healthy group, individuals with allergic rhinitis had more sexual dysfunction, sleep problems, fatigue, depression, anxiety, and nasal and non-nasal symptoms (p<.01). Based on the results of logistic regression analysis, factors contributing to sexual dysfunction in women with allergic rhinitis included anxiety, depression, the presence of asthma, and the severity of physiological symptoms (Nagelkerke R2: 0.345; Model: x2= 18.759 p= .000). Factors affecting sexual dysfunction in men with allergic rhinitis were determined as sleep quality, depression, the severity of physiological symptoms, fatigue, and smoking (Nagelkerke R2: 0.194; Model: x2= 17.761; p= .023).
Conclusions: Sexual dysfunction in allergic rhinitis patients is influenced by a range of symptoms, as outlined by the Unpleasant Symptoms Theory. These findings highlight the need for targeted intervention programs to manage sexual dysfunction by addressing both illness symptoms and related factors.

Project Number

-

References

  • Xing Y, Wong GW-K. Environmental influences and allergic diseases in the Asia-Pacific region: what will happen in the next 30 years? Allergy Asthma Immunol Res. 2022;14(1):21-39. https://doi.org/10.4168/aair.2022.14.1.21
  • Chauhan G, Khokhar C. Quality of life in allergic rhinitis patients. Int J Indian Psychol. 2015;2(2):114-122.
  • González-Núñez V, Valero AL, Mullol J. Impact of sleep as a specific marker of quality of life in allergic rhinitis. Curr Allergy Asthma Rep. 2013;13(2):131-141. https://doi.org/10.1007/s11882-012-0330-z
  • Hoehle LP, Speth MM, Phillips KM, Gaudin RA, Caradonna DS, Gray ST, Sedaghat AR. Association between symptoms of allergic rhinitis with decreased general health-related quality of life. Am J Rhinol Allergy. 2017;31(4):235-239. https://doi.org/10.2500/ajra.2017.31.4444
  • Campbell AP, Hoehle LP, Phillips KM, Caradonna DS, Gray ST, Sedaghat AR. Depressed mood is associated with loss of productivity in allergic rhinitis. Allergy. 2018;73(5):1141-1144. https://doi.org/10.1111/all.13387
  • Cuffel B, Wamboldt M, Borish L, Kennedy S, Crystal-Peters J. Economic consequences of comorbid depression, anxiety, and allergic rhinitis. Psychosomatics. 1999;40(6):491-496. https://doi.org/10.1016/S0033-3182(99)71187-4
  • Meltzer EO. Allergic rhinitis: burden of illness, quality of life, comorbidities, and control. Immunol Allergy Clin North Am. 2016;36(2):235-248. https://doi.org/10.1016/j.iac.2015.12.002
  • Price D, Scadding G, Ryan D, Bachert C, Canonica GW, Mullol J, Klimek L, Pitman R, Acaster S, Murray R, Bousquet J. The hidden burden of adult allergic rhinitis: UK healthcare resource utilisation survey. Clin Transl Allergy. 2015;5 (39):1-12. https://doi.org/10.1186/s13601-015-0083-6
  • Jalalia MM, Soleimani R, Jalali SM, Mohisafat B. Evaluation of the effects of allergic rhinitis treatment on sexual functioning, sleep, and fatigue parameters. Rev Fr Allergol. 2020;60(2):55-60. https://doi.org/10.1016/j.reval.2019.04.002
  • Jaruvongvanich V, Mongkolpathumrat P, Chantaphakul H, Klaewsongkram J. Extranasal symptoms of allergic rhinitis are difficult to treat and affect quality of life. Allergol Int. 2016;65(2):199–203. https://doi.org/10.1016/j.alit.2015.11.006
  • Yu J, Cheng Z, Zheng H, Zhuang Y. Quality of life and anxiety and depression symptoms in elderly patients with allergic rhinitis. Chin J Geriatr. 2017;36(8):895–898.
  • Thompson A, Sardana N, Craig TJ. Sleep impairment and daytime sleepiness in patients with allergic rhinitis: the role of congestion and inflammation. Ann Allergy Asthma Immunol. 2013;111(6):446-451. https://doi.org/10.1016/j.anai.2013.05.020
  • Jaruvongvanich V, Mongkolpathumrat P, Chantaphakul H, Klaewsongkram J. Extranasal symptoms of allergic rhinitis are difficult to treat and affect quality of life. Allergol Int. 2016;65(2):199–203. https://doi.org/10.1016/j.alit.2015.11.006
  • Sabharwal G, Craig TJ. The effect of rhinitis on sleep, quality of life, daytime somnolence, and fatigue. In: Pawankar R, Holgate ST, Rosenwasser LJ, Sheikh A, editors. Allergy and Asthma: Practical Diagnosis and Management. Cham: Springer International Publishing; 2016. p.87–97. https://doi.org/10.1007/978-3-319-30835-7_7
  • Tamm S, Cervenka S, Forsberg A, Jonsson Fagerlund M, Rasmussen LS, Zetterberg H, Erlandsson Harris H, Stridh P, Christensson E, Granström A, Schening A, Dymmel K, Knave N, Terrando N, Maze M, Borg J, Varrone A, Halldin C, Blennow K, Farde L, Eriksson LI. Evidence of fatigue, disordered sleep and peripheral inflammation, but not increased brain TSPO expression, in seasonal allergy: a [11C]PBR28 PET study. Brain Behav Immun. 2018;68:146–157. https://doi.org/10.1016/j.bbi.2017.10.013
  • Benninger MS, Benninger RM. The impact of allergic rhinitis on sexual activity, sleep, and fatigue. Allergy Asthma Proc. 2009;30 (4): 358-65
  • Gürlek F, Taşdemir E, Çoban S. Does allergic rhinitis have effect on erectile dysfunction? J Reconstr Urol. 2018;8(2):44-49. https://doi.org/10.5336/urology.2018-61260
  • Özler GS, Özler S. Quality of sexual life in males with allergic rhinitis. J Clin Anal Med. 2016;7(2):155-157. https://doi.org/10.4328/JCAM.2602
  • Máspero JF, Serrano FS. Allergic rhinitis and sexual dysfunction. Curr Treat Options Allergy. 2017;4(1):62-70. https://doi.org/10.1007/s40521-017-0112-x
  • Su VY-F, Liu C-J, Lan M-Y, Chen Y-M, Su K-C, Lee Y-C, Chen T-J, Chou K-T. Allergic rhinitis and risk of erectile dysfunction: a nationwide population-based study. Allergy. 2013;68(4):440–445. https://doi.org/10.1111/all.12100.
  • Lenz ER, Pugh LC, Milligan RA, Gift A, Suppe F. The middle-range theory of unpleasant symptoms: an update. Adv Nurs Sci. 1997;19(3):14–27. https://doi.org/10.1097/00012272-199703000-00003
  • Lenz ER, Pugh LC, Gift A, Milligan RA. Collaborative development of middle-range nursing theories: toward a theory of unpleasant symptoms. Adv Nurs Sci. 1995;17(3):1–13. https://doi.org/10.1097/00012272-199503000-00003
  • Mohammad JM, Soleimani R, Jalali SM, Mohisafat B. Quality of life in patients with allergic rhinitis in the north of Iran. J Clin Diagn Res. 2018;12(6):MC1–MC4. https://doi.org/10.7860/JCDR/2018/32872.11694
  • Hancı D, Altun H, Başer E, Ceylan E, Yılmaz M, Karasoy DS. Sinonazal Sonuç Testinin (SNOT-22) Türkçeye çevirisi, kültürler arası adaptasyonu ve validasyonu. ENT Updates. 2015;5(2):51–57. https://doi.org/10.2399/jmu.2015002006 (Turkish)
  • Hopkins C, Gillett S, Slack R, Lund VJ, Browne JP. Psychometric validity of the 22-item Sinonasal Outcome Test. Clin Otolaryngol. 2009;34(5):447–455. https://doi.org/10.1111/j.1749-4486.2009.01995.x
  • Rosen C, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, Ferguson D, D’Agostino R Jr. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26(2):191–208. https://doi.org/10.1080/009262300278597
  • Aygin D, Eti Aslan F. Kadın cinsel işlev ölçeği’nin Türkçeye uyarlaması. Turkiye Klinikleri Tıp Bilimleri Derg. 2005;25(3):393-397 (Turkish)
  • Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A. The International Index of Erectile Function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology. 1997;49(6):822–830. https://doi.org/10.1016/S0090-4295(97)00238-0
  • Buysse DJ, Reynolds CF III, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213. https://doi.org/10.1016/0165-1781(89)90047-4
  • Ağargün M. Pittsburgh uyku kalitesi indeksinin geçerliği ve güvenirliği. Turk Psikiyatri Derg. 1996;7:107-115 (Turkish).
  • Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. The Fatigue Severity Scale: application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol. 1989;46(10):1121–1123. https://doi.org/10.1001/archneur.1989.00520460115022
  • Armutlu K, Korkmaz NC, Keser I, Sümbüloğlu V, Akbiyik DI, Güney Z, Karabudak R. The validity and reliability of the Fatigue Severity Scale in Turkish multiple sclerosis patients. Int J Rehabil Res. 2007;30(1):81–85. https://doi.org/10.1097/MRR.0b013e3280146ec4
  • Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4(6):561–571. https://doi.org/10.1001/archpsyc.1961.01710120031004
  • Hisli N. Beck depresyon envanterinin üniversite öğrencileri için geçerliliği ve güvenilirliği. Turk Psikiyatri Derg. 1989;7:3-13 (Turkish).
  • Steer RA, Ranieri WF, Beck AT, Clark DA. Further evidence for the validity of the Beck Anxiety Inventory with psychiatric outpatients. J Anxiety Disord. 1993;7(3):195–205. https://doi.org/10.1016/0887-6185(93)90002-3
  • Ulusoy M, Şahin NH, Erkmen H. The Beck Anxiety Inventory: psychometric properties. J Cogn Psychother. 1998;12(2):163-172.
  • Bedolla-Barajas M, Morales-Romero J, Pulido-Guillén NA, Robles-Figueroa M, Plascencia-Domínguez BR. Rhinitis as an associated factor for anxiety and depression amongst adults. Braz J Otorhinolaryngol. 2017;83(4):432–438. https://doi.org/10.1016/j.bjorl.2016.05.00
  • Kim DH, Han K, Kim SW. Relationship between allergic rhinitis and mental health in the general Korean adult population. Allergy Asthma Immunol Res. 2016;8(1):49-54. https://doi.org/10.4168/aair.2016.8.1.49
  • Lu Z, Chen L, Xu S, Bao Q, Ma Y, Guo L, Zhang S, Huang X, Cao C, Ruan L. Allergic disorders and risk of depression: a systematic review and meta-analysis of 51 large-scale studies. Ann Allergy Asthma Immunol. 2018;120(3):310–317.e2. https://doi.org/10.1016/j.anai.2017.12.011
  • Atlantis E, Sullivan T. Bidirectional association between depression and sexual dysfunction: a systematic review and meta-analysis. J Sex Med. 2012;9(6):1497-1507. https://doi.org/10.1111/j.1743-6109.2012.02709.x
  • Fabre LF, Smith LC. The effect of major depression on sexual function in women. J Sex Med. 2012;9(1):231-239. https://doi.org/10.1111/j.1743-6109.2011.02445.x
  • Kalmbach DA, Pillai V, Kingsberg SA, Ciesla JA. The transaction between depression and anxiety symptoms and sexual functioning: a prospective study of premenopausal, healthy women. Arch Sex Behav. 2015;44(6):1635–1642. https://doi.org/10.1007/s10508-014-0381-4
  • Oliveira C, Nobre PJ. The role of trait-affect, depression, and anxiety in women with sexual dysfunction: a pilot study. J Sex Marital Ther. 2013; 39 (5): 436-442. https://doi.org/10.1080/0092623X.2012.665813
  • Shifren JL, Monz BU, Russo PA, Segreti A, Johannes CB. Sexual problems and distress in United States women: prevalence and correlates. Obstet Gynecol. 2008;112(5):970–978. https://doi.org/10.1097/AOG.0b013e3181898cdb
  • Rajkumar RP, Kumaran AK. Depression and anxiety in men with sexual dysfunction: a retrospective study. Compr Psychiatry. 2015;60:114-118. https://doi.org/10.1016/j.comppsych.2015.03.001
  • Strand J, Wise TN, Fagan PJ, Schmidt CW Jr. Erectile dysfunction and depression: category or dimension? J Sex Marital Ther. 2002;28(2):175–181. https://doi.org/10.1080/00926230252851906
  • Zhang X (Xiansheng Zhang), Gao J (Jingjing Gao), Liu J (Jishuang Liu), Xia L, Yang J, Hao Z, Zhou J, Liang C (Chaozhao Liang). Prevalence rate and risk factors of depression in outpatients with premature ejaculation. Biomed Res Int. 2013;2013:317468. https://doi.org/10.1155/2013/317468
  • Meyer IH, Sternfels P, Fagan JK, Ford JG. Asthma-related limitations in sexual functioning: an important but neglected area of quality of life. Am J Public Health. 2002;92(5):770–772. https://doi.org/10.2105/AJPH.92.5.770
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There are 50 citations in total.

Details

Primary Language English
Subjects Otorhinolaryngology
Journal Section Articles
Authors

İlknur Özkan 0000-0002-0826-5682

Murat Kar 0000-0003-3778-2133

Secil Taylan 0000-0002-7243-0734

Project Number -
Early Pub Date September 30, 2025
Publication Date September 30, 2025
Submission Date December 3, 2024
Acceptance Date September 6, 2025
Published in Issue Year 2025 Volume: 15 Issue: 3

Cite

APA Özkan, İ., Kar, M., & Taylan, S. (2025). Determinants of Sexual Dysfunction in Allergic Rhinitis According to the Unpleasant Symptoms Theory: A Comparative Study. Clinical and Experimental Health Sciences, 15(3), 568-576. https://doi.org/10.33808/clinexphealthsci.1595863
AMA Özkan İ, Kar M, Taylan S. Determinants of Sexual Dysfunction in Allergic Rhinitis According to the Unpleasant Symptoms Theory: A Comparative Study. Clinical and Experimental Health Sciences. September 2025;15(3):568-576. doi:10.33808/clinexphealthsci.1595863
Chicago Özkan, İlknur, Murat Kar, and Secil Taylan. “Determinants of Sexual Dysfunction in Allergic Rhinitis According to the Unpleasant Symptoms Theory: A Comparative Study”. Clinical and Experimental Health Sciences 15, no. 3 (September 2025): 568-76. https://doi.org/10.33808/clinexphealthsci.1595863.
EndNote Özkan İ, Kar M, Taylan S (September 1, 2025) Determinants of Sexual Dysfunction in Allergic Rhinitis According to the Unpleasant Symptoms Theory: A Comparative Study. Clinical and Experimental Health Sciences 15 3 568–576.
IEEE İ. Özkan, M. Kar, and S. Taylan, “Determinants of Sexual Dysfunction in Allergic Rhinitis According to the Unpleasant Symptoms Theory: A Comparative Study”, Clinical and Experimental Health Sciences, vol. 15, no. 3, pp. 568–576, 2025, doi: 10.33808/clinexphealthsci.1595863.
ISNAD Özkan, İlknur et al. “Determinants of Sexual Dysfunction in Allergic Rhinitis According to the Unpleasant Symptoms Theory: A Comparative Study”. Clinical and Experimental Health Sciences 15/3 (September2025), 568-576. https://doi.org/10.33808/clinexphealthsci.1595863.
JAMA Özkan İ, Kar M, Taylan S. Determinants of Sexual Dysfunction in Allergic Rhinitis According to the Unpleasant Symptoms Theory: A Comparative Study. Clinical and Experimental Health Sciences. 2025;15:568–576.
MLA Özkan, İlknur et al. “Determinants of Sexual Dysfunction in Allergic Rhinitis According to the Unpleasant Symptoms Theory: A Comparative Study”. Clinical and Experimental Health Sciences, vol. 15, no. 3, 2025, pp. 568-76, doi:10.33808/clinexphealthsci.1595863.
Vancouver Özkan İ, Kar M, Taylan S. Determinants of Sexual Dysfunction in Allergic Rhinitis According to the Unpleasant Symptoms Theory: A Comparative Study. Clinical and Experimental Health Sciences. 2025;15(3):568-76.

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