Evidence map›Paper›PMID 39083558›Full record

SynthesisPloS one2024

Sexual dysfunction among people with mental illness in Africa: A systematic review and meta-analysis study.

Setegn Fentahun, Mamaru Melkam, Gebresilassie Tadesse, Gidey Rtbey, Fantahun Andualem, Yilkal Abebaw Wassie, Gebremariam Wulie Geremew, Tekletsadik Tekleslassie Alemayehu, Tewodros Denekew Haile, Tilahun Nega Godana and 5 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. The Effect of Mindfulness-Based Cognitive Therapies on Sexual Function, Sexual Distress, and Depression in Women: A Meta-Analysis Study.International journal of sexual health : official journal of the World Association for Sexual Health · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Setegn FentahunDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.ORCID 0009-0008-1991-1169
Mamaru MelkamDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Gebresilassie TadesseDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Gidey RtbeyDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Fantahun AndualemDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Yilkal Abebaw WassieDepartment of Medical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Gebremariam Wulie GeremewDepartment of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Tekletsadik Tekleslassie AlemayehuDepartment of Social and Administrative Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Tewodros Denekew HaileUniversity of Gondar, College of Medicine and Health Science, School of Pharmacy, Department of Pharmaceutical Chemistry.
Tilahun Nega GodanaDepartment of Internal Medicine, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar Ethiopia.
Berihun Agegn MengistieDepartment of General Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Mulualem KelebieDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Girum NakieDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Techilo TinsaeDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Girmaw Medfu TakelleDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSexual dysfunction is the most frequent health problem among psychiatric patients. This could be the result of both the nature of the illness itself and the side effects of prescribed psychotropic medications. It also significantly affects an individual's general well-being, interpersonal relationships, self-esteem, and treatment outcomes. Therefore, the current systematic review and meta-analysis was conducted to determine the combined prevalence of sexual dysfunction and its correlated factors among people with mental illness.

methodsWe retrieved eligible primary studies using various search databases like PubMed, EMBASE, Science Direct, African Journal Online, Google Scholar, and Psychiatry Online. The report of this systematic review was reported following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines. We used standardized data extraction checklists and STATA version 14 for data extraction and analysis, respectively. The I-squared statistics test was used to check statistical heterogeneity within the included articles. Publication bias was assessed using a funnel plot and the Egger test. To estimate the overall prevalence and correlated factors of sexual dysfunction, a random effects model meta-analysis was employed.

resultsIn this meta-analysis, a total of 15 primary studies with 2849 psychiatric patients were included. The overall pooled prevalence of sexual dysfunction among psychiatric patients in Africa was 58.42% (95% CI: 49.55, 67.28). Having older age (OR = 1.92, 95% CI: 1.28, 2.87), longer duration of illness (OR = 2.60, 95% CI: 1.14, 5.93), history of relapse (OR = 3.51, 95% CI: 1.47, 8.43), poor quality of life (OR = 3.89, 95% CI: 2.15, 7.05), and antipsychotic medications (OR = 2.99, 95% CI: 1.84, 4.86) were significantly associated with sexual dysfunction.

conclusionThis meta-analysis revealed that approximately two-thirds of psychiatric patients in Africa are affected by sexual dysfunction. Therefore, the findings of this study recommend that when evaluating psychiatric patients, health professionals should focus more on sexual dysfunction. It is also essential to promote awareness and incorporate sexual health assessment and intervention into mental health services to reduce the overall burden of the problem.

Indexed as

Mental DisordersSexual Dysfunction, PhysiologicalAfricaFemaleHumansMalePrevalenceSexual Dysfunctions, Psychological

Identifiers

PMID39083558
PMCPMC11290669

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.