{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T08:53:55Z","timestamp":1783587235267,"version":"3.55.0"},"reference-count":65,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T00:00:00Z","timestamp":1750204800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"University of Rome \u201cTor Vergata\u201d"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Only a few studies have assessed sexual dysfunction in women with primary Sj\u00f6gren\u2019s syndrome (pSS).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>We aimed to confirm the higher prevalence of sexual dysfunction in these women and identify the most impaired domain of sexual function and the risk factors associated with it.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We conducted a systematic review and meta-analysis to investigate the risk of sexual dysfunction in women with pSS according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. The study protocol has been registered in the \u201cPROSPERO international prospective register of systematic reviews\u201d with the registration number CRD42022298525.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Outcomes<\/jats:title>\n                  <jats:p>We aimed to compare sexual dysfunction among women with pSS compared to healthy subjects and which domain of the Female Sexual Function Index (FSFI) was most impaired.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>In the analysis involving 16 studies, pSS is associated with 5-fold higher odds of reporting sexual dysfunction compared to the control group. Additionally, differences in FSFI scores between pSS and healthy controls were found to be statistically significant. All FSFI item sub-scores were affected by pSS more than the control group.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical Implications<\/jats:title>\n                  <jats:p>Sexual dysfunction is common in pSS and needs to be evaluated in all women with pSS.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Strengths and Limitations<\/jats:title>\n                  <jats:p>This is the first meta-analysis that emphasized that sexual dysfunction in women with pSS should be evaluated regardless vaginal dryness. Nevertheless, caution is required when interpreting results due to the poor quality of the selected studies.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The sexual dysfunction was a common issue in pSS with various causes and should be addressed by healthcare providers.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jsxmed\/qdaf110","type":"journal-article","created":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T09:14:06Z","timestamp":1751015646000},"page":"1399-1408","source":"Crossref","is-referenced-by-count":7,"title":["Evaluation of sexual dysfunction among women with primary Sj\u00f6gren\u2019s syndrome using a Female Sexual Function Index: a systematic review and meta-analysis"],"prefix":"10.1093","volume":"22","author":[{"given":"Settimio","family":"D\u2019Andrea","sequence":"first","affiliation":[{"name":"Endocrinology Outpatient Clinic, Department \u201cArea Peligno-Sangrina\u201d, Local Health Authority ASL 1 Abruzzo , 67039 Sulmona (AQ) ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Vinci","sequence":"additional","affiliation":[{"name":"Doctoral School in Nursing Sciences and Public Health, University of Rome \u201cTor Vergata\u201d , 00133 Rome (RM) ,","place":["Italy"]},{"name":"Hospital Health Management Area, Departement Clinical Medicine, Local Health Authority ASL Roma 1 , 00193 Rome (RM) ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Navarini","sequence":"additional","affiliation":[{"name":"Department of Medicine, the University of Rome \"Campus Biomedico\" , 00128 Rome (RM) ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Sansone","sequence":"additional","affiliation":[{"name":"Endocrinology and Medical Sexology (ENDOSEX), Department of Systems Medicine, University of Rome Tor Vergata , 00133, Rome (RM) ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annalisa","family":"Marino","sequence":"additional","affiliation":[{"name":"Department of Medicine, the University of Rome \"Campus Biomedico\" , 00128 Rome (RM) ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorian","family":"Bardhi","sequence":"additional","affiliation":[{"name":"Hospital Health Management AOU delle Marche , Departement Medicine, 60100 Ancona (AN) ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Bruno","sequence":"additional","affiliation":[{"name":"Department of Health Promotion Sciences, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE) \"G. D'Alessandro\", the University of Palermo , 90127 Palermo (PA) ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Rosiello","sequence":"additional","affiliation":[{"name":"Health Economics Evaluation Unit, St Camillus International University of Health Sciences , 00100 Rome (RM) ,","place":["Italy"]},{"name":"Department of Histological, Anatomical Sciences and Legal Medicine, Sapienza University of Rome , 00185 Rome (RM) ,","place":["Italy"]},{"name":"Department of Infectious Disease and Public Health, Sapienza University of Rome , 00185 Rome (RM) ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilla","family":"Lombardo","sequence":"additional","affiliation":[{"name":"Post-Graduate School of Hygiene and Preventive Medicine, University of L\u2019Aquila , 67100 L\u2019Aquila (AQ) 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