精神科住院患者的性功能障碍：聚焦于抑郁症。
Sexual impairment in psychiatric inpatients: focus on depression.
作者信息
Cohen S, Kühn K-U, Bender S, Erfurth A, Gastpar M, Murafi A, Rothermundt M, Signerski J, Sträter B, Teusch L, Weig W, Welling A, Westheide J, Huber T J
机构信息
Department of Psychiatry and Psychotherapy, Rheinische Kliniken Duesseldorf, Heinrich-Heine-University Duesseldorf, Bergische Landstrasse 2, Düsseldorf.
出版信息
Pharmacopsychiatry. 2007 Mar;40(2):58-63. doi: 10.1055/s-2007-970143.
INTRODUCTION
Although sexual side effects are a common reason for noncompliance with medication, information on impairment of sexuality in psychiatric inpatients is scarce.
METHODS
In the present multi-center study, data on several aspects of sexual functioning were collected in psychiatric inpatients using a previously validated questionnaire.
RESULTS
A high overall prevalence of sexual dysfunction was reported by participants and was highest in depressed subjects. Patients receiving antidepressants suffered from more frequent and more severe impairment of sexuality than did subjects receiving neither antidepressants nor antipsychotics or opioids.
DISCUSSION
Judging from this data, sexual impairment appears to be a frequent and underestimated problem in psychiatric inpatients with a high prevalence across all diagnostic groups, particularly in depressed subjects. Female patients attribute this impairment mainly to their mental illness, whereas male patients tend to assign their impairments primarily to their medication.
引言
尽管性功能副作用是患者不遵医嘱服药的常见原因，但关于精神科住院患者性功能受损的信息却很匮乏。
方法
在本多中心研究中，使用先前验证过的问卷收集了精神科住院患者性功能几个方面的数据。
结果
参与者报告性功能障碍的总体患病率较高，在抑郁症患者中最高。与未服用抗抑郁药、抗精神病药或阿片类药物的受试者相比，服用抗抑郁药的患者性功能受损更频繁、更严重。
讨论
从这些数据来看，性功能障碍似乎是精神科住院患者中一个常见且被低估的问题，在所有诊断组中患病率都很高，尤其是在抑郁症患者中。女性患者将这种性功能障碍主要归因于她们的精神疾病，而男性患者则倾向于将其性功能障碍主要归因于所服用的药物。
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