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认知障碍老年人的性欲亢进

Hypersexuality among cognitively impaired older adults.

作者信息

Wallace Meredith, Safer Meredith

机构信息

School of Nursing, Yale University, New Haven, CT, USA.

出版信息

Geriatr Nurs. 2009 Jul-Aug;30(4):230-7. doi: 10.1016/j.gerinurse.2008.09.001. Epub 2009 Apr 8.

DOI:10.1016/j.gerinurse.2008.09.001
PMID:19665665
Abstract

Hypersexuality, also referred to in the literature as sexually inappropriate behavior and sexual disinhibition, involves persistent, uninhibited sexual behaviors directed at oneself or at others. For older adults, the literature generally attributes the behavior to biochemical or physiological changes that accompany cognitive impairment-specifically, dementia. Although less common than other behavioral issues, such as aggression and agitation, hypersexuality presents complex logistical and ethical problems for caregivers. This article reviews the current literature on hypersexual behavior. Assessment essentials as well as nonpharmacological and pharmacological treatment approaches are discussed, identifying the need for standardization as well as caregiver education and training.

摘要

性欲亢进在文献中也被称为性不当行为和性抑制解除,表现为针对自己或他人的持续、无节制的性行为。对于老年人而言,文献通常将这种行为归因于伴随认知障碍(尤其是痴呆症)出现的生化或生理变化。尽管性欲亢进不如攻击和激越等其他行为问题常见,但它给护理人员带来了复杂的后勤和伦理问题。本文综述了当前关于性欲亢进行为的文献。讨论了评估要点以及非药物和药物治疗方法,指出了标准化以及护理人员教育和培训的必要性。

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1
Hypersexuality among cognitively impaired older adults.认知障碍老年人的性欲亢进
Geriatr Nurs. 2009 Jul-Aug;30(4):230-7. doi: 10.1016/j.gerinurse.2008.09.001. Epub 2009 Apr 8.
2
[The so-called hypersexual behaviors in dementia].
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Choline associated hypersexuality in a 79-year-old man.79 岁男性胆碱相关性欲亢进。
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J Am Geriatr Soc. 2025 Aug;73(8):2589-2597. doi: 10.1111/jgs.19489. Epub 2025 Apr 28.
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The World Federation of Societies of Biological Psychiatry guidelines on the assessment and pharmacological treatment of compulsive sexual behaviour disorder.世界生物精神病学学会联合会关于评估和药物治疗强迫性性行为障碍的指南。
Dialogues Clin Neurosci. 2022 Dec;24(1):10-69. doi: 10.1080/19585969.2022.2134739.
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The Structure of Compulsive Sexual Behavior: A Network Analysis Study.
强迫性行为的结构:一项网络分析研究。
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Treatment and Management of Sexual Disinhibition in Elderly Patients With Neurocognitive Disorders.老年神经认知障碍患者性抑制解除的治疗与管理
Cureus. 2021 Oct 3;13(10):e18463. doi: 10.7759/cureus.18463. eCollection 2021 Oct.
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The prevalence and determinants of inappropriate sexual behaviour in people with acquired brain injury in nursing homes.养老院中获得性脑损伤患者不当性行为的流行情况及其决定因素。
J Adv Nurs. 2021 Jul;77(7):3058-3072. doi: 10.1111/jan.14817. Epub 2021 Feb 25.
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Treatment of Inappropriate Sexual Behavior in Dementia.痴呆症患者不当性行为的治疗
Curr Treat Options Neurol. 2016 Sep;18(9):41. doi: 10.1007/s11940-016-0425-2.
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Amyloid beta precursor protein regulates male sexual behavior.淀粉样前体蛋白调节雄性性行为。
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