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精神分裂症患者的性功能障碍:患病率及特征。一项横断面调查。

Sexual problems in schizophrenia: prevalence and characteristics. A cross sectional survey.

机构信息

St. Leonards Community Mental Health Team, Sussex Partnership NHS Foundation Trust, Gambier House, West Hill Road, St. Leonards On Sea, East Sussex, TN38 0NG, UK.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2010 Jul;45(7):759-66. doi: 10.1007/s00127-009-0119-0. Epub 2009 Aug 23.

DOI:10.1007/s00127-009-0119-0
PMID:19701710
Abstract

OBJECTIVE

To determine the prevalence and characteristics of psychosexual problems in people with schizophrenia, and to compare the subjects' and researcher's perceptions of the presence of these problems.

METHODS

Cross-sectional survey of 137 people with established schizophrenia or schizoaffective disorder, aged 18-65 in one geographical area of southeast England, using a semi-structured interview format.

RESULTS

A total of 74% of men and 82% of women reported at least one ICD-10 defined sexual problem. Arousal problems were associated with physical health problems in men. Orgasm problems were more common in people in relationships. The researcher was about three times more likely to record a sexual problem than the respondents were to report one.

CONCLUSIONS

People with schizophrenia report sexual dysfunction that is similar in nature but which occurs at a higher rate than is reported in the general population. There are gender differences and differences in the perception of psychosexual problems between those with schizophrenia and the researcher.

摘要

目的

确定精神分裂症患者的性心理问题的发生率和特征,并比较患者和研究人员对这些问题存在的看法。

方法

对英格兰东南部一个地区的 137 名确诊为精神分裂症或分裂情感障碍的 18-65 岁患者进行横断面调查,使用半结构式访谈形式。

结果

男性中共有 74%、女性中共有 82%报告至少有一种 ICD-10 定义的性问题。男性的性唤起问题与身体健康问题相关,而性关系中的人更常出现性高潮问题。研究人员记录性问题的可能性是受访者报告性问题的可能性的三倍左右。

结论

精神分裂症患者报告的性功能障碍在性质上与一般人群相似,但发生率更高。在精神分裂症患者和研究人员之间,存在性别差异和对性心理问题的认知差异。

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