抑郁与性。
Depression and sexuality.
机构信息
Cliniques Universitaires de Mont-Godinne - 5530 Yvoir, Psychosomatic Unit, University of Louvain, Belgium.
出版信息
Psychiatr Danub. 2010 Nov;22 Suppl 1:S111-3.
INTRODUCTION
affective disorders are commonly considered as specific psychiatric disorders treated with antidepressants and psychotherapy without links with sexotherapy.
METHOD
a non exhaustive literature review was conducted in the field of sexual medicine and sex therapy as well as in the field of affective disorders.
RESULTS
there is a strong link between depression and sexual dysfunctions; moreover sexual dysfunction is an important underestimated adverse effect of certain antidepressant drugs.
DISCUSSION
there is an urgent need to make psychiatrists and psychologists aware of the importance of the sexual life of their patients. They should learn to investigate and treat the sexual dysfunctions while assessing and treating the depression symptoms. Moreover they must be aware about the sexual adverse effects of many commonly used antidepressants drugs, especially SSRIs.
CONCLUSION
the multi factorial origin of both depression and sexual dysfunctions suggests that the right approach and treatment of the depressed patient includes not only the prescription of an antidepressant but also a global approach based on several axis that are concomitants namely: physiological, cognitive, emotional, behavioural and relational factors.
引言
情感障碍通常被认为是特定的精神疾病，需要用抗抑郁药和心理疗法来治疗，与性治疗没有联系。
方法
在性医学和性治疗领域以及情感障碍领域进行了非详尽的文献回顾。
结果
抑郁和性功能障碍之间有很强的联系；此外，性功能障碍是某些抗抑郁药物被重要低估的不良作用。
讨论
迫切需要让精神科医生和心理学家意识到他们患者的性生活的重要性。他们应该学会在评估和治疗抑郁症状的同时，调查和治疗性功能障碍。此外，他们必须意识到许多常用的抗抑郁药物的性不良作用，尤其是 SSRIs。
结论
抑郁和性功能障碍的多因素起源表明，对抑郁患者的正确治疗方法不仅包括抗抑郁药物的处方，还包括基于几个伴随因素的整体方法，即：生理、认知、情感、行为和关系因素。
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