Junior Resident, Central Institute of Psychiatry, Ranchi-834 006.
Indian J Psychiatry. 2004 Jul;46(3):261-6.
In the remitted phase of bipolar I disorder, sexual dysfunction is commonly due to drugs used in the treatment rather than the disease itself. There are very few studies, especially in the Indian population, addressing the frequency of sexual dysfunction due to antipsychotics in bipolar I disorder. Hence this study was done to determine the sexual dysfunction due to antipsychotics and to compare the same among typical and atypical antipsychotics. A cross sectional study with 108 male patients of remitted bipolar I disorder (DSM-IV), chosen by purposive sampling technique was done. Psychopathology was assessed using the Brief Psychiatric Rating Scale, Structured Interview Guide for the Hamilton Depression Rating Scale and Young Mania Rating Scale. Sexual side effects due to antipsychotics were assessed using the Udvalg for Kliniske ndersogelser (UKU) side effect rating scale. The total sample size was divided into two groups of those on typical antipsychotics (n = 53) and atypical antipsychotics (n = 55). The two groups were compared for sexual dysfunction using Chi-square test. Results showed dysfunction in at least one phase of the sexual response cycle, comprising of desire, arousal and orgasm, was present in 66% of the sample population. Erectile dysfunction was present in 42% of the sample population and it was the most common type of sexual dysfunction reported. It was also significantly different across the two groups (p = 0.025). There was no significant difference in other aspects of sexual dysfunction across the two groups. In conclusion patients of Bipolar I disorder experience sexual side effects of antipsychotics frequently. Erectile dysfunction is the most common sexual dysfunction among men and this is significantly higher with typical than atypical antipsychotics.
在双相情感障碍 I 型的缓解期,性功能障碍通常是由于治疗中使用的药物引起的,而不是疾病本身。很少有研究,特别是在印度人群中,涉及到双相情感障碍 I 型中抗精神病药物引起的性功能障碍的频率。因此,本研究旨在确定抗精神病药物引起的性功能障碍,并比较典型和非典型抗精神病药物之间的差异。这是一项横断面研究,共纳入 108 例缓解期双相情感障碍 I 型(DSM-IV)男性患者,采用目的抽样技术选择。使用简明精神病评定量表、汉密尔顿抑郁评定量表和杨氏躁狂评定量表的结构化访谈指南评估精神病理学。使用 Udvalg for Kliniske ndersogelser (UKU) 副作用评定量表评估抗精神病药物引起的性功能障碍。将总样本量分为两组,分别为使用典型抗精神病药物(n=53)和非典型抗精神病药物(n=55)的患者。使用卡方检验比较两组之间的性功能障碍。结果显示,至少有 66%的样本人群存在性功能反应周期的一个或多个阶段的功能障碍,包括性欲、唤起和高潮。勃起功能障碍在样本人群中占 42%,是报告的最常见的性功能障碍类型。这在两组之间也有显著差异(p=0.025)。两组之间其他方面的性功能障碍没有显著差异。结论是,双相情感障碍 I 型患者经常经历抗精神病药物的性功能副作用。勃起功能障碍是男性最常见的性功能障碍,与典型抗精神病药物相比,这种情况在非典型抗精神病药物中更为常见。