Buddeberg C, Furrer H, Limacher B
Abteilung für Psychosoziale Medizin, Universitätsspital Zürich.
Psychiatr Prax. 1988 Nov;15(6):187-91.
Two groups comparable in age of 20 male and 20 female schizophrenics, all under neuroleptic treatment, were asked by way of questionnaire about their attitude towards sexuality, their sexuality, their sexual behaviour and their sexual difficulties. Sexuality was considered to be an important aspect of a person's life. More than one third of the patients indicated regular sexual contacts. In the group of males a high incidence of erectile dysfunctions was apparent, whereas the women showed a prevalence of general sexual dysfunctions. Both sexes indicated an inhibition of sexual desire. The impaired ability for sexual reaction and experience was felt partly to be positive, partly negative. Etiologically such disorders are caused by the side effects of the neuroleptic treatment, as well as by a disturbed capacity for interpersonal relationships. In the longterm treatment of schizophrenics, increased attention should be paid to sexual counselling.
两组各有20名接受抗精神病药物治疗的男性和女性精神分裂症患者，年龄相仿，通过问卷调查询问他们对性的态度、性行为、性活动及性方面的困扰。性被视为个人生活的一个重要方面。超过三分之一的患者表示有规律的性接触。男性组勃起功能障碍发生率较高，而女性则普遍存在一般性性功能障碍。两性均表示性欲受到抑制。性反应和性体验能力受损，部分人觉得有积极影响，部分人觉得有消极影响。从病因学角度来看，此类障碍是由抗精神病药物治疗的副作用以及人际关系能力紊乱所致。在精神分裂症的长期治疗中，应更加重视性咨询。
