Department of Paediatrics, Obstetrics and Gynecology, University of Valencia , Valencia, Spain.
Department of Pharmacology, Paediatrics and Organic Chemistry , Alicante, Spain.
Expert Opin Drug Saf. 2021 Jan;20(1):69-79. doi: 10.1080/14740338.2020.1849135. Epub 2020 Dec 24.
: People with any psychiatric disorder tend to have difficulties in responding sexually. However,exual dysfunction (SD) is usually under-recognized, even the tightly hormonal and neuronal common connexions through the brain-sex axis. Multiple sources of resistance to SD assessment and intervention persist. : The present review aims to underline the feasibility to introduce SD evaluation in patients with any psychiatric disorders, evaluating the potential mutual benefits of their management. : Women and men living with mental disorders frequently display sexual difficulties; however, some of them consider sexuality as a relevant parameter of their quality of life. In fact, SD as a side effect is a frequent reason for stopping the intake of medication. What is more, a holistic approach integrating sexual function could foster a better understanding of mental pathologies due to a common origin of pathogenesis. This could improve care quality, in keeping with the global tendency toward the development of personalized medicine. Consistently, the integration of SD assessment is highly recommended in mental health, all the more so when a psychotropic drug is prescribed. An expected consequence would be a reconstruction of the healthcare professional's consideration for the sexuality of people experiencing mental disorders.
:任何精神障碍的患者往往在性行为方面存在困难。然而,性功能障碍(SD)通常未被充分认识,即使是通过大脑性轴紧密的激素和神经元共同连接。对 SD 评估和干预的多种抵制仍然存在。:本综述旨在强调在任何精神障碍患者中引入 SD 评估的可行性,评估其管理的潜在互惠益处。:患有精神障碍的女性和男性经常表现出性困难;然而,他们中的一些人认为性是他们生活质量的一个重要参数。事实上,SD 作为一种副作用,是停止服用药物的常见原因。更重要的是,整合性功能的整体方法可以促进对精神病理学的更好理解,因为发病机制具有共同的起源。这可以提高护理质量,符合发展个性化医学的全球趋势。因此,强烈建议在精神卫生领域整合 SD 评估,尤其是在开具精神药物时。预期的结果将是重建医疗保健专业人员对经历精神障碍的人的性行为的关注。