Soldati Lorenzo, Bianchi-Demicheli Francesco, Schockaert Pauline, Köhl John, Bolmont Mylène, Hasler Roland, Perroud Nader
Sexual medicine and sexology unit, Division of Psychiatric Specialties, Department of Psychiatry, University Hospital of Geneva, Geneva, Switzerland.
Sexual medicine and sexology unit, Division of Psychiatric Specialties, Department of Psychiatry, University Hospital of Geneva, Geneva, Switzerland; Department of Psychiatry, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Psychiatry Res. 2021 Jan;295:113638. doi: 10.1016/j.psychres.2020.113638. Epub 2020 Dec 10.
Subjects with ADHD suffer from inattention, hyperactivity, and impulsivity. Clinicians often assume that specific symptoms of ADHD are bound to affect sexual desire by increasing the frequency of hypersexuality. There is a lack of knowledge about the comorbidity between ADHD, hypersexuality, and paraphilias. The aim of this article was to provide a review of the literature on the association of ADHD and hypersexuality and paraphilias and to discuss the screening and the management of these syndromes when associated with ADHD. A systematic review of the literature was performed in PubMed, PsychInfo, and Embase databases. The studies reviewed show that some individuals who suffer from ADHD report hypersexuality and paraphilias, but no clear data emerged supporting the idea that hypersexuality and paraphilias are more frequent in an ADHD population. On the other hand, some studies showed a high prevalence of ADHD in hypersexual and paraphilic subjects. This is the first systematic review of hypersexuality and paraphilias in individuals with ADHD. However, the results are limited by differences in the methodology and measurement instruments for hypersexuality and paraphilias as well as by the small number of studies and the small sample sizes of many studies.
患有注意力缺陷多动障碍（ADHD）的患者存在注意力不集中、多动和冲动等问题。临床医生常常认为，ADHD的特定症状必然会通过增加性欲亢进的频率来影响性欲。目前对于ADHD、性欲亢进和性偏好障碍之间的共病情况了解不足。本文的目的是对有关ADHD与性欲亢进及性偏好障碍关联的文献进行综述，并探讨这些综合征与ADHD相关时的筛查和管理。在PubMed、PsychInfo和Embase数据库中对文献进行了系统综述。所综述的研究表明，一些患有ADHD的个体报告存在性欲亢进和性偏好障碍，但没有明确的数据支持性欲亢进和性偏好障碍在ADHD人群中更为常见这一观点。另一方面，一些研究表明，在性欲亢进和有性偏好障碍的个体中，ADHD的患病率较高。这是对ADHD个体的性欲亢进和性偏好障碍进行的首次系统综述。然而，研究结果受到性欲亢进和性偏好障碍的方法学及测量工具差异的限制，也受到研究数量较少以及许多研究样本量较小的限制。
