National Institute of Mental Health & Neurosciences, Bangalore, India.
Acad Psychiatry. 2022 Jun;46(3):347-351. doi: 10.1007/s40596-021-01551-7. Epub 2021 Oct 25.
The authors examined the perceived barriers in the assessment and management of female sexual dysfunction among resident trainees in psychiatry.
An online survey was conducted among 148 resident trainees in psychiatry at a tertiary academic psychiatry center in India. It consisted of nine items with responses rated on a Likert scale. The anonymity of the responses was maintained.
A total of 73 residents (49.3%) responded to the survey. Spontaneous reporting of sexual functioning, which is patient-driven, and spontaneous inquiry, which is resident-driven, were lacking. Specific barriers identified in the majority were lack of time, privacy, linguistic challenges, limited knowledge, and sociocultural background of the patient. The gender of the resident was not perceived as a major barrier in a majority. Marital discord appeared as a common response for inquiries into sexual functioning, while the use of psychotropics, the presence of medical comorbidities, and the postmenopausal state did not attract a majority to inquire about the same. Furthermore, a response that there was a lack of intervention in those reporting sexual dysfunction was commonly noted. Only 5.5% of the participants reported having received adequate formal training in the management of female sexual dysfunction.
Female sexual dysfunction is common, adds to psychiatric morbidity, and affects the quality of life. It is important to impart training on female sexual dysfunction as a part of their residency program with cultural appropriateness. A future direction would be to evaluate the effectiveness of a formal training program for assessing and managing female sexual dysfunction.
作者研究了精神科住院医师在评估和管理女性性功能障碍时所感知到的障碍。
在印度一家三级学术精神病中心，对 148 名精神科住院医师进行了在线调查。它由九个项目组成，答案在李克特量表上进行评分。回答的匿名性得到了维护。
共有 73 名住院医师（49.3%）对调查做出了回应。缺乏患者驱动的性功能自发报告和住院医师驱动的自发询问。大多数人确定的具体障碍包括缺乏时间、隐私、语言挑战、知识有限和患者的社会文化背景。大多数人认为住院医师的性别不是主要障碍。婚姻不和谐似乎是询问性功能的常见反应，而使用精神药物、存在合并症和绝经后状态并没有吸引大多数人询问同样的问题。此外，通常注意到在报告性功能障碍的人中缺乏干预。只有 5.5%的参与者报告说他们接受了女性性功能障碍管理方面的充分正规培训。
女性性功能障碍很常见，会增加精神疾病负担，并影响生活质量。在他们的住院医师培训计划中，传授有关女性性功能障碍的培训具有文化适宜性非常重要。未来的方向将是评估评估和管理女性性功能障碍的正式培训计划的有效性。
