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关于性健康与性功能障碍的叙述性综述:过去15年的研究

A narrative review on sexual wellbeing and dysfunctions: Research in the past 15 years.

作者信息

Sawant Neena, Vaidyanathan Sreelakshmi, Rao T S Sathyanarayana, Telang Suparna

机构信息

Department of Psychiatry, Seth GSMC and KEM Hospital, Parel, Mumbai, Maharashtra, India.

Department of Psychiatry, AIIMS Nagpur, Maharashtra, India.

出版信息

Indian J Psychiatry. 2024 Dec;66(12):1083-1100. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_635_23. Epub 2024 Dec 12.

Abstract

BACKGROUND

Psychosexual health is an important aspect of mental and physical wellbeing. Though Indian culture has a rich history of sexuality, over the years, our population has been reticent in talking about the same. With the advent of technology and new legislations protecting the rights of LGBTQIA population, awareness is also on the rise.

METHODS

This review focuses on research published by Indian authors over the past 15 years, with search of databases like PubMed, Scopus, Google Scholar, and Litmaps to include original articles and case reports.

RESULTS

Most studies focus on male sexual dysfunctions. Some emerging research showed promise in female sexual dysfunctions, the elderly, and the LGBTQIA population. The majority of research in sexual health continues to concentrate on dysfunctions, primarily prevalence, associations, or risk factors. Several studies investigated various medical/psychiatric comorbidities associated with sexual dysfunctions. A few studies have explored management strategies as well.

CONCLUSION

This review highlights the need for a more holistic approach to management to sexual health issues. It further underscores the importance of grassroots-level initiatives working on improving the training of all medical practitioners and postgraduate students, increasing the availability of services for sexual disorders, promoting sexual health research in areas with gaps, and raising awareness in the general population.

摘要

背景

性心理健康是身心健康的一个重要方面。尽管印度文化有着丰富的性历史,但多年来,我们的民众一直不愿谈论这个话题。随着技术的出现以及保护 LGBTQIA 群体权利的新立法的出台,人们的意识也在不断提高。

方法

本综述聚焦于印度作者在过去 15 年发表的研究,通过检索 PubMed、Scopus、谷歌学术和 Litmaps 等数据库,纳入原创文章和病例报告。

结果

大多数研究集中在男性性功能障碍。一些新兴研究在女性性功能障碍、老年人以及 LGBTQIA 群体方面显示出前景。性健康方面的大多数研究仍集中在功能障碍上,主要是患病率、关联因素或风险因素。几项研究调查了与性功能障碍相关的各种医学/精神共病。也有一些研究探索了管理策略。

结论

本综述强调了对性健康问题采取更全面管理方法的必要性。它进一步强调了基层倡议的重要性,这些倡议致力于改善所有医学从业者和研究生的培训,增加性功能障碍服务的可及性,促进在存在差距的领域开展性健康研究,并提高普通民众的意识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8058/11758964/728f829d71e2/IJPsy-66-1083-g001.jpg

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