Betzing Carina, Steinfort Julia, Sträter Birgitta
Katholische Hochschule Nordrhein-Westfalen, Wörthstr. 10, 50668, Köln, Deutschland.
Z Gerontol Geriatr. 2025 Jul 11. doi: 10.1007/s00391-025-02468-8.
Frontotemporal dementia (FTD) accounts for around 5% of all forms of dementia and often starts at a relatively young age. It poses challenges for relatives and carers. This article focuses on changes with respect to sexuality. Studies have so far mainly focussed on neuronal changes and only marginally on the altered sexuality of people with FTD and the associated difficulties for partners. Sexuality and intimacy should be seen as a basic human need, even for people with dementia.
The challenges of altered sexuality of people with FTD in their couple relationships were surveyed in order to identify forms of behavior of sufferers and derive conclusions for the practice.
The study comprises expert interviews (n = 8). These were analyzed using a content-structuring qualitative content analysis according to Kuckartz.
The interviews clearly show that people with FTD experience a different sexuality as a result of the disease, both in the form of hypersexual and hyposexual behavior. Both forms of behavior lead to changes in couple relationships.
The results indicate the need to destigmatize those affected as hypersexual per se and the relevance of professional support for those affected and organizations. An integrative approach is required in which protection and enabling a healthy sexuality with FTD are considered together.
额颞叶痴呆(FTD)约占所有痴呆形式的5%,且通常发病于相对年轻的年龄。它给亲属和照料者带来了挑战。本文聚焦于性方面的变化。迄今为止,研究主要集中在神经元变化上,而对FTD患者性方面的改变及其给伴侣带来的相关困难关注甚少。性与亲密关系应被视为基本的人类需求,即使对痴呆患者也是如此。
调查FTD患者在伴侣关系中性方面改变所带来的挑战,以确定患者的行为形式并得出实践结论。
该研究包括专家访谈(n = 8)。采用库卡茨的内容结构化定性内容分析法对访谈进行分析。
访谈清楚地表明,FTD患者因疾病而经历了不同的性表现,包括性欲亢进和性欲减退行为。这两种行为形式都会导致伴侣关系的变化。
结果表明有必要消除对那些被视为性欲亢进患者的污名化,以及为患者和相关组织提供专业支持的相关性。需要一种综合方法,将保护FTD患者并使其拥有健康的性能力这两方面结合起来考虑。