Kunz R, Leuthold A, Buddeberg C
Universität Zürich.
Praxis (Bern 1994). 1998 Apr 29;87(18):610-6.
In a survey throughout Switzerland 7.455 general practitioners and psychiatrists were mailed a questionnaire addressing topics in sexual medicine with regard to antidepressant medication, 940 completed questionnaires (response rate 12.5%) were evaluated. 77.6% of the responders agree that knowledge in sexual medicine is important or very important. Only one half of the physicians judge their competence in sexual medicine as fair or good. There are differences in sexual history taking between general practitioners and psychiatrists; the latter addressing more frequently sexual medicine related questions. Sexual dysfunction before and during therapy with antidepressants is observed less frequently than reported in other studies. Only half of the physicians counsel their patients when sexual dysfunction occur during therapy. Treatment strategies of antidepressant induced sexual side effects are rarely seen. The results emphasize the importance of knowledge and competence in sexual medicine for general practitioners and psychiatrists, both showing interest in continuing education on this topic.
在一项针对瑞士全科医生和精神科医生的调查中，向7455名医生邮寄了一份关于抗抑郁药物在性医学方面主题的问卷，对940份完成的问卷（回复率12.5%）进行了评估。77.6%的回复者认为性医学知识很重要或非常重要。只有一半的医生认为自己在性医学方面的能力一般或良好。全科医生和精神科医生在性病史采集方面存在差异；后者更频繁地询问与性医学相关的问题。与其他研究报告相比，抗抑郁药治疗前和治疗期间性功能障碍的观察频率较低。只有一半的医生在治疗期间出现性功能障碍时会为患者提供咨询。很少见到抗抑郁药引起的性副作用的治疗策略。结果强调了性医学知识和能力对全科医生和精神科医生的重要性，两者都对该主题的继续教育表现出兴趣。
