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甲羟孕酮治疗创伤性脑损伤中的强迫性性欲亢进行为

Medroxyprogesterone in the treatment of aggressive hypersexual behavior in traumatic brain injury.

作者信息

Britton K R

机构信息

University of Minnesota, Minneapolis Veterans Administration Medical Center 55415-1829, USA.

出版信息

Brain Inj. 1998 Aug;12(8):703-7. doi: 10.1080/026990598122269.

DOI:10.1080/026990598122269
PMID:9724841
Abstract

Sexual function is among the many areas affected by traumatic brain injury. The most common change is decreased sexual performance and satisfaction, for the brain injured person and the sexual partner. Hypersexuality, especially inappropriate sexual comments and gestures, is also a common result of traumatic brain injury. A case of hypersexuality in a severely disabled brain injured man is presented. He was successfully treated with medroxyprogesterone acetate after failure of multiple other treatment strategies. The literature is reviewed. An evaluation and treatment strategy for sexual dysfunction post traumatic brain injury is presented.

摘要

性功能是受创伤性脑损伤影响的众多领域之一。最常见的变化是性功能和满意度下降,这对脑损伤患者及其性伴侣来说都是如此。性欲亢进,尤其是不适当的性评论和手势,也是创伤性脑损伤的常见结果。本文介绍了一名重度残疾脑损伤男子出现性欲亢进的病例。在多种其他治疗策略失败后,他成功接受了醋酸甲羟孕酮治疗。对相关文献进行了综述。提出了创伤性脑损伤后性功能障碍的评估和治疗策略。

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1
Medroxyprogesterone in the treatment of aggressive hypersexual behavior in traumatic brain injury.甲羟孕酮治疗创伤性脑损伤中的强迫性性欲亢进行为
Brain Inj. 1998 Aug;12(8):703-7. doi: 10.1080/026990598122269.
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Head injury and sexual dysfunction.头部损伤与性功能障碍。
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A review of the effect of traumatic brain injury on the human sexual response.创伤性脑损伤对人类性反应影响的综述。
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Paranoia--an unusual presentation of hydrocephalus.偏执狂——脑积水的一种不寻常表现。
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引用本文的文献

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Neuroprotection strategies in traumatic brain injury: Studying the effectiveness of different clinical approaches.创伤性脑损伤的神经保护策略:研究不同临床方法的有效性。
Surg Neurol Int. 2024 Jan 26;15:29. doi: 10.25259/SNI_773_2023. eCollection 2024.
2
The World Federation of Societies of Biological Psychiatry guidelines on the assessment and pharmacological treatment of compulsive sexual behaviour disorder.世界生物精神病学学会联合会关于评估和药物治疗强迫性性行为障碍的指南。
Dialogues Clin Neurosci. 2022 Dec;24(1):10-69. doi: 10.1080/19585969.2022.2134739.
3
Evaluating a Novel Treatment Adapting a Cognitive Behaviour Therapy Approach for Sexuality Problems after Traumatic Brain Injury: A Single Case Design with Nonconcurrent Multiple Baselines.
评估一种采用认知行为疗法治疗创伤性脑损伤后性功能问题的新型疗法:一项非同期多基线单一病例设计。
J Clin Med. 2022 Jun 19;11(12):3525. doi: 10.3390/jcm11123525.
4
Evaluation of electrical aversion therapy for inappropriate sexual behaviour after traumatic brain injury: a single case experimental design study.创伤性脑损伤后不适当性行为的电厌恶疗法评估:一项单病例实验设计研究。
BMJ Case Rep. 2012 Aug 24;2012:bcr0220125932. doi: 10.1136/bcr-02-2012-5932.