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Psychologic disorder and sexual dysfunction in elders.

R A Zeiss1, R L Delmonico, A M Zeiss

  • 1Department of Veterans Affairs Medical Center, Palo Alto, California.

Clinics in Geriatric Medicine
|February 1, 1991
PubMed
Summary
This summary is machine-generated.

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Psychiatric disorders frequently co-occur with sexual dysfunction in older adults, often with mixed medical and psychological causes. Interdisciplinary treatment shows similar success rates for patients with or without psychological diagnoses.

Area of Science:

  • Geriatrics
  • Psychiatry
  • Sexual Medicine

Background:

  • Limited and methodologically flawed literature exists on sexual dysfunction and psychiatric disorders in the elderly.
  • Existing studies suggest a common co-occurrence of psychological disorders with sexual dysfunction, necessitating clinical assessment.
  • Sexual problems in older adults rarely have a single cause, often involving a complex interplay of medical and psychological factors.

Purpose of the Study:

  • To highlight key considerations for clinicians treating sexual problems in elderly patients.
  • To emphasize the frequent comorbidity of psychological issues with sexual dysfunction in older populations.
  • To underscore the need for comprehensive assessment and integrated treatment approaches.

Main Methods:

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  • Review of existing literature on sexual dysfunction and psychiatric disorders in the elderly.
  • Analysis of patient data from a sexual dysfunction clinic, categorizing psychological factors and diagnoses.
  • Comparison of presenting complaints and treatment outcomes between patients with and without psychological diagnoses.
  • Main Results:

    • Over half of patients (52.8%) had diagnosable psychological difficulties, and a significant portion (39.9%) had contributing psychological factors.
    • Depression and alcohol abuse were the most common psychological diagnoses observed in the clinic.
    • Presenting complaints and treatment success rates did not significantly differ between patients with and without psychological disorders when treated by interdisciplinary teams.

    Conclusions:

    • Clinicians must routinely assess for psychological disorders in elderly patients presenting with sexual dysfunction.
    • A mixed etiology involving both medical and psychological factors is common and should be assumed in most cases.
    • Interdisciplinary team-based treatment is effective for sexual dysfunction, regardless of the presence of psychological diagnoses.