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Sexual dysfunction and dual psychiatric diagnoses.

P J Fagan1, C W Schmidt, T N Wise

  • 1Johns Hopkins School of Medicine, Baltimore, MD.

Comprehensive Psychiatry
|May 1, 1988
PubMed
Summary
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Sexual dysfunction can be a distinct issue or a symptom of psychiatric disorders. This study found that while most cases are discrete, some patients have co-occurring conditions requiring integrated treatment.

Area of Science:

  • Psychiatry
  • Sexual Health
  • Clinical Psychology

Background:

  • The relationship between sexual dysfunction and psychiatric disorders remains debated.
  • Previous studies lacked evaluation using the Diagnostic and Statistical Manual of Mental Disorders, Third Edition (DSM-III) criteria.

Purpose of the Study:

  • To investigate whether sexual dysfunction is a discrete disorder or symptomatic of broader psychiatric conditions.
  • To evaluate patients using DSM-III criteria and identify co-occurring diagnoses.

Main Methods:

  • Evaluated 592 patients with sexual complaints and their partners over two years.
  • Applied DSM-III criteria to diagnose psychosexual dysfunction and co-occurring Axis I/II disorders.
  • Assessed psychosocial stressors (Axis IV) and global adjustment (Axis V).

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Main Results:

  • 288 patients met DSM-III criteria for psychosexual dysfunction.
  • 30.5% of males and 30.8% of females with psychosexual dysfunction received concurrent Axis I/II diagnoses.
  • Patients with dual diagnoses reported increased alcohol problems and lower global adjustment.

Conclusions:

  • A significant portion of patients with sexual dysfunction have co-occurring psychiatric conditions.
  • Sexual dysfunction can be a discrete disorder or one manifestation of a more complex psychiatric issue.
  • Integrated treatment approaches are necessary for patients with dual diagnoses.