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Sexual dysfunction related to psychiatric disorders: a systematic review
T Herder1, S K Spoelstra2, A W M Peters3
1Department of Psychiatry, Martini Hospital, Groningen, 9728 NT, the Netherlands.
The Journal of Sexual Medicine
|June 6, 2023
Summary
Psychiatric patients experience high rates of sexual dysfunction, impacting desire and orgasm. This highlights the need for increased clinical attention and sexological interventions for improved patient care.
Area of Science:
- Psychiatry and Psychology
- Sexual Medicine
- Systematic Review and Meta-Analysis
Background:
- Sexual dysfunction is highly prevalent in psychiatric disorders, but the direct impact of psychopathology remains unclear.
- Existing research often overlooks the influence of psychotropic substances, age, and somatic diseases on sexual health in psychiatric patients.
Approach:
- Conducted a systematic review following PRISMA guidelines, searching PubMed, Web of Science, and PsycINFO.
- Included studies focusing on sexual dysfunction in psychotropic-free and somatic disease-free psychiatric patients.
- Analyzed 24 studies encompassing depressive disorders, anxiety disorders, OCD, schizophrenia, and PTSD.
Key Points:
- Prevalence rates of sexual dysfunction ranged from 45% to 93% in depressive disorders, 33% to 75% in anxiety disorders, 25% to 81% in OCD, and 25% in schizophrenia.
- Sexual desire was the most commonly affected phase in depressive disorders, PTSD, and schizophrenia.
- Orgasm dysfunction was most frequently reported in OCD (24%-44%) and anxiety disorders (7%-48%).
Conclusions:
- This systematic review reveals a high prevalence of sexual dysfunction in psychiatric patients, independent of psychotropic use or somatic conditions.
- Findings underscore the necessity for greater clinical focus on sexual health through psychoeducation, guidance, and sexological treatment.
- Limitations include a small number of studies, small sample sizes, and potential bias from varied, sometimes unvalidated, questionnaires.
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