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Hypersexuality in neurological disorders: A systematic review
Natalie Tayim1, Pedro Barbosa2, Jalesh Panicker3,4
1Department of Psychology, Doha Institute for Graduate Studies, Doha, Qatar natalie.tayim@dohainstitute.edu.qa.
BMJ Mental Health
|May 22, 2024
Summary
Hypersexuality in neurological disorders is poorly understood, with Parkinson's disease being most studied. Research needs better assessment tools and standardized treatments for this condition.
Area of Science:
- Neurology
- Psychiatry
- Neuroscience
Background:
- Hypersexuality (HS) in neurological conditions is under-researched.
- It significantly impacts patients' psychosocial well-being.
- Existing literature lacks comprehensive characterization.
Purpose of the Study:
- To systematically review existing literature on hypersexuality in neurological disorders.
- To characterize associated factors, manifestations, and management strategies.
- To identify research gaps and future directions.
Main Methods:
- Systematic literature review of studies reporting hypersexuality in neurological disorders.
- Inclusion of 79 studies covering 32,662 patients across 81 cohorts.
- Data extraction on demographics, assessment, clinical features, and treatments.
Main Results:
- Parkinson's disease (55.6%) and dementia (12.7%) were most frequently studied.
- Questionnaires were the primary assessment method, with significant variability.
- Dopaminergic pathway alterations suggested as a mechanism; treatment protocols lack standardization.
Conclusions:
- Research on hypersexuality in neurological conditions is growing but limited.
- Significant deficits exist in study quality, methodology, and assessment standardization.
- Priorities include improved assessment tools, understanding neurobiology, and developing management guidelines.
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