Related Experiment Video
Updated: Jun 17, 2025
06:04
Functional Near-Infrared Spectroscopy Hyperscanning Study in Psychological Counseling
Published on: January 17, 2025
476
An interdisciplinary intervention for detection of sexual dysfunction associated with antidepressants: A pilot study
Pia-Allison Roa1, Jolene R Bostwick2, Paresh D Patel3
1Pharmacy Resident, Michigan Medicine, Ann Arbor, Michigan.
The Mental Health Clinician
|August 6, 2024
Summary
Routine screening with the Arizona Sexual Experience Scale (ASEX) significantly increased the identification of antidepressant-related sexual dysfunction in psychiatric clinics. Most patients would not report these side effects without direct questioning.
Area of Science:
- Psychiatry
- Pharmacology
- Clinical Pharmacy
Background:
- Treatment-emergent sexual dysfunction (TESD) is a frequent side effect of antidepressant medications.
- Limited data exist on the routine use of the Arizona Sexual Experience Scale (ASEX) for TESD identification in clinical practice.
Purpose of the Study:
- To evaluate the impact of routine ASEX implementation on identifying sexual dysfunction in adult psychiatric outpatients receiving antidepressant therapy.
Main Methods:
- A retrospective study compared the rates of sexual dysfunction identification before and after the implementation of the ASEX survey.
- Data were collected from adult patients seen by a psychiatric clinical pharmacist between June 2020 and March 2022.
Main Results:
- Sexual dysfunction identification increased significantly from 10% pre-ASEX to 59% post-ASEX implementation.
- Approximately 70% of patients identified with sexual dysfunction post-ASEX reported they would not have disclosed symptoms without direct inquiry.
Conclusions:
- Routine use of the validated ASEX survey in ambulatory psychiatry settings substantially improves the detection of antidepressant-associated sexual dysfunction.
- Interdisciplinary collaboration and proactive screening are crucial for identifying medication tolerability issues.
More Related Videos
05:48The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
Published on: June 12, 2020
5.7K
04:33Author Spotlight: Unveiling the Connection Between Sleep Disorders and Cognitive Symptoms in Depression
Published on: April 26, 2024
636
Related Concept Videos
01:23Antidepressant Drugs: MAOIs and Other Agents
209
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
209
01:28Antidepressant Drugs: Tricyclics, SSRIs, and SNRIs
342
Tricyclic Antidepressants (TCAs), including Desipramine (Norpramin), Imipramine (Tofranil), Clomipramine (Anafranil), and Amitriptyline (Elavil), inhibit serotonin and norepinephrine reuptake and also block other receptors. They are used for depression, pain conditions, and insomnia. Common adverse effects include anticholinergic effects, sedation, orthostatic hypotension, and weight gain. They have a narrow therapeutic window and so require plasma-level monitoring. Abrupt discontinuation can...
342
01:25Antidepressant Drugs: Overview
401
Antidepressant drugs are a class of medications primarily used for treating various mood disorders, including major depression, anxiety disorders, and other related conditions. These medicines work by modulating the neurotransmitter balance within the brain, alleviating depressive symptoms. Antidepressants can be broadly categorized into several groups according to their mechanism of action and chemical structure: Selective Serotonin Reuptake Inhibitors (SSRIs), Serotonin-Norepinephrine...
401
01:17Drugs for Treatment of Diarrhea-Predominant IBS
156
Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
156
01:20Disorders of the Male Reproductive System
370
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
370
01:28Drug Therapy
41
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
41