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Psychopathology in individuals with sexual dysfunction

L R Derogatis, J K Meyer, K M King

    The American Journal of Psychiatry
    |June 1, 1981
    PubMed
    Summary

    Individuals with sexual dysfunction experience significant psychological distress, with many receiving psychiatric diagnoses. This study suggests distinct symptom profiles for different sexual dysfunctions, though the relationship remains complex.

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    Area of Science:

    • Psychiatry
    • Sexual Medicine
    • Psychology

    Background:

    • Conflicting reports exist regarding the psychiatric status of individuals experiencing sexual dysfunction.
    • Understanding the psychological comorbidities associated with sexual disorders is crucial for effective treatment.

    Purpose of the Study:

    • To investigate the psychiatric status of patients seeking treatment for sexual disorders.
    • To identify potential characteristic psychological distress profiles associated with specific sexual dysfunctions.

    Main Methods:

    • Administered the Symptom Checklist-90-Revised (SCL-90-R) to 325 patients with sexual disorders.
    • Conducted psychiatric evaluations for all participating patients.
    • Analyzed SCL-90-R symptom profiles and psychiatric diagnoses.

    Main Results:

    • Patients exhibited disproportionately high levels of psychological distress.
    • Approximately one-third of men (199) and one-half of women (126) received psychiatric diagnoses.
    • Evidence suggests distinct SCL-90-R symptom profiles may correlate with different sexual dysfunctions.

    Conclusions:

    • Sexual dysfunction is frequently associated with significant psychological distress and psychiatric comorbidities.
    • While characteristic symptom profiles may exist, the complex cause-and-effect relationship between psychological distress and sexual dysfunction requires further investigation.

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