与精神疾病相关的性功能障碍:系统性审查
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
概括
精神病患者经历高率的性功能障碍,影响欲望和高潮. 这凸显了需要增加临床关注和性学干预措施,以改善患者护理的需要.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 性医学性医学性医学性医学
- 系统性审查和元分析
背景情况:
- 性功能障碍在精神疾病中非常普遍,但精神病理学的直接影响仍然不清楚.
- 现有的研究往往忽略了心理药物,年龄和体质疾病对精神病患者性健康的影响.
研究的目的:
- 系统地审查现有的关于精神病患者性功能障碍的流行情况的文献,这些患者不使用精神药物,也不患有体质疾病.
- 在各种精神疾病中提供性功能障碍率和受影响的性功能阶段的概述.
主要方法:
- 根据PRISMA指南进行了系统审查.
- 在PubMed,Web of Science和PsycINFO数据库中进行了文献搜索,截至2022年6月16日.
- 研究选择和数据提取由两个审稿人独立进行.
主要成果:
- 包括24项涉及1199名患者的研究,重点关注抑郁症,焦虑症,强迫症和精神分裂症.
- 性功能障碍的患病率范围很广:抑郁症的45%-93%,焦虑症的33%-75%,强迫症的25%-81%,精神分裂症的25%.
- 性欲在抑郁症,PTSD和精神分裂症中最常受到影响,而性高潮功能障碍在强迫症和焦虑症中很常见.
结论:
- 这一系统性审查揭示了精神病患者性功能障碍的高患病率,独立于心理药物使用或身体状况.
- 研究结果强调,需要通过心理教育,指导和性治疗,更大程度上专注于性健康的临床治疗.
- 局限性包括研究数量少,样本规模小,以及来自各种,有时未经验证的问卷调查的潜在偏差.
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