性功能障碍的患病率,风险因素和寻求帮助的行为在阿片类药物激动剂治疗和一般精神病学:一个横截面研究
Maximilian Meyer1,2, Jean N Westenberg1, Patrick Brunner1
1Clinic for Adult Psychiatry, University Psychiatric Clinics, University of Basel, Basel, Switzerland.
Frontiers in psychiatry
|August 23, 2023
概括
性功能障碍 (SD) 在患有阿片类药物使用障碍 (OUD) 和寻求心理治疗的患者中很常见. 对心理健康服务提供者来说,对性健康的常规评估至关重要.
科学领域:
- 精神病学是一个精神病学.
- 性医学性医学性医学性医学
- 成 药物 药物 药物 药物
背景情况:
- 精神障碍是性功能障碍 (SD) 的重要危险因素.
- 这项研究比较了阿片类药物使用障碍 (OUD) 患者的SD患病率,风险因素和寻求帮助的行为,与接受心理治疗的患者相比.
研究的目的:
- 与寻求心理治疗的患者相比,研究OUD患者性功能障碍的患病率.
- 确定这些人群中与性功能障碍相关的风险因素.
- 在两组患者中检查与性健康相关的寻求帮助行为.
主要方法:
- 在瑞士,评估了来自阿片类激素治疗 (OAT) 中心的97名OUD患者和65名心理治疗患者 (PP).
- 使用了自我报告措施,包括性功能指数 (IIEF,FSFI),抑郁状态,痛苦,物质使用,以及寻求帮助的问卷.
- 统计分析包括千二测试,曼-惠特尼U测试和二进制后勤回归.
主要成果:
- 在OAT (66.0%) 和PP (53.8%) 组之间,SD患病率没有显著差异.
- OAT患者报告尼古丁使用量较高和抑郁状态.
- 在总样本中,OUD,年龄较大和女性性别预测了SD;在OAT组中,年龄较大是预测性的.
- 在这两组中,寻求帮助的行为都很低,只有31-35%的人与医生讨论性健康问题.
结论:
- 性功能障碍在接受OAT的OUD患者和接受心理治疗的一般精神病患者中普遍存在.
- 医疗保健提供者必须优先考虑预防和例行查这些患者群体的性功能问题.
- 解决性健康问题是全面心理健康护理的组成部分.
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