精神分裂症性功能障碍:系统性审查和元分析
Théo Korchia1, Vincent Achour1, Mélanie Faugere1,2
1Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, CEReSS - Health Service Research and Quality of Life Center, Marseille, France.
JAMA psychiatry
|September 13, 2023
概括
性功能障碍在精神分裂症患者中非常普遍,影响超过一半的个人. 用抗抑郁药物治疗并发性抑郁症可能会改善性健康结果.
科学领域:
- 精神病学是一个精神病学.
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 抗精神病药物诱导的性功能障碍在精神分裂症中很常见,但经常被忽视.
- 了解患病率和相关因素对于患者护理至关重要.
研究的目的:
- 系统地审查和综合有关精神分裂症谱系障碍性功能障碍的流行情况的数据.
- 在这个人群中确定与性功能障碍相关的因素.
主要方法:
- 在2022年6月之前对观察性研究进行系统的文献搜索.
- 包括72项研究,共计21076名参与者.
- 使用MOOSE指南和随机效应模型进行数据合成.
主要成果:
- 全球性功能障碍的综合流行率为56.4%.
- 最常见的功能障碍包括勃起功能障碍 (44%的男性) 和性欲丧失 (41%的男性).
- 抗抑郁药和情绪稳定剂的使用与更低的勃起率和射精障碍相关.
结论:
- 在精神分裂症中性功能障碍的高患病率需要临床关注.
- 治疗并发性抑郁症可能会改善性健康.
- 需要进一步研究代谢和身体健康参数.
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