Sexual behavior in psychiatric patients: a review


 

 

Abstract

Sexuality is a natural component of human behavior, and the nature of sexual behavior in the normal population has been well addressed. Further interplay of multiple facets, including anatomical, physiological, psychological, developmental, cultural, and relational factors. Sexual dysfunction is common in people with Psychiatric disorder e.g. schizophrenia and other psychotic disorders, and it are known to affect all domains of sexual function including desire, arousal, erection, ejaculation and orgasm. Furthermore, antipsychotic drugs are associated with sexual dysfunction with unclear mechanisms. This article will review the literatures on the psychiatric sexual behavior in focusing on prevalence, etiology, and treatment.

Keywords: Sexual disorder; psychiatric patients; Antipsychotic drugs; Phases of sexuality

Copyright © 2015 by The American Society for BioMedicine and BM-Publisher, Inc.

Article citationReferencesFull-Text/PDFBecome reviewer
The citation data is computed by the following citation measuring services:

Google scholarcitedby

References

  1.  Ghadirian AM, Chouinard G, Annable L. Sexual dysfunction and plasma prolactin levels in neuroleptic treated schizophrenic outpatients. Journal of Nervous and Mental Disease 1982;170:463-467.  [Medline]
  2. Kay S, Fishbein A, Opler LA. The positive and negative symptom scale (PANSS) for schizophrenia. Schizophrenia Bulletin 1987;13;261-275. [Abstract/FREE Full Text]
  3. Lyketsos GC, Sakka P, Mailis A. The sexual adjustment of chronic schizophrenics: a preliminary study. British Journal of Psychiatry 1983;143:376382. [Abstract/FREE Full Text]
  4. McCreadie RG. on behalf of the Scottish Comorbidity Study Group. Use of drugs, alcohol and tobacco by people with schizophrenia: case-control study. British Journal of Psychiatry 2002;81:321-325.  [Abstract/FREE Full Text]
  5. Mullen B, Brar JS, Vagnucci AH, et al. Frequency of sexual dysfunction in patients with schizophrenia on haloperidol, clozapine or risperidone. Schizophrenia Research 2001;48:155-156. [CrossRefMedline]
  6. Smith S, O'Keane V,  Murray R. Sexual dysfunction in patients taking conventional antipsychotic medication. British Journal of Psychiatry 2002;181:49-55.  [Abstract/FREE Full Text]
  7. Coleman CC, King BR, Bolden-Watson C, et al. A placebo-controlled comparison of the effects on sexual functioning of bupropion sustained release and fluoxetine. Clin Ther 2001;23:104010–1058. [PubMed]
  8. Laumann EO, Rosen RC. Sexual dysfunction in the United States: prevalence and predictors. JAMA 1999;281:537–544.  [PubMed]
  9. Abdallah RT, Simon JA. Testosterone therapy in women: its role in the management of hypoactive sexual desire disorder. Int J Impotence Res 2007; 19: 458–463.  [PubMed]
  10. Ponticas Y. Sexual aversion versus hypoactive sexual desire: a diagnostic challenge. Psychiatr Med 1992;10:273–281. [PubMed]
  11. Morales A, Heaton JP. Hormonal erectile dysfunction. Evaluation and management. Urol Clin North Am 2001; 28: 279–288. [PubMed]
  12. Basson R. Androgen replacement for women. Can Fam Physician 1999;45:2100–2107. [PubMed]
  13. Walsh KE, Berman JR. Sexual dysfunction in the older woman: an overview of the current understanding and management. Drugs Aging 2004;21:655–675.  [PubMed]
  14. O’Carroll R, Bancroft J. Testosterone therapy for low sexual interest and erectile dysfunction in men: a controlled study. Br J Psychiatry 1984;145:146–151.  [PubMed]
  15. Montejo AL, Majadas S, Rico-Villademoros F,  et al. Frequency of sexual dysfunction in patients with a psychotic disorder receiving antipsychotics. J Sex Med 2010;7:3404–13. [CrossRefMedline]
  16. Howes OD, Wheeler MJ, Pilowsky LS, Landau S, Murray RM, Smith S.Sexual function and gonadal hormones in patients taking antipsychotic treatment for schizophrenia or schizoaffective disorder. J Clin Psychiatry  2007; 68: 361–7. [Medline]
  17. Cohen S, Kühn KU, Bender S, Erfurth A, Gastpar M, Murafi A, et al. Sexual impairment in psychiatric inpatients: focus on depression.Pharmacopsychiatry  2007;40:58–63.  [CrossRefMedline]
  18. Uçok A, Incesu C, Aker T, Erkoç S. Sexual dysfunction in patients with schizophrenia on antipsychotic medication. Eur Psychiatry 2007;22:328–33.  [Medline]
  19. Aizenberg D, Zemishlany Z, Dorfman-Etrog P, Weizman A. Sexual dysfunction in male  schizophrenic patients. J Clin Psychiatry 1995;56:137–41.  [Medline]
  20. Clayton AH. Recognition and assessment of sexual dysfunction associated with depression. J Clin Psychiatry 2001; 62 (suppl 3):5–9.  [Search Google Scholar]
  21. Bitter I, Basson BR, Dossenbach MR. Antipsychotic treatment and sexual functioning in first-time neuroleptic-treated schizophrenic patients. Int Clin Psychopharmacol 2005;20:19–21.  [Medline]
  22. Van Bruggen M, van Amelsvoort T, Wouters L, Dingemans P, de Haan L, Linszen D. Sexual dysfunction and hormonal changes in first episode psychosis patients on olanzapine or risperidone.Psychoneuroendocrinology 2009; 34:989–95.  [Medline]

Who Can Become a Reviewer?
Any expert in the article's research field can become a reviewer with American Journal of Biomedicine. Editors might ask you to look at a specific aspect of an article,...

Find out more

Research Article
DOI: http://dx.doi.org/10.18081/2333-5106/015-02/378-388
American Journal of BioMedicine 2015, Volume 3, Issue 2, pages 78–88
Received January 02, 2015; Accepted March; 07, 2015, Published April 14, 2015

How to cite this article
Heaton VJ, Bancroft AH. Sexual behavior in psychiatric patients: a review. American Journal of BioMedicine 2015;3(2):78–88
Review Article
1. Abstract
2. Keywords
3. Introduction
5. Results
6. Discussion
7. References

Article metric