Influence of personality traits on sexual functioning of patients suffering from schizophrenia or depression (original) (raw)
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Journal of Clinical Medicine, 2022
Background: There is a growing body of literature on the association between psychosis and sexual dysfunction. However, most studies have focused on sexual dysfunction and have not investigated the sexual lives of patients with psychosis across a broader range. Material and Methods: Consecutive patients with a diagnosis of acute psychosis or schizophrenia were recruited to the study after obtaining informed consent (n = 46). In addition, healthy control subjects were recruited (n = 52). Sociodemographic and clinical data, psychopathology, and sexual functioning were assessed. Independent sample t-test to determine group differences was obtained. Results: In both the male and female groups, there are significant differences between psychotic individuals and healthy controls in several areas of their sexual functioning: the control group seemed to better perceive Couple sexuality, Self-eroticism, and overall appeared to have a higher Quality of sexual life; on the other hand, the grou...
J Sex Medicine, 2010
Introduction. Sexual dysfunction occurs frequently in patients with schizophrenia. Aim. To assess the sexual function of institutionalized patients with schizophrenia and compare it to both that of noninstitutionalized schizophrenic patients as well as patients without any mental illness. Methods. A cross-sectional comparative analysis between three groups: Group A: 75 patients with schizophrenia and/or schizoaffective disorder according to the International Classification of Diseases, 10th Edition (ICD-10) criteria, admitted into public psychiatric residential facilities; Group B: 41 patients with the same diagnosis who live in the community; Group C: 152 patients with no mental illness attended to by a Primary Care Medical Center. Main Outcome Measures. The Mini-International Neuropsychiatric Interview, Positive and Negative Syndrome Scale for Schizophrenia and Changes in Sexual Function Questionnaire were used to complete the study. Results. When institutionalized patients were compared to the control group, the impairment of sexual function was identified in all areas except Arousal in women and the percentage of dysfunction in Desire-Interest for both sexes. The results for noninstitutionalized schizophrenic males indicated a deficit in Pleasure and Orgasm and in Pleasure and Desire-Frequency for females, when compared with the control group. The overall subscale indicated that 71.2% of males and 57.1% of females in the institutionalized group experienced sexual dysfunction compared with 10% of males and 50% of females in the noninstitutionalized group, and only 12.7% of women in the control group. Conclusions. Most areas of sexual function are impaired among patients with schizophrenia, especially among institutionalized patients. However, their percentage of sexual dysfunction associated with sexual thoughts or fantasies was similar to that of patients without mental illness. Acuña MJ, Martín JC, Graciani M, Cruces A, and Gotor F. A comparative study of the sexual function of institutionalized patients with schizophrenia. J Sex Med 2010;7:3414–3423. Key Words. Schizophrenia; Sexual Dysfunction
A Comparative Study of the Sexual Function of Institutionalized Patients with Schizophrenia
The Journal of Sexual Medicine, 2010
Introduction. Sexual dysfunction occurs frequently in patients with schizophrenia. Aim. To assess the sexual function of institutionalized patients with schizophrenia and compare it to both that of noninstitutionalized schizophrenic patients as well as patients without any mental illness. Methods. A cross-sectional comparative analysis between three groups: Group A: 75 patients with schizophrenia and/or schizoaffective disorder according to the International Classification of Diseases, 10th Edition (ICD-10) criteria, admitted into public psychiatric residential facilities; Group B: 41 patients with the same diagnosis who live in the community; Group C: 152 patients with no mental illness attended to by a Primary Care Medical Center. Main Outcome Measures. The Mini-International Neuropsychiatric Interview, Positive and Negative Syndrome Scale for Schizophrenia and Changes in Sexual Function Questionnaire were used to complete the study. Results. When institutionalized patients were compared to the control group, the impairment of sexual function was identified in all areas except Arousal in women and the percentage of dysfunction in Desire-Interest for both sexes. The results for noninstitutionalized schizophrenic males indicated a deficit in Pleasure and Orgasm and in Pleasure and Desire-Frequency for females, when compared with the control group. The overall subscale indicated that 71.2% of males and 57.1% of females in the institutionalized group experienced sexual dysfunction compared with 10% of males and 50% of females in the noninstitutionalized group, and only 12.7% of women in the control group. Conclusions. Most areas of sexual function are impaired among patients with schizophrenia, especially among institutionalized patients. However, their percentage of sexual dysfunction associated with sexual thoughts or fantasies was similar to that of patients without mental illness. Acuña MJ, Martín JC, Graciani M, Cruces A, and Gotor F. A comparative study of the sexual function of institutionalized patients with schizophrenia. J Sex Med 2010;7:3414-3423.
Sexual functioning, psychopathology and quality of life in patients with schizophrenia
Schizophrenia Research, 2007
Objective: The present study was to characterize relationships among sexual functioning, schizophrenia symptoms and quality of life measures. In addition, sexual functioning was compared among patients treated with different antipsychotic agents. Methods: Outpatient subjects were assessed using the Positive and Negative Symptom Scale (PANSS), the Changes in Sexual Functioning Questionnaire (CSFQ) and the Hamilton Rating Scale for Depression (HAMD). Quality of life was assessed using two different instruments: observer-rated Heinrich's Quality of Life Scale (QLS) and self-rated The Behavior and Symptom Identification Scale (BASIS). Results: One hundred twenty-four patients with schizophrenia or schizoaffective disorder were enrolled in the study. Eight-six patients (69%) completed at least part of the CSFQ assessment, which generated at least one valid subscale score. High rates of sexual impairment were found in both male and female patients (65%-94% across different subscales). For males, higher scores on the PANSS-positive subscale were associated with a lower frequency of sexual activity ( p = 0.04). For females, higher scores on the PANSS-positive subscale and PANSS-general psychopathology subscale were significantly associated with more difficulty in both sexual arousal and orgasm ( p's b 0.05). For both males and females, there were no significant relationships between any CSFQ subscale measures and the quality of life measures ( p's N 0.05). No significant differences were found among three antipsychotic treatment groups (clozapine, olanzapine or typical agents) on any CSFQ subscale measures or quality of life measures after controlling for PANSS total scores ( p's N 0.05). Conclusions: Effective treatment strategies still need to be developed to address sexual dysfunction and quality of life in patients with schizophrenia.
The journal of sexual medicine, 2018
Sexual dysfunction occurs commonly in patients with psychiatric illness and may be related to the primary mental disorder, comorbidity with sexual disorders or medical illness, or medications used for mental disorders treatment, but the magnitude of this problem is unknown. To estimate the prevalence of current sexual activity, sexual dysfunction, and sexual attitude and influence of factors on patients with schizophrenia. This study used a cross-sectional design with a total of 317 patients diagnosed with schizophrenia. The subjects completed a demographic questionnaire, sexual attitude scale, sexual dysfunction scale, and sexual behavior scale. Descriptive analysis, difference analysis, and logistic regression model were used to identify relevant variables that may affect sexual life quality. Age, sexual satisfaction, and patient symptoms may predict sexual life quality on patients with schizophrenia. The mean age of patients was 47.71 ± 9.54 years old. About the sexual activities...
Sexual dysfunction in outpatients with schizophrenia in Turkey: a cross-sectional study
Shanghai archives of psychiatry, 2014
Sexual dysfunction is one of several factors related to medication compliance in patients taking antipsychotic medication but the magnitude of this problem is unknown. Compare the self-reported sexual functioning of clinically stable patients with schizophrenia taking antipsychotic medication to that of healthy controls using the Turkish version of the 5-item Arizona Sexual Experience Scale (ASEX). This scale, which has previously been validated in Turkey, assesses 5 components of sexual function: sex drive, sexual arousal, vaginal lubrication/penile erection, ability to achieve orgasm, and satisfaction with orgasm. The Scale for the Assessment of Positive Symptoms, the Scale for Assessment of Negative Symptoms, and ASEX were administered to 101 clinically stable outpatients with schizophrenia (38 females and 63 males). The ASEX was also administered to 89 control subjects (41 females and 48 males) without a history of mental illness. Respondents were classified as having sexual dys...
Prevalence of Sexual Dysfunction in Females with and Without Schizophrenia
American Journal of Psychiatry and Neuroscience
INTRODUCTION-Schizophrenia is an illness that may influence every aspect of the person's life. Rates of female sexual dysfunction (FSD) in schizophrenia the rates reported have been between 30 and 80%. The aim was to identify attribution (locus of control) and sexual dysfunction among female with schizophrenic disorder and females without schizophrenia and to study and to compare the sexual dysfunction and attribution in schizophrenic and non-schizophrenic women. METHODS-This was a cross sectional, hospital-based study and was approved by the Institutional Ethics Committee of SRM Medical college and health sciences. Women between the ages of 21 to 45 years, diagnosed with schizophrenia by ICD 10 criteria (World Health Organization, 1992) attending the outpatient services, who were under remission, and were in marital relationship for at least six months were approached for the study. Schizophrenia was assessed using PANSS while sexual dysfunction in females was assessed using female sexual functioning index. Sexual attribution was assessed by using Rotter's locus of control. RESULTS-45 women belonging to cases had sexual dysfunction as assessed by FSFI whilst 13 had had scored for sexual dysfunction is the control group. 5 in the cases and 37 in controls did not have sexual dysfunction. X 2 test was carried out and the difference was very highly statistically significant at 0.001level. A very high frequency of sexual dysfunction in this group calls for added focus in to this aspect for a better quality of life for the patient. The relationship between locus of control, sexual dysfunction as assessed by FSFI and PANSS scores where higher scores denote a severe form of illness were subjected to co-relation analysis. Locus of control is identified to be external when the scores are higher than the cutoff point. CONCLUSION-Sexual dysfunction is one of the aspects which affect the overall quality of life and needs to be studied on a larger sample and the relationship between illness related, treatment related and environment related factors need to be studied. Individual disturbances in the various aspects of sexual dysfunction also need to be studied.