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Sexual Function In Schizophrenia


Sexual Function In Schizophrenia
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Sexual Function In Schizophrenia


Sexual Function In Schizophrenia
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Author : Dennis Lin
language : en
Publisher:
Release Date : 2017

Sexual Function In Schizophrenia written by Dennis Lin and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.


OBJECTIVE This study surveys patients with schizophrenia or schizoaffective disorder, to understand the relationship between sexual function and treatment with antipsychotic medication. The study compares patients on single versus multiple antipsychotics as well differences between first and second generation agents. MATERIAL AND METHOD Patients diagnosed with schizophrenia or schizoaffective disorder are eligible. Once patients are evaluated to ensure they meet enrollment criteria and are consented, they are administered the Positive and Negative Syndrome Scale (PANSS), Abnormal Involuntary Movement Scale (AIMS), and either the International Index of Erectile Function for men, or the Female Sexual Function Index for women. Inclusion criteria include age 18-65, able to participate in a structured interview, fulfill DSM-IV criteria, and on stable doses of one or more antipsychotic medications for at least six weeks. Exclusion Criteria include patients taking Selective Serotonin Reuptake Inhibitors (SSRIs), and inability to provide informed consent.RESULTS Patients taking typical antipsychotic had marginally worse score on sexual function scale. Patients taking multiple antipsychotics scored better on the sexual function scales. Those on prolactin-sparing agents tended to rate sexual function as higher. Clozapine was associated with more sexual dysfunction compared to other antipsychotics. No trend noticed between PANSS scores and sexual dysfunction. No trend noticed related to AIMS scores. CONCLUSIONS There is high prevalence of sexual dysfunction in schizophrenic patients. Prolactin sparing agents are associated with less sexual dysfunction. There is an advantage to the use of atypical antipsychotics.



Sexual Dysfunctions In Mentally Ill Patients


Sexual Dysfunctions In Mentally Ill Patients
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Author : Emmanuele A. Jannini
language : en
Publisher: Springer
Release Date : 2018-08-28

Sexual Dysfunctions In Mentally Ill Patients written by Emmanuele A. Jannini and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-08-28 with Medical categories.


This book addresses the fundamental importance of the proper assessment and treatment of sexual disorders in patients with mental disorders with regard to their treatment outcomes and adherence to therapies. In fact, patients with mental disorders often suffer from sexual dysfunctions and in many cases, pharmacological treatment causes sexual-dysfunction side-effects. However, anxiety disorders, personality disorders, eating disorders and psychotic disorders are often also characterized by sexual symptoms that have a profound impact on sexual function. The psychopathology of sexual behavior investigates deficits in the mind-body relationship that are expressed through sexual symptoms such as erectile dysfunction, premature ejaculation, vaginismus, orgasmic disorders, or lack of sexual desire. These symptoms can be considered both prodromal and as a consequence of psychological or psychiatric suffering. Written by a multidisciplinary team of experts, this book offers a valuable guide for psychiatrists, andrologists, gynecologists and psychologists.



Antipsychotic Drugs And Sexual Function In Schizophrenia


Antipsychotic Drugs And Sexual Function In Schizophrenia
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Author : Ahmed Mohamed Ahmed Mahmoud
language : en
Publisher:
Release Date : 2008

Antipsychotic Drugs And Sexual Function In Schizophrenia written by Ahmed Mohamed Ahmed Mahmoud and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with categories.




06 Impact Of Psychosis On Sexual Functioning A Systematic Review Of The Last 10 Years


06 Impact Of Psychosis On Sexual Functioning A Systematic Review Of The Last 10 Years
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Author : Maria Fernanda Mantilla
language : en
Publisher:
Release Date : 2017

06 Impact Of Psychosis On Sexual Functioning A Systematic Review Of The Last 10 Years written by Maria Fernanda Mantilla and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.


Background and Aims:Sexual dysfunction figures prominently in patients with psychotic disorders, and may be related to the disease itself, psychosocial factors, somatic health and the use of psychotropic medications. However, a limited number of studies have evaluated sexual functioning in patients with psychosis without medication influence.This study aimed to assess the current evidence about the impact of psychosis itself on sexual functioning.Methods:A systematic review was carried out in MEDLINE (PubMed) database, selecting articles published in English in the last 10 years that include the study of sexual functioning and psychosis, in unmedicated patients or with little use of psychotropic medications.Results:Data were extracted from 7 cross-sectional studies and 1 longitudinal study (Table 1). There were 681 people with first-episode psychosis, 47 people with ultra-high risk for psychosis and 264 people with schizophrenia or schizoaffective disorder. The prevalence of sexual dysfunction ranged from 37.8% to 70%, affecting all phases of sexual function. In a study, sexual dysfunction was more pronounced in first-episode psychosis than in ultra-high risk, however in another article, it was similar. The severity of psychotic symptoms was correlated with severity of sexual dysfunction. Negative symptoms were the most important.Conclusions:This systematic review states that both positive and negative symptoms, along with the severity, impact negatively sexual functioning, even before the onset of psychosis itself and medication.



Medical Illness And Schizophrenia


Medical Illness And Schizophrenia
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Author : Jonathan M. Meyer
language : en
Publisher: American Psychiatric Pub
Release Date : 2009-04-27

Medical Illness And Schizophrenia written by Jonathan M. Meyer and has been published by American Psychiatric Pub this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009-04-27 with Medical categories.


Despite growing awareness in the psychiatric community of the multifaceted medical needs of the severely mentally ill, statistics show that as much as 60% of all schizophrenia patients die prematurely from nonpsychiatric medical conditions -- in part because many physicians have not yet recognized how to properly treat common diseases and illnesses within this complex patient population. Medical Illness and Schizophrenia, Second Edition, is the only clinical guide to focus exclusively on the treatment of common medical comorbidities among patients with schizophrenia. Like its best-selling predecessor, the book compiles the latest research and clinical information on integrating medical and psychiatric care for the schizophrenia patient. Twenty-eight physicians and psychiatrists, including editors Jonathan M. Meyer, M.D., and Henry A. Nasrallah, M.D., lend their expertise to this new, expanded edition. In fifteen chapters, this volume covers a wide range of common medical problems -- from metabolic and heart conditions, such as cardiovascular disease, hyperlipidemia, obesity and diabetes, to substance abuse and smoking. Each chapter concludes with "Key Clinical Points" that summarize important concepts and ensure reader retention. Additionally, the second edition includes new chapters that touch on some of the most complex clinical issues in the field of schizophrenia treatment today: Recent trends in the integration of medical and mental healthcare Behavioral treatments for weight loss in persons with schizophrenia Treatment of sexual dysfunction among persons treated for schizophrenia Health outcomes of schizophrenia treatment in children and adolescents Health outcomes of schizophrenia treatment during pregnancy and breastfeeding As the only clinical text of its kind, Medical Illness and Schizophrenia, Second Edition, is an invaluable resource for psychiatrists, nurses, healthcare professionals, and psychiatric and clinical residents. The goal of this text has always been to help clinicians recognize schizophrenia as both a brain disorder and a systemic disease with multiple manifestations that go beyond the obvious psychiatric symptoms -- and thus take a broader approach to treatment of schizophrenia. This new edition is a comprehensive, practical manual that serves as a reference for the medical management of seriously mentally ill patients across the age spectrum in both inpatient and outpatient settings.



Sexuality And Serious Mental Illness


Sexuality And Serious Mental Illness
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Author : Peter F Buckley
language : en
Publisher: Psychology Press
Release Date : 2013-05-13

Sexuality And Serious Mental Illness written by Peter F Buckley and has been published by Psychology Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-05-13 with Medical categories.


Reflecting current understanding of the complexities of sexual activity among persons with chronic mental illness, the text draws upon the collective wisdom and experience of experts from a variety of settings. Clinicians, advocates, consumers, researchers, legal experts, and administrators all contribute to document the concerns about sexual behavior and the consequent health risks for this at-risk population. The research presented here is particularly timely in view of recent emphases on patient choice, recovery, and advocacy, and can be used to provide guidance to clinicians, mental health administrators, policymakers, advocates, and researchers.



Physical Health And Schizophrenia


Physical Health And Schizophrenia
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Author : David J. Castle
language : en
Publisher: Oxford University Press
Release Date : 2017

Physical Health And Schizophrenia written by David J. Castle and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with Medical categories.


Physical Health and Schizophrenia offers a user-friendly guide to the physical health problems associated with schizophrenia for the busy clinician.



The Effect Of Antipsychotic Medication On Sexual Function And Serum Prolactin Levels In Community Treated Schizophrenic Patients Results From The Schizophrenia Trial Of Aripiprazole Star Study Nct00237913


The Effect Of Antipsychotic Medication On Sexual Function And Serum Prolactin Levels In Community Treated Schizophrenic Patients Results From The Schizophrenia Trial Of Aripiprazole Star Study Nct00237913
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Author : Barra Mansa Barra Mansa Press
language : en
Publisher:
Release Date : 2016-11-29

The Effect Of Antipsychotic Medication On Sexual Function And Serum Prolactin Levels In Community Treated Schizophrenic Patients Results From The Schizophrenia Trial Of Aripiprazole Star Study Nct00237913 written by Barra Mansa Barra Mansa Press and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-11-29 with categories.


The aim of this paper is to evaluate the effect of antipsychotics for the treatment of schizophrenia in a community based study on sexual function and prolactin levels comparing the use of aripiprazole and standard of care (SOC), which was a limited choice of three widely used and available antipsychotics (olanzapine, quetiapine or risperidone) (The Schizophrenia Trial of Aripiprazole [STAR] study [NCT00237913]). Proceeds from the sale of this book go to support an elderly disabled person.



Prevalence Of Sexual Dysfunction In Young Schizophrenic Patients Treated With Aripiprazole One Monthly


Prevalence Of Sexual Dysfunction In Young Schizophrenic Patients Treated With Aripiprazole One Monthly
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Author : Beatriz Oda Garcu00eda
language : en
Publisher:
Release Date : 2017

Prevalence Of Sexual Dysfunction In Young Schizophrenic Patients Treated With Aripiprazole One Monthly written by Beatriz Oda Garcu00eda and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.


Background and Aims:One of the main causes of discontinuation of antipsychotic treatment is sexual dysfunction, especially in young people.The main aim of this study was to determine the prevalence of sexual dysfunction in young schizophrenic patients treated with Arpiprazole One-Monthly (AOM)Methods:12 outpatients younger than 35 (8 male and 4 female) were recruited. They met the DSM 5 schizophrenia criteria. They were being treated with AOM in antipsychotic monotherapy and without changes in pharmacological treatment in the last 4 months.We used the Psychotropic Related Sexual Dysfunction Questionnaire (PRSexDQ) to assess the sexual dysfunction. The overall score ranges from 0 (no sexual dysfunction) to 15 points (maximum sexual dysfunction).Results:The prevalence of mild and moderate sexual dysfunction was 25% (3 patients) and 8.3% (1 patient), respectively. Among those with mild sexual dysfunction, 100% accepted this sexual dysfunction well, did not interfere in their relationship, and had not thought of discontinuing treatment. The prevalence of sexual dysfunction was higher in those patients who were under treatment with pharmacological polytherapy.Conclusions:The prevalence of moderate sexual dysfunction in young schizophrenic patients treated with Arpiprazole One-Monthly was less than 10%. The low prevalence of sexual dysfunction with this long-acting injectable enabled to achieve higher adherence rates.



Prevalence Of Sexual Dysfunction In Young Schizophrenic Patients Treated With Aripiprazole One Monthly


Prevalence Of Sexual Dysfunction In Young Schizophrenic Patients Treated With Aripiprazole One Monthly
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Author : Bea Oda Plasencia García de Diego
language : en
Publisher:
Release Date : 2017

Prevalence Of Sexual Dysfunction In Young Schizophrenic Patients Treated With Aripiprazole One Monthly written by Bea Oda Plasencia García de Diego and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.


Background and Aims:One of the main causes of discontinuation of antipsychotic treatment is sexual dysfunction, especially in young people.The main aim of this study was to determine the prevalence of sexual dysfunction in young schizophrenic patients treated with Arpiprazole One-Monthly (AOM)Methods:12 outpatients younger than 35 (8 male and 4 female) were recruited. They met the DSM 5 schizophrenia criteria. They were being treated with AOM in antipsychotic monotherapy and without changes in pharmacological treatment in the last 4 months.We used the Psychotropic Related Sexual Dysfunction Questionnaire (PRSexDQ) to assess the sexual dysfunction. The overall score ranges from 0 (no sexual dysfunction) to 15 points (maximum sexual dysfunction).Results:The prevalence of mild and moderate sexual dysfunction was 25% (3 patients) and 8.3% (1 patient), respectively. Among those with mild sexual dysfunction, 100% accepted this sexual dysfunction well, did not interfere in their relationship, and had not thought of discontinuing treatment. The prevalence of sexual dysfunction was higher in those patients who were under treatment with pharmacological polytherapy.Conclusions:The prevalence of moderate sexual dysfunction in young schizophrenic patients treated with Arpiprazole One-Monthly was less than 10%. The low prevalence of sexual dysfunction with this long-acting injectable enabled to achieve higher adherence rates.