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A comparative study of the sexual function of institutionalized patients with schizophrenia.

机译:住院精神分裂症患者性功能的比较研究。

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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.
机译:简介:精神分裂症患者经常发生性功能障碍。目的:评估住院的精神分裂症患者的性功能,并将其与非住院的精神分裂症患者以及没有精神疾病的患者进行比较。方法:三组患者的横断面比较分析:A组:根据国际疾病分类第10版(ICD-10)标准,将75例精神分裂症和/或精神分裂症患者纳入公共精神病院。 B组:居住在社区的41例具有相同诊断的患者; C组:152名无精神疾病的患者由基层医疗中心护理。主要观察指标:采用迷你国际神经精神病学访谈,精神分裂症阳性和阴性综合征量表以及性功能问卷的变化来完成研究。结果:当将住院患者与对照组进行比较时,在所有地区都发现了性功能障碍,除了女性的Arousal和男女的性欲障碍百分比。与对照组相比,非制度化精神分裂症男性的结果表明女性的愉悦和性高潮以及女性的愉悦和欲望频率均不足。总体分量表显示,制度化组的男性中有71.2%的女性发生性功能障碍,而女性的57.1%,而非制度化组中的男性有10%,女性的50%,对照组中女性只有12.7%。结论:精神分裂症患者,尤其是住院患者,大多数性功能受到损害。但是,与性思想或幻想相关的性功能障碍的百分比与没有精神疾病的患者相似。

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