Classification of sexual dysfunctions: Towards DSM-V and ICD-11

Vroege, Jos A.; Gijs, Luk; Hengeveld, Michiel W.

doi:10.1016/s0010-440x(98)90044-x

Cited by 39 publications

(29 citation statements)

References 2 publications

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“…Thus, women assigned clinical diagnoses in a research setting might be asked to comment in greater detail on exactly what is distressing or incapacitating about their sexual problems so that a hierarchy of difficulty, or at least a threshold for deciding on appropriate intervention, might be defined. International classifications of sexual dysfunction that will appear in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association are under review (Vroege, Gijs, & Hengeveld, 1998) and thus we need a wider perspective on this issue. In a recent study, we reported that female sexual dysfunction in women attending primary care physicians in London was common (Nazareth, Boynton, & King, 2003).…”

Section: Introductionmentioning

confidence: 99%

Women’s Views of their Sexual Difficulties: Agreement and Disagreement with Clinical Diagnoses

2007

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There is controversy about how to conceptualize sexual problems in women. Our purpose in this study was to compare ICD-10 diagnoses of sexual dysfunction in women with whether or not the woman perceived she had a sexual problem, her views on its origins, and its impact on her life. Participants (N = 401, M age, 37.8 years) were consecutive attendees to general practices in London, England. Our main measures were an ICD-10 diagnosis of sexual dysfunction and the woman's own perception of a sexual problem. Based on reported symptoms and behavior, 38% of women had at least one ICD-10 diagnosis of sexual dysfunction. Prevalence fell to 18% in women who also perceived they had a problem and to 6% in women who regarded the problem as moderate or severe. A total of 73 (18%) women were assigned an ICD-10 diagnosis and agreed that they had a problem, 80 (20%) were assigned a diagnosis but reported no problem, 78 (19%) had no diagnosis but reported a sexual problem, and 170 (42%) had no diagnosis and reported no problem. For women with sexual partners, reported sexual satisfaction was lowest in those assigned an ICD-10 diagnosis who also perceived they had a problem and highest in those with no diagnosis and no perceived problem. Relationship and emotional difficulties were the most common perceived causes of sexual difficulties, whether or not an ICD-10 diagnosis was assigned. There were three aspects to sexual difficulties in women. The first concerned symptoms and behavior that clinicians used to make a diagnosis, the second was the woman's own perception that she had a sexual difficulty, and the third was her level of sexual satisfaction. All three appear to be important and may explain why published prevalence rates of sexual dysfunction and associated factors are so conflicting.

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Section: Introductionmentioning

confidence: 99%

Women’s Views of their Sexual Difficulties: Agreement and Disagreement with Clinical Diagnoses

2007

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“…2,3 According to the World Health Organization International Classifications of Diseases-10 (ICD-10) the definition of sexual dysfunction includes "the various ways in which an individual is unable to participate in a sexual relationship as he or she would wish." 4 Specific categories in the nomenclature include a lack or loss of sexual desire (F52.0) , sexual aversion disorder (F52.1) , failure of genital response (F52.2) , orgasmic dysfunction (F52.3) , nonorganic vaginismus (F52.5) , nonorganic dyspareunia (F52.6) and excessive sexual drive (F52.7) .…”

mentioning

confidence: 99%

Report of the International Consensus Development Conference on Female Sexual Dysfunction: Definitions and Classifications

Basson

Berman

Burnett

et al. 2001

Journal of Sex & Marital Therapy

462

580

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Female sexual dysfunction is a multicausal and multidimensional problem combining biological, psychological and interpersonal determinants. It is age related, progressive and highly prevalent, affecting 20% to 50% of women. Based on epidemiological data from the National Health and Social Life Survey a third of women lack sexual interest and nearly a fourth do not experience orgasm. l Approximately 20% of women report lubrication difficulties and 20% find sex not pleasurable. Female sexual dysfunction has a major impact on quality of life and interpersonal relationships. For many women it has been physically disconcerting, emotionally distressing and socially disruptive.In contrast to the widespread interest in research and treatment of male sexual dysfunction, less attention has been paid to the sexual problems of

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“…A definição adoptada pelo Manual de Diagnóstico e Estatística das Perturbações Mentais IVTexto Revisto (DSM IV -TR) (APA, 2006) e pelo Classificação Internacional de Doenças (CID -10) (WHO, 2005) para as disfunções sexuais, tem sido severamente criticada e colocada em causa, uma vez que a classificação utilizada está exclusivamente associada à penetração vaginal (Vroege, Gijs, & Hengeveld, 1998), não existindo termos equivalentes para a penetração pénis-ânus (Bhugra & Wright, 2007). O mesmo sucede com a definição adoptada em 2008 pela Sociedade Internacional da Medicina Sexual (Jern et al, 2010) e com os guidelines da Associação Europeia de Urologia (Hatzimouratidis et al, 2010) para o diagnóstico e tratamento da disfunção eréctil e ejaculação prematura.…”

Section: Sistema De Classificaçãounclassified

“…A investigação que sustenta todos estes sistemas de classificação baseia-se em amostras constituídas unicamente por heterossexuais e, consequentemente, direccionada para o coito vaginal, negligenciando a ocorrência da ejaculação prematura e a dor genital durante a actividade sexual, também presentes nos homossexuais (Vroege et al, 1998). Estes pressupostos culminam na ausência de um diagnóstico específico para essa população (Jern et al, 2010).…”

Section: Sistema De Classificaçãounclassified

A disfunção sexual em homossexuais masculinos: Potencialidades e desafios

Garrett

Sousa

2013

Análise Psicológica

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Neste artigo efectuou-se uma revisão da literatura sobre a etiologia, a prevalência, o diagnóstico e o tratamento das disfunções sexuais em homossexuais masculinos, destacando as principais fragilidades, os desafios e as lacunas que revestem esta temática. A síntese e integração dos principais desenvolvimentos teóricos e empíricos da literatura científica, nacional e internacional, sublinha que os estudos que abordam esta temática são escassos e apresentam resultados pouco consistentes e por vezes contraditórios. A literatura revela, ainda, a inexistência de critérios clínicos específicos, de programa de reabilitação ou de modelos de actuação para a disfunção sexual no campo da homossexualidade, pois estes centram-se no referencial teórico e prático dos heterossexuais e renegam para segundo plano as necessidades e especificidades da população homossexual. Por fim, e de modo a potenciar o desenvolvimento de mais pesquisas nesta área, são ainda dadas algumas sugestões para ulteriores trabalhos.Palavras-chave: Disfunção sexual, Homossexualidade, Reabilitação sexual, Sexualidade.

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Classification of sexual dysfunctions: Towards DSM-V and ICD-11

Cited by 39 publications

References 2 publications

Women’s Views of their Sexual Difficulties: Agreement and Disagreement with Clinical Diagnoses

Women’s Views of their Sexual Difficulties: Agreement and Disagreement with Clinical Diagnoses

Report of the International Consensus Development Conference on Female Sexual Dysfunction: Definitions and Classifications

A disfunção sexual em homossexuais masculinos: Potencialidades e desafios

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