Dhat Syndrome: A Systematic Review

Udina, Marc; Foulon, Hubert; Valdés, Manuel; Bhattacharyya, Sagnik; Martín‐Santos, Rocío

doi:10.1016/j.psym.2012.09.003

Cited by 36 publications

(37 citation statements)

References 18 publications

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“…Dhat syndrome or “semen‐loss anxiety” is a culture‐bound syndrome mostly reported from studies in India but has also been reported in studies from other Asian countries like Sri Lanka, China and Malaysia [1,2]. A recent review on Dhat syndrome concluded that there is high degree of heterogeneity among the studies [3]. Majority of these studies have used varying assessment instruments to assess the complete clinical profile of patients with Dhat syndrome.…”

Section: Introductionmentioning

confidence: 99%

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Comorbidity in Patients with Dhat Syndrome: A Nationwide Multicentric Study

Grover

Avasthi

Gupta

et al. 2015

The Journal of Sexual Medicine

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Introduction There are limited numbers of studies on Dhat syndrome. Major limitations of the existing literature are heterogeneous assessment methods used to describe the comorbidity and small sample size from isolated centers. Aim To assess comorbidity with a common methodology in patients with Dhat syndrome from multiple centers across India. Methods Using a cross-sectional design, this multicentric study involved assessment of 780 male patients, aged more than 16 years, across 15 study centers. Main Outcome Measures ICD-10 criteria (for evaluation of psychiatric morbidity and sexual dysfunction) Results About one-third (32.8%) of the cases had no comorbidity. One-fifth (20.5%) of the patients had comorbid depressive disorders and another one-fifth (20.5%) had comorbid neurotic, stress-related and somatoform disorders. Half (51.3%) of the study sample had comorbid sexual dysfunction. When various combinations of comorbidities were evaluated, it was seen that more than one-fourth (28.7%) of the patients had only comorbid sexual dysfunction and one-sixth (15.9%) had only comorbid depressive/anxiety disorders. A little more than one-fifth (22.6%) had comorbidity of both sexual dysfunction and depressive/anxiety disorders. Conclusion Comorbid sexual dysfunction is seen in half of the cases of Dhat syndrome, and it is more common than comorbid depressive and anxiety disorders.

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Section: Introductionmentioning

confidence: 99%

“…heterogeneity among the studies [3]. Majority of these studies have used varying assessment instruments to assess the complete clinical profile of patients with Dhat syndrome.…”

Section: Introductionmentioning

confidence: 99%

Comorbidity in Patients with Dhat Syndrome: A Nationwide Multicentric Study

Grover

Avasthi

Gupta

et al. 2015

The Journal of Sexual Medicine

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“…There is also a lack of consensus among researchers about the constituents of Dhat (7). Many authors described it especially as semen whereas others labelled it as any whitish discharge (8,9). Semen is described as a vital fluid in the ancient Hindu scriptures, the untimely discharge of which produces marked anxiety and dysphoria (10).…”

Section: Discussionmentioning

confidence: 99%

Debilitating Itching: An Unusual Presentation of Dhat Syndrome Following Recovery from Dermatitis Artefacta

Penchilaiya

Menon

2016

Iran J Psychiatry Behav Sci

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Introduction: Dhat syndrome is a culture bound sex neurosis more common in the orient. The condition is primarily characterized by overriding concerns about loss of semen resulting in a variety of physical and psychological problems. Though a variety of modes of discharge of Dhat is described, its discharge through skin lesions, following recovery from dermatologic conditions is not reported so far. Case Presentation: A young, single adult male, hailing from a rural area (Tamil Nadu, a state in South India) was treated adequately for dermatitis artefacta and showed good recovery. He referred to the psychiatry outpatient department with complaints of lassitude and inability to work or concentrate all of which he attributed to the passage of a fluid comprising of semen and pus through the healed skin lesions. His friends reinforced his belief about the nature and origin of his symptoms. There was significant distress and dysfunction in the absence of underlying depression and anxiety. He was effectively managed with a combination of psychoeducation and low dose anxiolytics. Conclusions: Dhat syndrome may present variably with regard to its mode of passage and constituents. Clinicians need to watch for development of Dhat syndrome following recovery from dermatologic conditions. Offering explanations synchronous with patient beliefs about symptoms may result in faster response and greater treatment satisfaction.

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“…Concern about semen in depressed and anxious men is not limited to Asian cultures and shares diagnostic features with other common mental disorders (Udina et al (2013). Jadhav (2007) observed 48% of White British men with depression-linked semen retention with psychological problems and advocated a semen retention syndrome characterized by loss of energy, diminished libido, multiple somatic symptoms, depression, and anxiety attributed to retention of semen.…”

Section: Dhat or Semen-loss Anxiety Syndrome -An Ancient Ayurvedic DImentioning

confidence: 99%

Culture-Specific Psychiatric Disorders

Ayonrinde

2015

International Encyclopedia of the Social &Amp; Behavioral Sciences

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Dhat Syndrome: A Systematic Review

Cited by 36 publications

References 18 publications

Comorbidity in Patients with Dhat Syndrome: A Nationwide Multicentric Study

Comorbidity in Patients with Dhat Syndrome: A Nationwide Multicentric Study

Debilitating Itching: An Unusual Presentation of Dhat Syndrome Following Recovery from Dermatitis Artefacta

Culture-Specific Psychiatric Disorders

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