Inappropriate Sexual Behaviors Among Community-Dwelling Patients with Dementia

Bidirectional relationship between caregiver burden and neuropsychiatric symptoms in patients with Alzheimer's disease: A narrative review

“…Higher distress scores were strongly associated with disinhibition in the frontotemporal dementia group compared with AD . One of the most common type of disinhibition is inappropriate sexual behaviors that are very stressful and hard to handle them for caregivers . Fortunately, inappropriate sexual behaviors, the frequency is reported as 3.9% in all the NPs, are not common in the course of AD .…”

“…67 One of the most common type of disinhibition is inappropriate sexual behaviors that are very stressful and hard to handle them for caregivers. 68 Fortunately, inappropriate sexual behaviors, the frequency is reported as 3.9% in all the NPs, are not common in the course of AD. 69 Table 1 shows the relationship between caregiver burden and each of NPs.…”

Effects of Inappropriate Sexual Behaviors and Neuropsychiatric Symptoms of Patients With Alzheimer Disease and Caregivers’ Depression on Caregiver Burden

“…4,[18][19][20]22,23,36,37 The prevalence of ISBs, and their relationship with NPSs, were investigated in most of the studies examining the former. 18,19,26,38 The prevalence of ISBs among patients with dementia was reported to range between 7% and 25%. 21 In our study, the prevalence of ISBs among patients with dementia was 13.1%, which is similar to the values reported previously.…”

“…16 A study of patients with moderate or severe AD found that NPSs had a stronger effect on caregiver burden than did functional and cognitive deterioration. 17 Inappropriate sexual behaviors (ISBs), which are considered to be a form of NPSs in AD, 18 are among the most challenging symptoms for families and caregivers. 19 Inappropriate sexual behaviors include verbal behaviors, such as the use of foul language by a patient who had not previously used such language; touching; handling; physical acts, such as genital exposure and masturbation; and implied sexual acts.…”

Sexuality, Aging, and Dementia

“…While this may be true with seemingly out of control sexual behavior that can manifest in some cases of variant frontotemporal dementia, there is discord among researchers on what should be considered appropriate and inappropriate sexual behaviors in association with dementia. Some suggest that sexual behaviors are a result of disinhibition caused by dementia symptoms and can include sexual touching, disrobing, masturbation, sexual advances, and implied manifestations (such as reading pornographic materials) (23,24). These definitions lack context and seemingly relate most sexual behaviors among those with dementia as burdensome and stressful to families and caregivers.…”