Sexual Behavior in Patients with Psychosis Admitted to a Hospital Unit

Baños-Martín, María del Mar; Márquez-Hernández, Verónica V.; Gutiérrez-Puertas, Lorena; Aguilera-Manrique, Gabriel; Gutiérrez-Puertas, Vanesa; Gámez, Genoveva Granados

doi:10.1080/01612840.2017.1284967

Cited by 4 publications

(2 citation statements)

References 44 publications

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“…When compared to sex offenders who do not have schizophrenia, sex offenders with schizophrenia were more likely to have female and adult victims (Alish et al, 2007). Finally, one study investigating inappropriate sexual behavior among individuals hospitalized for psychosis found more reports of sexual delusions, obscene language, and exhibitionistic behavior in female than male patients, although sexual activity during hospitalization was more frequently reported in men’s records (del Mar Banos-Martin et al, 2017).…”

Section: Resultsmentioning

confidence: 99%

Romantic relationships, sexuality, and psychotic disorders: A systematic review of recent findings.

Cloutier¹,

Francoeur²,

Samson³

et al. 2021

Psychiatric Rehabilitation Journal

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For individuals with a psychotic disorder, dating can present several challenges and lead many to be excluded from intimate relationships. These difficulties may stem from a number of factors, including impairments in social and sexual functioning. Although scientific interest in this topic is mounting, the last quantitative review of the literature dates back to 2003. Objectives: The aim of this systematic review was to collect, evaluate, and synthesize quantitative data from studies published in the last 15 years on romantic relationships and sexuality in the context of a psychotic disorder. Methods: Articles were retrieved from PsycINFO, PubMed, Web of Science, and ProQuest databases and were retained if they met the following inclusion criteria: (a) original research or meta-analysis, (b) complete or partial sample with a psychotic disorder diagnosis, (c) provision of quantitative data specific to the population of interest, and (d) studies focusing on romantic relationship and/or sexuality variables as correlates, predictors, mediators, or outcomes. Study quality was evaluated using PRISMA criteria. Results: 43 studies were identified, 24 of which were categorized as obstacle-related (e.g., focusing on negative aspects of intimacy, such as risky behaviors) and 19 of which were deemed neutral or recovery-oriented (e.g., focusing on positive aspects of intimacy, such as marital functioning). Conclusions and Implications for Practice: Results highlight a need for greater communication and assistance in the areas of intimacy and sexuality for persons with psychotic disorders. Better access to resources such as dating skills and couples therapy programs as well as more consumer-oriented research is needed.

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Section: Resultsmentioning

confidence: 99%

Romantic relationships, sexuality, and psychotic disorders: A systematic review of recent findings.

Cloutier¹,

Francoeur²,

Samson³

et al. 2021

Psychiatric Rehabilitation Journal

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show abstract

“…Research also shows that in recent years, reports by medical teams have lacked data on patients' sexual behavior, indicating that the staff does not acknowledge the sexuality of mental patients. These findings emphasize the need to promote the education of mental health professionals about patients' sexuality [16].…”

Section: Introductionmentioning

confidence: 78%

Isolated Psychiatric Ward Patients in Southern Israel with Severe Mental Illnesses Describe Their Sexual Needs: A Qualitative Study

et al. 2022

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Intimacy and sexuality are fundamental issues in human nature, but have been neglected in the rehabilitation of mental health patients, particularly those admitted into psychiatric wards. Patients’ sexuality is excluded from the discourse; yet it exists in the daily lives of the patients. The study examines the sexual needs and challenges of people with severe mental illnesses admitted to an isolated psychiatric ward. 13 men were interviewed in a semi-structured interview regarding their sexuality and the challenges they meet when experiencing and expressing their sexuality as patients in an isolated ward. A thematic analysis was conducted. Two principal themes were identified: 1. Challenges in realizing sexuality within the isolated ward. This theme included sub themes: performing sexual acts and exposure to sexuality within the ward; medications' side effects; dialogue with the staff; sexuality in the ward presented as crossing limits; and absence of a space to fulfill sexuality. 2. Suggestions for improvements in the hospital, stemming from the patients' experiences and ideas, such as starting an open dialogue with the staff, supplying patients with measures for protected sex, and more. The findings highlight the lack of healthy expression of sexuality inside the wards, despite its importance for improving patients’ well-being during their rehabilitation. Medical staff and policymakers should be aware of the sexual aspects of hospitalization in a psychiatric ward. The study also indicates the need for national policy that will address patients' sexual needs, including clear instructions that consider the uniqueness of the target population.

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The Impact of Psychosis on Sexual Functioning: A Systematic Review

Vargas-Cáceres

Cera

Nobre

et al. 2021

The Journal of Sexual Medicine

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Background Sexual dysfunction among psychotic patients is highly prevalent. However, most research has focused on antipsychotic side effects on sexual functioning. Aim To provide evidence by means of a systematic review of the literature about the impact of psychosis on sexual functioning among unmedicated patients. Methods Systematic search of MEDLINE (PubMed), Scopus, and Google Scholar for studies that reported sexual functioning among psychotic patients, who were drug-naïve or drug-free for at least 3 weeks before the study. Studies were published in English language between January 1994 and October 2019. We used the approach recommended by PRISMA, and the selection process was carried out by 2 reviewers. Outcomes The outcome measures were sexual function and sexual dysfunctions. RESULTS A total of 734 articles were obtained, 658 were obtained after duplicates were removed, 612 were excluded after reading the title and abstract, and 46 were included for a complete review of the articles. 5 papers were finally included. A total of 770 cases were included in the systematic review. The prevalence of sexual dysfunction in psychosis varied from 16.8% to 70% and in ultra-high state was 50%. It is noteworthy that those ultra–high-risk (prodromal) patients who develop psychosis had higher rates of sexual impairment. Therefore, we found higher rates of sexual dysfunction among untreated patients, both psychotic and ultra-high risk patients, than healthy controls. Clinical Implications The assessment of sexual behavior should be a part of routine psychiatric examination not only in psychotic but also in ultra–high-risk patients. Strengths & Limitations This is the first systematic review about the impact of psychosis on sexual functioning among unmedicated patients. However, scarce and heterogeneous studies were identified. CONCLUSIONS Impaired sexual functioning is common in the onset of psychosis (or during ultra–high-risk state) and prior to the beginning of treatment. This suggests that psychotic symptoms and sexual dysfunction may have common etiological pathways at the psychosocial and neurobiological levels.

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Sexual Behavior in Patients with Psychosis Admitted to a Hospital Unit

Cited by 4 publications

References 44 publications

Romantic relationships, sexuality, and psychotic disorders: A systematic review of recent findings.

Romantic relationships, sexuality, and psychotic disorders: A systematic review of recent findings.

Isolated Psychiatric Ward Patients in Southern Israel with Severe Mental Illnesses Describe Their Sexual Needs: A Qualitative Study

The Impact of Psychosis on Sexual Functioning: A Systematic Review

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