Sexuality and couple intimacy in dementia

Abdo, Carmita Helena Najjar

doi:10.1097/yco.0b013e328365a262

Cited by 25 publications

(13 citation statements)

References 48 publications

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“…2,[13][14][15] Several different conceptualizations for SD also exist, including inappropriate physical and/or verbal sexual behavior, increased libido, overt acts with a sexual meaning, persistent uninhibited sexual behaviors, sexual talk, sexual acts, implied sexual acts, sexual comments, preoccupation with sex, sexual hallucinations, delusions of spousal infidelity, attempting to seduce others, and chasing others for sexual purposes. [1][2][3][4][5][6]8,[12][13][14][15][16][17][18][19][20][21][22] Lack of standardization may impede accurate characterization of SD by limiting the ability to directly compare results across studies. Agreement on how to define, term, and conceptualize SD in dementia is needed.…”

Section: Current Conceptualizations Of Sd In Dementiamentioning

confidence: 99%

“…Prior work has examined SD under terms including “sexual disinhibition,” “inappropriate sexual behavior,” “specific sexual behavior,” “aberrant behavior,” “disruptive behavior,” “hypersexual behavior,” “disinhibited behavior,” and “complex behavior,” among other terms . Several different conceptualizations for SD also exist, including inappropriate physical and/or verbal sexual behavior, increased libido, overt acts with a sexual meaning, persistent uninhibited sexual behaviors, sexual talk, sexual acts, implied sexual acts, sexual comments, preoccupation with sex, sexual hallucinations, delusions of spousal infidelity, attempting to seduce others, and chasing others for sexual purposes . Lack of standardization may impede accurate characterization of SD by limiting the ability to directly compare results across studies.…”

Section: Introductionmentioning

confidence: 99%

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Measurement of sexual disinhibition in dementia: A systematic review

Chapman

Spitznagel

2019

Int J Geriat Psychiatry

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Sexual disinhibition in dementia is correlated with multiple negative care recipient and caregiver outcomes but remains largely overlooked in the literature. Its prevalence is not well understood, with studies reporting between 1.8% and 25% presence of sexual disinhibition in dementia samples. One reason for the variability in the reported presence of sexual disinhibition may be lack of standardized methods for assessment. Several widely used measures for neuropsychiatric symptoms do not include items to assess sexual disinhibition. When measures do include sexual disinhibition, it is not addressed in a consistent manner. Inconsistency in how questions about sexual disinhibition are phrased is problematic, given that recent work shows it can differentially influence endorsement. Working toward a gold standard of sexual disinhibition measurement in dementia is needed. To this end, a systematic review of the literature to identify potentially appropriate instruments for measurement of sexual disinhibition in this population was conducted through the Web of Science and PubMed databases between January 2019 and February 2019. An overview of the 20 measures identified in this search is provided. Each measure is evaluated for appropriateness of use in dementia samples through broad examination of psychometric properties, structure, and format and the extent to which measure content overlaps with current conceptualizations of sexual disinhibition in dementia. Five common content domains were identified: hypersexuality, lewd/aberrant sexual behavior, inappropriate sexual advances, inappropriate sexual comments, and socially disruptive sexual behavior. No single measure addressed all content domains. Directions for future research are identified and discussed.

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Section: Current Conceptualizations Of Sd In Dementiamentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Measurement of sexual disinhibition in dementia: A systematic review

Chapman

Spitznagel

2019

Int J Geriat Psychiatry

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“…Three years later, the patient's FBI score was decreased to 4 points and MMSE score to 27. Hypersexuality and inappropriate sexual behaviour (ISB) can often be observed in patients with dementia syndromes and especially in those with frontotemporal dementia (FTD) 1. Hypersexuality and ISB without cognitive dysfunction may be the first signs of FTD2 and therefore differential diagnosis of FTD should be considered in patients presenting with disinhibition symptoms that necessitate brain MRI evaluation.…”

Section: Descriptionmentioning

confidence: 99%

Inappropriate sexual behaviour due to frontal dementia

et al. 2015

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“…Approximately 50 to 80.0% of people over the age of 60 years are sexually active, and normal sexual activity continues until the eight decade of life (3) . Despite the sexuality of the elderly person still is a taboo for society and even for the elderly themselves, sexual desire doesn't change with age, and the elderly can continuously enjoy sex life as long as the desire doesn't change (4) .…”

Section: Introductionmentioning

confidence: 99%

“…Sexuality is thereby a part of the human nature throughout the life cycle. The impact of dementia on the sexuality and intimacy of the couple can cause tension and insecurity for both (3) .…”

Section: Introductionmentioning

confidence: 99%

The meaning of sexuality for the spouse caregiver of the elderly person with Alzheimer’s disease

Sales¹,

Menezes²

2017

Rev Rene

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Objective: to understand the meaning of sexuality for the spouse caregiver of the elderly person with Alzheimer's disease. Methods: qualitative study with eight spouses of elderly Alzheimer's patients by means of semi-structured interviews in households. The content analysis technique was used for systematic analysis of interviews and categorization of statements. Results: two categories were seized: 1. Understanding of sexuality; 2. Meaning of sexuality after the Alzheimer's disease of the spouse. The testimonials revealed a lack of knowledge about the term "sexuality", as well as the shame of talking about the subject. Sexuality was present in the lives of some and abolished in the lives of others. Conclusion: there are positive and negative aspects of the impact of the disease on sexuality. They make this population vulnerable to various conflicting situations with the self and with the marital relationship. Descriptors: Nursing; Sexuality; Alzheimer Disease. Objetivo: compreender o significado da sexualidade para o cônjuge cuidador de pessoa idosa com doença de Alzheimer. Métodos: estudo qualitativo, com oito cônjuges de idosos com doença de Alzheimer, por meio de entrevista semiestruturada nos domicílios. Utilizou-se a análise de conteúdo como técnica de análise sistemática das entrevistas para categorização dos depoimentos. Resultados: apreendidas duas categorias: 1. Entendimento sobre sexualidade; 2. Significado da sexualidade após a doença de Alzheimer do cônjuge. Os depoimentos obtidos revelaram falta de conhecimento acerca do termo "sexualidade", bem como a vergonha de falar sobre o tema. A sexualidade esteve presente na vida de alguns e foi abolida da vida de outros. Conclusão: há aspectos positivos e negativos da doença que repercutem na sexualidade do casal, o que torna essa população vulnerável as diversas situações de conflito consigo mesmo e em sua relação conjugal. Descritores: Enfermagem; Sexualidade; Doença de Alzheimer.

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Sexuality and couple intimacy in dementia

Abstract: Clinicians and society need to consider how dementia might affect physical intimacy.

Cited by 25 publications

References 48 publications

Measurement of sexual disinhibition in dementia: A systematic review

Measurement of sexual disinhibition in dementia: A systematic review

Inappropriate sexual behaviour due to frontal dementia

The meaning of sexuality for the spouse caregiver of the elderly person with Alzheimer’s disease

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