Sexual dysfunction in depression and anxiety: Conceptualizing sexual dysfunction as part of an internalizing dimension

Laurent, Sean M.; Simons, Anne D.

doi:10.1016/j.cpr.2009.06.007

Cited by 217 publications

(180 citation statements)

References 90 publications

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“…Depression affects mood, energy, interest, capacity for pleasure, self-confidence and self-esteem, so it should be expected that depression lowers sexual interest and satisfaction; this effect seems more marked in younger patients 53 . Depressive symptoms commonly coexist with anxiety symptoms, which are also associated with reported sexual difficulties and dissatisfaction 54,55 , and with obsessive-compulsive symptoms, themselves associated with loss of sexual pleasure and sexual dissatisfaction 56,57 . But depression can exert adverse effects on all aspects of the sexual response, including the ability to achieve and maintain penile erection, to attain adequate vaginal lubrication, and to achieve ejaculation or orgasm 58 .…”

Section: Influence Of Depression On Sexualitymentioning

confidence: 99%

The impact of severe mental disorders and psychotropic medications on sexual health and its implications for clinical management

2018

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Sexual dysfunction often accompanies severe psychiatric illness and can be due to both the mental disorder itself and the use of psychotropic treatments. Many sexual symptoms resolve as the mental state improves, but treatment-related sexual adverse events tend to persist over time, and are unfortunately under-recognized by clinicians and scarcely investigated in clinical trials. Treatment-emergent sexual dysfunction adversely affects quality of life and may contribute to reduce treatment adherence. There are important differences between the various compounds in the incidence of adverse sexual effects, associated with differences in mechanisms of action. Antidepressants with a predominantly serotonergic activity, antipsychotics likely to induce hyperprolactinaemia, and mood stabilizers with hormonal effects are often linked to moderate or severe sexual dysfunction, including decreased libido, delayed orgasm, anorgasmia, and sexual arousal difficulties. Severe mental disorders can interfere with sexual function and satisfaction, while patients wish to preserve a previously satisfactory sexual activity. In many patients, a lack of intimate relationships and chronic deterioration in mental and physical health can be accompanied by either a poor sexual life or a more frequent risky sexual behaviour than in the general population. Here we describe the influence of psychosis and antipsychotic medications, of depression and antidepressant drugs, and of bipolar disorder and mood stabilizers on sexual health, and the optimal management of patients with severe psychiatric illness and sexual dysfunction.

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Section: Influence Of Depression On Sexualitymentioning

confidence: 99%

The impact of severe mental disorders and psychotropic medications on sexual health and its implications for clinical management

2018

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“…More recent evidence suggests that interpersonal anxiety could lead to fewer sexual partners, less frequent sexual encounters, and by extension less frequent CRAI or CIAI Ramrakha et al, 2013). Also, anxiety is commonly comorbid with depression, which is associated with decreased sexual behavior (Kashdan & Roberts, 2011;Laurent & Simons, 2009). Given that the items selected to measure the latent factor "interpersonal anxiety" were drawn from the CES-D, it may be more sensitive to depression-related anxiety.…”

Section: Discussionmentioning

confidence: 99%

Childhood Exposure to Religions With High Prevalence of Members Who Discourage Homosexuality Is Associated With Adult HIV Risk Behaviors and HIV Infection in Black Men Who Have Sex With Men

et al. 2016

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Exposure to childhood religious affiliations where the majority of members discourage homosexuality may have negative psychological impacts for Black men who have sex with men. This study tested the hypothesis that exposures to these environments during childhood were associated with adulthood human immunodeficiency virus (HIV)/sexually transmitted infection (STI) behavioral risk and HIV infection, because these exposures influenced HIV/STI risk by undermining race/sexual identity congruence and increasing internalized homophobia and interpersonal anxiety. Structural equation modeling as well as logistic and Poisson regressions were performed using baseline data from HIV Prevention Trials Network 061 ( N = 1,553). Childhood religion affiliations that were more discouraging of homosexuality were associated with increased likelihood of HIV infection; however, the association was no longer significant after adjusting for age, income, and education. Having a childhood religion affiliation with high prevalence of beliefs discouraging homosexuality was associated with increased numbers of sexual partners (adjusted odds ratio = 4.31; 95% confidence interval [3.76, 4.94], p < .01). The hypothesized path model was largely supported and accounted for 37% of the variance in HIV infection; however, interpersonal anxiety was not associated with HIV/STI risk behaviors. Structural interventions are needed that focus on developing affirming theologies in religious institutions with Black men who have sex with men congregants.

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“…Yapılan çalışmalarda orgazm inhibisyonu olan kadınların %50'sinin, disparoni ve vajinismus sorunu olan kadınların %88'inin psikiyatrik tanı kriterlerine göre anksiyetelerinin olduğu, panik bozukluğu olan kadınların %44'ünün seksüel disfonksiyon yaşadıkları saptanmıştır (Basson 2010;; Laurent and Simons 2009). Literatürde anksiyetenin, seksüel disfonksiyona neden olma sebebi olarak;; kadında anksiyete sırasında artan sempatik aktivitenin, parasempatik sinir sistemini inhibisyonu sonucu genital vazokonjesyonu bozduğu ve cinsel uyarının bozulduğu şeklinde açıklanmaktadır (Meston, Hull, Levin and Sipski 2006 (Basson 2010;; Öztürk ve Uluşahin 2008).…”

Section: Introductionunclassified

Ji̇nekoloji̇k kanser tedavi̇si̇ sirasinda yaşanan psi̇koloji̇k Sorunlarin kadinin ci̇nsel yaşamina etki̇si̇

Terzioğlu

Alan

2015

HYD

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Sexual dysfunction in depression and anxiety: Conceptualizing sexual dysfunction as part of an internalizing dimension

Cited by 217 publications

References 90 publications

The impact of severe mental disorders and psychotropic medications on sexual health and its implications for clinical management

The impact of severe mental disorders and psychotropic medications on sexual health and its implications for clinical management

Childhood Exposure to Religions With High Prevalence of Members Who Discourage Homosexuality Is Associated With Adult HIV Risk Behaviors and HIV Infection in Black Men Who Have Sex With Men

Ji̇nekoloji̇k kanser tedavi̇si̇ sirasinda yaşanan psi̇koloji̇k Sorunlarin kadinin ci̇nsel yaşamina etki̇si̇

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