Zusammenfassung
Anliegen Überblick über den aktuellen Kenntnisstand zu sexuellen Störungen bei Menschen mit einer schizophrenen Erkrankung. Methode Selektive Literaturübersicht zu Klassifikation, Vorkommen, Auswirkungen und Therapie. Ergebnisse Sexuelle Störungen bei Menschen mit einer schizophrenen Erkrankung werden in ihrer Häufigkeit und subjektiven Bedeutung weitgehend unterschätzt. Schlussfolgerungen Sexualität sollte im Rahmen eines integrativen Behandlungsansatzes stärker berücksichtigt werden. Dies könnte eine umfassendere psychische Stabilisierung der Betroffenen fördern.
Abstract
Objective Overview on the current knowledge concerning sexual dysfunctions in patients with schizophrenia and implications for treatment, compliance, quality of life and partnership. Method Selective literature research on classification, occurrence, effects and therapy. Results Frequency and subjective distress of sexual problems in patients with schizophrenia are widely underestimated. Pharmacogenic and morbogenic causes of the sexual problems are often difficult to differentiate. The low awareness of health care professionals for sexual problems and their persistence have significant negative impact on patients' satisfaction with the treatment, compliance, quality of life and partnership. Conclusions It is important to consider patients' sexuality as an integral part of a treatment approach to achieve compliance and mental stabilization as well as an improvement in quality of life.
Schlüsselwörter
Sexualität - sexuelle Nebenwirkungen - Lebensqualität - Partnerschaft - Compliance - psychotische Ersterkrankung
Key words
sexuality - sexual side effects - quality of life - partnership - compliance - first-episode psychosis
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Dr. Daniel Schöttle
Psychosen-Ersterkennungs- und Behandlungsprojekt (PEB), Zentrum für Psychosoziale Medizin, Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsklinikum Hamburg-Eppendorf
Martinistraße 52
20246 Hamburg
eMail: d.schoettle@uke.uni-hamburg.de