Sexual disorders in the men treated in a psychiatric ward
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Katedra i Oddział Kliniczny Psychiatrii, Wydział Nauk Medycznych w Zabrzu, Śląski Uniwersytet Medyczny
Wielospecjalistyczny Szpital Powiatowy im.B.Hagera w Tarnowskich Górach
Katedra Informatyki i Aparatury Medycznej, Wydział Inżynierii Biomedycznej, Politechnika Śląska Gliwice
Piotr Ścisło   

Wielospecjalistyczny Szpital Powiatowy im.B.Hagera w Tarnowskich Górach
Submission date: 2020-09-10
Final revision date: 2021-03-28
Acceptance date: 2021-04-25
Online publication date: 2021-06-26
Publication date: 2021-06-26
An attempt to assess the impact of double diagnosis on the occurrence of sexual disorders and evaluation of problems with sexual functioning of men treated in a psychiatric ward.

140 men psychiatrically hospitalized (average age 40.4 ± 12.7 years) with the diagnosis of schizophrenia, affective disorders, anxiety disorders, addiction and double diagnosis (schizophrenia and addiction) took part in the study.Kokoszka's Sexological Questionnaire and the IIEF-5 International Index of Erectile Function were used in the study.

The occurrence of sexual disorders in the study group was recorded in 83.6% of patients.The most common was reduction in sexual needs (53.6%) and orgasm delay (40%).Depending on the research tool used,erectile dysfunction appeared in 38.6% of respondents (according to Kokoszka’s Questionnaire) and 61.4% of patients (IIEF-5).Severe erectile dysfunction was more common in the group of patients without a partner (12.4% vs 0; p=0.000) compared to people in relationships and in the group with anxiety disorders (p=0.028) compared to groups with other mental disorders.In the group of people with dual diagnosis (PD), sexual dysfunction was observed more frequently in comparison to patients with schizophrenia (p=0.034).Treatment lasting over 5 years was more often associated with sexual dysfunction (p=0.007).In the PD group lack of orgasm and excessive sexual needs were more frequent in comparison to people with one diagnosis (p=0.0145;p=0.035).

Sexual disorders are more common in patients with PD in comparison to patients diagnosed with schizophrenia.Lack of a partner and the duration of psychiatric treatment over 5 years is associated with more frequent occurrence of sexual disorders.