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KMID : 0897520080130010027
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Journal of Korean Association of Social Psychiatry
2008 Volume.13 No. 1 p.27 ~ p.35
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Sexual Dysfunction in Outpatients with Schizophrenia
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Kim Seong
Kim Chul-Kwon
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Abstract
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Objectives：The purpose of this paper is to measure of sexual dysfunction in outpatients with schizophrenia compared with the general population.
Method：Sexual dysfunction was assessed by a self-completed gender-specific questionnaire. Ninety-three patients with schizophrenia and 101 persons as control participated in this study.
Results：1) Men：Sixty-one male patients with schizophrenia and 66 persons as control were compared, and male patients showed significantly higher frequency or degree most of sexual dysfunctions. Specifically, desire for sex, frequency of sexual intercourse or masturbation, excitation during sex or masturbation, enjoyment of sex or masturbation, satisfaction with own sex or masturbation, erection during sex or masturbation, maintaining erection during sex or masturbation, premature ejaculation during sex or masturbation, and satisfaction with intensity of orgasm during sex or masturbation were significantly impaired than control group. There were no difference in the delayed ejaculation during sex or masturbation between patient and control group. 2) Women：Thirty-two female patients with schizophrenia and 35 persons as control were compared, female patients showed significantly impaired sexual dysfunctions in the frequency of sexual intercourse and regularity of menstruation. There were no difference in the desire for sex, frequency of masturbation, excitation during sex or masturbation, enjoyment of sex or masturbation, satisfaction with own sex or masturbation, satisfaction with intensity of orgasm during sex or masturbation, ease of orgasm during sex or masturbation, and dyspareunia between patient and control group.
Conclusions：Male patients with schizophrenia report much higher rates of sexual dysfunction than do the general population. Men and women with schizophrenia have a different pattern and degree of sexual dysfunction. There were fewer differences between female patients and controls. These results suggest that clinician should have more attention to assess the sexual dysfunction of the male schizophrenic patients.
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KEYWORD
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Sexual dysfunction, Schizophrenia, Antipsychotics
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