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Yıl:2012; Cilt: 15; Sayı: 4>> Özet
TAM METİN
Klinik Psikiyatri Dergisi; 2012;15(4):238-247
Şizofreni Hastalarının Cinsel Yaşama İlişkin Öznel Düşüncelerinin Cinsiyetler Arası Karşılaştırması
B Doğu, J Güler, S Çıtak, Y Altunkaynak
Özel Cankatan Týp Merkezi, Kocaeli,
Amaç: Bu çalışma; psikiyatri polikliniklerinde izlenen ve remisyonda olan şizofreni hastalarının cinsel işlevleri ile ilgili öznel düşüncelerini, hastaları izleyen psikiyatri hekimlerinin cinsel işlevler ve bozuklukları konusunda hastalarına yaklaşımları ile sosyodemografik veriler arasındaki ilişkiyi araştırmayı amaçlamıştır. Yöntem: Çalışmaya evli ve en az ilkokul mezunu olan 18-45 yaş arasında 63 kadın, 57 erkek; toplam 120 hasta alınmıştır. Bu hastalar, en az 1 yıldır yatarak ve/veya ayaktan izlenen, klinisyenler tarafından şizofreni tanısı için görüş birliğine varılmış, çalışmaya alındığı esnada klinik remisyonda olan ve en az dört haftadır antipsikotik tedavi alan hastalardan oluşmuştur. Bulgular: Kadın hastaların %52.4'ü, erkeklerin %50.9'u düzenli bir cinsel yaşamları olduğunu düşünüyordu. Kadınların %52.4'ü, erkeklerin %38.6'sı cinsel yaşamlarında bir sorun olduğunu belirttiler. Kadın hastaların %46'sı, erkek hastaların %49.1'i cinsel sorunlarının hastalıkları ile ilişkili olduğunu düşünüyordu. Ancak kadın hastaların %84.1'i, erkek hastaların ise %78.9'u hastalıklarının veya kullandıkları ilaçların cinsel yaşamları üzerindeki etkileri hakkında bilgi sahibi değildi. Olguların %83.3'ü (kadınların %88.9'u, erkeklerin %77.2'si), cinsel yaşamları veya cinsel sorunları hakkında, psikiyatristlerinin herhangi bir soru sormadığı veya bilgilendirme yapmadıklarını belirtmişlerdir. Sonuç: Bu bulgular, antipsikotik tedavi başlanan şizofreni hastalarının güvenli ve sağlıklı cinsel yaşam metodları, antipsikotik tedavinin cinsel yan etkileri yönünden hekim tarafından bilgilendirilmesinin önemini ortaya çıkarmaktadır.
Gender Differences in Subjective Thoughts of Schizophrenia Patients About Their Sexuality
Objectives: The aim of this study was to evaluate the
relation of schizophrenic outpatients' subjective
thoughts about their sexual functioning, The psychiatrists'
attitudes about sexual function and sexual dysfunction
of schizophrenic patients and sociodemographic
variables of the patients'. Method: The study included
a total of 120 patients, 63 females and 57 males, all
diagnosed with schizophrenia but in remission according
to DSM-IV diagnosis criteria. The patients filled out a
socio-demographic survey form designed in order to
evaluate the patients' subjective views of their sexual life
and determine their medicinal use, in addition to other
data. Results: 52.4% of female patients and 50.95 of
male patients had reported regular sexual life. 52.4% of
women and 38.6% of men told that they had have a
problem in their sexual life. 46% of women and 49.1%
of men considered that their sexual problems are due to
their illness. But 84.1% of women and 78.9% of men
have had no information about the influence of the illness
and medications on their sexual funcions. 83.3% of
the patient (88.9% of the women and 77.2% of the men)
told that their psychiatrists' did not ask them about their
sexual life or about their sexual problems, and also didn't
informed them about that. Conclusion: This findings
had shown us that the psychiatrists must give information
to schizophrenic patients about safe and healthy
sexual life and about the sexual side effects of the
antipsychotic treatment.

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