Dergi Ara >>
Yıl:2007; Cilt: 45; Sayı: 2>> Özet
TAM METİN
Yeni Symposium; 2007;45(2):62-73
Demansta Uygunsuz Seksüel Davranışlar ve Tedavi Yaklaşımları
DE Akkuş, AB Dıramalı, A Güler, A Acarer
Ege Üniversitesi Tıp Fakültesi Nöroloji Anabilim Dalı, İzmir
Demanslar nörodejeneratif bozuklukların en sıklıkla karşılaşılan tipidir. Demans hastalarında dav­ranışsal bozukluklara sık rastlanır ve demanslı hastaların neredeyse %80'i davranışsal problemler sergilerler. Uygunsuz seksüel davranışların, demansta görülen diğer davranışsal problemler kadar fazla görülmemesine karşın, bu davranışlar hem hastanın kendisi hem de bakım veren kişi için ağır güçlüklere yol açabilirler. Demansta görülen uygunsuz seksüel davranışlar, diğer davranışsal bozuk­luklara oranla daha az araştırılmıştır. Günümüzde, seksüel uygunsuzluğun tanımı, tipleri ve kapsa­mı hakkında hâlen birtakım tartışmalar bulunmaktadır. Demansta karşılaşılan uygunsuz seksüel davranışların ilâç tedavisi için gerçekleştirilmiş randomize denemeler bulunmamaktadır; ancak el­deki veriler bâzı sık kullanılan tedavi biçimlerinin etkin olabildiğini düşündürmektedir. Bu yazıda, bu davranışların değişik yönleri ve mevcut tedavi seçenekleri gözden geçirilmektedir.
Inapproppiate Sexual Behaviors in Dementia and Treatment Approaches
Dementias are the most encountered type of neurodegenerative disorders. Behavioral disturban­ces are common in dementia patients and almost 80% of patients with dementia show behavioral problems. Although inappropriate sexual behaviors are not as common as other behavioral prob­lems seen in dementia, they can cause heavy trouble to patients who are affected and also caregi­vers. Inappropriate sexual behaviors in dementia have been relatively less investigated among ot­her behavioral disturbances. At the present time, there are some controversies about the definiti­on, types and content of sexual inappropriateness. There are no randomized drug trials for the tre­atment of inappropriate sexual behaviors in dementia, but the available data suggest efficacy of some commonly used treatment modalities. In this article, we overviewed various aspects of these behaviors and available treatment choices.

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