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Sexual development and life of psychiatric female patients

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Abstract

Using a structured interview and four questionnaires we examined the sexual development and life in the following groups of psychiatric female patients: 51 with schizophrenia, 50 with manic-depressive psychoses, 50 with neuroses, 30 with hysterical psychopathic personality, and 20 with anorexia nervosa. The results were compared with a control group of 101 gynecological spa patients. The sexual development of the schizophrenic patients was found to be retarded, whereas that of the patients with anorexia nervosa accelerated in the initial stages. The sexual development of patients with hysterical personality was found to be disharmonious. No differences were found between patients with manic-depressive psychoses and the control group as far as the sex life in adulthood is concerned. However, all the other groups of psychiatric patients showed decreased sexual activity and/or reactivity. Sexual dysfunctions in the female psychiatric population are frequent, especially with schizophrenic patients, females with anorexia nervosa, and with hysterical personality. The etiological factors responsible for these sex disturbances are different in the individual groups of psychiatric patients.

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References

  • Abernathy, V. (1974). Sexual knowledge, attitudes and practices of young psychiatric patients.Arch. Gen. Psychiat. 30: 180–184.

    PubMed  Google Scholar 

  • Akhtar, S., Crocker, E., Dickey, N., Helfrich, J., and Rheuban, W. J. (1977). Overt sexual behavior among psychiatric inpatients.Dis. Nerv. Syst. 38: 359: 361.

    Google Scholar 

  • Amaro Gonzales, G., Caridad Pou Garcia, M., and Mella Mejias, C. F. (1979). Caracteristicas de la sexualidad en una muestra de mujeres histericas y normales.Rev. Hosp. Psiquiatr. 20: 309–322.

    Google Scholar 

  • Beaumont, P. J. V., Abraham, S. F., and Simson, K. G. (1981). The psychosexual histories of adolescent girls and young women with anorexia nervosa.Psychol. Med. 11: 131–140.

    PubMed  Google Scholar 

  • Blair, J. H., and Simpson, G. M. (1966). Effects of antipsychotic drugs on reproductive functions.Dis. Nerv. Syst. 28: 645–647.

    Google Scholar 

  • Buffum, J. (1982). Pharmacosexology: the effects of drugs on sexual function.J. Psychoact. Drugs 14: 5–44.

    Google Scholar 

  • Chodura, V. (1968). Marital status and sexual history in paraphrenic syndrome [in Czech].Cesk. Psychiat. 64: 349–352.

    PubMed  Google Scholar 

  • Degen, K. (1982). Sexual dysfunction in women using major tranquilizers.Psychosomatics 23: 959–961.

    PubMed  Google Scholar 

  • Eicher, W. (1980).Sexualmedizin in der Praxis. Gustav Fisher Verlag, Stuttgart, New York.

    Google Scholar 

  • Freud, S. (1954).The Origins of Psychoanalysis. Letters to Wilhelm Fliess; Drafts and Notes. Hogarth Press, New York.

    Google Scholar 

  • Freud, S. (1959).Collected Papers, Vol. 5. Basic Books, New York.

    Google Scholar 

  • Freud, S. (1971).Collected papers, III. Avicenum, Praha.

  • Freyhan, F. A. (1961). Loss of ejaculation during Mellaril treatment.Am. J. Psychiat. 118: 118.

    PubMed  Google Scholar 

  • Ghadirian, A. M., Chouinard, G., and Annable, L. (1982). Sexual dysfunction and plasma prolactin levels in neuroleptic-treated schizophrenic outpatients.J. Nerv. Ment. Dis. 170: 463–467.

    PubMed  Google Scholar 

  • Guile, L., Horne, M., and Dunston, E. (1978). Anorexia nervosa, sexual behavior modification as an adjunct to an integrated treatment programme.Aust. N.Z. J. Psychiat. 12: 165–167.

    Google Scholar 

  • Hollister, L. E. (1976).Clinical Use of Psychotherapeutic Drugs. Charles C Thomas, Springfield.

    Google Scholar 

  • Hoon, E. F., Hoon, P. W., and Wincze, J. P. (1976). An inventory for the measurement of female sexual arousability: the SAI.Arch. Sex. Behav. 5: 291–300.

    Google Scholar 

  • Kolodny, R. C., Masters, W. H., and Johnson, V. E. (1979).Textbook of Sexual Medicine. Little, Brown, Boston.

    Google Scholar 

  • Kratochvil, S., and Uhlířová, M. (1978). Neurosis and female sexual activity [in Czech].Česk. Psychiat. 74: 154–158.

    Google Scholar 

  • Lavik, N. J. (1982). Marital status in psychiatric patients.Acta Psychiat. Scand. 65: 15–28.

    PubMed  Google Scholar 

  • Leckman, J. F., Bowers, M. B., Jr., and Sturges, J. S. (1981). Relationship between estimated premorbid adjustment and CSF homovanillic acid and 5-hydroxyindoleacetic acid levels.Am. J. Psychiat. 138: 472–477.

    PubMed  Google Scholar 

  • Lesko, L. M., Stotland, N. L., and Segraves, R. T. (1982). Three cases of female anorgasmia associated with MAOIs.Am. J. Psychiat. 139: 1353–1354.

    PubMed  Google Scholar 

  • Lief, H. I., and Reed, D. M. (1972).Sex knowledge and attitude test (SKAT). University of Pennsylvania Press, Philadelphia.

    Google Scholar 

  • Lovett-Doust, J. W., and Huszka, L. (1972). Amines and aphrodisiacs in chronic schizophrenia.J. Nerv. Ment. Dis. 155: 261–264.

    PubMed  Google Scholar 

  • Mathew, R. J., and Weinman, M. L. (1982). Sexual dysfunction in depression.Arch. Sex. Behav. 11: 323–328.

    PubMed  Google Scholar 

  • McCullock, D. J., and Stewart, J. C. (1960). Sexual norms in a psychiatric population.J. Nerv. Ment. Dis. 131: 70–73.

    Google Scholar 

  • Mellan, J. (1978a). Sexual arousability I. [in Czech].Česk. Gynekol. 43: 359–361.

    Google Scholar 

  • Mellan, J. (1978b). Sexual arousability II [in Czech].Česk. gynekol. 43: 432–434.

    Google Scholar 

  • Mellan, J. (1980a). Sex attitude test. Paper at the meeting of Czech Sexological Society, Kromeriz.

  • Mellan, J. (1980b). A questionnaire for the examination of heterosexual development of women [in Czech].Čas. Lék. Česk. 119: 507–509.

    Google Scholar 

  • Mitchell, J. E., and Popkin, M. K. (1982). Antipsychotic drug therapy and sexual dysfunction in men.Am. J. Psychiat. 139: 633–637.

    PubMed  Google Scholar 

  • Modestin, J. (1981). Patterns of overt sexual interaction among acute psychiatric inpatients.Acta Psychiat. Scand. 64: 446–459.

    PubMed  Google Scholar 

  • Munjack, D. J. (1979). Sex and drugs.Clin. Toxicol. 15: 75–89.

    PubMed  Google Scholar 

  • Nestoros, J. N., Lehman, H. E., and Ban, T. A. (1980). Neurolephic drugs and sexual function in schizophrenia.Mod. Probl. Pharmacopsychiat. 15: 111–130.

    Google Scholar 

  • Nestoros, J. N., Lehman, H. E., and Ban, T. A. (1981). Sexual behavior of the male schizophrenic: the impact of illness and medications.Arch. Sex. Behav. 10: 421–442.

    PubMed  Google Scholar 

  • Odergard, O. (1980). Fertility of psychiatric first admissions in Norway 1936–1975.Acta Psychiat. Scand. 62: 212–220.

    PubMed  Google Scholar 

  • Pinderhughes, C. A., Barrabee, G. E., and Reyna, L. J. (1972). Psychiatric disorders and sexual functioning.Am. J. Psychiat. 128: 1276–1283.

    PubMed  Google Scholar 

  • Puente Silva, F. G. (1977). Family planning for psychiatric patients.IPPF Med. Bull. 11: 2–4.

    Google Scholar 

  • Raboch, J. (1984). Sexual development and sexual life of female schizophrenic patients.Arch. Sex. Behav. 13: 341–349.

    PubMed  Google Scholar 

  • Raboch, J. (in press a). Sexuality of female cyclophrenics [in Czech].Česk. Psychiat.

  • Raboch, J. (in press b).Die hysterische Psychopathie und die Sexualität der Frau. Sexualmed.

  • Raboch, J., and Faltus, F. (1984). Sexual life of women with anorexia nervosa [in Czech].Česk. Psychiat. 80: 329–334.

    Google Scholar 

  • Raboch, J., and Hořejši, J. (1982). Sexual life of women with the Küstner-Rokitansky syndrome.Arch. Sex. Behav. 11: 215–220.

    PubMed  Google Scholar 

  • Raboch, J., and Mikota, V. (1983). Sexual life of female neurotic patients (in Czech).Čas. Lék. Česk. 122: 1230–1234.

    Google Scholar 

  • Raboch, J., and Smiljanič, M. (1985). Neuroleptics and sexual life of female schizophrenic patients.Act. Nerv. Super. 27:58.

    Google Scholar 

  • Segraves, R. T. (1982). Male sexual dysfunction and psychoactive drug use.Postgrad. Med. 71: 227–233.

    Google Scholar 

  • Shader, R., and Elkins, R. (1980). The effects of antianxiety and antipsychotic drugs on sexual behavior.Mod. Probl. Pharmacopsychiat. 15: 91–110.

    Google Scholar 

  • Sosjukalo, O. D., Balšakov, A. Z., and Kašnikova, A. A. (1978). The influence of the factor of acceleration on the formation of the clinical pattern of schizophrenia in adolescents [in Russian].Zh. Nevropatol. Psikiat. 78: 1523–1527.

    Google Scholar 

  • Story, N. L. (1974). Sexual dysfunction resulting from side effects.J. Sex. Res. 10: 132–149.

    PubMed  Google Scholar 

  • Swan, M., and Wilson, L. J. (1979). Sexual and marital problems in a psychiatric outpatients population.Brit. J. Psychiat. 135: 310–314.

    PubMed  Google Scholar 

  • Topiař, A. (1982). Vulvoplethysmographic findings in females with hysteria. Paper at the meeting of Czechoslovak Sexological Society, Košice.

  • Topiař, A., and Fládr, E. (1982). Mammoplethysmographic findings in females with hysteria. Paper at the meeting of Czech Sexological Society, Opava.

  • Vogel, H. P. (1979). Fertility and sibship size in a psychiatric patients population. A comparison with national census data.Acta Psychiat. Scand. 60: 483–503.

    PubMed  Google Scholar 

  • Winokur, G., Guze, S. B., and Pfeiffer, E. (1958–9). Developmental and sexual factors in women: a comparison between control, neurotic and psychotic groups.Am. J. Psychiat. 115: 1097–1100.

    Google Scholar 

  • Winokur, G., and Leonard, C. (1963). Sexual life in patients with hysteria.Dis. Nerv. Syst. 24: 337–343.

    PubMed  Google Scholar 

Download references

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  1. Department of Psychiatry, Charles University, Ke Karlovu 11, 128 21, Praha 2, Czechoslovakia

    Jiří Raboch M.D., CSc.

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  1. Jiří Raboch M.D., CSc.
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Raboch, J. Sexual development and life of psychiatric female patients. Arch Sex Behav 15, 341–353 (1986). https://doi.org/10.1007/BF01550368

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