English Polski
Vol 15, No 1 (2017)
Research paper
Published online: 2017-09-06

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Sexual life in patients with selected neurotic disorders

Sławomira Kwiatkowska, Dagna Kocur
DOI: 10.5603/9–16
Seksuologia Polska 2017;15(1).


INTRODUCTION: Chronic diseases and mental disorders frequently cause disorders and failures within sexual life. In spite of that, relatively little attention has been paid to the sexual sphere of patients' lives. The aim of this study was to address the question in what ways the sexual functioning sphere is different for patients with disorders classified as other anxiety disorders (F41) and acute stress reaction and adjustment disorders (F43) in comparison with the control group.

MATERIAL AND METHODS: The study involved the Multidimensional Sexuality Questionnaire, The Affective and Motivational Orientation Related to Erotic Arousal Questionnaire, a survey concerning sexuality and an extended demographics section. The sample comprised 33 people (25 females and 8 males) who were treated in an outpatient clinic. Among the subjects, 18 people were diagnosed with F41 and 15 were diagnosed with F43.

RESULTS: Subjects in the research group scored lower in internal control over one's sexuality and sexual satisfaction than did participants in the control group. The research group scored higher in fear of sex and fear of sexual relationships. People with anxiety disorders revealed a lower overall motivation for becoming involved in sexual activity. Participants from the research group also demonstrated a lower assessment of their sexual lives, a higher desired sexual life frequency and a higher discrepancy between their current and desired sexual activities' frequency. A negative correlation was also observed between treatment duration and procreation as a motive for becoming involved in sexual activity.

CONCLUSIONS: It is essential to examine the sphere of sexual functioning in psychiatric patients as well as to encourage and educate the medical personnel towards increasing their openness to and awareness of the issues linked with patients' sexuality.

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  1. GUS, Zdrowie i Ochrona Zdrowia w 2014. Warszawa 2015. http://www.stat.gov.pl/.
  2. Lew-Starowicz M. Zaburzenia seksualne w psychiatrii. In: Lew-Starowicz M, Skrzypulec V. ed. Podstawy seksuologii. Wydawnictwo Lekarskie PZWL, Warszawa 2010: 274–276.
  3. Cassidy WL, Flanagan NB, Spellman M, et al. Clinical observations in manic-depressive disease; a quantitative study of one hundred manic-depressive patients and fifty medically sick controls. J Am Med Assoc. 1957; 164(14): 1535–1546.
  4. Beck AT. Depression. Clinical, experimental, and theoretical aspects. University of Pennsylvania Press. 1967.
  5. Woodruff RA, Murphy GE, Herjanic M. The natural history of affective disorders. I. Symptoms of 72 patients at the time of index hospital admission. J Psychiatr Res. 1967; 5(3): 255–263.
  6. Cyranowski JM, Bromberger J, Youk A, et al. Lifetime depression history and sexual function in women at midlife. Arch Sex Behav. 2004; 33(6): 539–548.
  7. Bancroft J. Human sexuality and its problems. [wyd. pol. Z. Lew-Starowicz (red.). Seksualność człowieka. Elsevier Urban and Partner, Wrocław. 2011; 560.
  8. Ware MR, Emmanuel NP, Johnson MR, et al. Self-report sexual dysfunction in anxiety disorder patients. Psychopharmacol Bull. 1996; 32: 530.
  9. Angst J. Sexual problems in healthy and depressed persons. Int Clin Psychopharmacol. 1998; 13 Suppl 6: S1–S4.
  10. Minnen AV, Kampman M. The interaction between anxiety and sexual functioning: A controlled study of sexual functioning in women with anxiety disorders. Sexual and Relationship Therapy. 2000; 15(1): 47–57.
  11. Figueira I, Possidente E, Marques C, et al. Sexual dysfunction: a neglected complication of panic disorder and social phobia. Arch Sex Behav. 2001; 30(4): 369–377.
  12. Mathew RJ, Weinman ML. Sexual dysfunctions in depression. Arch Sex Behav. 1982; 11(4): 323–328.
  13. Clayton PJ, Pitts FN. Affect disorder. IV. Mania. Compr Psychiatry. 1965; 6(5): 313–322.
  14. Segraves RT. Psychiatric illness and sexual function. Int J Impot Res. 1998; 10 Suppl 2: S131–3; discussion S138.
  15. Leiblum SR, Rosen R. Terapia zaburzeń seksualnych. Gdańskie Wydawnictwo Psychologiczne, Gdańsk 2005: 609.
  16. Hill C, Preston L. Individual differences in the experience of sexual motivation: Theory and measurement of dispositional sexual motives. Journal of Sex Research. 1996; 33(1): 27–45.
  17. Snell W, Fisher T, Walters A. The multidimensional sexuality questionnaire: An objective self-report measure of psychological tendencies associated with human sexuality. Annals of Sex Research. 1993; 6(1): 27–55.
  18. Janda LH. Love and sex tests: 24 revealing love, sex and relationship tests developed by psychologists. [wyd. pol. Przeł. M. Adamkiewicz. Twój miłosny autoportret: 24 testy psychologiczne dotyczące miłości, seksu i związków]. Jacek Santorski, Warszawa 2003.
  19. Snell W, Papini D. The sexuality scale: An instrument to measure sexual‐esteem, sexual‐depression, and sexual‐preoccupation. Journal of Sex Research. 1989; 26(2): 256–263.
  20. Snell W, Fisher T, Miller R. Development of the Sexual Awareness Questionnaire: Components, reliability, and validity. Annals of Sex Research. 1991; 4(1): 65–92.
  21. Snell W, Fisher T, Schuh T. Reliability and validity of the sexuality scale: A measure of sexual‐esteem, sexual‐depression, and sexual‐preoccupation. Journal of Sex Research. 1992; 29(2): 261–273.
  22. Beekman AT, Bremmer MA, Deeg DJ, et al. Anxiety disorders in later life: a report from the Longitudinal Aging Study Amsterdam. Int J Geriatr Psychiatry. 1998; 13(10): 717–726.
  23. Hoehn-Saric R, McLeod DR. Locus of control in chronic anxiety disorders. Acta Psychiatr Scand. 1985; 72(6): 529–535.
  24. Jodko A, Głowacz J, Kokoszka A. Zgłaszanie zaburzeń funkcji seksualnych jako objawu podczas terapii zaburzeń lękowych. Seksuol. Pol. 2008; 6(1): 26–32.
  25. Peuskens J, Sienaert P, De Hert M, et al. Sexual dysfunction: the unspoken side effect of antipsychotics. Eur Psychiatry. 1998; 13 Suppl 1(1 Suppl 1): 23s–30s.
  26. Rosen RC, Lane RM, Menza M. Effects of SSRIs on sexual function: a critical review. J Clin Psychopharmacol. 1999; 19(1): 67–85.
  27. Osváth P, Fekete S, Vörös V, et al. Sexual dysfunction among patients treated with antidepressants - a Hungarian retrospective study. Eur Psychiatry. 2003; 18(8): 412–414.
  28. Bartlik BD, Kaplan P, Kaplan HS, et al. Thyroid dysfunction after radiotherapy in children with Hodgkin's disease. Cancer. 1984; 53(4): 878–883.
  29. Letourneau EJ, Schewe PA, Frueh BC. Preliminary evaluation of sexual problems in combat veterans with PTSD. J Trauma Stress. 1997; 10(1): 125–132.
  30. Nicholson J, Biebel K, Katz-Leavy J, et al. The prevalence of parenthood in adults with mental illness: Implications for state and federal policymakers, programs, and providers. Community Mental Health Journal. 2002; 38(2): 167–172.
  31. Monteiro WO, Noshirvani HF, Marks IM, et al. Anorgasmia from clomipramine in obsessive-compulsive disorder. A controlled trial. Br J Psychiatry. 1987; 151: 107–112.
  32. Lew-Starowicz Z. Encyklopedia erotyki. Muza. Warszawa; 2001: 547.
  33. Zemishlany Z, Weizman A. The impact of mental illness on sexual dysfunction. Sexual Dysfunction. 2008; 29: 89–106.
  34. Lips HM. Women, men, and power. Mountain View, CA: Mayfield Publishing Company. 1991: 245.
  35. Dulko S. Saga o płci. Rocznik Lubuski. 2006; 32(2): 87–93.
  36. Mandal E. Miłość, władza i manipulacja w bliskich związkach. Wydawnictwo Naukowe PWN. Warszawa; 2008: 323.

Journal of Sexual and Mental Health