Giacomo Ciocca1, Judith Usall2, Montse Dolz3, Erika Limoncin4, Giovanni L Gravina4, Eleonora Carosa4, Bernardo Sánchez3, Ana Barajas5, Iris Baños2, Elena Huerta2, Aida Farreny2, Camilla Franchi6, Genipe Group, Susana Ochoa2. 1. Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy - Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, CIBERSAM, Barcelona, Spain. 2. Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, CIBERSAM, Barcelona, Spain. 3. Sant Joan de Déu Hospital, Esplugues de Llobregat, CIBERSAM, Barcelona, Spain. 4. Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy. 5. Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, CIBERSAM, Barcelona, Spain - Sant Joan de Déu Hospital, Esplugues de Llobregat, CIBERSAM, Barcelona, Spain - Centre d'Higiene Mental Les Corts, Barcelona, Spain. 6. Department of Mental Health, ASL 01 L'Aquila, Italy.
Abstract
AIM: Patients with chronic mental disorders often can suffer from sexual dysfunction. Nevertheless, the sexual functioning of new patients with first-episode psychosis has been little explored. The aim of this study was to investigate gender differences in sexual functioning in people with first-episode psychosis. METHODS: A group of 40 males and 37 females with first-episode psychosis took part in the research. We administered a psychiatric protocol composed of the PANSS, UKU and SCID-DSM-IV diagnosis. RESULTS: We found that the 42.5% of the male group had sexual dysfunctions while the percentage of the female group was 37.8%. The correlation between sexual dysfunctions and psychopathology did not reveal any association in males. However, in females, general psychopathology and positive symptoms are linked to the alteration of vaginal lubrication: (r=0.547; p=0.003) and (r=0.485; p=0.011), although orgasm alteration was also associated with general psychopathology (r=0.500; p=0.013). Moreover, we found a relation between the alteration of vaginal lubrication with depression(r=0.627; p<0.0001) and disorder of volition (r=0.600; p<0.001). DISCUSSION AND CONCLUSIONS: These data suggest that the association between sexual dysfunctions and psychopathology regarded only women. Therefore, during the taking charge of patients it is fundamental to consider the gender-specific relationship between psychopathology and sexual problems.
AIM: Patients with chronic mental disorders often can suffer from sexual dysfunction. Nevertheless, the sexual functioning of new patients with first-episode psychosis has been little explored. The aim of this study was to investigate gender differences in sexual functioning in people with first-episode psychosis. METHODS: A group of 40 males and 37 females with first-episode psychosis took part in the research. We administered a psychiatric protocol composed of the PANSS, UKU and SCID-DSM-IV diagnosis. RESULTS: We found that the 42.5% of the male group had sexual dysfunctions while the percentage of the female group was 37.8%. The correlation between sexual dysfunctions and psychopathology did not reveal any association in males. However, in females, general psychopathology and positive symptoms are linked to the alteration of vaginal lubrication: (r=0.547; p=0.003) and (r=0.485; p=0.011), although orgasm alteration was also associated with general psychopathology (r=0.500; p=0.013). Moreover, we found a relation between the alteration of vaginal lubrication with depression(r=0.627; p<0.0001) and disorder of volition (r=0.600; p<0.001). DISCUSSION AND CONCLUSIONS: These data suggest that the association between sexual dysfunctions and psychopathology regarded only women. Therefore, during the taking charge of patients it is fundamental to consider the gender-specific relationship between psychopathology and sexual problems.
Authors: E Limoncin; G Ciocca; G Castellini; A Sansone; F Cavalieri; F Cavallo; T Cocchiaro; V Ricca; G di Lorenzo; A Rossi; A D Fisher; V Rochira; G Corona; E A Jannini Journal: J Endocrinol Invest Date: 2022-05-09 Impact factor: 5.467