精神疾患合併性功能障礙：文獻回顧報告

Sexual Dysfunction among Patients with Mental Disorder: A Systematic Review

鄭靜明(Ching-Ming Cheng) ； 張耿嘉(Kun-Chia Chang) ； 林燕卿(Yen-Chin Lin)

《性學研究》 8卷2期 (2018/01) Pp. 95-107

https://doi.org/10.6206/SIS.2018.0802.04

摘要

性功能障礙在精神疾患族群（包括藥癮）極為普遍，除了疾病本身的因素外，包括抗憂鬱劑、抗精神病藥物以及美沙冬替代維持療法（海洛因成癮的治療）都被證實對於患者的性功能造成影響，也可能造成患者的治療順從性不佳。然而由於文化因素，此議題在治療過程中往往成為難言之隱，本篇文章透過回顧精神疾患（包括藥癮）與性功能障礙的報告，提醒臨床醫師在治療過程中應適當處理這個重要的議題。

關鍵字

精神疾患 ； 性功能障礙 ； 抗憂鬱劑 ； 抗精神病藥物 ； 美沙冬

並列摘要

Sexual dysfunction is highly prevalent among people with mental health disorders (substance use disorders are also be included). Not only mental diseases and their correlates are associated with sexual dysfunction, but also their treatment, such as antidepressants, antipsychotics and methadone maintenance treatment (for opioid dependence), have been proven to have detrimental effects on sexual function. Sexual dysfunction as an adverse effect could be the reason of poor treatment adherence. In Asian culture, it still remains a taboo topic, and patients are unlikely to discuss their sexual problems with a medical specialist. This review aims to be a reminder that psychiatrists should go through this important issue comprehensively in the treatment process.

並列關鍵字

Mental Illness ； Sexual Dysfunction ； Antidepressants ； Antipsychotics ； Methadone

參考文獻

張簡德璋、朱元祥、蔡景宏(2015)。美沙冬維持療法中男性患者之勃起功能障礙。樹德科技大學人文社會電子學報。11(1)，70-85。

Chekuri, V.,Gerber, D.,Brodie, A.,Krishnadas, R.(2012).Premature ejaculation and other sexual dysfunctions in opiate dependent men receiving methadone substitution treatment.Addictive Behaviors.37,124-126.

Cheng, C.-M.,Lin, Y.-C.,Chang, K.-C.(2017).Psychological distress is correlated with erectile dysfunction among patients receiving methadone maintenance in Taiwan.Journal of Dual Diagnosis.13,312-316.

Chou, N.-H.,Huang, Y.-J.,Jiann, B.-P.(2015).The impact of illicit use of amphetamine on male sexual functions.The Journal of Sexual Medicine.12,1694-1702.

Chung, S.-D.,Chen, Y.-K.,Kang, J.-H.,Keller, J. J.,Huang, C.-C.,Lin, H.-C.(2011).Population‐based estimates of medical comorbidities in erectile dysfunction in a Taiwanese population.The Journal of Sexual Medicine.8,3316-3324.