憂鬱症患者性問題之評估與處置

The Evaluation and Management of Sexual Problems in Depressive Patients

王素女(Su-Nu Wang) ； 駱俊宏(Jiunn-Horng Lou) ； 薛克利(Ker-Li Hsueh) ； 文榮光(Jung-Kwang Wen)

《台灣性學學刊》 10卷1期 (2004/03) Pp. 71-82

https://doi.org/10.6784/FJS.200403.0071

摘要

世界衛生組織預言，憂鬱症、癌症及愛滋病將列名21世紀人類三大疾病，將會是造成失能或死亡的主要原因。憂鬱症的終生盛行率男性約為15％，女性甚至可高達為25％。因此，估計全球目前有一億九千萬人正為憂鬱症所苦，憂鬱症不但會使個人功能失調，也會影響家庭、經濟，社會成本。目前藥物是治療者在憂鬱症治療的優先選擇。一般而言，超過1/3以上的人有性功能障礎問題，而憂鬱症患者當中更有70％的患者有性功能障礎問題，再加上抗憂鬱劑已長時期與性功能障礎之副作用並存，因此醫療人員、病患和家屬常會將憂鬱症、抗憂鬱劑治療等同於性功能障礎，且認為憂鬱症患者一點也不在意自己的性問題。因此本文將針對憂鬱症患者的性問評估與處置進行文獻資料的探討與回顧，揭開憂鬱症與性的迷思，並分別以憂鬱症引起的性功能障礎、抗憂鬱劑所引起的性功能障礎及性功能障礎而引起憂鬱症等三方面來探討，提出憂鬱症患者性功能障礎之處理策略以供醫療專業人員參考。

關鍵字

憂鬱症 ； 抗憂鬱劑 ； 性功能障礎 ； 評估與處置

並列摘要

The World health organization predicts that depression, cancer and AIDS/HIV may be listed as the three leading diseases in the 21st century, and these may be the major causes leading to disability or death. The life time prevalence of depression happens in the male is about 15%, and there is even 25% in the female. Therefore, there are approximately 190,000,000 people suffering from depression. The depression does not only result in individual dysfunction, but also affect the family, economic, and social cost. Nowadays, medication is the priority for the treatment of depression. In general, there are over 1/3 of the population has sexual dysfunction, and among the depressive patients, there are even 70% suffering from this. Sexual dysfunction is the side effect of antidepressant, or the consequence of depression, or influenced by the other factors, it requires the therapist to evaluate the factor deliberately. Although the side effect of sexual dysfunction problem associated with antidepressant has been existing for a long time, but the physician, patients and families often takes antidepressant therapy as sexual dysfunction side effect are various. Therefore, this study conducts the literature reviews and explores the evaluation and treatment in the sexual dysfunction problem of depression patients to disclose the mystery of depression and sexuality. It covers three aspects, the sexual dysfunction problem caused by depression, sexual dysfunction problem caused by antidepressant therapy, and depression caused by sexual dysfunction problem. Furthermore, this study aims to bring up the coping strategy of sexual dysfunction problem in depressed patients for the health workers’ reference.

並列關鍵字

depression ； antidepressant ； sexual dysfunction ； evaluation and management

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