Inappropriate Sexual Behaviors Among Community-Dwelling Patients with Dementia
| Autor: | Marco Canevelli, Giuseppe Bruno, Fabrizia D'Antonio, Patrizia Velotti, Letizia Imbriano, Flaminia Lucchini, Marina Gasparini, Carlo de Lena, Alessandro Trebbastoni, Giuseppina Talarico, Carlo Garofalo |
|---|---|
| Přispěvatelé: | Developmental Psychology |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Sexual Behavior Population Logistic regression behavioral and psychological symptoms of dementia dementia inappropriate sexual behaviors Neuropsychiatric symptoms sexuality Geriatrics and Gerontology Psychiatry and Mental Health 03 medical and health sciences 0302 clinical medicine Medicine Dementia Humans Medical history education Psychiatry Aged Aged 80 and over Problem Behavior education.field_of_study 030214 geriatrics business.industry Memory clinic Cognition medicine.disease Cross-Sectional Studies Sexual behavior Anxiety Female Independent Living medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | The American Journal of Geriatric Psychiatry: Official Journal of the American Association for Geriatric Psychiatry, 25(4):365-371. Lippincott Williams and Wilkins |
| ISSN: | 1064-7481 |
| Popis: | Objective: Inappropriate sexual behaviors (ISBs) represent challenging and stressful manifestations of dementia and are highly burdening for patients, families, and healthcare providers. Nevertheless, ISBs have so far attracted limited clinical and scientific interest compared with other neuropsychiatric symptoms occurring in dementing illnesses. The authors aimed to systematically investigate the prevalence and characteristics of ISBs in a population of patients with dementia attending a memory clinic.Methods: In this cross-sectional study, individuals with dementia attending our memory clinic were consecutively enrolled between January 2015 and February 2016. Participating subjects underwent a detailed medical history collection and a comprehensive cognitive, functional, and neuropsychiatric assessment. The presence of ISBs (in the previous 30 days) was investigated by the adoption of an ad hoc questionnaire, administered to informants. A logistic regression model was carried out to identify sociodemographic and clinical variables associated with ISBs.Results: In the 195 patients (48.7% women) with dementia recruited for the study, ISBs were detected in 35 patients (17.9% of the total sample). The logistic regression model showed that male sex (OR: 5.14; 95% CI: 1.44-18.41) and anxiety (OR: 4.92; 95% CI: 1.44-16.84) were statistically significantly associated with the presence of ISBs.Conclusion: ISBs represent common manifestations of dementing illnesses. Given the significant burden of ISBs on patients and families and the impact on care management, their occurrence should always be investigated in the clinical care of individuals with dementia. For this purpose, specific screening/assessment tools should be properly designed and validated. |
| Databáze: | OpenAIRE |
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