[Sexual problems in patients with schizophrenia].
OBJECTIVE
Overview on the current knowledge concerning sexual dysfunctions in patients with schizophrenia and implications for treatment, compliance, quality of life and partnership.


METHODS
Selective literature research on classification, occurrence, effects and therapy.


RESULTS
Frequency and subjective distress of sexual problems in patients with schizophrenia are widely underestimated. Pharmacogenic and morbogenic causes of the sexual problems are often difficult to differentiate. The low awareness of health care professionals for sexual problems and their persistence have significant negative impact on patients' satisfaction with the treatment, compliance, quality of life and partnership.


CONCLUSIONS
It is important to consider patients' sexuality as an integral part of a treatment approach to achieve compliance and mental stabilization as well as an improvement in quality of life.
Psychosen-Ersterkennungs- und Behandlungsprojekt (PEB), Zentrum für Psychosoziale Medizin, Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Hamburg-Eppendorf. d.schoettle@uke.uni-hamburg.de
Daniel
D
Schöttle
Dürten
D
Kammerahl
Johannes
J
Huber
Peer
P
Briken
Martin
M
Lambert
Christian G
CG
Huber
D000293:Adolescent; D000328:Adult; D000368:Aged; D000928:Antidepressive Agents / Q000009:adverse effects / Q000627:therapeutic use; D014150:Antipsychotic Agents / Q000009:adverse effects / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D055118:Medication Adherence / Q000523:psychology; D008875:Middle Aged; D011388:Prolactin / Q000097:blood; D011618:Psychotic Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D012307:Risk Factors; D012559:Schizophrenia / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology*; D012735:Sexual Dysfunction, Physiological / Q000139:chemically induced / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy; D020018:Sexual Dysfunctions, Psychological / Q000139:chemically induced / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy; D055815:Young Adult
D000928:Antidepressive Agents; D014150:Antipsychotic Agents; D011388:Prolactin