Sexuality and couple intimacy in dementia
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14
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article
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2013
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LIPPINCOTT WILLIAMS & WILKINS
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CURRENT OPINION IN PSYCHIATRY, v.26, n.6, p.593-598, 2013
Resumo
Purpose of reviewThe review assesses recent research and its impact on understanding of intimacy and sexuality in older adults with dementia.Recent findingsThere is no universally accepted definition of inappropriate sexual behaviors (ISBs), but they have been divided into overt acts associated with increased libido and uninhibited sexual behaviors directed at oneself or other people.Couples affected by dementia frequently maintain physical intimacy. Nonintercourse intimate activities may be preferred over intercourse. Early therapeutic interventions may assist partners in modifying activities, behaviors, and expectations about the future of the relationship.Inappropriate sexual behaviors are commonly due to the disruption of interconnected brain structures. Trauma to the temporal lobes may lead to hypersexuality and ISB. Trauma to the limbic system can produce changes in sexual preference. Both temporal and frontotemporal dementias, or either of them, often present with socially and sexually inappropriate behaviors. Huntington's disease can exhibit hypersexuality, pedophilia, promiscuity, and marital infidelity. The involvement of the medial striatum of the basal ganglia in this disease explains the prevalence of ISB.There is no consensus regarding first-line pharmacotherapy for ISB. Little information is known about the adverse effects.SummaryClinicians and society need to consider how dementia might affect physical intimacy.
Palavras-chave
aged, assessment, dementia, intimacy, sexual behavior, treatment
Referências
- Alagiakrishnan K, 2005, POSTGRAD MED J, V81, P463, DOI 10.1136/pgmj.2004.028043
- Arnulf I, 2005, BRAIN, V128, P2763, DOI 10.1093/brain/awh620
- Baikie E., 2002, SEXUAL RELATIONSHIP, V17, P289, DOI 10.1080/14681990220149095
- Bardell A, 2011, INT PSYCHOGERIATR, V23, P1182, DOI 10.1017/S1041610211000676
- Benbow SM, 2012, INT PSYCHOGERIATR, V24, P1026, DOI 10.1017/S1041610212000257
- Cannas A, 2006, PROG NEURO-PSYCHOPH, V30, P1539, DOI 10.1016/j.pnpbp.2006.05.012
- Chien LY, 2011, INT J GERIATR PSYCH, V26, P1089, DOI 10.1002/gps.2660
- Clare L, 2012, ALZ DIS ASSOC DIS, V26, P148, DOI 10.1097/WAD.0b013e318221ba23
- Comfort A, 1991, Clin Geriatr Med, V7, P1
- Davies HD, 2010, INT PSYCHOGERIATR, V22, P618, DOI 10.1017/S1041610210000177
- Davies HD, 2012, AGING MENT HEALTH, V16, P89, DOI 10.1080/13607863.2011.609532
- de Medeiros K, 2008, DEMENT GERIATR COGN, V26, P370, DOI 10.1159/000163219
- Derouesne C, 1996, ALZ DIS ASSOC DIS, V10, P86, DOI 10.1097/00002093-199601020-00006
- DUFFY LM, 1995, SEX DISABIL, V13, P239, DOI 10.1007/BF02590070
- Elias J, 2011, J CLIN NURS, V20, P1668, DOI 10.1111/j.1365-2702.2010.03409.x
- Finkel S I, 1996, Int Psychogeriatr, V8 Suppl 3, P497
- Fish J, 2006, HETEROSEXISM IN HEALTH AND SOCIAL CARE, P1, DOI 10.1057/9780230800731
- Garand L, 2007, WESTERN J NURS RES, V29, P976, DOI 10.1177/0193945907303086
- Ginsberg TB, 2005, AGE AGEING, V34, P475, DOI 10.1093/ageing/afi143
- Góscínski I, 1997, J Neurosurg Sci, V41, P269
- Guay DRR, 2008, AM J GERIATR PHARMAC, V6, P269, DOI 10.1016/j.amjopharm.2008.12.004
- Harris SM, 2011, AGING MENT HEALTH, V15, P950, DOI 10.1080/13607863.2011.583629
- Higgins Agnes, 2004, Br J Nurs, V13, P1330
- Ishikawa T, 2006, INT J GERIATR PSYCH, V21, P134, DOI 10.1002/gps.1437
- KRAMER BJ, 1993, FAM RELAT, V42, P367, DOI 10.2307/585336
- Kuhn D R, 1998, J Gerontol Nurs, V24, P44
- Lam MHB, 2007, PSYCHIAT CLIN NEUROS, V61, P333, DOI 10.1111/j.1440-1819.2007.01667.x
- Lesser JM, 2005, GERIATRICS, V60, P34
- Lewis RDH, 1998, AGEING SOC, V18, P209, DOI 10.1017/S0144686X9700682X
- MARSIGLIO W, 1991, J GERONTOL, V46, pS338
- Mittelman MS, 2004, AM J PSYCHIAT, V161, P850, DOI 10.1176/appi.ajp.161.5.850
- MOSS BF, 1993, FAM RELAT, V42, P31, DOI 10.2307/584918
- Nagaratnam N, 2002, ARCH GERONTOL GERIAT, V35, P195, DOI 10.1016/S0167-4943(02)00026-2
- O'Donnell B F, 1992, J Geriatr Psychiatry Neurol, V5, P45
- Onishi J, 2006, INT PSYCHOGERIATR, V18, P75, DOI 10.1017/S1041610205002917
- Ott BR, 1996, J AM GERIATR SOC, V44, P583
- Petersen RC, 2001, ARCH NEUROL-CHICAGO, V58, P1985, DOI 10.1001/archneur.58.12.1985
- Petersen RC, 2005, ALZ DIS ASSOC DIS, V19, P166, DOI 10.1097/01.wad.0000179417.95584.90
- Rheaume C, 2008, GERIATR NURS, V29, P342, DOI 10.1016/j.gerinurse.2008.08.004
- Robinson JG, 2007, J GERONTOL NURS, V33, P19
- Schmidt Eva Z, 2008, Wien Med Wochenschr, V158, P78, DOI 10.1007/s10354-007-0477-8
- Sherman B., 1998, SEX INTIMACY AGED CA, P91
- Sinnott J, 2001, HDB PSYCHOL AGING, P454
- Srinivasan S, 2006, ANN LONG TERM CARE, V14, P20
- STEELE C, 1990, AM J PSYCHIAT, V147, P1049
- SZASZ G, 1983, J AM GERIATR SOC, V31, P407
- Taylor A, 2011, AGE AGEING, V40, P538, DOI 10.1093/ageing/afr049
- Tsai SJ, 1999, ALZ DIS ASSOC DIS, V13, P60, DOI 10.1097/00002093-199903000-00009
- Tucker I, 2010, INT PSYCHOGERIATR, V22, P683, DOI 10.1017/S1041610210000189
- Tune LE, 2008, AM J GERIAT PSYCHIAT, V16, P612, DOI 10.1097/JGP.0b013e31816ff348
- van Vliet D, 2011, INT PSYCHOGERIATR, V1, P1
- Wallace M, 2009, GERIATR NURS, V30, P230, DOI 10.1016/j.gerinurse.2008.09.001
- Ward R, 2005, DEMENTIA, V4, P49, DOI 10.1177/1471301205049190
- Woods DL, 2009, FORSCH KOMPLEMENTMED, V16, P181, DOI 10.1159/000220479
- Wright LK, 1998, SEX DISABIL, V16, P167, DOI 10.1023/A:1023042924997
- Zeiss AM, 2001, GENERATIONS, V25, P18