Sexuality and couple intimacy in dementia

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorABDO, Carmita H. N.
dc.date.accessioned2014-01-28T22:26:46Z
dc.date.available2014-01-28T22:26:46Z
dc.date.issued2013
dc.description.abstractPurpose 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.
dc.description.indexMEDLINE
dc.identifier.citationCURRENT OPINION IN PSYCHIATRY, v.26, n.6, p.593-598, 2013
dc.identifier.doi10.1097/YCO.0b013e328365a262
dc.identifier.issn0951-7367
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/4248
dc.language.isoeng
dc.publisherLIPPINCOTT WILLIAMS & WILKINS
dc.relation.ispartofCurrent Opinion in Psychiatry
dc.rightsrestrictedAccess
dc.rights.holderCopyright LIPPINCOTT WILLIAMS & WILKINS
dc.subjectaged
dc.subjectassessment
dc.subjectdementia
dc.subjectintimacy
dc.subjectsexual behavior
dc.subjecttreatment
dc.subject.othermild cognitive impairment
dc.subject.otheralzheimers-disease
dc.subject.otherolder-adults
dc.subject.othermarital relationship
dc.subject.othergender-differences
dc.subject.otherbehaviors
dc.subject.othercare
dc.subject.othersymptoms
dc.subject.otherquality
dc.subject.otherpeople
dc.subject.wosPsychiatry
dc.titleSexuality and couple intimacy in dementia
dc.typearticle
dc.type.categoryreview
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.citation.scopus14
hcfmusp.contributor.author-fmusphcCARMITA HELENA NAJJAR ABDO
hcfmusp.description.beginpage593
hcfmusp.description.endpage598
hcfmusp.description.issue6
hcfmusp.description.volume26
hcfmusp.origemWOS
hcfmusp.origem.pubmed24064413
hcfmusp.origem.scopus2-s2.0-84885183803
hcfmusp.origem.wosWOS:000326814800012
hcfmusp.publisher.cityPHILADELPHIA
hcfmusp.publisher.countryUSA
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