Sexuality and couple intimacy in dementia

Imagem de Miniatura
Arquivos
art_ABDO_Sexuality_and_couple_intimacy_in_dementia_2013.PDF (204.21 KB)
Citações na Scopus
14
Tipo de produção
article
Data de publicação
2013
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
LIPPINCOTT WILLIAMS & WILKINS
Autores
Citação
CURRENT OPINION IN PSYCHIATRY, v.26, n.6, p.593-598, 2013
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
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
URI
https://observatorio.fm.usp.br/handle/OPI/4248
Referências
  1. Alagiakrishnan K, 2005, POSTGRAD MED J, V81, P463, DOI 10.1136/pgmj.2004.028043
  2. Arnulf I, 2005, BRAIN, V128, P2763, DOI 10.1093/brain/awh620
  3. Baikie E., 2002, SEXUAL RELATIONSHIP, V17, P289, DOI 10.1080/14681990220149095
  4. Bardell A, 2011, INT PSYCHOGERIATR, V23, P1182, DOI 10.1017/S1041610211000676
  5. Benbow SM, 2012, INT PSYCHOGERIATR, V24, P1026, DOI 10.1017/S1041610212000257
  6. Cannas A, 2006, PROG NEURO-PSYCHOPH, V30, P1539, DOI 10.1016/j.pnpbp.2006.05.012
  7. Chien LY, 2011, INT J GERIATR PSYCH, V26, P1089, DOI 10.1002/gps.2660
  8. Clare L, 2012, ALZ DIS ASSOC DIS, V26, P148, DOI 10.1097/WAD.0b013e318221ba23
  9. Comfort A, 1991, Clin Geriatr Med, V7, P1
  10. Davies HD, 2010, INT PSYCHOGERIATR, V22, P618, DOI 10.1017/S1041610210000177
  11. Davies HD, 2012, AGING MENT HEALTH, V16, P89, DOI 10.1080/13607863.2011.609532
  12. de Medeiros K, 2008, DEMENT GERIATR COGN, V26, P370, DOI 10.1159/000163219
  13. Derouesne C, 1996, ALZ DIS ASSOC DIS, V10, P86, DOI 10.1097/00002093-199601020-00006
  14. DUFFY LM, 1995, SEX DISABIL, V13, P239, DOI 10.1007/BF02590070
  15. Elias J, 2011, J CLIN NURS, V20, P1668, DOI 10.1111/j.1365-2702.2010.03409.x
  16. Finkel S I, 1996, Int Psychogeriatr, V8 Suppl 3, P497
  17. Fish J, 2006, HETEROSEXISM IN HEALTH AND SOCIAL CARE, P1, DOI 10.1057/9780230800731
  18. Garand L, 2007, WESTERN J NURS RES, V29, P976, DOI 10.1177/0193945907303086
  19. Ginsberg TB, 2005, AGE AGEING, V34, P475, DOI 10.1093/ageing/afi143
  20. Góscínski I, 1997, J Neurosurg Sci, V41, P269
  21. Guay DRR, 2008, AM J GERIATR PHARMAC, V6, P269, DOI 10.1016/j.amjopharm.2008.12.004
  22. Harris SM, 2011, AGING MENT HEALTH, V15, P950, DOI 10.1080/13607863.2011.583629
  23. Higgins Agnes, 2004, Br J Nurs, V13, P1330
  24. Ishikawa T, 2006, INT J GERIATR PSYCH, V21, P134, DOI 10.1002/gps.1437
  25. KRAMER BJ, 1993, FAM RELAT, V42, P367, DOI 10.2307/585336
  26. Kuhn D R, 1998, J Gerontol Nurs, V24, P44
  27. Lam MHB, 2007, PSYCHIAT CLIN NEUROS, V61, P333, DOI 10.1111/j.1440-1819.2007.01667.x
  28. Lesser JM, 2005, GERIATRICS, V60, P34
  29. Lewis RDH, 1998, AGEING SOC, V18, P209, DOI 10.1017/S0144686X9700682X
  30. MARSIGLIO W, 1991, J GERONTOL, V46, pS338
  31. Mittelman MS, 2004, AM J PSYCHIAT, V161, P850, DOI 10.1176/appi.ajp.161.5.850
  32. MOSS BF, 1993, FAM RELAT, V42, P31, DOI 10.2307/584918
  33. Nagaratnam N, 2002, ARCH GERONTOL GERIAT, V35, P195, DOI 10.1016/S0167-4943(02)00026-2
  34. O'Donnell B F, 1992, J Geriatr Psychiatry Neurol, V5, P45
  35. Onishi J, 2006, INT PSYCHOGERIATR, V18, P75, DOI 10.1017/S1041610205002917
  36. Ott BR, 1996, J AM GERIATR SOC, V44, P583
  37. Petersen RC, 2001, ARCH NEUROL-CHICAGO, V58, P1985, DOI 10.1001/archneur.58.12.1985
  38. Petersen RC, 2005, ALZ DIS ASSOC DIS, V19, P166, DOI 10.1097/01.wad.0000179417.95584.90
  39. Rheaume C, 2008, GERIATR NURS, V29, P342, DOI 10.1016/j.gerinurse.2008.08.004
  40. Robinson JG, 2007, J GERONTOL NURS, V33, P19
  41. Schmidt Eva Z, 2008, Wien Med Wochenschr, V158, P78, DOI 10.1007/s10354-007-0477-8
  42. Sherman B., 1998, SEX INTIMACY AGED CA, P91
  43. Sinnott J, 2001, HDB PSYCHOL AGING, P454
  44. Srinivasan S, 2006, ANN LONG TERM CARE, V14, P20
  45. STEELE C, 1990, AM J PSYCHIAT, V147, P1049
  46. SZASZ G, 1983, J AM GERIATR SOC, V31, P407
  47. Taylor A, 2011, AGE AGEING, V40, P538, DOI 10.1093/ageing/afr049
  48. Tsai SJ, 1999, ALZ DIS ASSOC DIS, V13, P60, DOI 10.1097/00002093-199903000-00009
  49. Tucker I, 2010, INT PSYCHOGERIATR, V22, P683, DOI 10.1017/S1041610210000189
  50. Tune LE, 2008, AM J GERIAT PSYCHIAT, V16, P612, DOI 10.1097/JGP.0b013e31816ff348
  51. van Vliet D, 2011, INT PSYCHOGERIATR, V1, P1
  52. Wallace M, 2009, GERIATR NURS, V30, P230, DOI 10.1016/j.gerinurse.2008.09.001
  53. Ward R, 2005, DEMENTIA, V4, P49, DOI 10.1177/1471301205049190
  54. Woods DL, 2009, FORSCH KOMPLEMENTMED, V16, P181, DOI 10.1159/000220479
  55. Wright LK, 1998, SEX DISABIL, V16, P167, DOI 10.1023/A:1023042924997
  56. Zeiss AM, 2001, GENERATIONS, V25, P18

Coleções
Artigos e Materiais de Revistas Científicas - FM/MPS
Artigos e Materiais de Revistas Científicas - HC/IPq
Artigos e Materiais de Revistas Científicas - ODS/05
Artigos e Materiais de Revistas Científicas - ODS/16