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Prevalence and Predictors of Sexual Dysfunction in Psychiatric Inpatients

Received November 11, 2005; revised January 27, 2006; accepted April 25, 2006. From the Dept. of Health Studies and Gerontology; Univ. of Waterloo; Waterloo, Ontario; Homewood Research Institute; Guelph, Ontario; Homewood Health Centre; Guelph, Ontario; Dept. of Psychiatry and Family Practice, Univ. of Vermont College of Medicine, Burlington, VT; Psychiatric Consultation Service, Burlington, VT. Send correspondence and reprint requests to John P. Hirdes, Ph.D., Professor, Dept. of Health Studies and Gerontology, Univ. of Waterloo, 200 University Avenue West, Waterloo, ON Canada, N2L 3G1. e-mail: hirdes{at}uwaterloo.ca
© 2007 The Academy of Psychosomatic Medicine

The authors examined the prevalence and predictors of sexual dysfunction in a sample of 3,717 psychiatric inpatients assessed with the Minimum Data Set–Mental Health Version 1 (MDS–MH 1.0). Sexual dysfunction was found to be less prevalent in inpatient psychiatry (17%) than is typically reported in community settings. Severe depression symptoms, use of antidepressants, and cardiopulmonary conditions emerged as powerful predictors of sexual dysfunction. More research is needed on the assessment and treatment of sexual dysfunction in psychiatric inpatients, particularly focusing on attitudes of assessors, patients, and interactions between medical, psychiatric, and medication characteristics.

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