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題名:使用抗精神病藥物之精神分裂症及分裂情感性疾患門診病患之性功能障礙盛行率之實證評估
書刊名:性學研究
作者:蔡馨瑩黎進三 引用關係文榮光
作者(外文):Tsai, Hsin-yingLee, Chin-sanWen, Jung-kwang
出版日期:2011
卷期:2:2
頁次:頁51-63
主題關鍵詞:抗精神病藥物性功能障礙亞利桑那性經驗量表中文版精神分裂症Antipsychotics drugSexual dysfunctionASEX-CVSchizophrenia
原始連結:連回原系統網址new window
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本研究以亞利桑那性經驗量表中文版(ASEX-CV)評估使用抗精神病藥物治療精神分裂症及分裂情感性疾患的門診病患之性功能障礙。使用ASEX-CV評估161位診斷出患有精神分裂症或分裂情感性疾患,並服用第一代抗精神病藥物,第二代抗精神病藥物或合併使用第一代與第二代抗精神病藥物的門診病患(年齡≥18歲;年齡≤65歲)之性功能。根據ASEX-CV「性功能障礙」之標準為:ASEX總得分≥17,或ASEX任一題個別分數≥5,或ASEX任三題個別分數≥4。在性功能及精神病藥物、人口統計資料(即性別、年齡與婚姻狀況)之間的相關性研究,則進行邏輯回歸分析。性功能障礙之整體盛行率為70.2%(男性:61.9%;女性:79.2%)。當所有的變項皆納入邏輯回歸,性功能障礙之危險因子包含性別為女性、已婚者。女性有性功能障礙的風險比為男性的2.338倍。相反的,自慰是一種性功能障礙的保護因子,自慰者性功能障礙之風險和非自慰者相比更降低至0.161倍。
This research is to evaluate sexual dysfunction, as measured by the Chinese version of Arizona Sexual Experience Scale (ASEX-CV), in antipsychotics drug-treated outpatients with schizophrenia or schizoaffective disorder. The sexual functioning of outpatients (age≥18 years; age≤65 years) with diagnoses of schizophrenia or schizoaffective disorder who took first generation antipsychotics (FGAs) or second-generation antipsychotics (SGAs) were evaluated with a one-time rating of the ASEX-CV. The criterion for "sexual dysfunction," according to the ASEX-CV, is either the total ASEX score≥17 or any one ASEX item with an individual score≥5 or any three ASEX items with individual scores≥4. The correlation study between sexual function and antipsychotics drug, demographics (i.e. gender, age and marital status) performed with the logistic regression analyses. The study shows that sexual dysfunction rate for females is 1.277 times compared to that of males.
期刊論文
1.Byerly, M. J.、Nakonezny, P. A.、Bettcher, B. M.、Carmody, T.、Fisher, R.、Rush, A. J.(2006)。Sexual dysfunction associated with second-generation antipsychotics in outpatients with schizophrenia or schizoaffective disorder: An empirical evaluation of olanzapine, risperidone, and quetiapine。Schizophrenia Research,86(1),244-250。  new window
2.王培東(2006)。疾病發生的測量:發生率(Incidence)和盛行率(Prevalence)。台灣醫界,49(4),29-33。  延伸查詢new window
3.張國榮、李文貴、張敏(1999)。精神科藥物所引起性功能障礙副作用之探討。國防醫學,28 (2),156-160。  延伸查詢new window
4.Byerly, M. J.、Nakonezny, P. A.、Fisher, R.、Magouirk, B.、Rush, A. J.(2006)。An empirical evaluation of the Arizona sexual experience scale and a simple one-item screening test for assessing antipsychotic-related sexual dysfunction in outpatients with schizophrenia and schizoaffective disorder。Schizophrenia Research,81,311-316。  new window
5.Fan, X.、Henderson, D. C.、Chiang, E.、Briggs, L. B. N.、Freudenreich, O.、Evins, E. A.(2007)。Sexual functioning, psychopathology and quality of life in patients with schizophrenia。Schizophrenia Research,94,119-127。  new window
6.McGahuey, C. A.、Gelenberg, A. J.、Laukes, C. A.、Moreno, F. A.、Delgado, P. L.、McKnight, K. M.(2000)。The Arizona Sexual Experience Scale (ASEX): Reliability and validity。Journal of Sex & Marital Therapy,26,25-40。  new window
7.Fortier, P.、Mottard, J. P.、Trudel, G.、Even, S.(2003)。Study of sexuality-related characteristics in young adults with schizophrenia treated with novel neuroleptics and in a comparison group of young adults。Schizophrenia Bulletin,29,559-572。  new window
會議論文
1.文榮光、吳景寬、朱怡潔、沈武典、劉嘉逸、林克明(2006)。中文版亞利桑那性經驗量表(ASEX-CV)用在憂鬱症合併性功能障礙門診病患臨尿研究。台中市。  延伸查詢new window
學位論文
1.金玉華(2006)。慢性精神分裂症病患藥物治療與性功能之關係。樹德科技大學,高雄市。  延伸查詢new window
2.蔡馨瑩(2010)。某精神醫院精神分裂症病患服用抗精神病藥物引起性功能障礙之盛行率及服藥配合度:觀察性研究。樹德科技大學,高雄市。  延伸查詢new window
圖書
1.Derogatis, L. R.、Balon, R.(2009)。Psychometric assessment。Clinical manual of sexual disorders \\ R. Balon ; R. T. Segraves (Eds.)。Arlington, VA。  new window
 
 
 
 
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