T09-P-18 Role of the affective pathology in formation of sexual dysfunctions at men - 27/06/08
Résumé |
Objective |
Study role of the affective pathology in formation of sexual dysfunctions at men.
Design and method |
In research have been used clinical-psychopathological, clinical-sexological, the scale of Hamilton, Spielberg-Chaninʼs questionnaire, MFI-20 and statistical methods.
Results |
Studying pathogenesis and development pathogenic the proved therapy of sexual dysfunctions at patients with mental disorder is one of priority problems (tasks) both scientific, and practical sexology. Complex studying with use of the statistical analysis (a method of multiple linear regression and correlations Spearman) 190 patients with the sexual dysfunctions caused by mental frustration nonpsychotic of a level (at 11.6% - disorder of adaptation, at 3.6% - dissociativ disorder of sensations, at 21.1% - a neurasthenia, at 10.0% - somatization disorder, at 6.3% - hypochondrical disorder, at 7.2% - decompencation specific frustration of the person, at 21.8% - schizotipical disorder and at 18.4% - other organic disorder of the person and behaviour) has allowed to establish interrelation between structure of a mental and sexual pathology. As a result of the lead (carried out) analysis it has been established, that libido disorder arose mainly at persons with the weak sexual constitution (beta=0.82-0,29; P <0.001-0,05) on a background of long and proof affective infringements with prevalence of asthenic and depressive disturbances of an easy and average degree of expressiveness (beta=0.60-0.28; P <0.001-0.05). Erectile disorder, arising on a background of affective infringements with prevalence subdepressive, easy asthenic, disturbing and somatovegetatic disturbances (beta=0.89-0.12; P <0.001-0.05) it was observed mainly at persons with the average sexual constitution (beta=0,45- 0,15; P <0,05). Ejaculation disorder as premature ejaculation observed mainly at patients with a neurasthenia and resudual-organic mental disorder arose on a background easy asthenic and somatovegetatic disturbances (beta=0.61-0.37; P <0.001-0.05).
Conclusions |
Thus, the analysis of the received data testifies to a key role of affective disturbances in formation of sexual dysfunctions at patients with mental disorder nonpsychotic a level. Therefore the choice psychopharmacotherapy and psychotherapy as basic methods in system of medical - rehabilitation actions is pathogenetic proved.
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