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A master's thesis from Aalborg University
Book cover


Gender differences in sexual dysfunction in people with schizophrenia

Author

Term

4. term

Education

Publication year

2020

Submitted on

Pages

54

Abstract

Seksuel funktion er central for trivsel og behandlingsadhærens ved skizofreni. Dette speciale havde til formål at undersøge, hvor udbredt seksuel dysfunktion er blandt personer med skizofreni, og om forekomsten varierer mellem køn. I et tværsnitsdesign anvendtes en dansk oversættelse af den 14‑items Changes in Sexual Functioning Questionnaire (CSFQ‑14), der bygger på Kaplans tre‑fase model for seksuel respons (lyst, ophidselse, orgasme), i en online spørgeskemaundersøgelse. I alt gennemførte 61 personer med skizofreni CSFQ‑14. Ifølge spørgeskemaets kriterier opfyldte 42,6% kriterier for seksuel dysfunktion; 61,5% af mændene og 37,5% af kvinderne screenede positive. På trods af disse forskelle fandtes der ingen signifikante kønseffekter på totalscore, delskalaer eller forekomsten af dysfunktion i de undersøgte domæner. Fundene ligger på linje med tidligere forskning, der peger på betydelig seksuel belastning i denne gruppe, og de indikerer ingen systematisk kønsbias. Resultaterne understreger behovet for, at psykiatriske tilbud adresserer seksuel sundhed hos personer med skizofreni, og peger på behovet for yderligere forskning til at bekræfte resultaterne og validere den danske CSFQ‑14.

Sexual functioning is crucial to quality of life and treatment adherence in schizophrenia. This thesis examined how common sexual dysfunction is among people with schizophrenia and whether prevalence differs by gender. Using a Danish translation of the 14‑item Changes in Sexual Functioning Questionnaire (CSFQ‑14), grounded in Kaplan’s three‑phase sexual response model (desire, arousal, orgasm), a cross‑sectional online survey was conducted. Sixty‑one participants with schizophrenia completed the CSFQ‑14; 42.6% met criteria for sexual dysfunction, with 61.5% of men and 37.5% of women screening positive. Despite these proportions, there were no significant gender effects on total scores, subscales, or the prevalence of dysfunction across CSFQ‑14 domains. Findings align with prior research indicating substantial sexual impairment in this population and suggest no systematic gender bias. The study highlights the need for mental health services to proactively address sexual health in schizophrenia and calls for further research to confirm these results and validate the Danish CSFQ‑14.

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