Cited by 164Schizophrenia research and treatmentSexual function and dysfunction studiesMental Health and Psychiatry

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Sexuality and Schizophrenia: A Review

Kelly, D. L., Conley, R. R.·2004·Schizophrenia Bulletin

DOI 10.1093/oxfordjournals.schbul.a007130

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Abstract

Sexual functioning has received little attention as an important aspect of patient care for those suffering from severe mental disorders such as schizophrenia. Yet, it has been implicated as one of the major factors contributing to noncompliance with antipsychotic medications and is documented by people with schizophrenia to be one of the areas of treatment with the most unmet needs. A stronger focus on sexuality and preventing sexual dysfunction in schizophrenia would likely be a major benefit for improving treatment. This review will describe possible mechanisms for sexual dysfunction, describe sexual disturbances that have been documented in the literature of people who have schizophrenia, and summarize and discuss assessment measures available. Moreover, a focus on second-generation antipsychotics (SGA) and their association with sexual functioning is described. Each SGA (clozapine, risperidone, olanzapine, quetiapine, ziprasidone, and aripiprazole) will be described for its prolactin effects, documented sexual disturbances associated with use, and product labeling regarding sexual function. Treatment options and psychosocial issues pertaining to sexuality also are presented.

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Selective Review of Age-Related Needs of Women with Schizophrenia
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Mahmoud, S. B., Zouari, L., Dammak, M., Thabet, J. B., Zouari, N., & Maalej, M. A. (2012) · Sexologies · doi:10.1016/j.sexol.2012.08.001 · Cited by 7
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Bram, N., Rafrafi, R., Abdelghaffar, W., Lakhal, M. H., Ouanes, S., & Hechmi, Z. E. (2014) · Sexologies · doi:10.1016/j.sexol.2014.05.004 · Cited by 7
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Prevalence of subjectively assessed symptoms of sexual disorders in schizophrenia. Preliminary report.
Kokoszka, A., Aal, M. A. E., Jodko, A., & Kwiatkowska, A. (2010) · Cited by 6
A Pilot Study to Determine a Prolactin Threshold that Identifies Improved Sexual Functioning when Switching from a Prolactin-Elevating to a Prolactin-Neutral Antipsychotic
Byerly, M., & Nakonezny, P. A. (2010) · Clinical Schizophrenia & Related Psychoses · doi:10.3371/csrp.3.4.3 · Cited by 6
Clinical psychologists’ views about talking to people with psychosis about sexuality and intimacy: a Q-methodological study
Southall, D. J. L., & Combes, H. A. (2020) · Sexual & Relationship Therapy · doi:10.1080/14681994.2020.1749255 · Cited by 5

Authors: Kelly, D. L., & Conley, R. R.
Affiliations: University of Maryland, Baltimore (US)
Venue: Schizophrenia Bulletin
Publisher: Oxford University Press (OUP)
Published: 2004-01-01
Volume: 30
Issue: 4
Pages: 767-779
ISSN: 0586-7614 (ISSN-L)
1745-1701
DOI: 10.1093/oxfordjournals.schbul.a007130
OpenAlex: W1978827798
Cited by: 164
References: 128
Citations by year: 2026: 1 · 2025: 4 · 2024: 6 · 2023: 9 · 2022: 7 · 2021: 2 · 2020: 9 · 2019: 7 · 2018: 13 · 2017: 8 · 2016: 6 · 2015: 4 · 2014: 9 · 2013: 18 · 2012: 10
FWCI: 2.28
Type: journal article
Language: en
Open access: closed
Locations: Schizophrenia Bulletin (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Keywords: schizophrenia, sexuality
MeSH terms: Amenorrhea, Female, Humans, Male, Prolactin, Schizophrenia, Schizophrenic Psychology, Sexual Behavior, Antipsychotic Agents

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Sexuality and Schizophrenia: A Review

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