Second Generation Antipsychotics Improve Sexual Dysfunction in Schizophrenia: A Randomised Controlled Trial
Author(s) -
Ahmed Mahmoud,
Karen P. Hayhurst,
Richard Drake,
Shôn Lewis
Publication year - 2011
Publication title -
schizophrenia research and treatment
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.464
H-Index - 7
eISSN - 2090-2085
pISSN - 2090-2093
DOI - 10.1155/2011/596898
Subject(s) - sexual function , quality of life (healthcare) , sexual dysfunction , schizophrenia (object oriented programming) , antipsychotic , medicine , psychiatry , adverse effect , clinical psychology , nursing
The impact of antipsychotic drug treatment on sexual function was investigated during a randomised trial comparing first generation antipsychotics (FGAs) to (nonclozapine) second generation antipsychotics (SGAs). Sexual function and quality of life were (rater-blind) assessed in 42 patients with DSM-IV schizophrenia (aged 18–65) using the self-report version of the Derogatis Interview for Sexual Function (DISF-SR) and the Heinrichs Quality of Life Scale (QLS), prior to, and 12 weeks following, a change in medication from an FGA drug to either an FGA or SGA drug. SGAs significantly improved sexual function compared to FGAs. Change in sexual function was associated with change in quality of life. Where impaired sexual functioning is a distressing adverse effect of treatment with an FGA agent, consideration should be given to switching to an SGA.
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