About: Sexual Dysfunction in First-Episode Schizophrenia Patients. Results From European First Episode Schizophrenia Trial     Goto   Sponge   NotDistinct   Permalink

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  • Sexual dysfunctions (SDs) occur frequently in schizophrenia patients and have a huge impact on quality of life and compliance. They are often associated with antipsychotic medication. Nicotine consumption, negative or depressive symptoms, and physical illness are also discussed as contributing factors. Data on SD in first-episode schizophrenia patients are scarce.As part of the European First Episode Schizophrenia Trial, first-episode schizophrenia patients were randomly assigned to 5 medication groups. We assessed SD by analyzing selected items from the Udvalg for Kliniske Undersugelser at baseline and at 5 following visits.Differences between antipsychotics were small for all SDs, and fairly little change in the prevalence of SDs was seen over the course of the study. A significantly larger increase of amenorrhea and galactorrhea was seen with amisulpride than with the other medications. In men, higher age, more pronounced Positive and Negative Syndrome Scale general psychopathology symptoms, and higher plasma prolactin levels predicted higher rates of erectile and ejaculatory dysfunctions. Positive and Negative Syndrome Scale negative symptoms and higher age were predictors for decreased libido.In women, higher prolactin plasma levels were identified as a predictor of amenorrhea. Positive and Negative Syndrome Scale negative symptoms predicted decreased libido.All evidence taken together underscores the influence of the disease schizophrenia itself on sexual functioning. In addition, there is a strong correlation between the prolactin-increasing properties of amisulpride and menstrual irregularities.
  • Sexual dysfunctions (SDs) occur frequently in schizophrenia patients and have a huge impact on quality of life and compliance. They are often associated with antipsychotic medication. Nicotine consumption, negative or depressive symptoms, and physical illness are also discussed as contributing factors. Data on SD in first-episode schizophrenia patients are scarce.As part of the European First Episode Schizophrenia Trial, first-episode schizophrenia patients were randomly assigned to 5 medication groups. We assessed SD by analyzing selected items from the Udvalg for Kliniske Undersugelser at baseline and at 5 following visits.Differences between antipsychotics were small for all SDs, and fairly little change in the prevalence of SDs was seen over the course of the study. A significantly larger increase of amenorrhea and galactorrhea was seen with amisulpride than with the other medications. In men, higher age, more pronounced Positive and Negative Syndrome Scale general psychopathology symptoms, and higher plasma prolactin levels predicted higher rates of erectile and ejaculatory dysfunctions. Positive and Negative Syndrome Scale negative symptoms and higher age were predictors for decreased libido.In women, higher prolactin plasma levels were identified as a predictor of amenorrhea. Positive and Negative Syndrome Scale negative symptoms predicted decreased libido.All evidence taken together underscores the influence of the disease schizophrenia itself on sexual functioning. In addition, there is a strong correlation between the prolactin-increasing properties of amisulpride and menstrual irregularities. (en)
Title
  • Sexual Dysfunction in First-Episode Schizophrenia Patients. Results From European First Episode Schizophrenia Trial
  • Sexual Dysfunction in First-Episode Schizophrenia Patients. Results From European First Episode Schizophrenia Trial (en)
skos:prefLabel
  • Sexual Dysfunction in First-Episode Schizophrenia Patients. Results From European First Episode Schizophrenia Trial
  • Sexual Dysfunction in First-Episode Schizophrenia Patients. Results From European First Episode Schizophrenia Trial (en)
skos:notation
  • RIV/00179906:_____/11:10104348!RIV12-MZ0-00179906
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
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http://linked.open...aciTvurceVysledku
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http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 229050
http://linked.open...ai/riv/idVysledku
  • RIV/00179906:_____/11:10104348
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • prolactin; first-episode schizophrenia; amenorrhea; amisulpride; sexual dysfunction (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [8DE01236070A]
http://linked.open...i/riv/nazevZdroje
  • Journal of Clinical Psychopharmacology
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 31
http://linked.open...iv/tvurceVysledku
  • Libiger, Jan
  • EUFEST, Study Group
  • Kahn, René S.
  • Fleischhacker, Wolfgang W.
  • Hummer, Martina
  • Kemmler, Georg
  • Malik, Peter
  • Riecher-Roessler, Anita
http://linked.open...ain/vavai/riv/wos
  • 000290033100003
issn
  • 0271-0749
number of pages
http://bibframe.org/vocab/doi
  • 10.1097/JCP.0b013e3182199bcc
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