Comparison of Sexual Experience and Behavior Between Bipolar Outpatients and Outpatients Without Mood Disorders

Overview

Journal Psychiatry J

Publisher Wiley

Specialty Psychiatry

Date 2016 May 19

PMID 27190984

Citations 4

Authors

Jennifer Downey

Richard C Friedman

Elizabeth Haase

David Goldenberg

Robinette Bell

Sidney Edsall

Affiliations

Soon will be listed here.

Abstract

Sexual behavior over the past year of 32 outpatients with Bipolar disorder is compared to that of 44 Comparison patients that had never had an episode of affective illness. Subjects were outpatients treated with drugs and psychotherapy in routine office practice. Differences in sexual behavior between the two groups as a whole were minimal, but meaningful differences emerged when subgroups were compared. Compared to control men, Bipolar men had had more partners in the last year and were more likely to have had sex without condoms. Compared to Bipolar females, Bipolar males had more sex partners, had more sex with strangers, and were more likely to have engaged in homosexual behavior. Even so, some patients in the Comparison group also had engaged in risky sexual behavior. They had failed to use condoms and had had sex with strangers and prostitutes during the previous year.

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References

Corona G, Ricca V, Bandini E, Mannucci E, Lotti F, Boddi V . Selective serotonin reuptake inhibitor-induced sexual dysfunction. J Sex Med. 2009; 6(5):1259-69. DOI: 10.1111/j.1743-6109.2009.01248.x. View

Casper R, Redmond Jr D, Katz M, Schaffer C, Davis J, Koslow S . Somatic symptoms in primary affective disorder. Presence and relationship to the classification of depression. Arch Gen Psychiatry. 1985; 42(11):1098-104. DOI: 10.1001/archpsyc.1985.01790340082012. View

Raja M, Azzoni A . Sexual behavior and sexual problems among patients with severe chronic psychoses. Eur Psychiatry. 2003; 18(2):70-6. DOI: 10.1016/s0924-9338(03)00009-9. View

Endicott J, Spitzer R, Fleiss J, Cohen J . The global assessment scale. A procedure for measuring overall severity of psychiatric disturbance. Arch Gen Psychiatry. 1976; 33(6):766-71. DOI: 10.1001/archpsyc.1976.01770060086012. View

Hirschfeld R, Lewis L, Vornik L . Perceptions and impact of bipolar disorder: how far have we really come? Results of the national depressive and manic-depressive association 2000 survey of individuals with bipolar disorder. J Clin Psychiatry. 2003; 64(2):161-74. View

Akiskal H . Searching for behavioral indicators of bipolar II in patients presenting with major depressive episodes: the "red sign," the "rule of three" and other biographic signs of temperamental extravagance, activation and hypomania. J Affect Disord. 2005; 84(2-3):279-90. DOI: 10.1016/j.jad.2004.06.002. View

DellOsso L, Carmassi C, Carlini M, Rucci P, Torri P, Cesari D . Sexual dysfunctions and suicidality in patients with bipolar disorder and unipolar depression. J Sex Med. 2009; 6(11):3063-70. DOI: 10.1111/j.1743-6109.2009.01455.x. View

Carey M, Carey K, Maisto S, Schroder K, Vanable P, Gordon C . HIV risk behavior among psychiatric outpatients: association with psychiatric disorder, substance use disorder, and gender. J Nerv Ment Dis. 2004; 192(4):289-96. PMC: 1351379. DOI: 10.1097/01.nmd.0000120888.45094.38. View

Altindag A, Yanik M, Nebioglu M . The comorbidity of anxiety disorders in bipolar I patients: prevalence and clinical correlates. Isr J Psychiatry Relat Sci. 2006; 43(1):10-5. View

10.

Fletcher K, Parker G, Paterson A, Synnott H . High-risk behaviour in hypomanic states. J Affect Disord. 2013; 150(1):50-6. DOI: 10.1016/j.jad.2013.02.018. View

11.

Frank E, Targum S, Gershon E, Anderson C, Stewart B, Davenport Y . A comparison of nonpatient and bipolar patient-well spouse couples. Am J Psychiatry. 1981; 138(6):764-8. DOI: 10.1176/ajp.138.6.764. View

12.

Baldessarini R, Leahy L, Arcona S, Gause D, Zhang W, Hennen J . Patterns of psychotropic drug prescription for U.S. patients with diagnoses of bipolar disorders. Psychiatr Serv. 2007; 58(1):85-91. DOI: 10.1176/ps.2007.58.1.85. View

13.

Clayton P, Pitts Jr F . Affect disorder. IV. Mania. Compr Psychiatry. 1965; 6(5):313-22. DOI: 10.1016/s0010-440x(65)80025-6. View

14.

Raboch J . Sexual development and life of psychiatric female patients. Arch Sex Behav. 1986; 15(4):341-53. DOI: 10.1007/BF01550368. View

15.

Otto-Salaj L, Stevenson L . Influence of psychiatric diagnoses and symptoms on HIV risk behavior in adults with serious mental illness. AIDS Read. 2001; 11(4):197-204, 206-8. View

16.

Jamison K, Gerner R, Hammen C, Padesky C . Clouds and silver linings: positive experiences associated with primary affective disorders. Am J Psychiatry. 1980; 137(2):198-202. DOI: 10.1176/ajp.137.2.198. View

17.

Mazza M, Harnic D, Catalano V, Di Nicola M, Bruschi A, Bria P . Sexual behavior in women with bipolar disorder. J Affect Disord. 2010; 131(1-3):364-7. DOI: 10.1016/j.jad.2010.11.010. View

18.

Carlson G, Goodwin F . The stages of mania. A longitudinal analysis of the manic episode. Arch Gen Psychiatry. 1973; 28(2):221-8. DOI: 10.1001/archpsyc.1973.01750320053009. View

19.

Allison J, WILSON W . Sexual behavior of manic patients: a preliminary report. South Med J. 1960; 53:870-4. DOI: 10.1097/00007611-196007000-00009. View

20.

LOUDON J, Blackburn I, Ashworth C . A study of the symptomatology and course of manic illness using a new scale. Psychol Med. 1977; 7(4):723-9. DOI: 10.1017/s0033291700006395. View