Erectile dysfunction among male patients diagnosed with schizophrenia being treated with antipsychotic medication, and the impact on quality of life

<p><strong>Introduction</strong></p><p>Erectile dysfunction is a distressing side effect of antipsychotics, which leads to poor medication compliance and poor quality of life. There is a scarcity of studies on antipsychotic-induced sexual dysfunction in Sri Lanka. We as...

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Main Authors: W. W. J. S. M Rowel, U. L. N. S. Liyange, U. H. Hewawitharana, M. Dayabandara, A. Rodrigo
Format: Article
Language:English
Published: Sri Lanka College of Psychiatrists 2018-12-01
Series:Sri Lanka Journal of Psychiatry
Subjects:
Online Access:https://sljpsyc.sljol.info/articles/8185
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author W. W. J. S. M Rowel
U. L. N. S. Liyange
U. H. Hewawitharana
M. Dayabandara
A. Rodrigo
author_facet W. W. J. S. M Rowel
U. L. N. S. Liyange
U. H. Hewawitharana
M. Dayabandara
A. Rodrigo
author_sort W. W. J. S. M Rowel
collection DOAJ
description <p><strong>Introduction</strong></p><p>Erectile dysfunction is a distressing side effect of antipsychotics, which leads to poor medication compliance and poor quality of life. There is a scarcity of studies on antipsychotic-induced sexual dysfunction in Sri Lanka. We assessed the prevalence of erectile dysfunction among patients with schizophrenia who have been prescribed antipsychotic medication.</p><p> </p><p><strong>Methods</strong></p><p>A cross sectional, descriptive study was conducted among patients attending the outpatient clinics of Colombo North Teaching Hospital and National Hospital, Sri Lanka. The five item International Index for Erectile Dysfunction, Erection Hardness Score and World Health Organization Quality of Life Brief Scale were used to assess erectile dysfunction and quality of life.</p><p> </p><p><strong>Results</strong></p><p>Of the 102 patients in the study, 80 (79%) were found to have erectile dysfunction. The largest proportion of erectile dysfunction was seen in patients who were prescribed clozapine (87.9%), followed by risperidone (82.1%), olanzapine (73.9%) and fluphenazine (68.8%). There was no significant correlation between erectile dysfunction and quality of life. None of the patients had initiated a discussion about sexual side effects, while only 8.3% reported that their psychiatrist had inquired about the sexual dysfunction.</p><p> </p><p><strong>Conclusions</strong></p><p>The results of this study suggest that sexual dysfunction is a common but often overlooked phenomenon among patients with schizophrenia. This study highlights the need for Sri Lankan psychiatrists to explore sexual problems in this cohort of patients.</p>
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spelling doaj.art-4eaa7c2e964b48809472565947c5520b2022-12-21T22:27:33ZengSri Lanka College of PsychiatristsSri Lanka Journal of Psychiatry2012-68832579-20082018-12-0192101310.4038/sljpsyc.v9i2.81855877Erectile dysfunction among male patients diagnosed with schizophrenia being treated with antipsychotic medication, and the impact on quality of lifeW. W. J. S. M Rowel0U. L. N. S. Liyange1U. H. Hewawitharana2M. Dayabandara3A. Rodrigo4National Hospital, ColomboNational Hospital, ColomboNational Hospital, ColomboUniversity of ColomboUniversity of Kelaniya, Ragama<p><strong>Introduction</strong></p><p>Erectile dysfunction is a distressing side effect of antipsychotics, which leads to poor medication compliance and poor quality of life. There is a scarcity of studies on antipsychotic-induced sexual dysfunction in Sri Lanka. We assessed the prevalence of erectile dysfunction among patients with schizophrenia who have been prescribed antipsychotic medication.</p><p> </p><p><strong>Methods</strong></p><p>A cross sectional, descriptive study was conducted among patients attending the outpatient clinics of Colombo North Teaching Hospital and National Hospital, Sri Lanka. The five item International Index for Erectile Dysfunction, Erection Hardness Score and World Health Organization Quality of Life Brief Scale were used to assess erectile dysfunction and quality of life.</p><p> </p><p><strong>Results</strong></p><p>Of the 102 patients in the study, 80 (79%) were found to have erectile dysfunction. The largest proportion of erectile dysfunction was seen in patients who were prescribed clozapine (87.9%), followed by risperidone (82.1%), olanzapine (73.9%) and fluphenazine (68.8%). There was no significant correlation between erectile dysfunction and quality of life. None of the patients had initiated a discussion about sexual side effects, while only 8.3% reported that their psychiatrist had inquired about the sexual dysfunction.</p><p> </p><p><strong>Conclusions</strong></p><p>The results of this study suggest that sexual dysfunction is a common but often overlooked phenomenon among patients with schizophrenia. This study highlights the need for Sri Lankan psychiatrists to explore sexual problems in this cohort of patients.</p>https://sljpsyc.sljol.info/articles/8185sexual dysfunction, schizophrenia, antipsychotic medication
spellingShingle W. W. J. S. M Rowel
U. L. N. S. Liyange
U. H. Hewawitharana
M. Dayabandara
A. Rodrigo
Erectile dysfunction among male patients diagnosed with schizophrenia being treated with antipsychotic medication, and the impact on quality of life
Sri Lanka Journal of Psychiatry
sexual dysfunction, schizophrenia, antipsychotic medication
title Erectile dysfunction among male patients diagnosed with schizophrenia being treated with antipsychotic medication, and the impact on quality of life
title_full Erectile dysfunction among male patients diagnosed with schizophrenia being treated with antipsychotic medication, and the impact on quality of life
title_fullStr Erectile dysfunction among male patients diagnosed with schizophrenia being treated with antipsychotic medication, and the impact on quality of life
title_full_unstemmed Erectile dysfunction among male patients diagnosed with schizophrenia being treated with antipsychotic medication, and the impact on quality of life
title_short Erectile dysfunction among male patients diagnosed with schizophrenia being treated with antipsychotic medication, and the impact on quality of life
title_sort erectile dysfunction among male patients diagnosed with schizophrenia being treated with antipsychotic medication and the impact on quality of life
topic sexual dysfunction, schizophrenia, antipsychotic medication
url https://sljpsyc.sljol.info/articles/8185
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