Schizophrenia sexuality
Lucky Saputra dr., SpKJ(K), M.Kes
Seksi Psikoseksual Dan Marital
Perhimpunan Dokter Spesialis Kedokteran Jiwa Indonesia
o Lulus Dokter Umum FK Universitas
Padjadjaran 1992 dr. Lucky Saputra,
o Lulus Psikiater FK Universitas Padjadjaran Sp.KJ(K),M.Kes
2006
o Lulus Magister Kedokteran FK Unpad 2011
o Konsultan Psikiatri Adiksi 2014
o Staf Pengajar FK Universitas Padjadjaran
o Staf Medik RSUP dr Hasan Sadikin
o Ketua Seksi Psikoseksual dan Marital PP
PDSKJI (2016-sekarang)
o Litbang Seksi Psikiatri Adiksi PP PDSKJI
(2016-2019)
https://databoks.katadata.co.id/datapublish/2019/10/08/persebaran-prevalensi-skizofreniapsikosis-di-indonesia
SCHIZOPHRENIA (Fungsi)
Merawat Diri Pekerjaan & Sosial Seksual
Clayton, A. H., Alkis, A. R., Parikh, N. B., & Votta, J. G. (2016). Sexual Dysfunction Due to Psychotropic Medications. Psychiatric Clinics of North America, 39(3), 427–463. doi:10.1016/j.psc.2016.04.006
Gejala
Psikiatri Rawat Inap Psikotropika
DISFUNGSI SEKSUAL
SCHIZOPHRENIA
FUNGSI SOSIAL
&
RELASI SEKSUAL > LAMA
Boer MKd, Castelein S, Wiersma D, Schoevers RA, Knegtering H. The Facts About Sexual (Dys)function in Schizophrenia: An Overview of Clinically Relevant Findings. Schizophrenia Bulletin. 2015;41:674-86.
DOKTER PASIEN
DISKUSI TERAPI
Boer MKd, Castelein S, Wiersma D, Schoevers RA, Knegtering H. The Facts About Sexual (Dys)function in Schizophrenia: An Overview of Clinically Relevant Findings. Schizophrenia Bulletin. 2015;41:674-86.
Gangguan mental
DISFUNGSI SEKSUAL
Faktor Psikososial
Kondisi Somatik
Psikotropika
1.Park YW, Kim Y, Lee JH. Antipsychotic-Induced Sexual Dysfunction and Its Management. World Journal Mens Health. 2012;30:153-9.
2.Boer MKd, Castelein S, Wiersma D, Schoevers RA, Knegtering H. The Facts About Sexual (Dys)function in Schizophrenia: An Overview of Clinically Relevant Findings. Schizophrenia Bulletin. 2015;41:674-86.
Aktivtasi Frekuensi Hilangnya
Sekual Intercourse kepuasan
1. Boer MKd, Castelein S, Wiersma D, Schoevers RA, Knegtering H. The Facts About Sexual (Dys)function in Schizophrenia: An Overview of Clinically Relevant Findings. Schizophrenia Bulletin. 2015;41:674-86.
2. Montejo AL, Montejo L, Baldwin DS. The impact of severe mental disorders and psychotropic medications on sexual health and its implications for clinical management. World Psychiatry. 2018;17.
DISFUNGSI SEKSUAL
Ketidakpatuhan Terapi Kualitas Hidup
1. Boer MKd, Castelein S, Wiersma D, Schoevers RA, Knegtering H. The Facts About Sexual (Dys)function in Schizophrenia: An Overview of Clinically Relevant Findings. Schizophrenia Bulletin. 2015;41:674-86.
2. McCann, E., Donohue, G., de Jager, J., Nugter, A., Stewart, J., & Eustace-Cook, J. (2019). Sexuality and intimacy among people with serious mental illness: a qualitative systematic review. JBI database of systematic
reviews and implementation reports, 17(1), 74-125. doi: 10.11124/JBISRIR-2017-003824
MEDIKASI ANTIPSIKOTIKA
DISFUNGSI SEKSUAL
Serretti + 16-60%
Disfungsi
Chiesa Skizofrenia +
Seksual
(2011) antipsikotika
45-80%
30-80%
1.Serretti, A., & Chiesa, A. (2011). A meta-analysis of sexual dysfunction in psychiatric patients taking antipsychotics. International clinical psychopharmacology, 26(3), 130-140. doi: 10.1097/YIC.0b013e328341e434
2.Park YW, Kim Y, Lee JH. Antipsychotic-Induced Sexual Dysfunction and Its Management. World Journal Mens Health. 2012;30:153-9.
Haloperidol
Risperidone
Amisulprid
Prolaktin
Olanzapine
Clozapine
Quetiapine
Aripiprazole
1.Serri O, Chik CL, Ur E, Ezzat S. Diagnosis and management of hyperprolactinemia. Canadian Medical Association Journal. 2003;169:575-81.
2.Park YW, Kim Y, Lee JH. Antipsychotic-Induced Sexual Dysfunction and Its Management. World Journal Mens Health. 2012;30:153-9.
GEJALA NEGATIF
Seksualitas
Jager
(2017)
Intimacy
1. Stahl SM. Stahl’s Essential Psychopharmacology Neuroscientific Basis and Practical Application 4th ed. New York : Cambridge University : 2013. 414 -41.
2. de Jager, J., Cirakoglu, B., Nugter, A., & van Os, J. (2017). Intimacy and its barriers: A qualitative exploration of intimacy and related struggles among people diagnosed with psychosis. Psychosis, 9(4), 301-309.
doi: 10.1080/17522439.2017.1330895
3. McCann, E., Donohue, G., de Jager, J., Nugter, A., Stewart, J., & Eustace-Cook, J. (2019). Sexuality and intimacy among people with serious mental illness: a qualitative systematic review. JBI database of systematic
reviews and implementation reports, 17(1), 74-125. doi: 10.11124/JBISRIR-2017-003824
Isolasi Khawatir
Sosial Ketidakmampuan
seksual
Jager (2017)
Minat & Aktivitas
Seksual
1. de Jager, J., Cirakoglu, B., Nugter, A., & van Os, J. (2017). Intimacy and its barriers: A qualitative exploration of intimacy and related struggles among people diagnosed with psychosis. Psychosis, 9(4), 301-309.
doi: 10.1080/17522439.2017.1330895
2. Montejo AL, Montejo L, Baldwin DS. The impact of severe mental disorders and psychotropic medications on sexual health and its implications for clinical management. World Psychiatry. 2018;17.
Kesimpulan
• Disfungsi seksual pada pasien skizofrenia
berkaitan dengan gangguan mental itu
sendiri, faktor psikososial, kesehatan somatik,
dan medikasi psikotropika.
• Disfungsi seksual pada pasien skizofrenia
dapat berpengaruh pada kepatuhan minum
obat serta kualitas hidup pasien.
• Klinisi perlu untuk mengevaluasi serta
meminimalisir risiko disfungsi seksual melalui
pemilihan antipsikotik yang tepat.
Referensi
1.https://databoks.katadata.co.id/datapublish/2019/10/08/persebar
an-prevalensi-skizofreniapsikosis-di-indonesia
2.Clayton, A. H., Alkis, A. R., Parikh, N. B., & Votta, J. G. (2016).
Sexual Dysfunction Due to Psychotropic Medications. Psychiatric
Clinics of North America, 39(3), 427–
463. doi:10.1016/j.psc.2016.04.006
3.Boer MKd, Castelein S, Wiersma D, Schoevers RA, Knegtering H.
The Facts About Sexual (Dys)function in Schizophrenia: An
Overview of Clinically Relevant Findings. Schizophrenia Bulletin.
2015;41:674-86.
4.Park YW, Kim Y, Lee JH. Antipsychotic-Induced Sexual Dysfunction
and Its Management. World Journal Mens Health. 2012;30:153-9.
5.Montejo AL, Montejo L, Baldwin DS. The impact of severe mental
disorders and psychotropic medications on sexual health and its
implications for clinical management. World Psychiatry. 2018;17.
Referensi
7. McCann, E., Donohue, G., de Jager, J., Nugter, A., Stewart, J., &
Eustace-Cook, J. (2019). Sexuality and Intimacy Among People
with Serious Mental Illness: a qualitative systemic review. JBI
database of systematic reviews and implementation
reports, 17(1), 74-125. doi: 10.11124/JBISRIR-2017-003824.
8. Serri O, Chik CL, Ur E, Ezzat S. Diagnosis and management of
hyperprolactinemia. Canadian Medical Association Journal.
2003;169:575-81.
9. Stahl SM. Stahl’s Essential Psychopharmacology Neuroscientific
Basis and Practical Application 4th ed. New York : Cambridge
University : 2013. 414 -41.
10.de Jager, J., Cirakoglu, B., Nugter, A., & van Os, J.
(2017). Intimacy and its barriers: A qualitative exploration of
intimacy and related struggles among people diagnosed with
psychosis. Psychosis, 9(4), 301-309.
doi: 10.1080/17522439.2017.1330895.
