scholarly journals Comparison of Sexual Experience and Behavior between Bipolar Outpatients and Outpatients without Mood Disorders

2016 ◽  
Vol 2016 ◽  
pp. 1-10 ◽  
Author(s):  
Jennifer Downey ◽  
Richard C. Friedman ◽  
Elizabeth Haase ◽  
David Goldenberg ◽  
Robinette Bell ◽  
...  

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.

2011 ◽  
Vol 8 (8) ◽  
pp. 2284-2291 ◽  
Author(s):  
Aytul Gursu Hariri ◽  
Figen Karadag ◽  
Peykan Gokalp ◽  
Altan Essizoglu

Author(s):  
Somayeh Panahi ◽  
Hossein Azadi ◽  
Reza Bidaki ◽  
Mohadeseh Asadi ◽  
Mohsen Zabihi

Sleep sex or sexsomnia is a relatively new disease that is considered an unusual sexual experience and behavior. Many facts about sexsomnia, including its causes, symptoms, and exact prevalence, are still unknown. Given that the symptoms of the disease occur accidentally during the night, it is tough to study this disease in the long run. This study reported a case of a 30-year-old man with sexsomnia who had no recollection of the sexual behavior he exhibited while asleep. He had lichen planopilaris and was not receiving any psychiatric medication at the time of the study. However, he was under treatment with corticosteroids for six months, which eventually worsened his depression. This behavior attracted his wife's attention, and he was referred to a doctor due to infertility.


2020 ◽  
Author(s):  
Zhizhou Duan ◽  
Liyin Wang ◽  
Menglan Guo ◽  
Changmian Ding ◽  
Danqin Huang ◽  
...  

Abstract Background The new recognition of sub-groups among gender minorities (i.e transgender and gender non-conforming) who also identify as men who have sex with men (MSM) play a considerable role in new HIV infections in China. However, while research focuses on the prevalence of MSM, it ignores the diversity of gender minorities within the MSM population. Furthermore, information on the mental health and HIV-related risky sexual behavior also requires consideration to understand the prevalence and new rates of infection both of MSM and within these gender minority sub-groups. Methods From September 2017 to December 2017, MSM were recruited in Wuhan, Nanchang, and Changsha cities in China. Participants were asked to fill out a structured self-designed questionnaire to assess depression, perceived social support, resilience, identify concealment, and HIV-related risky sexual behaviors. Results A total of 715 MSM completed the structured questionnaire, the number of gender minorities identifying as MSM were 63 and accounted for 8.8% of the population. Compared with the cisgender MSM population, transgender MSM had a significantly lower likelihood of identity concealment (P = 0.016, 95%CI = 0.16, 5.79), were more likely to have one-night stand/occasional partner in the past six months (AOR = 3.90, 95% CI = 1.17–13.03), have sex after drug use (AOR = 2.84, 95%CI = 1.18–6.79), and engage in commercial sexual behavior in the past six months (AOR = 6.09, 95%CI = 1.003–36.94). In terms of gender non-conforming MSM, the differences were not significant for mental health and HIV-related risky sexual behaviors in comparison to the cisgender MSM population. Conclusions It is critical to create targeted interventions tailored towards the different gender minority identities among the MSM population. Further research is necessary to understand the relationship between gender identity, mental health, and HIV-related risky sexual behaviors.


1999 ◽  
Vol 22 (3) ◽  
pp. 537-537 ◽  
Author(s):  
John Marshall Townsend

Sex differences in motivation and emotional reactions to casual sex suggest that the links to extraversion, constraint, impulsivity-sensation seeking, and sexual behavior differ for men and women. Because both testosterone and dominance, and dominance and number of sex partners appear to correlate in men but not in women, it is plausible that testosterone is involved in the creation and maintenance of these sex differences in linkage among the behavioral subsystems involved in sexuality and extraversion.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Chalachew Shambel Obo ◽  
Lamesa Melese Sori ◽  
Tadesse Melaku Abegaz ◽  
Bizuneh Tesfaye Molla

Abstract Background People with bipolar disorder are highly vulnerable to risky sexual behaviors (RSBs). The magnitude of RSBs among bipolar disorders was not studied in our population. The present study aimed to explore the prevalence of RSBs and associated factors among patients with bipolar disorder. Method An institution based cross-sectional study was conducted from 1 April to 30 May 2017 among people living with bipolar disorder at outpatient departments of Amanuel Mental Health Hospital, Addis Ababa. Systematic random sampling was used to select participants. Risky sexual behavior was defined as having sex with two or more sexual partners, having unprotected sexual intercourse, sex after alcohol consumption, exchanged money for sex in a previous 12 months. Data collection was conducted through face-to-face interview by a structured questionnaire adopted from behavioral surveillance survey. Binary logistic regression was conducted to identify factors associated with RSBs. Result A total of 424 participants were enrolled in the study, giving overall response rate of 96%. About 223(52.6%) were males. The prevalence of risky sexual behavior was 49.1% among bipolar patients. Male patients (Adjusted Odds Ratio (AOR) =2.23,95% CI = 1.27,3.92), patients in age group of 18–24(AOR = 2.08,95% CI = 1.47,3.81),current manic phase of the illness (AOR = 2.3195% CI,1.24,4.32) and current alcohol drinking (AOR = 3.70,95% CI = 2.01,6.78) had significant association with RSB. Conclusion Almost half of bipolar patients reported a risky sexual behavior. Current manic episode and the consumption of alcohol were independently associated with RSB. To reduce the burden of RSBs, mental health services which focuses on sexual behaviors of bipolar patients is required.


2008 ◽  
Vol 36 (8) ◽  
pp. 1023-1034 ◽  
Author(s):  
Karl Peltzer ◽  
Ayanda Nqeketo ◽  
George Petros ◽  
Xola Kanta

The aim of this study was to assess attitudes of preinitiates towards traditional Male Circumcision (MC) in the context of HIV. The sample included 350 Xhosa preinitiates recruited from 3 different recruitment sites during the preparation prior to MC in the Eastern Cape province. Results indicated that: 10% were to be circumcised before their sexual debut and reported a great deal of sexual risk behavior; 9% had been diagnosed with a sexually transmitted infection in the past 12 months; 20% reported that they had had 3 or more sex partners in their lives; and 47% had not used a condom the last time they had sex. Reasons and attitudes, including barriers, towards MC as well as risky sexual behavior found in this study need to be considered in MC programming.


1995 ◽  
Vol 10 (1) ◽  
pp. 27-36 ◽  
Author(s):  
Karen L. Graves

Purpose. To examine the relationship between alcohol use and sexual activity in a sample of young adults. Design. Data were collected as part of a 1990 survey of a multistage area household probability sample. Setting. In-home interviews were conducted by experienced interviewers. Subjects. In total, 1006 persons from 18 to 30 years of age living in the contiguous United States were contacted. Measures. Detailed information was collected on alcohol use and sexual behavior. To minimize the reluctance of respondents to answer queries on sexual behavior, those questions were contained in a self-administered questionnaire. Results. At the population level, having had multiple sexual partners in the past year was more likely among men who consumed five or more drinks per sitting. Condom use was less likely among respondents who had consumed five or more drinks on at least one occasion in the past year. In multivariate analyses, the amount of alcohol consumed at the new partner event was not associated with condom use with a new partner. When the effects of other demographic and psychosocial factors were removed, the number of drinks consumed during the heaviest drinking event was a significant predictor of engaging in sex for women but not for men. Conclusion. In young adults, alcohol use with sex does not necessarily lead directly to lapses in judgment about safe sexual practices. Alcohol is but one of a number of factors that play an important role in determining the riskiness of a particular sexual encounter.


2008 ◽  
Vol 10 (2) ◽  
pp. 251-255 ◽  

Research designed to examine the relationship between creativity and mental illnesses must confront multiple challenges. What is the optimal sample to study? How should creativity be defined? What is the most appropriate comparison group? Only a limited number of studies have examined highly creative individuals using personal interviews and a noncreative comparison group. The majority of these have examined writers. The preponderance of the evidence suggests that in these creative individuals the rate of mood disorder is high, and that both bipolar disorder and unipolar depression are quite common. Clinicians who treat creative individuals with mood disorders must also confront a variety of challenges, including the fear that treatment may diminish creativity. In the case of bipolar disorder, however, it is likely that reducing severe manic episodes may actually enhance creativity in many individuals.


2020 ◽  
pp. 088626052092750
Author(s):  
Lee Smith ◽  
Louis Jacob ◽  
Guillermo F. López-Sánchez ◽  
Igor Grabovac ◽  
Lin Yang ◽  
...  

Globally, the prevalence of adolescent sexual intercourse and violence is high. However, to date, no study has investigated the association between violence and sexual behavior in a large representative sample of adolescents, while multicountry studies are also lacking. The objective was thus to examine the relationship between being physically attacked and physical fighting with sexual intercourse, multiple sexual partners, and non-condom use among adolescents aged 12 to 15 years from 43 low- and middle-income countries. Cross-sectional data from 127,513 adolescents participating in the Global School-based Student Health Survey 2003–2016 were analyzed. Data on being physically attacked and physical fighting were assessed through self-report. Data on sexual behavior were collected as follows: (a) ever having had intercourse; among those who reported having had intercourse, (b) multiple (≥2) lifetime sexual partners, and (c) condom use in last sexual intercourse. Data were analyzed using multivariable logistic regression analysis with violence as the exposure and sexual behavior as the outcome, with odds ratios being estimated. Physical attack was dose-dependently and significantly associated with all three sexual behavior outcomes with it being associated with 1.42 (95% confidence interval [CI] = [1.16, 1.74]), 2.13 (95% CI = [1.39, 3.27]), and 1.48 (95% CI = [1.10, 2.00]) times higher odds for sexual intercourse, condom non-use, and multiple sex partners, respectively, when the highest category was compared with the lowest (i.e., ≥4 times vs. 0 times). As for physical fights, compared with not being in a fight in the past 12 months, being in a fight ≥4 times was associated with 2.34 (95% CI = [2.03, 2.70]) and 1.98 (95% CI = [1.56, 2.52]) times higher odds for sexual intercourse and multiple sex partners, respectively. In conclusion, in a large global sample of adolescents, physical attack and physical fight were associated with greater risk of engaging in sexual behavior. Multidimensional government programs and policies addressing violence in young adolescents may lead to reduction in early sexual debut and other risky sexual behavior.


CNS Spectrums ◽  
2013 ◽  
Vol 18 (5) ◽  
pp. 242-251 ◽  
Author(s):  
Mark J. Niciu ◽  
Dawn F. Ionescu ◽  
Daniel C. Mathews ◽  
Erica M. Richards ◽  
Carlos A. Zarate

In this second of two articles on second messenger/signal transduction cascades in major mood disorders, we will review the evidence in support of intracellular dysfunction and its rectification in the etiopathogenesis and treatment of bipolar disorder (BD). The importance of these cascades is highlighted by lithium's (the gold standard in BD psychopharmacology) ability to inhibit multiple critical loci in second messenger/signal transduction cascades including protein kinase C (involved in the IP3/PIP2 pathway) and GSK-3β (canonically identified in the Wnt/Fz/Dvl/GSK-3β cascade). As a result, and like major depressive disorder (MDD), more recent pathophysiological studies and rational therapeutic targets have been directed at these and other intracellular mediators. Even in the past decade, intracellular dysfunction in numerous neuroprotective/apoptotic cascades appears important in the pathophysiology and may be a future target for pharmacological interventions of BD.


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