Sexual dysfunctions in people with first-episode psychosis assessed according to a gender perspective

Giacomo Ciocca, Judith Usall, Montse Dolz, Erika Limoncin, Giovanni L. Gravina, Eleonora Carosa, Bernardo Sánchez, Ana Barajas, Iris Baños, Elena Huerta, Aida Farreny, Camilla Franchi, Susana Ochoa, S. Araya, B. Arranz, M. Arteaga, R. Asensio, J. Autonell, I. Baños, M. BañuelosAna Barajas, M. Barceló, M. Blanc, M. Borrás, E. Busquets, J. Carlson, V. Carral, M. Castro, C. Corbacho, M. Coromina, I. Dachs, M. De Dolz, L. Miquel, M. Domenech, M. Elias, I. Espezel, E. Falo, A. Fargas, A. Foix, M. Fusté, M. Godrid, D. Gómez, O. González, L. Granell, L. Gumà, J. M. Haro, S. Herrera, E. Huerta, F. Lacasa

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11 Citations (Scopus)


Aim. Patients with chronic mental disorders often can suffer from sexual dysfunction. Nevertheless, the sexual functioning of new patients with first-episode psychosis has been little explored. The aim of this study was to investigate gender differences in sexual functioning in people with first-episode psychosis. Methods.A group of 40 males and 37 females with first-episode psychosis took part in the research. We administered a psychiatric protocol composed of the PANSS, UKU and SCID-DSM-IV diagnosis. Results. We found that the 42.5% of the male group had sexual dysfunctions while the percentage of the female group was 37.8%. The correlation between sexual dysfunctions and psychopathology did not reveal any association in males. However, in females, general psychopathology and positive symptoms are linked to the alteration of vaginal lubrication: (r=0.547; p=0.003) and (r=0.485; p=0.011), although orgasm alteration was also associated with general psychopathology (r=0.500; p=0.013). Moreover, we found a relation between the alteration of vaginal lubrication with depression (r=0.627; p<0.0001) and disorder of volition (r=0.600; p<0.001). Discussion and conclusions. These data suggest that the association between sexual dysfunctions and psychopathology regarded only women. Therefore, during the taking charge of patients it is fundamental to consider the gender-specific relationship between psychopathology and sexual problems.

Original languageEnglish
Pages (from-to)239-244
Number of pages6
JournalRivista di Psichiatria
Issue number5
Publication statusPublished - 1 Sept 2015


  • Assessment
  • First-episode psychosis
  • Gender differences
  • Sexual dysfunction
  • Treatment


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