Although inappropriate sexual behavior in dementia is not common, it can be extremely troublesome for healthcare professionals and caregivers as well as patients themselves. There is paucity of data in the literature for the management of these behaviors, but the limited available data suggest efficiency of some commonly used treatment modalities. Herein, we present a 74-year old Alzheimer's disease (AD) patient, known to be heterosexual throughout her past life, presenting with a recent display of same-sex inappropriate sexual behavior six years after the initial diagnosis of her disease. This new clinical picture of hypersexuality responded well to aripiprazole and her symptoms gradually diminished and eventually disappeared after onset of medication. This report also constitutes the first reported case of an AD patient in the published literature presenting with hypersexuality of shifted sexual orientation during the course of the disease.
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http://dx.doi.org/10.3233/ADR-170041 | DOI Listing |
Afr J Prim Health Care Fam Med
December 2024
Department of Nursing, Faculty of Science, Agriculture and Engineering, University of Zululand, Kwadlangezwa.
Background: According to the United Nations Fund for Population Activities, sexuality education (SE) requires building a multisectoral team and developing an operational plan. Hence, teaching comprehensive sexuality education (CSE) in collaboration with relevant stakeholders is a managerial approach to provide school-going adolescents with the knowledge and skills to make informed decisions that will safeguard their health.
Aim: To report on Life Orientation (LO) teachers' perspectives on intersectoral collaboration management of SE in secondary schools in KwaZulu-Natal (KZN) province, South Africa.
Nurs Stand
January 2025
Department of Mental Health and Social Work, Middlesex University, London, England.
People who are lesbian, gay, bisexual, transgender and other sexual and gender minorities (LGBT+) can encounter various challenges when seeking healthcare. For example, many LGBT+ individuals experience discrimination and social stigma from healthcare professionals, leading to feelings of mistrust. This might manifest as explicit homophobia or transphobia, inappropriate questioning, or a lack of consideration for the sensitivities around LGBT+ identities.
View Article and Find Full Text PDFJ Adolesc Health
January 2025
Mathematica Inc., Princeton, New Jersey.
This review examined research to identify longitudinal predictors of adolescent sexual behavior outcomes. These predictors hold promise as potential outcomes for teen pregnancy prevention program evaluations when measuring sexual behavior outcomes is infeasible or theoretically, methodologically, or developmentally inappropriate. We conducted a systematic review using a prespecified search strategy and processes consistent with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.
View Article and Find Full Text PDFJ Clin Sleep Med
January 2025
Minnesota Regional Sleep Disorders Center, and Departments of Psychiatry, Hennepin County Medical Center, and University of Minnesota Medical School, Minneapolis, MN.
Study Objectives: To elucidate whether awake handedness in sexsomnia is retained during sleep to uncover potential clues about the underlying neurophysiologic mechanisms.
Methods: Participants' and observers' self-reported handedness during sexsomnia events.
Results: Case 1: A 22 y/o right-handed female with an eight-year history of nocturnal sleep-related masturbatory behavior (SMB) involving the left hand (LH) exclusively.
Body touch and close physical proximity are inevitable in some healthcare procedures and can evoke feelings of shame, humiliation, and anger in patients. Given the increasing recognition of human dignity, exploring the occurrence of these negative emotional experiences and identifying mechanisms for their prevention are crucial. To develop and define the concept of "patient's sexual dignity discomfort.
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