ArticleArchives of sexual behavior2013
Hypersexual behavior in frontotemporal dementia: a comparison with early-onset Alzheimer's disease.
Article in Archives of sexual behavior, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Hypersexuality in neurological disorders: A systematic review.BMJ mental health · 2024Pooled it
- Correlates of Functional Impairment in Patients with the Behavioral Variant of Frontotemporal Dementia: A PRISMA-Compliant Systematic Review.International journal of molecular sciences · 2023Pooled it
- Speech and language impairments in behavioral variant frontotemporal dementia: A systematic review.Neuroscience and biobehavioral reviews · 2021Pooled it
- Sexual Dysregulation After Traumatic Brain Injury and Stroke: A Critical Narrative Review of Neurobiology, Clinical Phenotypes, and Management.Brain sciences · 2026Review
- Global research status and trends of compulsive sexual behavior disorder: A comprehensive bibliometric analysis.Journal of behavioral addictions · 2025Review
- Autonomic dysfunction in neurodegenerative disease.Nature reviews. Neuroscience · 2025Review
- Neurodegenerative Disorders in Criminal Offending and Cognitive Decline Among Aging Inmates.NeuroSci · 2025Review
- A qualitative study exploring the clinical phenomenology and impact of hypersexuality in patients with Parkinson's Disease.Scientific reports · 2024Article
- Frequency and Longitudinal Course of Behavioral and Neuropsychiatric Symptoms in Participants With Genetic Frontotemporal Dementia.Neurology · 2024Article
- Assessment and treatment of compulsive sexual behavior disorder: a sexual medicine perspective.Sexual medicine reviews · 2024Review
- Topological differences of striato-thalamo-cortical circuit in functional brain network between premature ejaculation patients with and without depression.Brain and behavior · 2024Article
- The impact of cognitive impairment in urologic implants: a narrative review.Translational andrology and urology · 2023Review
- The architecture of abnormal reward behaviour in dementia: multimodal hedonic phenotypes and brain substrate.Brain communications · 2023Article
- The World Federation of Societies of Biological Psychiatry guidelines on the assessment and pharmacological treatment of compulsive sexual behaviour disorder.Dialogues in clinical neuroscience · 2022Article
- Gender Differences in Disease, Function, and Behavioral Symptoms in Residents with Dementia.Western journal of nursing research · 2022Article
- Treatment and Management of Sexual Disinhibition in Elderly Patients With Neurocognitive Disorders.Cureus · 2021Review
- Predicting disease progression in behavioral variant frontotemporal dementia.Alzheimer's & dementia (Amsterdam, Netherlands) · 2021Article
- Sexuality and Neurodegenerative Disease: An Unmet Challenge for Patients, Caregivers, and Treatment.Neuro-degenerative diseases · 2021Review
- Cognitive and behavioural inhibition deficits in neurodegenerative dementias.Cortex; a journal devoted to the study of the nervous system and behavior · 2020Review
- A Critical Review of Behavioral and Emotional Disinhibition.The Journal of nervous and mental disease · 2020Review
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
The basis of hypersexual behavior among patients with dementia is not entirely clear. Hypersexual behavior may be a particular feature of behavioral variant frontotemporal dementia (bvFTD), which affects ventromedial frontal and adjacent anterior temporal regions specialized in interpersonal behavior. Recent efforts to define hypersexual disorder indicate an increasing awareness of heightened sexual activity as a source of personal distress and functional impairment, and clarification of hypersexuality in bvFTD could contribute to understanding the neurobiology of this behavior. This study reviewed 47 patients with bvFTD compared to 58 patients with Alzheimer's disease (AD) for the presence of heightened sexual activity to the point of distress to caregivers and others. Hypersexual behavior occurred in 6 (13 %) bvFTD patients compared to none of the AD patients. Caregivers judged all six bvFTD patients with hypersexual behavior as having a dramatic increase in sexual frequency from premorbid levels. All had general disinhibition, poor impulse control, and actively sought sexual stimulation. They had widened sexual interests and experienced sexual arousal from previously unexciting stimuli. One patient, with early and predominant right anterior temporal involvement, was easily aroused by slight stimuli, such as touching her palms. Although previously considered to be predominantly disinhibited sexual behavior as part of generalized disinhibition, these patients with dementia illustrate varying degrees of increased sexual desire. We conclude that bvFTD is uniquely associated with hypersexuality; it is more than just cognitive impairment with frontal disinhibition but also involves alterations in sexual drive, possibly from right anterior temporal- limbic involvement in this disease.
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