ReviewCanadian family physician Medecin de famille canadien2013
Approach to inappropriate sexual behaviour in people with dementia.
Review in Canadian family physician Medecin de famille canadien, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 52 citations in OpenAlex.
- Treatment and Management of Sexual Disinhibition in Elderly Patients With Neurocognitive Disorders.Cureus · 2021Review
- Rehabilitation in Dementia.Indian journal of psychological medicine · 2021Article
- Sexuality and Neurodegenerative Disease: An Unmet Challenge for Patients, Caregivers, and Treatment.Neuro-degenerative diseases · 2021Review
- Sexuality and the Older Adult.Current psychiatry reports · 2019Review
- Aripiprazole for the Treatment of Inappropriate Sexual Behavior: Case Report of an Alzheimer's Disease Patient Known as Heterosexual with Recently Shifted Sexual Orientation to Same Gender.Journal of Alzheimer's disease reports · 2018Article
- Article
- Intimacy and Sexuality in Institutionalized Dementia Care: Clinical-Ethical Considerations.Health care analysis : HCA : journal of health philosophy and policy · 2017Article
- The use of cyproterone acetate in a forensic psychiatric cohort of male sex offenders and its associations with sexual activity and sexual functioning.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2017Article
- A Case of Mania Presenting with Hypersexual Behavior and Gender Dysphoria that Resolved with Valproic Acid.Mental illness · 2016Article
- Treatment of Inappropriate Sexual Behavior in Dementia.Current treatment options in neurology · 2016Review
- Assessment and management of behavioral and psychological symptoms of dementia.BMJ (Clinical research ed.) · 2015Review
- The Impact of Inappropriate Sexual Behaviors in People With Dementia on Family Caregivers: A Scoping Review.American journal of Alzheimer's disease and other dementiasArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo provide family physicians with an update on the approach to diagnosis and management of inappropriate sexual behaviour (ISB) in persons with dementia. SOURCES OF INFORMATION: MEDLINE and EMBASE were searched for relevant articles published before June 2012. No level I studies were identified; most articles provided level III evidence. MAIN MESSAGE: Inappropriate sexual behaviour is common in people with dementia. A variety of factors (eg, cultural, religious, societal views of geriatric sexuality, medicolegal issues) might complicate evaluation of this behaviour, and must be considered to allow suitable management of individual patients. Tools to assist in documenting ISB are available. Creative nonpharmacologic interventions for ISB might be effective when tailored to individual patients. A number of drug treatments (eg, antidepressant, antiandrogen, antipsychotic, and anticonvulsant medications) have been proposed for symptoms that do not adequately respond to nonpharmacologic interventions. However, evidence to support drug treatments is limited, adverse effects remain an important consideration, and it is unclear which should be used as first-line versus second-line treatments.
conclusionAlthough there is no empirically established treatment algorithm for dementia-related ISB, existing literature provides some evidence for various nonpharmacologic and pharmacologic treatments. Further high-quality research is urgently needed to guide family physicians who manage patients with dementia-related ISB.
Indexed as
Identifiers
23486794PMC3596201W2145301933What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.