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Sexual and Reproductive Health in Adolescents and Young Adults With Psychotic Disorders: A Scoping Review.
- Source :
- Schizophrenia Bulletin; Jan2023, Vol. 49 Issue 1, p108-135, 28p
- Publication Year :
- 2023
-
Abstract
- Background and Hypothesis The sexual and reproductive health (SRH) of young people with psychosis has been largely overlooked. We hypothesised that there are key deficiencies in the existing literature on the SRH of adolescents and young adults with psychotic disorders. Study Design We conducted a systematic scoping review using Pubmed, Web of Science, Embase, PsycINFO, and CINAHL. We included empirical studies and case reports focused on SRH issues in young people (aged 14–24 years) with psychotic disorders. A qualitative synthesis was completed. Joanna Briggs Institute Critical Appraisal Tools were utilized to assess study quality. Study Results Seventeen empirical studies and 52 case reports met inclusion criteria. Most focused on sexual dysfunction which was identified as common among this cohort and associated with both psychotic disorders and antipsychotics. The study population was more likely to engage in sexual risk-taking behavior and was at higher risk of sexually transmissible infections than those without psychosis. SRH topics of clinical relevance in older patients with psychosis such as pregnancy, abortion, sexual violence, coercion, sexual identity, and gender were poorly addressed in this younger group. We found empirical studies generally lacked identification and controlling of confounders whilst case reports provided limited description of mental health and SRH outcomes following clinical intervention. Conclusion Research and clinical practice addressing sexual and reproductive health is needed for young people living with psychosis. To address research gaps future studies should focus on women's health, sexual violence, gender, and sexuality in young people with psychosis. [ABSTRACT FROM AUTHOR]
- Subjects :
- SEXUALLY transmitted disease risk factors
ONLINE information services
PSYCHOLOGY information storage & retrieval systems
CINAHL database
RISK-taking behavior
MEDICAL information storage & retrieval systems
FEMALE reproductive organ diseases
SEXUAL dysfunction
PSYCHOSES
SYSTEMATIC reviews
HUMAN sexuality
SCHIZOPHRENIA
RISK assessment
LITERATURE reviews
MEDLINE
MALE reproductive organ diseases
SEXUAL health
REPRODUCTIVE health
ANTIPSYCHOTIC agents
BIPOLAR disorder
DISEASE risk factors
DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 05867614
- Volume :
- 49
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Schizophrenia Bulletin
- Publication Type :
- Academic Journal
- Accession number :
- 161116342
- Full Text :
- https://doi.org/10.1093/schbul/sbac114