eISSN 2097-6054 ISSN 1672-9234 CN 11-5289/R
Responsible Institution：China Association for Science and Technology
Publishing:Chinese Nursing Journals Publishing House Co.,Ltd.
Sponsor：Chinese Nursing Association
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China Academic Journals Full-text Database
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Chinese Journal of Nursing Education

Chinese Journal of Nursing Education >

2022 , Vol. 19 >Issue 7: 662 - 667

DOI: https://doi.org/10.3761/j.issn.1672-9234.2022.07.016

Review

Inappropriate sexual behaviors in older patients with dementia：a scoping review

  • Chun-tao WU ,
  • Ke MA ,
  • Jing-han QI ,
  • Long-fei YANG ,
  • Cui-ping NI ,
  • Yu LIU
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Received date: 2021-07-05

  Online published: 2022-07-22

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Abstract

Objective To systematically review the concept,types and manifestations,influencing factors,and coping strategies of inappropriate sexual behaviors in older patients with dementia. Methods According to the research method of scope review,a comprehensive search was conducted in PubMed,OVID,Embase,EBSCO,CINAHL,Web of Science Core Collection,PsyINFOP,Proquest and Scopus,CNKI,Wanfang,and CBM databases for studies on inappropriate sexual behaviors in older patients with dementia. Literature screening,data extraction,and summarization were performed. Results A total of 23 articles were included. The concept of inappropriate sexual behaviors in older patients with dementia defined by different researchers was diverse. The inappropriate sexual behaviors in older patients with dementia was usually divided into four categories：inappropriate sexual talk,inappropriate sexual behavior,latent sexual behavior,false accusation or abuse. It could also be divided into three categories：inappropriate sexual behavior with non-contact with others,inappropriate sexual behavior in contact with others,and verbal sexual behavior. Influencing factors included disease,psychological factors,social factors and medication. Coping strategies for inappropriate sexual behavior in older patients with dementia included assessing symptom and risk factors,improving institutional environment,providing corresponding interventions for inappropriate sexual behaviors,and strengthening the management and training of nursing staff. Conclusion The concept and classification of inappropriate sexual behavior in older patients with dementia has not been unified,and the definition of inappropriate sexual behavior in dementia patients in Chinese culture needs to be developed. In the future,it is necessary to continue to explore the coping strategies of inappropriate sexual behavior in older patients with dementia.

Key words： Geriatric Nursing; Dementia; Inappropriate sexual behavior; Scoping review

Cite this article

Chun-tao WU , Ke MA , Jing-han QI , Long-fei YANG , Cui-ping NI , Yu LIU . Inappropriate sexual behaviors in older patients with dementia：a scoping review[J]. Chinese Journal of Nursing Education, 2022 , 19(7) : 662 -667 . DOI: 10.3761/j.issn.1672-9234.2022.07.016

References

[1] Bartelet M, Waterink W,van Hooren S. Extreme sexual behavior in dementia as a specific manifestation of disinhibition[J]. J Alzheimers Dis, 2014, 42(Suppl 3):S119-S124.
[2] de Giorgi R, Series H. Treatment of inappropriate sexual behavior in dementia[J]. Curr Treat Options Neurol, 2016, 18(9):41.
[3] Peate I. Sexuality and sexual health promotion for the older person[J]. Br J Nurs, 2004, 13(4):188-193.
[4] Arksey H, O’Malley L. Scoping studies:towards a methodological framework[J]. Int J Soc Res Methodol, 2005, 8(1):19-32.
[5] 姚道元, 陆光华, 陆学胜. Alzheimer病与性行为异常[J]. 上海精神医学, 1993, 5(3):196-197.
[6] Mayers KS. Sexuality and the patient with dementia[J]. Sex Disabil, 1994, 12(3):213-219.
[7] Zeiss AM, Davies HD, Tinklenberg JR. An observational study of sexual behavior in demented male patients[J]. J Gerontol A Biol Sci Med Sci, 1996, 51(6):M325-M329.
[8] Archibald C. Sexuality, dementia and residential care:managers report and response[J]. Health Soc Care Community, 1998, 6(2):95-101.
[9] Ehrenfeld M, Bronner G, Tabak N,et al. Sexuality among institutionalized elderly patients with dementia[J]. Nurs Ethics, 1999, 6(2):144-149.
[10] Robinson KM. Understanding hypersexuality:a behavioral disorder of dementia[J]. Home Healthc Nurse, 2003, 21(1):43-47
[11] Alkhalil C, Tanvir F, Alkhalil B, et al. Treatment of sexual disinhibition in dementia:case reports and review of the literature[J]. Am J Ther,2004, 11(3):231-235.
[12] Hugh S, Pilar D. Hypersexuality in dementia[J]. Adv Psychiatr Treat, 2005, 11(6):424-431.
[13] Alagiakrishnan K, Lim D, Brahim A,et al. Sexually inappropriate behaviour in demented elderly people[J]. Postgrad Med J, 2005, 81(957):463-466.
[14] Dhikav V, Anand K, Aggarwal N. Grossly disinhibited sexual behavior in dementia of Alzheimer’s type[J]. Arch Sex Behav, 2007, 36(2):133-134.
[15] de Medeiros K, Rosenberg PB, Baker AS,et al. Improper sexual behaviors in elders with dementia living in residential care[J]. Dement Geriatr Cogn Disord, 2008, 26(4):370-377.
[16] Tzeng YL, Lin LC, Shyr YIL,et al. Sexual behaviour of insti-tutionalised residents with dementia:a qualitative study[J]. J Clin Nurs, 2009, 18(7):991-1001.
[17] Tune LE, Rosenberg J. Nonpharmacological treatment of inappropriate sexual behavior in dementia:the case of the pink panther[J]. Am J Geriatr Psychiatry, 2008, 16(7):612-613.
[18] Bardell A, Lau T, Fedoroff JP. Inappropriate sexual behavior in a geriatric population[J]. Int Psychogeriatr, 2011, 23(7):1182-1188.
[19] Bamford SM. Sexuality and intimacy in people with dementia[J]. Pract Nurs, 2012, 23(9):436-442.
[20] Doll GM. Sexuality in nursing homes:practice and policy[J]. J Gerontol Nurs, 2013, 39(7):30-39.
[21] di Napoli EA, Breland GL, Allen RS. Staff knowledge and perceptions of sexuality and dementia of older adults in nursing homes[J]. J Aging Health, 2013, 25(7):1087-1105.
[22] Villar F, Celdrán M, Fabà J,et al. Staff attitudes towards sexual relationships among institutionalized people with dementia:does an extreme cautionary stance predominate?[J]. Int Psychogeriatr, 2013, 26(3):403-412.
[23] Murphy K. What to do about sexually inappropriate behavior in patients with dementia[J]. Nursing, 2015, 45(9):53-56.
[24] Vandrevala T, Chrysanthaki T, Ogundipe E. “Behind Closed Doors with open minds?”:a qualitative study exploring nursing home staff’s narratives towards their roles and duties within the context of sexuality in dementia[J]. Int J Nurs Stud, 2017, 74:112-119.
[25] Nielsen MBD, Kjœr S, Aldrich PT,et al. Sexual harassment in care work - Dilemmas and consequences:a qualitative investigation[J]. Int J Nurs Stud, 2017,70:122-130.
[26] Villar F, Celdrán M, Serrat R,et al. Staff’s reactions towards partnered sexual expressions involving people with dementia living in long-term care facilities[J]. J Adv Nurs, 2018, 74(5):1189-1198.
[27] Roelofs TSM, Luijkx KG, Cloin MCM,et al. The influence of organizational factors on the attitudes of residential care staff toward the sexuality of residents with dementia[J]. BMC Geriatr, 2019, 19(1):8.
[28] Higgins A, Barker P, Begley CM. Hypersexuality and dementia:dealing with inappropriate sexual expression[J]. Br J Nurs, 2004, 13(22):1330-1334.
[29] Tsatali MS, Tsolaki MN, Christodoulou TP,et al. The complex nature of inappropriate sexual behaviors in patients with dementia:can we put it into a frame?[J]. Sex Disabil, 2011, 29(2):143-156.
[30] Wick JY, Zanni GR. Disinhibition:clinical challenges in the long-term care facility[J]. Consult Pharm, 2005, 20(12):1006-1008,1011-1014,1016-1018.
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