Understanding Hypersexuality: A Behavioral Disorder of Dementia

@article{Robinson2003UnderstandingHA,
  title={Understanding Hypersexuality: A Behavioral Disorder of Dementia},
  author={Karen Robinson},
  journal={Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional},
  year={2003},
  volume={21},
  pages={43-47}
}
  • K. Robinson
  • Published 1 January 2003
  • Psychology, Medicine
  • Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional
Although a rare manifestation of Alzheimer’s Disease, hypersexuality is one of the most embarrassing behaviors for both informal and formal caregivers. This article presents an overview of the causes of the problem along with strategies home care and hospice nurses can use to teach families how to decrease the social isolation these patients experience. 
Managing Sexually Inappropriate Behaviour among the Older Adults with Dementia
TLDR
Successful management of sexual disinhibition is often multifactorial and the approach should be individualized with non-pharmacological and pharmacological approach.
HYPERSEXUALITY IN DEMENTIA: A CASE REPORT
TLDR
A 75-year-old male with vascular dementia who developed hypersexuality and aggression towards his wife is reported, and a combination of pharmacological and psychosocial intervention lead to the resolution of his inappropriate sexual behavior and improvement in his relationships with his wife and children.
Hypersexuality in dementia
Sexually disinhibited behaviours are quite common (prevalence 2–17%) in people with dementia, occurring with about equal frequency in men and women. Assessment of the behaviours, the contexts in
Inappropriate behaviors and hypersexuality in individuals with dementia: An overview of a neglected issue
TLDR
The present narrative review will mainly focus on aggressiveness, disinhibition, aberrant motor, and sexually inappropriate behavior diagnostic work‐up and treatment, in an attempt to provide both the patients and their caregivers with useful information to better manage these symptoms and improve their quality of life.
The Complex Nature of Inappropriate Sexual Behaviors in Patients with Dementia: Can We Put it into a Frame?
Sexuality constitutes an inseparable aspect of human life, strongly influenced and affected by the social environment. Similarly, it plays a crucial role on how people assess themselves and relate to
Synthèse Comportements dits d ’ hypersexualité et démences The so-called hypersexual behaviors in dementia
Real hypersexuality is rare in demented subjects. Most inappropriate sexual behaviors are related to disinhibition or lack of taking into account contextual environment and feelings of others. Four
Hypersexuality as a Manifestation of Various Disorders
TLDR
The author holds the opinion that it is necessary to divide hypersexuality at least into two categories: true hyper sexuality and sexual disinhibition, when with the normal or even reduced level of libido manifestation the hypersexual behaviour results from absence or insufficiency of inhibitory mechanisms (for example, in dementia).
Hypersexuality in neurocognitive disorders in elderly people - a comprehensive review of the literature and case study.
TLDR
A clinical case of a patient who presented with symptoms of hypersexuality and the diagnosis of Kluver-Bucy syndrome in the context of a minor neurocognitive disorder was retained and management was mainly non-pharmacological using behavioral techniques.
Inappropriate sexual behaviour and dementia: An exploration of staff experiences
TLDR
Feelings about ISB appeared equivocal and findings suggest that the effect of ISB should be routinely considered in preparing staff who work within dementia care.
...
...

References

SHOWING 1-10 OF 12 REFERENCES
Pharmacologic Treatment of Agitation in Dementia: A Comprehensive Review
  • M. Lantz, D. Marin
  • Psychology, Medicine
    Journal of geriatric psychiatry and neurology
  • 1996
Agitated behaviors are a common and nearly universal occurrence among patients suffering from dementing illnesses. The pharmacologic treatments available for this troubling syndrome are varied, but
Psychiatric Phenomena in Alzheimer's Disease. IV: Disorders of Behaviour
Out of a sample of 178 patients with AD, aggression was present in 20%, wandering in 19%, binge-eating in 10%, hyperorality in 6%, urinary incontinence in 48%, and sexual disinhibition in 7%.
Improvement in organically disturbed behavior with trazodone treatment.
TLDR
Four elderly patients with severe organic brain syndromes and disturbed behavior were treated with trazodone after therapy with neuroleptics had been ineffective; the behavior of all four patients improved substantially and may be related to the taming effect of traZodone in animal models of aggression.
Ethical dilemmas concerning sexuality of elderly patients suffering from dementia.
This study endeavoured to clarify the ethical dilemmas concerning sexuality encountered by nurses caring for elderly patients suffering from dementia, and to assist the decision-making process of the
Aggressive behavior in cognitively impaired nursing home residents.
TLDR
Most incidents of aggression involved response to invasion of personal space and occurred during the day shift, and the 68.5% who received psychotropic drugs had significantly higher aggression scores.
BEHAVIOUR DISTURBANCE AND OTHER PREDICTORS OF CARER BURDEN IN ALZHEIMER'S DISEASE
TLDR
Predictors of carer burden in Alzheimer's disease (AD) are studied to find out whether they are driven by environmental factors or by underlying causes, such as age, disability, or both.
Phenomenology of panic attacks: a descriptive study of panic disorder patients' self-reports.
The phenomenology of panic disorder and panic attacks was systematically assessed in 46 consecutive patients. The results suggest that DSM-III criteria include several symptoms that are not
Addressing hypersexuality in Alzheimer's disease.
...
...