M\u00e4n med sexmissbruk rapporterar st\u00f6rre utsatthet f\u00f6r v\u00e5ld i barndomen \u00e4n friska personer. De har ocks\u00e5 l\u00e4ttare att ta till v\u00e5ld som vuxna och har ofta neuropsykiatriska funktionsneds\u00e4ttningar. Det visar en ny avhandling vid Ume\u00e5 universitet. Ett l\u00e4kemedel mot alkoholism visar dock lovande resultat som m\u00f6jlig behandling, och det g\u00f6rs nu en st\u00f6rre studie av preparatet.<\/strong><\/h4>\n\n\n\n
\u2013 Sexmissbruk \u00e4r en sjukdom som inneb\u00e4r lidande och riskerar att leda till allvarliga konsekvenser f\u00f6r s\u00e5v\u00e4l personen sj\u00e4lv som f\u00f6r omgivningen. D\u00e4rf\u00f6r \u00e4r det v\u00e4lkommet med fler m\u00f6jliga behandlingsalternativ, s\u00e4ger Josephine Savard, doktorand i psykiatri vid Ume\u00e5 universitet.<\/p>\n\n\n\n
Vad \u00e4r tv\u00e5ngsm\u00e4ssig sexuell beteendest\u00f6rning?<\/h5>\n\n\n\n
K\u00e4nnetecknen f\u00f6r tv\u00e5ngsm\u00e4ssig sexuell beteendest\u00f6rning, ofta kallat sexmissbruk \u00e4r att personen har sv\u00e5rt att kontrollera sexuella impulser. Det leder till upprepade sexuella handlingar. Tv\u00e5ngsm\u00e4ssig sexuell beteendest\u00f6rning \u00e4r f\u00f6rknippat med lidande, negativa konsekvenser och funktionsneds\u00e4ttning. D\u00e4rf\u00f6r \u00e4r det viktigt med \u00f6kad kunskap om tillst\u00e5ndet och att ta fram fler behandlingsalternativ f\u00f6r patienter d\u00e4r det i dagsl\u00e4get finn svagt st\u00f6d f\u00f6r l\u00e4kemedelsbehandling.<\/p>\n\n\n\n
Det \u00f6vergripande syftet med Josephine Savards avhandling var att unders\u00f6ka kliniska egenskaper och utv\u00e4rdera behandling med l\u00e4kemedlet Naltrexon hos hj\u00e4lps\u00f6kande m\u00e4n med tv\u00e5ngsm\u00e4ssig sexuell beteendest\u00f6rning. Naltrexon \u00e4r ett preparat som p\u00e5verkar bel\u00f6ningssystemet i hj\u00e4rnan. Det anv\u00e4nds annars fr\u00e4mst vid behandling av alkoholism.<\/p>\n\n\n\n
I avhandlingen unders\u00f6ktes sj\u00e4lvrapporterad erfarenhet av v\u00e5ld och olika dimensioner av impulsivitet. Forskarna fann att m\u00e4n med tv\u00e5ngsm\u00e4ssig sexuell beteendest\u00f6rning rapporterade mer utsatthet f\u00f6r v\u00e5ld i barndomen och anv\u00e4ndning av v\u00e5ld som vuxna j\u00e4mf\u00f6rt med friska kontroller. De som hade gjort ett sj\u00e4lvmordsf\u00f6rs\u00f6k rapporterade de h\u00f6gsta niv\u00e5erna av v\u00e5ld.<\/p>\n\n\n\n
Forskarna j\u00e4mf\u00f6rde ocks\u00e5 m\u00e4n med tv\u00e5ngsm\u00e4ssig sexuell beteendest\u00f6rning med m\u00e4n med pedofil st\u00f6rning. Det gick d\u00e5 att se att neuropsykiatriska funktionsneds\u00e4ttningar \u00e4r vanligt i b\u00e5da grupperna. Man fann ocks\u00e5 att sj\u00e4lvrapporterad bristande uppm\u00e4rksamhet visade sig vara f\u00f6rknippat med graden av tv\u00e5ngsm\u00e4ssig sexualitet.<\/p>\n\n\n\n
L\u00e4mpligt med screening<\/h5>\n\n\n\n
\u2013 En slutsats \u00e4r att det \u00e4r l\u00e4mpligt att screena f\u00f6r erfarenheter av v\u00e5ld och neuropsykiatriska funktionsneds\u00e4ttningar bland personer med tv\u00e5ngsm\u00e4ssig sexualitet, s\u00e4ger Josephine Savard.<\/p>\n\n\n\n
I en delstudie fick 20 m\u00e4n med tv\u00e5ngsm\u00e4ssig sexuellt beteendest\u00f6rning prova l\u00e4kemedlet Naltrexon. Deltagarna rapporterade mindre symtom p\u00e5 sexuell upptagenhet under den fyra veckor l\u00e5nga behandlingsperioden och tolererade preparatet v\u00e4l. Studien var relativt liten, en s\u00e5 kallad pilotstudie, som saknade kontrollgrupp. Det g\u00e5r d\u00e4rf\u00f6r inte att dra n\u00e5gra l\u00e5ngtg\u00e5ende slutsatser. Men studien har legat till grund f\u00f6r en p\u00e5g\u00e5ende st\u00f6rre studie, delstudie fyra i aktuell avhandling. Syftet med den studien \u00e4r att unders\u00f6ka om Naltrexon \u00e4r mer effektivt \u00e4r Fluoxetin, ett antidepressivt preparat som idag anv\u00e4nds f\u00f6r behandling av tv\u00e5ngsm\u00e4ssig sexualitet nationellt och internationellt. 80 f\u00f6rs\u00f6kspersoner kommer att lottas mellan preparaten och behandlas under \u00e5tta veckor och d\u00e4refter f\u00f6ljas upp efter sex veckor.<\/p>\n\n\n\n
Foto:<\/strong> Nino Car\u00e8 fr\u00e5n Pixabay<\/p>\n\n\n\n
Josephine Savard \u00e4r specialistl\u00e4kare i psykiatri och arbetar vid ANOVA, Karolinska Universitetssjukhuset i Stockholm. ANOVA bedriver hj\u00e4lplinjen PrevenTell dit du som \u00e4r orolig f\u00f6r din, eller n\u00e5gon annans, sexualitet kan ringa anonymt p\u00e5 telefonnummer 020-667788.<\/em><\/p>\n\n\n\n
Till avhandlingen<\/strong>
http:\/\/urn.kb.se\/resolve?urn=urn:nbn:se:umu:diva-186811<\/a><\/p>\n\n\n\n<\/p>\n","protected":false},"excerpt":{"rendered":"
M\u00e4n med sexmissbruk rapporterar st\u00f6rre utsatthet f\u00f6r v\u00e5ld i barndomen \u00e4n friska personer. De har ocks\u00e5 l\u00e4ttare att ta till v\u00e5ld som vuxna och har ofta neuropsykiatriska funktionsneds\u00e4ttningar. Det visar […]<\/p>\n","protected":false},"author":6,"featured_media":8894,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4],"tags":[],"acf":[],"yoast_head":"\n
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