Sexually inappropriate behaviour in demented elderly people

McKay, Alexander
March 2005
Canadian Journal of Human Sexuality;2005, Vol. 14 Issue 1/2, p44
Academic Journal
The article presents a report on the study which discusses sexually inappropriate behavior in demented elderly people which appeared in the Postgraduate Medical Journal. The study utilized patient chart data from a long-term care psychiatric consulting service, a community-based geriatric psychiatric center, and an inpatient dementia behavioral unit, located in Edmonton, Alberta. Overall, the prevalence of sexually inappropriate behavior was low (1.8%). The average age of cognitively impaired subjects exhibiting inappropriate sexual behavior was 78 years and 92.7% were male. About half of those exhibiting inappropriate sexual behavior were living in nursing homes and the rest were living in the community. The study concludes that inappropriate sexual behaviors are often better managed by non-pharmacological means, as patients may be less responsive to psychoactive therapies. Behavioral therapy includes redirecting the behavior verbally or if necessary physically. If behavioral interventions fail, pharmacological therapy may be necessary.


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