Evaluating family knowledge about sexual health in patients with severe mental illness: a qualitative study in Iran

Abstract

Introduction: Although paying more attention to sex education in patients with severe mental illness is recommended in the literature, the role of families has not been specifically clarified. Aim: This study aims to explore family knowledge about sexual health in patients with severe mental illness in Iran. Methods: We conducted a total number of 21 interviews with 4 patients, 5 families, 7 psychiatrists, 1 general practitioner, 2 nurses, and 2 psychologists through purposive sampling. The text was analyzed using conventional qualitative content analysis. Results: The family knowledge about patients’ sexual health is described in three subcategories: ‘informal sources for knowledge acquisition’, ‘common myths, and ‘inappropriate reaction to the patients’ needs”. Conclusions: Family sex education should be integrated into a comprehensive rehabilitation program to promote sexual health in patients with severe mental illness. Family members should be aware of the necessity of accurate information about patients’ sexual concerns.