Does Post-Traumatic Stress Disorder Carry a Higher Risk of Sexual Dysfunctions?
Does Post-Traumatic Stress Disorder Carry a Higher Risk of Sexual Dysfunctions?
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DOI：
10.1111/j.1743-6109.2010.01704.x
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发表时间：
2010-05-01
影响因子：
3.5
通讯作者：
Arbanas, Goran
中科院分区：
文献类型：
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作者：
Arbanas, Goran
简介：既往研究表明，患有创伤后应激障碍（PTSD）的患者性功能障碍的发生率较高。然而，此类研究并未检验创伤经历对性功能障碍的影响。 目的。本研究旨在比较五组男性性功能的各个组成部分：(i) 未经治疗的 PTSD 患者； (ii) 使用选择性血清素再摄取抑制剂（SSRIs）治疗的 PTSD 患者； (iii) 患有阈下 PTSD 症状且未经治疗的患者； (iv) 患有阈下 PTSD 症状且接受 SSRI 治疗的患者；方法。使用临床医生管理的 PTSD 量表、明尼苏达多相人格量表、结构化临床访谈和国际勃起功能指数对所有参与者进行评估。主要结果测量。有 PTSD 症状和阈下 PTSD 症状、接受治疗和治疗的男性国际勃起功能指数个体分量表的结果结果：患有 PTSD 的患者与患有阈下 PTSD 症状的患者在性功能的任何方面都没有差异。该组与没有精神障碍的受试者之间仅在性欲方面存在差异。与接受 PTSD 治疗的患者相比，接受 SSRI 治疗的患有阈下 PTSD 症状的患者在性功能的所有领域都表现出更好的结果。结论。结果表明，无论 PTSD 的严重程度如何，遭受过创伤经历的患者都具有相同水平的性功能（或相同的性功能障碍发生率）。 SSRIs 治疗有助于减少患有阈下 PTSD 症状的患者的性问题。 Arbanas G. 创伤后应激障碍是否会带来更高的性功能障碍风险？ 《性医学杂志》2010 年；7：1816-1821。
Introduction.Previous studies have shown that patients with post-traumatic stress disorder (PTSD) have a higher incidence of sexual dysfunction. However, such studies have not examined the influence of traumatic experience on sexual dysfunction.Aim.This study was conducted to compare various components of sexual functioning among five groups of males: (i) untreated patients with PTSD; (ii) patients with PTSD treated with selective serotonin reuptake inhibitors (SSRIs); (iii) untreated patients with subthreshold PTSD symptoms; (iv) patients with subthreshold PTSD symptoms treated with SSRIs; and (v) subjects who had suffered a traumatic experience but presented no mental disorder.Methods.All participants were evaluated using the Clinician-Administered PTSD Scale, the Minnesota Multiphasic Personality Inventory, the Structured Clinical Interview, and the International Index of Erectile Function.Main Outcome Measures.Results on individual subscales of the International Index of Erectile Function in men with PTSD symptoms and subthreshold PTSD symptoms, treated and untreated.Results.Patients with PTSD did not differ from patients with subthreshold PTSD symptoms in any of the domains of sexual functioning. Differences were found between this group and subjects with no mental disorder only in the domain of sexual desire. Patients with subthreshold PTSD symptoms treated with SSRIs showed better results in all domains of sexual functioning in comparison with those treated with PTSD.Conclusions.The results show that patients who suffered a traumatic experience have the same level of sexual functioning (or the same incidence of sexual dysfunction) regardless of the severity of PTSD. Treatment with SSRIs helps reduce sexual problems in patients with subthreshold PTSD symptoms. Arbanas G. Does post-traumatic stress disorder carry a higher risk of sexual dysfunctions? J Sex Med 2010;7:1816-1821.