Sexual Desire among Veterans Receiving Prolonged Exposure Therapy for PTSD: Does Successful PTSD Treatment Also Yield Improvements in Sexual Desire?
Sexual Desire among Veterans Receiving Prolonged Exposure Therapy for PTSD: Does Successful PTSD Treatment Also Yield Improvements in Sexual Desire?
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DOI：
10.1080/00332747.2019.1672439
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发表时间：
2020-01-01
影响因子：
2.4
通讯作者：
Rauch, Sheila A. M.
中科院分区：
文献类型：
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作者：
Badour, Christal L.;Cox, Keith S.;Rauch, Sheila A. M.
目的：患有创伤后应激障碍（PTSD）的人通常会报告性欲和性功能其他方面的困难，但目前尚不清楚对 PTSD 心理治疗有反应的人是否也报告性欲有所改善。方法：187 名患有 PTSD 的退伍军人在两个 PTSD 门诊专科诊所接受了长期暴露 (PE) 治疗，并在整个治疗过程中反复完成了 PTSD 症状（PTSD 检查表 - 军事版）和性欲（贝克抑郁量表 - 第二版第 21 项）的测量。结果：条件广义混合序数回归模型的结果显示，治疗周数与 PTSD 治疗反应之间在预测整个治疗过程中性欲变化方面存在显着的相互作用。具体来说，PTSD 治疗有反应者报告在治疗过程中性欲有所改善，而无反应者则没有表现出性欲随时间的变化。然而，当考虑到治疗开始时抑郁的严重程度时，PTSD 治疗反应的影响不再显着。在治疗开始时报告更严重抑郁症的参与者报告性欲改善较少，无论 PTSD 症状反应如何。结论：对 PE 有反应的 PTSD 患者也报告说，随着时间的推移，性欲有所改善，这表明对 PE 的反应与性欲的改善有关，但由于同时出现的抑郁症状，这种影响变得复杂。
Objective: People with posttraumatic stress disorder (PTSD) commonly report difficulties with sexual desire and other aspects of sexual functioning, but it is currently unknown if people who respond to psychotherapy for PTSD also report improvements in sexual desire. Method: One hundred and eighty-seven veterans with PTSD received prolonged exposure (PE) therapy at two outpatient PTSD specialty clinics and completed measures of PTSD symptoms (the PTSD Checklist - Military Version) and sexual desire (item 21 of the Beck Depression Inventory - Second Edition) repeatedly throughout the course of treatment. Results: The results of a conditional generalized mixed ordinal regression model showed a significant interaction between weeks in treatment and PTSD treatment response in predicting change in sexual desire across the course of treatment. Specifically, PTSD treatment responders reported improvement in sexual desire over the course of treatment, whereas nonresponders did not show changes in sexual desire over time. However, the effect of PTSD treatment response was no longer significant when accounting for severity of depression at the start of treatment. Participants reporting more severe depression at the start of treatment reported less improvement in sexual desire, regardless of PTSD symptom response. Conclusions: People with PTSD who respond to PE also report improvements in sexual desire over time, indicating that response to PE is associated with improved sexual desire, but the effect is complicated by the presence of co-occurring depression symptomatology.