Mechanisms of the Association between PTSD and Sexual Arousal and Lubrication Functioning among Trauma-Exposed Female Service Members/Veterans.
Mechanisms of the Association between PTSD and Sexual Arousal and Lubrication Functioning among Trauma-Exposed Female Service Members/Veterans.
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DOI：
10.1016/j.jad.2021.12.106
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发表时间：
2021-12
影响因子：
6.6
通讯作者：
R. Blais;E. Bird;Annaliis Sartin-Tarm;S. Campbell;Tierney Lorenz
中科院分区：
文献类型：
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作者：
R. Blais;E. Bird;Annaliis Sartin-Tarm;S. Campbell;Tierney Lorenz
背景创伤后应激障碍(PTSD)的诊断或较高的PTSD严重程度与女性服役人员/退伍军人的总体性功能障碍较高相关。然而，将创伤后应激障碍与女性性唤醒功能的特定成分，如润滑剂和精神唤醒联系起来的机制尚不清楚。方法我们对464名报告可能患有创伤后应激障碍的女性进行了调查。路径分析考察了(1)创伤后应激障碍与性唤起的关系，(2)特定的创伤后应激障碍症状群是否与性唤起独特相关，以及(3)这种联系是否是间接的，通过较高的抑郁严重程度和较低的恋爱关系满意度的影响。唤醒被操作来测量心理(主观唤醒)和身体(润滑)体验。结果PTSD严重程度越高，润滑和唤醒功能越低。创伤后应激障碍的严重程度与性唤醒之间的关系是间接的，通过较低的恋爱关系满意度(估计：-0.12；95%CI：[-0.014，-0.007])和较高的抑郁(估计：-0.08，95%CI：[-0.012，-0.002])。创伤后应激障碍的严重程度与润滑的关系也是间接的，但只是通过较低的关系满意度(估计：-0.10，95%CI：[-0.013，-0.006])。创伤后应激障碍症状群并不是唯一通过中介途径与唤醒和润滑联系在一起的。A标准暴露无法确认。结论创伤后应激障碍可能通过导致更高的抑郁严重程度和紧张的浪漫关系而导致唤醒和润滑功能障碍。旨在减少抑郁症状和提高关系满意度的干预措施可能会将创伤后应激障碍对于性唤起的负担降至最低。
BackgroundThe presence of a post-traumatic stress disorder (PTSD) diagnosis or higher PTSD severity is associated with higher overall sexual dysfunction in female service members/veterans. However, the mechanisms linking PTSD to specific components of women's sexual arousal function, like lubrication and mental arousal, are unknown.MethodsWe conducted a survey among 464 women who reported probable Criterion A exposure for PTSD. Path analysis examined (1) the association of PTSD with sexual arousal, (2) whether specific PTSD symptom clusters were uniquely associated with sexual arousal, and (3) whether this association is indirect, through the effects of higher depression severity and lower romantic relationship satisfaction. Arousal was operationalized to measure both mental (subjective arousal) and physical (lubrication) experiences.ResultsHigher PTSD severity was associated with lower lubrication and arousal function. The association of PTSD severity with arousal was indirect, through lower romantic relationship satisfaction (estimate: -0.12; 95% CI: [-0.014, -0.007]) and higher depression (estimate: -0.08, 95% CI: [-0.012, -0.002]). The association of PTSD severity with lubrication was also indirect, but only through lower relationship satisfaction (estimate: -0.10, 95% CI: [-0.013, -0.006]). PTSD symptom clusters were not uniquely associated with arousal and lubrication through mediated pathways.LimitationsData were from a cross-sectional study using a convenience sample. Criterion A exposure could not be confirmed.ConclusionsPTSD may lead to arousal and lubrication dysfunction by contributing to higher depression severity and strained romantic relationships. Interventions targeting reductions in depressive symptoms and bolstering relationship satisfaction may minimize the burden of PTSD on sexual arousal concerns.