Problems in sexual functioning among male OEF/OIF veterans seeking treatment for posttraumatic stress
Problems in sexual functioning among male OEF/OIF veterans seeking treatment for posttraumatic stress
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DOI：
10.1016/j.comppsych.2014.12.012
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发表时间：
2015-04-01
影响因子：
7.3
通讯作者：
Acierno, Ron
中科院分区：
文献类型：
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作者：
Badour, Christal L.;Gros, Daniel F.;Acierno, Ron
目的：很少有研究调查持久/伊拉克自由行动（OEF/OIF）退伍军人创伤后应激障碍（PTSD）的性功能障碍。本研究调查了150名在退伍军人事务医疗保健系统中寻求PTSD门诊治疗的男性战斗退伍军人的勃起功能障碍[ED]和自我报告的性问题的预测因素。方法：参与者完成临床访谈和包括性唤起和性欲测量在内的问卷调查。还进行了医疗记录审查，以记录ED诊断或相关药物使用的证据。结果：12%的样本被诊断为ED， 10%的样本正在服用相关药物。62%的有伴侣的退伍军人报告了性唤起问题。63%的人认同性欲问题，72%的有伴侣的退伍军人认同性欲问题。年龄是ED诊断或药物使用的唯一显著预测因子。年龄、种族、PTSD诊断（相对于亚临床症状）、抑郁和社会支持预测自我报告的性唤起问题；而种族、战斗经历、社会支持和创伤后应激障碍的回避/麻木症状预测了自我报告的性欲问题。结论：性问题在寻求创伤后应激障碍治疗的OEF/OIF男性退伍军人中很常见。此外，回避/麻木症状有力地预测了性欲问题。这些发现强调了扩大性功能障碍评估的重要性，并支持了该领域进一步研究的必要性。(C) 2014爱思唯尔公司版权所有。
Objective: Few studies have examined sexual dysfunction among Operations Enduring/Iraqi Freedom (OEF/OIF) veterans with posttraumatic stress disorder (PTSD). The present study investigated predictors of erectile dysfunction [ED] and self-reported sexual problems among 150 male combat veterans seeking outpatient treatment for PTSD within the Veterans Affairs healthcare system.Method: Participants completed clinical interviews and several questionnaires including measures of sexual arousal and sexual desire. A medical records review was also conducted to document evidence of an ED diagnosis or associated medication use.Results: An ED diagnosis was present for 12% of the sample, and 10% were taking associated medications. Sexual arousal problems were reported by sixty-two percent of partnered veterans. Sexual desire problems were endorsed by 63% of the total sample, and by 72% of partnered veterans. Age was the only significant predictor of ED diagnosis or medication use. Age, race, PTSD diagnosis (versus subclinical symptoms), depression, and social support predicted self-reported sexual arousal problems; while race, combat exposure, social support, and avoidance/numbing symptoms of PTSD predicted self-reported sexual desire problems.Conclusions: Sexual problems are common among male OEF/OIF combat veterans seeking treatment for PTSD. Moreover, avoidance/numbing symptoms robustly predicted sexual desire problems. These findings highlight the importance of expanding assessment of sexual dysfunction and support the need for additional research in this area. (C) 2014 Elsevier Inc. All rights reserved.