Sexual dysfunction in combat veterans with post-traumatic stress disorder
Sexual dysfunction in combat veterans with post-traumatic stress disorder
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DOI：
10.1016/s0090-4295(02)01899-x
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发表时间：
2002-11-01
期刊：
影响因子：
2.1
通讯作者：
Monga, M
中科院分区：
文献类型：
--
作者：
Cosgrove, DJ;Gordon, Z;Monga, M
目标。使用经过验证的性功能评估工具来评估患有或不患有创伤后应激障碍 (PTSD) 的退伍军人性功能障碍的患病率、临床相关性和严重程度。最近的研究结果表明，患有 PTSD 的退伍军人比没有 PTSD 的退伍军人经历性功能障碍的几率更高。我们对接受 PTSD 治疗的男性退伍军人和没有 PTSD 的年龄相当的男性退伍军人进行了国际勃起功能指数 (IIEF) 以及人口和健康调查问卷。结果。 44 名 PTSD 患者的平均 IIEF 总分显着低于 46 名对照者（26.38 比 40.86；P = 0.035）。就个别 IIEF 领域而言，PTSD 患者在整体满意度和性高潮功能方面得分较低，并且在性交满意度和勃起功能方面表现出得分较低的趋势。性欲方面没有观察到统计学上的显着差异。 PTSD 患者勃起功能障碍的发生率为 85%，对照组为 22%。 45% 的 PTSD 患者存在中度至重度勃起功能障碍，而对照组仅占 13%。使用精神药物的 PTSD 患者 (57%) 明显多于对照组 (17%)。结论。患有 PTSD 的退伍军人比没有 PTSD 的退伍军人经历性功能障碍的几率明显更高，并且在某些（但不是全部）特定的性功能领域表现出受损。 IIEF 可能有助于评估勃起功能障碍治疗的反应。临床医生应积极解决患有创伤后应激障碍 (PTSD) 的退伍军人的性问题。 (C) 2002，爱思唯尔科学公司。
Objectives. To evaluate the prevalence, clinical correlates, and severity of sexual dysfunction in combat veterans with and without post-traumatic stress disorder (PTSD) using a validated instrument for assessing sexual function. The results of recent studies have suggested that combat veterans with PTSD experience a higher rate of sexual dysfunction than do those without PTSD.Methods. We administered the International Index of Erectile Function (IIEF) and a demographic and health questionnaire to male combat veterans undergoing treatment for PTSD and to age-comparable male combat veterans without PTSD.Results. The mean total IIEF score was significantly lower in the 44 patients with PTSD than in the 46 controls (26.38 versus 40.86; P = 0.035). With respect to the individual IIEF domains, patients with PTSD had poorer scores on overall satisfaction and orgasmic function and showed trends toward poorer scores on intercourse satisfaction and erectile function. No statistically significant difference was observed for sexual desire. The rate of erectile dysfunction was 85% in patients with PTSD and 22% in controls. Moderate to severe erectile dysfunction was present in 45% of the patients with PTSD and in only 13% of controls. Significantly more patients with PTSD (57%) than controls (17%) were using psychotropic medications.Conclusions. Combat veterans with PTSD experience a significantly higher rate of sexual dysfunction than do veterans without PTSD and show impairment in some, but not all, specific domains of sexual function. The IIEF may be useful in evaluating the response to treatment of erectile dysfunction. Clinicians should proactively address the sexual concerns of combat veterans with PTSD. (C) 2002, Elsevier Science Inc.