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Predictors of Sexual Dysfunction in Veterans with Post-Traumatic Stress Disorder
Marina Letica-Crepulja1,2, Aleksandra Stevanović3,4,5, Marina Protuđer6
1Department of Psychiatry and Psychological Medicine, Faculty of Medicine, University of Rijeka, 51000 Rijeka, Croatia. marinalc@medri.uniri.hr.
Journal of Clinical Medicine
|April 3, 2019
Summary
Sexual dysfunction is common in veterans with PTSD. Trauma-related negative alterations in cognition and mood, and relationship satisfaction significantly predict sexual dysfunction in this population.
Area of Science:
- Psychiatry
- Sexual Medicine
- Veterans Health
Background:
- Sexual dysfunction (SD) is prevalent in veterans with post-traumatic stress disorder (PTSD).
- These sexual health issues are frequently overlooked in clinical practice.
- Scientific research indicates a significant correlation between PTSD and sexual dysfunctions.
Purpose of the Study:
- To systematically identify predictors of sexual dysfunction (SD) in veterans diagnosed with PTSD.
- To establish prediction models for various types of SD in this cohort.
Main Methods:
- A cross-sectional study involving 300 veterans with PTSD.
- Assessment using the Mini-International Neuropsychiatric Interview (MINI) and self-report questionnaires (PCL-5, IIEF, PEDT, RAS).
- Hierarchical multiple regressions were employed to identify predictors of SD.
Main Results:
- A provisional diagnosis of SD was given to 65% of participants.
- Trauma-Related Negative Alterations in Cognition and Mood (Cluster D symptoms) predicted all types of SD.
- Relationship status and satisfaction were significant predictors for most SD types, excluding premature ejaculation.
Conclusions:
- Routine sexual health assessment is crucial for veterans with PTSD.
- Therapeutic interventions should target Cluster D symptoms and relationship functioning to mitigate SD.
- Pharmacotherapy with minimal sexual side effects and management of co-occurring medical conditions are recommended.
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