患有创伤后应激障碍的退伍军人的性功能

Sexual functioning in war veterans with posttraumatic stress disorder.

作者信息

Anticević Vesna, Britvić Dolores

机构信息

Split University Hospital, Soltanska 1, 21000 Split, Croatia.

出版信息

Croat Med J. 2008 Aug;49(4):499-505. doi: 10.3325/cmj.2008.4.499.

DOI:10.3325/cmj.2008.4.499

PMID:18716997

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2525821/

Abstract

AIM

To assess the sexual dysfunction among Croatian war veterans with combat-related posttraumatic stress disorder (PTSD).

METHOD

The study included two groups--101 war veterans with PTSD and 55 healthy control volunteers receiving outpatient general health care in several outpatient clinics in Split. tructured interviews on different aspects of sexual functioning were conducted from April to October 2007 by trained interviewers.

RESULTS

Respondents with PTSD reported significantly less sexual activity during the previous month than controls (sexual fantasies 2.5+/-1.6 vs 3.7+/-1.7, P<0.001; foreplay 2.4+/-1.6 vs 3.5+/-1.6, P<0.001; oral sex 1.6+/-1.2 vs 2.6+/-1.5, P<0.001; and sexual intercourse 2.4+/-1.6 vs 3.8+/-1.5, P<0.001) on a 7-point Likert type scale (from 1--not a single time to 7--more times a day). As reasons for reduced sexual activities, respondents with PTSD more frequently than controls reported their own health problems (3.2+/-1.2 vs 1.5+/-0.8; P<0.001) or health problems of their partner (2.4+/-1.1 vs 1.9+/-1.1; P=0.004), whereas controls more frequently reported overwork than respondents with PTSD (2.6+/-1.1 vs 2.1+/-1.0; P=0.007) on a 5-point Likert type scale (from 1--not a single time to 5--always). Respondents with PTSD reported antidepressant (n=52, 51%) or anxyolitics use (n=73, 72.3%). In a subgroup analysis, respondents with PTSD who were taking antidepressants masturbated less frequently than those who were not taking them (1.9+/-1.3 vs 2.5+/-1.6; P=0.039), whereas premature ejaculation was more often experienced by respondents with PTSD who were not taking antidepressants than by those who were taking them (3.5+/-1.8 vs 2.7+/-1.5; P<0.049) both on a 7-point Likert type scale (from 1--not a single time to 7--more times a day). Conclusion. War veterans with PTSD had less sexual activity, hypoactive sexual desire, and erectile difficulties. Antidepressant therapy in veterans with PTSD may be associated with hypoactive sexual desire.

摘要

目的

评估患有与战斗相关创伤后应激障碍（PTSD）的克罗地亚退伍军人的性功能障碍情况。

方法

该研究包括两组——101名患有创伤后应激障碍的退伍军人和55名在斯普利特的几家门诊接受门诊普通医疗保健的健康对照志愿者。2007年4月至10月，由经过培训的访谈者就性功能的不同方面进行了结构化访谈。

结果

患有创伤后应激障碍的受访者报告说，前一个月的性活动明显少于对照组（性幻想2.5±1.6对3.7±1.7，P<0.001；前戏2.4±1.6对3.5±1.6，P<0.001；口交1.6±1.2对2.6±1.5，P<0.001；性交2.4±1.6对3.8±1.5，P<0.001），采用7点李克特量表（从1——一次都没有到7——一天多次）。作为性活动减少的原因，患有创伤后应激障碍的受访者比对照组更频繁地报告自身健康问题（3.2±1.2对1.5±0.8；P<0.001）或伴侣的健康问题（2.4±1.1对1.9±1.1；P = 0.004），而对照组比患有创伤后应激障碍的受访者更频繁地报告工作过度（2.6±1.1对2.1±1.0；P = 0.007），采用5点李克特量表（从1——一次都没有到5——总是）。患有创伤后应激障碍的受访者报告使用抗抑郁药（n = 52，51%）或抗焦虑药（n = 73，72.3%）。在亚组分析中，服用抗抑郁药的患有创伤后应激障碍的受访者自慰频率低于未服用抗抑郁药的受访者（1.9±1.3对2.5±1.6；P = 0.039），而未服用抗抑郁药的患有创伤后应激障碍的受访者比服用抗抑郁药的受访者更常出现早泄（3.5±1.8对2.7±1.5；P<0.049），均采用7点李克特量表（从1——一次都没有到7——一天多次）。结论。患有创伤后应激障碍的退伍军人性活动较少、性欲减退和勃起困难。对患有创伤后应激障碍的退伍军人进行抗抑郁治疗可能与性欲减退有关。