War Firdous A, Jamuna R, Arivazhagan A
Department of Clinical Psychology, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
Asian J Neurosurg. 2014 Jan;9(1):29-32. doi: 10.4103/1793-5482.131061.
Traumatic brain injury (TBI) has an immense psychosocial impact on an individual as well as on the close relatives. Sexuality is one among the functions which are usually found compromised post injury. The aim of present study was to examine cognitive and sexual functions post TBI. The objective of the study was to explore these domains and their relationship with each other.
The tools used were sociodemographics record sheet, Edinburg handedness inventory, brief sexual function inventory, depression anxiety stress scales-21 and NIMHANS head injury battery. The sample consisted of 30 patients with mild-to-moderate TBI. All the subjects were tested individually in their regional language.
On cognitive domain, patients performed inadequately on all the tests; however, the percentage was higher in mental speed (43.3%), sustained attention (26.7%), verbal working memory (30%), response inhibition (36.7%), verbal memory (immediate and delayed) (43%) and visual (immediate, 23.3% and delayed, 26.7%). On the domain of sexual functions, all the four domains (sexual drive, erection, ejaculation and problem assessment) were affected however overall satisfaction (93.3%) was adequate. Among the four domains higher percentage of involvement was noted on problem assessment (70%), ejaculation (56.7%), and erection (46.7%). Significant correlation was found between mental speed, verbal working memory, planning, and visual memory with sexual drive, erection, ejaculation and overall satisfaction domains of sexual functioning. Negative correlation was found between motor speed and sustained attention with sexual drive, erection and ejaculation.
Both cognitive and sexual functioning were found effected post TBI. However less emphasis is given to sexual functioning by the professionals. Educational intervention is needed to sensitize professional about this area and to include this area for better management.
创伤性脑损伤（TBI）对个体及其近亲具有巨大的心理社会影响。性功能是受伤后通常会受到损害的功能之一。本研究的目的是检查创伤性脑损伤后的认知和性功能。该研究的目标是探索这些领域及其相互关系。
所使用的工具包括社会人口统计学记录表、爱丁堡利手调查表、简短性功能调查表、抑郁焦虑压力量表-21以及印度国家精神卫生和神经科学研究所脑损伤成套测验。样本包括30例轻度至中度创伤性脑损伤患者。所有受试者均以其母语进行单独测试。
在认知领域，患者在所有测试中表现不佳；然而，在心理速度（43.3%）、持续注意力（26.7%）、言语工作记忆（30%）、反应抑制（36.7%）、言语记忆（即时和延迟）（43%）以及视觉（即时，23.3%和延迟，26.7%）方面的比例更高。在性功能领域，所有四个领域（性欲、勃起、射精和问题评估）均受到影响，然而总体满意度（93.3%）是足够的。在四个领域中，问题评估（70%）、射精（56.7%）和勃起（46.7%）的参与比例更高。发现心理速度、言语工作记忆、计划和视觉记忆与性功能的性欲、勃起、射精和总体满意度领域之间存在显著相关性。发现运动速度和持续注意力与性欲、勃起和射精之间存在负相关。
创伤性脑损伤后认知和性功能均受到影响。然而，专业人员对性功能的关注较少。需要进行教育干预，以使专业人员对该领域敏感，并将该领域纳入更好的管理中。
