Mental Health Care Center, James J. Peters Veterans Affairs Medical Center, Bronx, NY, USA.
Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
J Sex Med. 2015 May;12(5):1107-19. doi: 10.1111/jsm.12856. Epub 2015 Apr 6.
Difficulties in sexual desire and function often occur in persons with posttraumatic stress disorder (PTSD), but many questions remain regarding the mechanisms underlying the occurrence of sexual problems in PTSD.
The aim of this review was to present a model of sexual dysfunction in PTSD underpinned by an inability to regulate and redirect the physiological arousal needed for healthy sexual function away from aversive hyperarousal and intrusive memories.
A literature review pertaining to PTSD and sexual function was conducted. Evidence for the comorbidity of sexual dysfunction and PTSD is presented, and biological and psychological mechanisms that may underlie this co-occurrence are proposed.
This manuscript presents evidence of sexual dysfunction in conjunction with PTSD, and of the neurobiology and neuroendocrinology of PTSD and sexual function.
Sexual dysfunction following trauma exposure may be mediated by PTSD-related biological, cognitive, and affective processes.
The treatment of PTSD must include attention to sexual dysfunction and vice versa.
创伤后应激障碍（PTSD）患者常出现性欲和性功能障碍，但对于 PTSD 患者发生性问题的机制仍存在许多问题。
本综述旨在提出一个 PTSD 性障碍模型，该模型的基础是无法调节和重新引导健康性功能所需的生理唤起，使其远离厌恶的过度唤起和侵入性记忆。
对 PTSD 和性功能相关文献进行了回顾。本文提出了性功能障碍与 PTSD 共病的证据，并提出了可能导致这种共病的生物学和心理学机制。
本文介绍了 PTSD 相关的生物、认知和情感过程与性功能障碍之间的关联。
创伤后暴露后的性功能障碍可能是由 PTSD 相关的生物学、认知和情感过程介导的。
PTSD 的治疗必须包括对性功能障碍的关注，反之亦然。
