Downing Marina, Ponsford Jennie
a Monash-Epworth Rehabilitation Research Centre, School of Psychological Sciences , Monash University , Clayton , Victoria , Australia.
Neuropsychol Rehabil. 2018 Sep;28(6):1028-1037. doi: 10.1080/09602011.2016.1236732. Epub 2016 Sep 28.
Whilst previous research has detailed the impact of TBI on an individual's sexuality, few studies have investigated couples' sexuality where one partner has sustained a TBI. The study assessed sexual function in individuals with TBI and their partners. Fifty five individuals who had sustained TBI and their partners completed the Derogatis Interview for Sexual Function-Self Report (DISF-SR). All participants scored below the 50th percentile in relation to norms. Whilst participants with TBI obtained lower T-scores than partners on all subscales (except for sexual behaviour/experiences where scores were equivalent), as well as the total score, none of these differences was significant. Item analysis indicated that female participants with TBI reported significantly lower scores than female partners on frequency of having normal lubrication. Normative comparisons revealed that approximately one-third of individuals with TBI and one-fifth of their partners scored below the second percentile. Given the high frequency of sexual problems in individuals with TBI, which also impact their partners, addressing sexual problems should be a priority in rehabilitation and beyond.
虽然先前的研究已经详细阐述了创伤性脑损伤(TBI)对个体性功能的影响,但很少有研究调查夫妻中一方患有创伤性脑损伤时夫妻双方的性功能情况。该研究评估了创伤性脑损伤患者及其伴侣的性功能。55名患有创伤性脑损伤的个体及其伴侣完成了性功能自我报告的德罗加蒂斯访谈(DISF-SR)。所有参与者的得分均低于第50百分位的标准。虽然创伤性脑损伤患者在所有子量表(性行为/经历得分相同除外)以及总分上的T分数均低于其伴侣,但这些差异均无统计学意义。项目分析表明,患有创伤性脑损伤的女性参与者在正常润滑频率方面的得分显著低于女性伴侣。标准比较显示,约三分之一的创伤性脑损伤患者及其五分之一的伴侣得分低于第二百分位。鉴于创伤性脑损伤患者性功能问题的高发生率及其对伴侣的影响,解决性功能问题应成为康复及其他方面的优先事项。