Sipahimalani Gilles, Remadi Marion, Baldacci Antoine, Long-Depaquit Thibaut, Peyrottes Arthur, Dusaud Marie, Saguin Emeric
Psychiatry Department, Hôpital National Des Armées Percy, Clamart, France.
Psychiatry Department, Hôpital National Des Armées Bégin, Saint-Mandé, France.
Basic Clin Androl. 2025 May 26;35(1):19. doi: 10.1186/s12610-025-00266-1.
Sexual dysfunction is a serious and frequently underrecognized consequence of Post-Traumatic Stress Disorder (PTSD), with profound implications on quality of life. This study aimed to characterize sexual dysfunction observed in French military personnel suffering from PTSD.
This retrospective study included 32 male French military personnel diagnosed with PTSD who participated in a sexual dysfunction screening program at a French National Military Hospital between October 2023 and August 2024. The mean age of participants was 40 years. The Post-Traumatic Stress Disorder Checklist Scale version DSM-5 (PCL-5) and the International Index of Erectile Function version 5 (IIEF-5) were used to assess PTSD and sexual dysfunction severity. Seventy-two percent (n = 23) reported at least one sexual dysfunction, with sexual desire dysfunction being the most common sexual health issue. Approximately 70% perceived the impact of sexual dysfunction on quality of life as high or very high. Significant correlations were found between PCL-5 and IIEF-5 scores, suggesting that the severity of PTSD symptoms impacts sexual health, specifically concerning cluster B (re-experiencing symptoms) and cluster D (negative thoughts and/or feelings) symptoms. Psychiatric symptoms were the primary risk factor, followed by psychotropic treatment and personal factors.
This study highlights the high prevalence of sexual dysfunction among French military personnel with PTSD. The diversity of the clinical presentations and risk factors emphasize the need for comprehensive sexual health assessments in PTSD management. Personalized care strategies targeting both psychiatric and sexual health issues are essential for improving outcomes in this population.
性功能障碍是创伤后应激障碍（PTSD）的一个严重且常被忽视的后果，对生活质量有深远影响。本研究旨在描述在患有PTSD的法国军事人员中观察到的性功能障碍特征。
这项回顾性研究纳入了32名被诊断为PTSD的法国男性军事人员，他们于2023年10月至2024年8月期间在一家法国国家军事医院参加了性功能障碍筛查项目。参与者的平均年龄为40岁。使用创伤后应激障碍检查表量表第5版（PCL - 5）和国际勃起功能指数第5版（IIEF - 5）来评估PTSD和性功能障碍的严重程度。72%（n = 23）报告至少存在一种性功能障碍，性欲障碍是最常见的性健康问题。约70%的人认为性功能障碍对生活质量的影响很大或非常大。PCL - 5和IIEF - 5评分之间存在显著相关性，表明PTSD症状的严重程度会影响性健康，特别是在B组（再体验症状）和D组（消极思维和/或情绪）症状方面。精神症状是主要危险因素，其次是精神药物治疗和个人因素。
本研究强调了患有PTSD的法国军事人员中性功能障碍的高患病率。临床表现和危险因素的多样性强调了在PTSD管理中进行全面性健康评估的必要性。针对精神和性健康问题的个性化护理策略对于改善该人群的治疗效果至关重要。
