Untitled

Letourneau, Elizabeth J.; Schewe, Paul A.; Frueh, B. Christopher

doi:10.1023/a:1024868632543

Cited by 34 publications

(9 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…PTSD is associated with poor sexual functioning in multiple domains: desire, arousal, orgasm, activity and satisfaction. These findings confirm those of Kaplan [1, 2], Letourneau et al [3], Litz et al [22]and Solursh and Solursh [23]. One possible explanation for these findings is that PTSD serves as a moderating variable between an initial trauma and sexual problems.…”

Section: Discussionsupporting

confidence: 90%

“…Kaplan [1, 2]has shown that sexual problems are prevalent among PTSD patients. Letourneau et al [3]reported that over 80% of PTSD patients studied were experiencing clinically relevant sexual difficulties. Impotence and premature ejaculation were the most frequently reported problems.…”

Section: Introductionmentioning

confidence: 99%

“…Impotence and premature ejaculation were the most frequently reported problems. They suggest that PTSD may be a risk factor for sexual problems [3]. …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Sexual Dysfunction in Male Posttraumatic Stress Disorder Patients

Kotler

Cohen

Aizenberg

et al. 2000

Psychother Psychosom

View full text Add to dashboard Cite

Background: Previous studies have suggested that sexual dysfunction may be associated with posttraumatic stress disorder (PTSD). Yet such studies have not examined a full range of sexual functioning and have not accounted for the possibility that medication used to treat PTSD may contribute to sexual dysfunction. Objective: The current study compares the various components of sexual functioning among three groups of males: (1) untreated PTSD patients (n = 15), (2) PTSD patients currently treated with selective serotonin reuptake inhibitor (SSRI) agents (n = 27) and (3) a group of normal controls (n = 49). Methods: All participants completed an 18-item questionnaire for assessment of sexual functioning. Those with PTSD also completed the Impact of Events Scale and the Symptom Check List-90 (SCL-90). Results: Untreated and treated PTSD patients had significantly poorer sexual functioning in all domains (desire, arousal, orgasm, activity and satisfaction) as compared to normal controls. Those treated with SSRI had greater impairment in desire, arousal and frequency of sexual activity with a partner. There was a high correlation between sexual dysfunction among the PTSD group and the anger-hostility subscale of the SCL-90. Conclusions: PTSD appears to be associated with pervasive sexual dysfunction that is exacerbated by treatment with SSRIs. PTSD may represent a heterogeneous syndrome. Patients with PTSD have a high rate of comorbid panic disorder, major depression and anxiety, and it could thus be argued that these comorbid disorders, rather than PTSD, accounted for the observed result. Future research aimed at understanding comorbidity and heterogeneity should help to illuminate the psychobiology of PTSD and eventually guide both medication and psychosocial treatments.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Sexual Dysfunction in Male Posttraumatic Stress Disorder Patients

Kotler

Cohen

Aizenberg

et al. 2000

Psychother Psychosom

View full text Add to dashboard Cite

show abstract

“…It was shown that sexual problems are highly prevalent in psychiatric outpatients, including PTSD patients [1, 2, 3, 4, 5]. Letourneau et al [3] reported that over 80% of PTSD patients studied were experiencing clinically relevant sexual difficulties while erectile dysfunction and premature ejaculation were the most frequently reported problems. It was suggested that PTSD might be a significant risk factor for sexual problems [3, 4].…”

Section: Introductionmentioning

confidence: 99%

Sildenafil Citrate for the Sexual Dysfunction in Antidepressant-Treated Male Patients with Posttraumatic Stress Disorder

Reznik

Zemishlany

Kotler

et al. 2002

Psychother Psychosom

View full text Add to dashboard Cite

Background: Previous studies have suggested that posttraumatic stress disorder (PTSD) may be associated with pervasive sexual dysfunction. Sildenafil citrate was established as a highly effective and well-tolerated oral agent for the treatment of sexual dysfunction of various etiologies. There are no studies that have examined the efficacy of oral sildenafil in PTSD patients with sexual dysfunction. Objective: The current study evaluated the impact of sildenafil added to an ongoing antidepressive treatment in male PTSD patients. Methods: Ten consecutive male PTSD patients who complained of sexual dysfunction were enrolled in an open-label 4-week fixed-dose study of sildenafil citrate 50 mg/day p.r.n. Patients were evaluated at baseline and after treatment with the Clinician-Administered PTSD Scale (CAPS); sexual function assessments were performed using the International Index of Erectile Function. Results: All patients completed the study and statistically significant improvement was observed in all evaluated domains of sexual functioning: erectile function (53.5%), orgasmic function (40.3%), sexual desire (53%), intercourse satisfaction (82%) and overall satisfaction (57.4%). Oral sildenafil treatment appeared to be well tolerated and no single patient stopped the treatment. Improvements in various CAPS subscales were also obtained; however, there was no significant correlation between improvement in sexual functioning and the changes in CAPS subscale scores. Conclusion: Sildenafil seems to be an efficacious, safe and well-tolerated treatment of sexual dysfunction in antidepressant-treated male PTSD patients.

show abstract

“…It is also possible that sexual behavior problems may apply only to a subset of individuals with a specific traumatic exposure: victims of sexual abuse. However, previous studies have reported high rates (over 80%) of clinically significant sexual problems in male combat veterans with PTSD (Letourneau, Schewe, & Frueh, 1997), as well as a significant association between PTSD and sexual problems in female crime victims (Letourneau, Resnick, Kilpatrick, Saunders, & Best, 1996). Further work to field test and calibrate these items will determine whether they do fall within these clusters, whether they are appropriate for inclusion in a CAT, and whether a CAT can accurately assess and monitor PTSD symptoms using a smaller number of items than paper-and-pencil tests.…”

Section: Discussionmentioning

confidence: 90%

Enhancing self‐report assessment of PTSD: Development of an item bank

Vecchio

Elwy

Smith

et al. 2011

Journal of Traumatic Stress

View full text Add to dashboard Cite

The authors report results of work to enhance self-report posttraumatic stress disorder (PTSD) assessment by developing an item bank for use in a computer-adapted test. Computer-adapted tests have great potential to decrease the burden of PTSD assessment and outcomes monitoring. The authors conducted a systematic literature review of PTSD instruments, created a database of items, performed qualitative review and readability analysis, and conducted cognitive interviews with veterans diagnosed with PTSD. The systematic review yielded 480 studies in which 41 PTSD instruments comprising 993 items met inclusion criteria. The final PTSD item bank includes 104 items representing each of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV; American Psychiatric Association [APA], 1994), PTSD symptom clusters (reexperiencing, avoidance, and hyperarousal), and 3 additional subdomains (depersonalization, guilt, and sexual problems) that expanded the assessment item pool.

show abstract

Untitled

Cited by 34 publications

References 8 publications

Sexual Dysfunction in Male Posttraumatic Stress Disorder Patients

Sexual Dysfunction in Male Posttraumatic Stress Disorder Patients

Sildenafil Citrate for the Sexual Dysfunction in Antidepressant-Treated Male Patients with Posttraumatic Stress Disorder

Enhancing self‐report assessment of PTSD: Development of an item bank

Contact Info

Product

Resources

About