Posttraumatic Stress Disorder and Comorbid Sexual Dysfunctions

Letica-Crepulja, Marina; Juretić, Tanja Grahovac; Katalinić, Sanja; Rončević-Gržeta, Ika; Frančišković, Tanja

doi:10.24869/psyd.2017.221

Cited by 3 publications

(3 citation statements)

References 27 publications

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“…Patients and/or health professionals may be reluctant to mention and discuss sexual symptoms [24], and a huge proportion of SD remains undiagnosed. Despite that, clinical observations and rising awareness have encouraged the recognition and assessment of SD in this patient group, and case reports [25] and research articles [26,27] regarding SD in veterans with PTSD in Croatia have been published.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Sexual Dysfunction in Veterans with Post-Traumatic Stress Disorder

Letica-Crepulja

Stevanović

Protuđer

et al. 2019

JCM

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Background: The problems in sexual functioning among patients with post-traumatic stress disorder (PTSD) are often overlooked, although scientific research confirms high rates of sexual dysfunctions (SD) particularly among veterans with PTSD. The main objective of this study was to systematically identify predictors of SD among veterans with PTSD. Methods: Three hundred veterans with PTSD were included in the cross-sectional study. The subjects were assessed by the Mini-International Neuropsychiatric Interview (MINI) and self-report questionnaires: PCL-5, i.e., PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) with Criterion A, International Index of Erectile Function (IIEF), Premature Ejaculation Diagnostic Tool (PEDT), and Relationship Assessment Scale (RAS). Several hierarchical multiple regressions were performed to test for the best prediction models for outcome variables of different types of SD. Results: 65% of participants received a provisional diagnosis of SD. All tested prediction models showed a good model fit. The significant individual predictors were cluster D (Trauma-Related Negative Alterations in Cognition and Mood) symptoms (for all types of SD) and in a relationship status/relationship satisfaction (all, except for premature ejaculation (PE)). Conclusions: The most salient implication of this study is the importance of sexual health assessment in veterans with PTSD. Therapeutic interventions should be focused on D symptoms and intended to improve relationship functioning with the aim to lessen the rates of SD. Psychotropic treatment with fewer adverse sexual effects is of utmost importance if pharmacotherapy is applied. Appropriate prevention, screening, and treatment of medical conditions could improve sexual functioning in veterans with PTSD.

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Section: Introductionmentioning

confidence: 99%

Predictors of Sexual Dysfunction in Veterans with Post-Traumatic Stress Disorder

Letica-Crepulja

Stevanović

Protuđer

et al. 2019

JCM

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“…It has been well-known that patients with PTSD commonly experience comorbid psychiatric conditions. The data from epidemiologic surveys have indicated that depression, anxiety disorders, and substance-related disorders are the most prevalent comorbid psychiatric disorders among PTSD patients, and in turn, all of them increase the risk for SD [ 26 , 31 ]. Kotler et al have found high levels of comorbid panic disorder, depression, and anxiety in patients with PTSD, and they consider that could be the reason for more frequent sexual dysfunctions [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…Almost 30 years after the Homeland War in Croatia (1991)(1992)(1993)(1994)(1995), veterans still suffer from numerous health problems. In recent periods, case reports [31] and research articles [5,6,18] on SDs among Croatian veterans with PTSD have been published revealing a huge proportion of undiagnosed and untreated SDs. The main objective of this research was to assess whether higher levels of SD are related to PTSD or not through comparing the group of veterans with and the veterans without PTSD.…”

Section: Introductionmentioning

confidence: 99%

Sexual Dysfunctions among Veterans with and without PTSD

2023

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Background: Research on the relationship between posttraumatic stress disorder (PTSD) and sexual dysfunctions (SD) has clearly recognized the association among these conditions. The main objective of this research was to compare the levels of the overall and the level of certain domains of sexual functioning among veterans with and those without PTSD. Methods: Two hundred and fifty veterans with PTSD and 187 veterans without PTSD were included in the comparative study. The following assessments were conducted: LEC-5, PCL-5, ITQ, IIEF, PEDT, and MINI. Results: Veterans with PTSD had significantly higher levels of all types of SD in the PTSD group compared with the non-PTSD veterans. Veterans with PTSD more frequently experienced psychiatric and somatic comorbidities and use of medication that may contribute to the occurrence and severity of SD. Conclusions: The present study emphasized that SDs are an important issue among patients with PTSD. The study comprehensively accounted for conditions that may contribute to the occurrence and severity of SD among veterans with PTSD. Future directions of the research that could further improve the healthcare of the patients were indicated.

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