Sexuelle Dysfunktionen und sexuelle Zufriedenheit bei Patientinnen mit posttraumatischer Belastungsst&amp;ouml;rung

Haase, A.; Boos, Anne; Schönfeld, Sabine; Hoyer, Jürgen

doi:10.1159/000228725

Cited by 15 publications

(3 citation statements)

References 22 publications

(12 reference statements)

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“…In a study with a sample of college women, Kelley and Gidycz (2016) found that greater anxiety mediated the relationship between ASA and sexual pain, and a higher Sexual Abuse Trauma Index score (a subscale in the Trauma Symptom Checklist [Briere & Runtz, 1989], which includes PTS symptoms commonly associated with sexual assault) mediated the relationship between ASA and greater orgasm difficulties. A third study found that female patients with a history of sexual assault victimization, who had PTSD, were four times more likely to report sexual problems than women with a history of nonsexual trauma (Haase, Boos, Schöenfeld, & Hoyer, 2009; as cited in O’Driscoll & Flanagan, 2015). The current study expands on this previous research by examining the relationship between ASA-related PTS symptoms and specific domains of sexual functioning in a sample of college women, who represent a population at greatest risk for exposure to ASA and are understudied in sexual functioning literature (Hayes & Dennerstein, 2005).…”

Section: Interaction Between Pts Responses and Sexual Functioning Dif...mentioning

confidence: 99%

Posttraumatic stress and sexual functioning difficulties in college women with a history of sexual assault victimization.

Kelley

2019

Psychology of Violence

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Objective: College women are at risk for exposure to sexual victimization, which is a risk factor for posttraumatic stress (PTS) and sexual dysfunction. Contemporary models of female sexual functioning identify the role of distal (e.g., sexual abuse) and proximal (e.g., psychological) variables in contributing to female sexual response. This study examined whether and how PTS symptom clusters are related to specific domains of sexual functioning in a sample of sexually active college women who reported a history of sexual victimization. Method: A nonclinical sample of 108 women, recruited from a midsized university, completed online questionnaires assessing sexual victimization history, PTS symptom clusters (i.e., intrusion, avoidance, and hyperarousal), and difficulties with sexual functioning (i.e., desire, arousal, lubrication, orgasm, pain, and distress). Results: Regression analyses indicated that greater intrusive symptoms were associated with more difficulties with orgasm and higher sexual distress. Conclusion:Results confirm the importance of intrusive PTS symptoms in understanding subjective distress and orgasm difficulties in sexual assault survivors. Possible implications of these findings include the integration of trauma-focused therapy with treatment of sexual dysfunction among women with a history of sexual assault. Future research should examine prospective relationships between sexual assault exposure, PTS response, and female sexual dysfunction.

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Section: Interaction Between Pts Responses and Sexual Functioning Dif...mentioning

confidence: 99%

Posttraumatic stress and sexual functioning difficulties in college women with a history of sexual assault victimization.

Kelley

2019

Psychology of Violence

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“…In addition, some research has provided evidence that sexual assault history is particularly relevant to sexual functioning, compared to other forms of trauma. Haase, Boos, Schoenfeld, and Hoyer (2009) found that female patients with PTSD who had a history of sexual assault were four times more likely to report sexual problems than were those with a history of nonsexual trauma. The potential conditioning of responses specific to the sexual aspects of sexual trauma may account for the heightened salience of sexual assault to the development of sexual problems.…”

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confidence: 98%

Mediators of the relationship between sexual assault and sexual functioning difficulties among college women.

Kelley

2017

Psychology of Violence

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Objective: Research has indicated that adolescent or adulthood sexual assault (ASA) is associated with sexual functioning difficulties; less research has examined mechanisms behind this relationship. The current study tested domains of trauma-related symptomatology as mediators of the relationship between ASA and domains of sexual functioning, while considering a history of childhood sexual abuse (CSA) as a covariate. Method: A sample of 501 sexually active college women from a midwestern university completed paper-and-pencil surveys assessing sexual assault history, trauma-related symptomatology (i.e., dissociation, anxiety, depression, sexual abuse trauma index, sleep difficulties), and sexual functioning (i.e., desire, arousal, lubrication, orgasm, pain). Results: Neither ASA nor CSA was directly related to sexual functioning. However, anxiety mediated the relationship between ASA and greater sexual pain and between ASA and fewer desire difficulties. A higher sexual abuse trauma index mediated the relationship between ASA and greater orgasm difficulties and fewer desire difficulties. Depression mediated the relationship between ASA and sexual pain. Conclusions: Results suggest potential unique psychological mediators of the relationship between ASA and sexual functioning difficulties. Integrative mental and sexual health care among college women survivors of sexual trauma is warranted. Future research should examine whether women who experience sexual pain and have a history of ASA benefit from psychological treatment targeting both trauma symptoms and anxiety related to pain.

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“…Während [Letourneau et al, 1996;Haase et al, 2009]. Dabei wurde gezeigt, dass sexuelle Dysfunktionen nicht nur bei PTBS nach sexueller Traumatisierung vorkommen, sondern gehäuft auch bei Opfern anderer Arten von Traumatisierung [z.B.…”

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Sexuelle Dysfunktionen bei Frauen mit Posttraumatischer Belastungsstörung - ein Übersichtsartikel

Bornefeld-Ettmann

Steil²

2017

Verhaltenstherapie

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Sexuelle Dysfunktionen, sowohl klinischer als auch subklinischer Art, sowie andere sexuelle Beschwerden, die mit aversiven Emotionen, Kognitionen und sexuellem Risikoverhalten einhergehen, treten bei Frauen nach sexuellem Missbrauch sehr häufig auf und sind ein stark unterschätztes Problem. Aber auch bei Opfern anderer Arten von Traumatisierung ergeben sich hohe Prävalenzen sexueller Beschwerden. Dies lässt sich lerntheoretisch sowie anhand der Phänomenologie der Posttraumatischen Belastungsstörung (PTBS) an sich erklären. Sexualität ist eine wichtige Quelle von Lebensfreude, und das Fortbestehen sexueller Dysfunktionen kann mit dem Risiko von Einbußen in Lebensqualität und Selbstwertgefühl sowie von partnerschaftlichen Problemen einhergehen. Neben der klinischen Praxis besteht auch in der klinischen Forschung nach wie vor nur ein unzureichendes Wissen bezüglich des Zusammenhangs zwischen sexuellen Dysfunktionen und traumatischen Erfahrungen, vor allem sexueller Art. Im folgenden Artikel werden die Phänomenologie und Diagnostik weiblicher sexueller Dysfunktionen vorgestellt und Folgen von sexueller Gewalterfahrung auf die Sexualität, auch im Kontext einer PTBS, näher erläutert. Zudem werden Vorschläge zur Integration entsprechender Behandlungsbausteine in die Therapie gemacht

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Sexuelle Dysfunktionen und sexuelle Zufriedenheit bei Patientinnen mit posttraumatischer Belastungsstörung

Cited by 15 publications

References 22 publications

Posttraumatic stress and sexual functioning difficulties in college women with a history of sexual assault victimization.

Posttraumatic stress and sexual functioning difficulties in college women with a history of sexual assault victimization.

Mediators of the relationship between sexual assault and sexual functioning difficulties among college women.

Sexuelle Dysfunktionen bei Frauen mit Posttraumatischer Belastungsstörung - ein Übersichtsartikel

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