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Predictors of male sexual dysfunction in post traumatic stress disorder

Published online by Cambridge University Press:  13 August 2021

R. Maalej
Affiliation:
Psychiatry Department, Razi, manouba, Tunisia
G. Hamdi
Affiliation:
Psychiatry Department, Razi, manouba, Tunisia Psychiatry, Tunisian Society of Clinical Sexology, TUNIS, Tunisia
D. Felfel*
Affiliation:
Psychiatry Department, Razi, manouba, Tunisia
H. Ben Ammar
Affiliation:
Psychiatry Department, Razi, manouba, Tunisia
A. Maamri
Affiliation:
Psychiatry Department, Razi, manouba, Tunisia Psychiatry, Tunisian Society of Clinical Sexology, TUNIS, Tunisia
Y. El Kissi
Affiliation:
Psychiatry, Tunisian Society of Clinical Sexology, TUNIS, Tunisia
H. Zalila
Affiliation:
Psychiatry Department, Razi, manouba, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Post-traumatic stress disorder affects emotional, social and professional functioning. It can also affect physical and sexual health.

Objectives

The aim of this study is to write down the prevalence of sexual dysfunction in men with PTSD and to economize on potential predictors of sexual dysfunction.

Methods

A total of 30 male patients with PTSD were included in this study. We collected socio-demographic and clinical data and we used Post-Traumatic Stress Disorder (PCLS) and International Erectile Function Index (IIEF15) scales.

Results

The mean PTSD severity score was 65.43 ± 2.95. The mean score for revitalization, avoidance, cognitive and mood alteration, and hypervigilance were 15.80 ± 1.44, respectively; 8 ± 0; 24.07 ± 1.20 and 17.57 ± 2.95. The mean IIEF-15 score was 51.16 ± 6.82. The mean sub-scores were 3.93 ± 0.52 for sexual desire; 18.80 ± 5.68 for erectile function; 8.93 ± 8.97 for orgasmic function; 5.13 ± 1.10 for satisfaction with intercourses and 4.13 ± 1.16 for overall satisfaction. The IIEF15-EF score was negatively correlated with the presence of a personal medical history (p = 0.02) and the impairment cognitions and mood score (p = 0.023). The IIEF-OF score was significantly associated with reviviscence, hypervigilance, cognition and mood alterations (p = 0.015; 0.041; 0.045). The IIEF-15 SD score was negatively correlated with altered cognition and mood (p = 0.007).

Conclusions

Our study focused on the importance of assessing sexual function in men followed for PTSD and helps to understand the association of PTSD with different types of sexual dysfunction.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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