Article

OBJECTIVE: To investigate predictors of sexual functioning 1 year following
traumatic brain injury (TBI). DESIGN: Prospective cohort study. SETTING:
Community. A total of 255 persons with TBI (187 males; 68 females)
who had been treated at 1 of 6 TBI Model Systems inpatient rehabilitation units
and were living in the community. MAIN MEASURES: Derogatis Interview for Sexual
Functioning-Self-Report (DISF-SR); Global Satisfaction With Sexual Functioning
(Global Sexual Satisfaction Index); Participation Assessment With Recombined
Tools-Objective; Patient Health Questionnaire-9. RESULTS: Older age, female
gender, and more severe injury were associated with greater sexual dysfunction 1
year following injury. As age increased from 24 to 49 years, the odds of sexual
impairment increased more than 3-fold (95% confidence interval: 1.82-5.88).
Females had a 2.5 increase in odds of sexual impairment compared with males (95%
confidence interval: 1.23-5.26). Greater social participation was predictive of
better sexual functioning. Dissatisfaction with sexual functioning was predicted
by older age and depression. CONCLUSIONS AND IMPLICATIONS: Older persons and
females appear to be at greater risk for sexual dysfunction after TBI and may
benefit from specialized assessment and treatment services. Relationships were
identified between social participation and sexual function and between
depression and sexual satisfaction that may serve as clinical indicators for
further assessment and intervention. Further research is needed to elucidate
these relationships and identify effective clinical approaches.

Langue : ANGLAIS