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身体康复医学评论综述

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ISSN 打印: 0896-2960

ISSN 在线: 2162-6553

SJR: 0.141 SNIP: 0.129 CiteScore™:: 0.6 H-Index: 18

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Prevalence, Correlates, Mechanisms, and Treatment of Sexual Health Problems After Traumatic Brain Injury: A Scoping Review

卷 24, 册 1-2, 2012, pp. 1-34
DOI: 10.1615/CritRevPhysRehabilMed.v24.i1-2.10
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摘要

Sexuality is an important domain affected by traumatic brain injury (TBI). A scoping review was conducted to identify the evidence base derived from quantitative studies investigating sexual health issues after TBI. A systematic search of 4 electronic databases found 1833 citations published as of the end of 2010, of which 24 met the inclusion/exclusion criteria. Only 2 treatment studies were identified (a single case treating premature ejaculation and a case series treating sexual dysfunction induced by selective serotonin reuptake inhibitors); both were rated poorly for methodological quality. Fourteen studies reported the prevalence of sexual dysfunction (drive, arousal, orgasm), with rates generally ranging between 10% and 50%. One study reported about the knowledge of safer sex and another reported about the agency use of a sex education program for adults with TBI. Six studies reported mechanisms underpinning sexual function/dysfunction: 2 found that reduction in sexual cognition may be linked to reduced sex drive; 2 reported intact penile function among men in a vegetative state; and 2 reported the duration of amenorrhea and female fertility rates after TBI. Overall, most studies were from a single center, few were controlled, and all observational studies were cross-sectional, meaning that the course of sexual dysfunction after TBI is unknown. Given the frequency and complexity of sexual health issues after TBI, more high quality studies are needed.

对本文的引用
  1. Bivona Umberto, Antonucci Gabriella, Contrada Marianna, Rizza Federica, Leoni Federica, Zasler Nathan D., Formisano Rita, A biopsychosocial analysis of sexuality in adult males and their partners after severe traumatic brain injury, Brain Injury, 30, 9, 2016. Crossref

  2. Holloway Mark, Tyrrell Lauren, Acquired Brain Injury, Parenting, Social Work, and Rehabilitation: Supporting Parents to Support Their Children, Journal of Social Work in Disability & Rehabilitation, 15, 3-4, 2016. Crossref

  3. Simpson Grahame, Simons-Coghill Martine, Bates Annerley, Gan Caron, Moreno Alexander, Gan Caron, Zasler Nathan D., What is known about sexual health after pediatric acquired brain injury: A scoping review, NeuroRehabilitation, 41, 2, 2017. Crossref

  4. Marier-Deschênes Pascale, Gagnon Marie-Pierre, Lamontagne Marie-Eve, Co-creation of a post-traumatic brain injury sexuality information toolkit: a patient-oriented project, Disability and Rehabilitation, 43, 14, 2021. Crossref

  5. Marier Deschênes Pascale, Lamontagne Marie-Eve, Gagnon Marie-Pierre, Moreno Jhon Alexander, Talking About Sexuality in the Context of Rehabilitation Following Traumatic Brain Injury: An Integrative Review of Operational Aspects, Sexuality and Disability, 37, 3, 2019. Crossref

  6. Baguley Ian J., Barden Hannah L., Nott Melissa T., Altered sexual function after central neurological system trauma is reflective of region of injury; brain vs spinal cord, Brain Injury, 34, 13-14, 2020. Crossref

  7. Fraser Elinor E., Downing Marina G., Haines Kerrie, Bennett Linda, Olver John, Ponsford Jennie L., Evaluating a Novel Treatment Adapting a Cognitive Behaviour Therapy Approach for Sexuality Problems after Traumatic Brain Injury: A Single Case Design with Nonconcurrent Multiple Baselines, Journal of Clinical Medicine, 11, 12, 2022. Crossref

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