Published 4 issues per year
ISSN Print: 0896-2960
ISSN Online: 2162-6553
Indexed in
Prevalence, Correlates, Mechanisms, and Treatment of Sexual Health Problems After Traumatic Brain Injury: A Scoping Review
Get access
ABSTRACT
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.
-
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
-
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
-
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
-
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
-
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
-
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
-
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