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Sexual function assessment in men with PTSD

Published online by Cambridge University Press:  13 August 2021

R. Maalej ,
G. Hamdi ,
D. Felfel ,
H. Ben Ammar ,
A. Maamri ,
Y. El Kissi  and
H. Zalila
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

Exposure to extreme traumatic events can lead to post-traumatic stress disorder (PTSD). This disorder affects emotional, social and professional functioning. Recent studies suggest that it can lead to sexual dysfunction.

Objectives

The aim of this study is to compare the level of sexual dysfunction between men with PTSD and control subjects.

Methods

A total of 30 male PTSD patients and 30 controls were included in this study. We used the Post-Traumatic Stress Disorder Check Scale (PCLS) to assess the intensity of PTSD symptoms and the International Erectile Function Index (IIEF15) to assess sexual dysfunction of both patients and controls.

Results

The mean IIEF-15 score was 51.16 ± 6.82 in patients followed for PTSD versus 77.33 ± 2.02 in healthy controls with a non-significant difference (p = 0.26). Three patients (10%) had an alteration of desire while the control reported only dysfunction but there was no significant difference between the mean scores of IIEF-SD (p = 0.22). No patient or control had erectile dysfunction and there was no significant difference between the IIEF-EF sub-scores in the 2 groups (p = 0.20). The mean sexual intercourse satisfaction (SD) score in the patients was 5.13 ± 1.10 versus 8.86 ± 0.40 with a non-significant difference (p = 0.09). Altered satisfaction with intercourse was noted in 15% (n = 5) of subjects with PTSD versus a single control.

Conclusions

It is important that practitioners address the subject of sexuality in patients followed for PTSD and refer their patients, if necessary, to a sexology consultation.

Keywords

SEXUAL FUNCTIONptsd
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S551
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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