Objective: To investigate predictors of sexual functioning 1 year following traumatic brain injury (TBI). Design: Prospective cohort study. Setting: Community. Participants: 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.
- Sexual dysfunction
- Traumatic brain injury
ASJC Scopus subject areas
- Clinical Neurology
- Physical Therapy, Sports Therapy and Rehabilitation
Predictors of sexual functioning and satisfaction 1 year following traumatic brain injury : A TBI model systems multicenter study. / Sander, Angelle M.; Maestas, Kacey Little; Nick, Todd G.; Pappadis, Monique R.; Hammond, Flora; Hanks, Robin A.; Ripley, David L.In: Journal of Head Trauma Rehabilitation, Vol. 28, No. 3, 05.2013, p. 186-194.
Research output: Contribution to journal › Article
TY - JOUR
T1 - Predictors of sexual functioning and satisfaction 1 year following traumatic brain injury
T2 - A TBI model systems multicenter study
AU - Sander, Angelle M.
AU - Maestas, Kacey Little
AU - Nick, Todd G.
AU - Pappadis, Monique R.
AU - Hammond, Flora
AU - Hanks, Robin A.
AU - Ripley, David L.
PY - 2013/5
Y1 - 2013/5
N2 - Lippincott Williams & Wilkins.
AB - Lippincott Williams & Wilkins.
KW - Sexual dysfunction
KW - Traumatic brain injury
UR - http://www.scopus.com/inward/record.url?scp=84880056633&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84880056633&partnerID=8YFLogxK
U2 - 10.1097/HTR.0b013e31828b4f91
DO - 10.1097/HTR.0b013e31828b4f91
M3 - Article
VL - 28
SP - 186
EP - 194
JO - Journal of Head Trauma Rehabilitation
JF - Journal of Head Trauma Rehabilitation
SN - 0885-9701
IS - 3