Examining Changes in Sexual Functioning after Cognitive Processing Therapy in a Sample of Women Trauma Survivors
| Autor: | Lisa H. Glassman, Margaret-Anne Mackintosh, Miranda A. Chatfield, Stephanie Y. Wells, Leslie A. Morland, Min Ji Sohn, Alexander M. Talkovsky |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Health (social science) Sexual Behavior Structural equation modeling Arousal Stress Disorders Post-Traumatic Young Adult Quality of life Surveys and Questionnaires Maternity and Midwifery Humans Medicine Sexual Dysfunctions Psychological Survivors Index trauma Orgasm Aged Veterans Cognitive Behavioral Therapy Sexual functioning business.industry Public Health Environmental and Occupational Health Obstetrics and Gynecology Middle Aged Posttraumatic stress Treatment Outcome Sexual dysfunction Quality of Life Cognitive processing therapy Wounds and Injuries Female medicine.symptom business Clinical psychology |
| Zdroj: | Women's Health Issues. 29:72-79 |
| ISSN: | 1049-3867 |
| DOI: | 10.1016/j.whi.2018.10.003 |
| Popis: | Background Posttraumatic stress disorder (PTSD) and sexual dysfunction commonly co-occur. Although sexual dysfunction is more prevalent among women and the negative impact of sexual dysfunction on quality of life is stronger in women compared with men, few studies examine the impact of evidence-based PTSD treatments on sexual functioning outcomes in women with PTSD. The current study examined the relationship between PTSD and sexual functioning among women trauma survivors to examine if sexual functioning improves after cognitive processing therapy (CPT). Procedures A total of 126 civilian and veteran women were randomly assigned to receive CPT delivered via either office-based videoconferencing or traditional office-based care. PTSD outcomes were examined from before treatment to after treatment and sexual functioning outcomes were examined from before treatment to the 3-month follow-up. Multigroup structural equation modeling was used to compare changes in sexual functioning and PTSD scores over time. We also compared how sexual functioning changed after treatment among women who identified a sexual trauma as their index trauma compared with those with nonsexual index traumas. Findings Greater baseline PTSD symptoms predicted poorer sexual satisfaction at baseline. Sexual satisfaction, arousal, and desire improved after CPT; veteran status and index trauma type (i.e., sexual vs. nonsexual) did not attenuate this relationship. Women who had greater decreases in PTSD symptoms experienced greater improvements in sexual satisfaction, arousal, and desire. Conclusions The current study provides preliminary support that CPT treatment may improve sexual functioning in women trauma survivors. Clinicians should assess sexual functioning to promote disclosure and develop a treatment plan. |
| Databáze: | OpenAIRE |
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