Sexual symptoms in post-traumatic stress disorder following childhood sexual abuse: a network analysis

Psychological Medicine
Leonhard KratzerMelanie Büttner

Abstract

Even though recent research indicates that sexual symptoms are highly prevalent in post-traumatic stress disorder following childhood sexual abuse and cause severe distress, current treatments neither address them nor are they effective in reducing them. This might be due to a lack of understanding of sexual symptoms' specific role in the often complex and comorbid psychopathology of post-traumatic stress disorder following childhood abuse. Post-traumatic, dissociative, depressive, and sexual symptoms were assessed in 445 inpatients with post-traumatic stress disorder following childhood sexual abuse. Comorbidity structure was analyzed using a partial correlation network with regularization. A total of 360 patients (81%) reported difficulties engaging in sexual activities and 102 patients (23%) reported to suffer from their sexual preferences. Difficulties engaging in sexual activities were linked to depressive and hyperarousal symptoms, whereas sexual preferences causing distress were linked to anger and dissociation. Dissociative amnesia, visual intrusions, and physical reactions to trauma reminders were of central importance for the network. Dissociative amnesia, depressed mood, lack of energy, and difficulties engaging in s...Continue Reading

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Citations

Aug 14, 2020·Journal of Sex & Marital Therapy·Ateret Gewirtz-Meydan, Sari Ofir-Lavee
Oct 13, 2021·European Archives of Psychiatry and Clinical Neuroscience·Leonhard KratzerThanos Karatzias

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