Specific PTSD symptom clusters mediate the association of military sexual trauma severity and sexual function and satisfaction in female service members/veterans

Journal of Affective Disorders
Rebecca K BlaisRick A Cruz

Abstract

Sexual satisfaction and function are vastly understudied in female service members/veterans (SM/Vs). Military sexual trauma (MST) is associated with poorer sexual satisfaction and function, but the mechanism through which MST relates to sexual satisfaction and function is unknown. Posttraumatic stress disorder (PTSD) is one of the most frequent diagnoses following MST, and those with poorer sexual satisfaction and function experience higher PTSD symptoms, particularly numbing and anhedonia symptom clusters. In this study, we examined which symptom clusters (re-experiencing, avoidance, negative alterations in cognition and mood [NACM], anhedonia, dysphoric and anxious arousal) mediated the relationship between MST and sexual satisfaction and function. Female SM/Vs (N = 1,189) completed self-report measures of MST severity (none, harassment only, assault), PTSD, sexual satisfaction, and sexual function, as well as a demographic inventory. Anhedonia and dysphoric arousal fully mediated the association between assault MST and sexual satisfaction and function. NACM fully mediated the association between harassment and assault MST and sexual satisfaction. Finally, dysphoric arousal significantly mediated the association of harassment...Continue Reading

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Citations

Jul 25, 2019·Journal of Clinical Psychology·Jordan KuglerRebecca K Blais
Aug 24, 2019·Trauma, Violence & Abuse·Carey S Pulverman, Suzannah K Creech
Aug 28, 2020·Journal of Sex & Marital Therapy·Jade Garneau-FournierJessica A Turchik
Mar 28, 2020·Journal of Traumatic Stress·Julia I O'Loughlin, Lori A Brotto
Jan 12, 2021·Journal of Sex Research·Claire A KolajaCynthia A LeardMann
May 16, 2021·Journal of Clinical Psychology·Hallie S TannahillRebecca K Blais
Jun 23, 2021·Journal of Affective Disorders·Claire A KolajaCynthia A LeardMann
Sep 30, 2021·Current Psychiatry Reports·Paulette T CazaresGenelle Weits
Oct 12, 2021·Depression and Anxiety·Suzannah K CreechKristin Mattocks

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