The effects of childhood trauma on sexual function in panic disorder patients

Amaç: Bu araştırmanın amacı, çocukluk çağı cinsel ve fiziksel istismarının (ÇÇCİ/ÇÇFİ), intihar girişimlerinin ve kendine zarar verme davranışlarının, panik bozukluk tanısı almış hastalarda cinsel işlevle ilintisinin incelenmesidir. Yöntem: 81 panik bozukluk hastası bu çalışmaya alındı. Katılımcılar, Çocukluk Çağı Travma Anketi, sosyodemografik form ve Arizona Cinsel Yaşantılar Ölçeği (ACYÖ) ile değerlendirildi. Bulgular: Katılımcıların %48.1’inde fiziksel istismar ve %9.9’unda cinsel istismar öyküsü vardı. Fiziksel istismara uğramış olan kadın katılımcıların toplam ACYÖ puanları ile cinsel istek, uyarılma, orgazma ulaşabilme ve orgazm tatmini puanları, fiziksel istismar öyküsü olmayan katılımcıların puanlarından yüksekti. Cinsel istismar öyküsü bulunan kadın katılımcıların puanları; uyarılma, orgazma ulaşabilme ve toplam ACYÖ puanları açısından, cinsel istismar öyküsü bulunmayanların puanlarıyla karşılaştırıldığında, anlamlı olarak daha yüksek bulundu. Erkek katılımcılar için böyle bir farklılık saptanmadı. Regresyon analizine göre, çocukluk çağındaki istismar yaşantılarından ziyade, depresyon komorbiditesi cinsel işlev bozukluğunda yordayıcı olarak belirlendi. Sonuç: Çocukluk çağı cinsel ve fiziksel istismar öyküsü bulunan panik bozukluk hastalarının cinsel istekleri, uyarılmaları ve orgazmları inhibe olmaktadır. Panik bozukluk hastalarında gözlenen cinsel işlev sorunları, çocukluk çağı taciz yaşantılarının yanı sıra depresyon komorbiditesinden etkilenmektedir.

Panik bozukluk hastalarında çocukluk çağı travmatik yaşantılarının cinsel işlev üzerine etkileri

Objective: The aim of this study is to investigate the relationship between childhood physical/sexual abuse, suicide attempts, self-harming behavior and sexual functioning in patients with panic disorder. Method: 81 patients with panic disorder were included in the study. Participants were evaluated by using Childhood Trauma Questionnaire, sociodemographic form and Arizona Sexual Experiences Scale (ASEX). Results: The frequency of physical abuse history was 48.1% and the frequency of sexual abuse was 9.9% in the sample. Female participants with a history of physical abuse had significantly higher scores in the items of sexual desire, arousal, ability to reach orgasm, satisfaction from orgasm and total ASEX scores than those without a history of physical abuse. Female participants with a sexual abuse history also had higher scores in the items of arousal, ability to reach orgasm and total ASEX scores. No significant difference was found between male participants with regard to physical/sexual abuse history. In a regression model, comorbid major depressive disorder rather than abuse history was found to be a predictor of poor sexual functioning. Conclusion: Female patients with panic disorder who have physical/sexual abuse history have inhibited sexual desire, arousal and orgasm. Sexuality in patients with panic disorder is affected by depression comorbidity as well as sexual and physical abuse history.

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Düşünen Adam - Psikiyatri ve Nörolojik Bilimler Dergisi-Cover
  • ISSN: 1018-8681
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1984
  • Yayıncı: Kare Yayıncılık
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