ABSTRACT

Objective

To compare and contrast the contributory effects of traumatic brain injury (TBI) and spinal cord injury (SCI) on sexual function and social relationship opportunities, hypothesizing that patterns of change in sexual function would follow etiology.

Design

Cross-sectional, case-matched survey of community living individuals with TBI, SCI or both (termed dual diagnosis).

Participants

Consecutive sample of participants with TBI (n = 25), SCI (n = 24) and dual diagnosis (n = 28), an average 3.6 years post-rehabilitation discharge.

Methods

Participants were interviewed using a modified version of the ‘Sexuality after Spinal Injury Questionnaire.’

Results

Almost all respondents (97%) perceived adverse post-injury change in their experience of neurosexual function and/or social relationships. Physiological aspects of sexual function (e.g., erection, orgasm) were most affected by SCI whereas social relationships appeared more affected by TBI. People with dual diagnoses exhibited a combination of features. Participants with SCI (with or without TBI) were significantly more likely to have their concerns about sexual function discussed during rehabilitation than the TBI group.

Conclusion

TBI and SCI produce predictable impacts upon sexual function following injury, the impact of which were less frequently addressed during inpatient rehabilitation for those with TBI.

中文翻译：

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中枢神经系统创伤后的性功能改变反映了受伤区域；脑与脊髓

摘要

目的

为了比较和对比外伤性脑损伤（TBI）和脊髓损伤（SCI）对性功能和社交关系机会的贡献作用，假设性功能改变的模式将遵循病因学。

设计

对患有TBI，SCI或两者兼有的社区生活个体进行横断面，病例匹配的调查（称为双重诊断）。

参加者

TBI（n = 25），SCI（n = 24）和双重诊断（n = 28），康复后平均出院3.6年的参与者的连续样本。

方法

使用“脊髓损伤后调查问卷中的性生活”的修订版对参与者进行了采访。

结果

几乎所有受访者（97％）在他们的神经性功能和/或社交关系方面都感到伤害后的不利变化。性功能的生理方面（例如勃起，性高潮）受SCI影响最大，而社交关系受TBI影响更大。具有双重诊断的人表现出多种特征。与TBI组相比，患有SCI（有或没有TBI）的参与者在康复期间讨论性功能的可能性要高得多。

结论

TBI和SCI对受伤后的性功能产生可预测的影响，而在TBI患者住院康复期间，这种影响的发生频率较低。