Title UTJECAJ POSTTRAUMATSKOG STRESNOG POREMEĆAJA
NA POJAVU SEKSUALNIH DISFUNKCIJA U VETERANA
DOMOVINSKOG RATA Title (english) THE IMPACT OF POSTTRAUMATIC STRESS DISORDER ON
THE OCCURENCE OF SEXUAL DYSFUNCTIONS AMONG
CROATIAN WAR VETERANS Author Marina Protuđer Mentor Marina Letica Crepulja (mentor)Mentor Aleksandra Stevanović (komentor)Committee member Jasna Grković (predsjednik povjerenstva)Committee member Martina Rojnić Kuzman (član povjerenstva)Committee member Goran Arbanas (član povjerenstva)Granter University of Rijeka Defense date and country 2024, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Universal decimal classificationUDC ) 61 - Medical sciences ThesaurusMESH - Medical Subject Headings )
Stress Disorders, Post-Traumatic
Combat Disorders
Sexual Dysfunction, Physiological
Abstract Cilj istraživanja: Rastući broj istraživanja je potvrdio klinički relevantne probleme u
seksualnom funkcioniranju osoba koje boluju od posttraumatskog stresnog poremećaja (PTSPa). Glavni cilj istraživanja je bio ispitati utjecaj simptoma PTSP-a na seksualno funkcioniranje
veterana Domovinskog rata (DR) izloženih ratnoj psihotraumatizaciji te sustavno identificirati
prediktore seksualnih disfunkcija (SD) kod veterana oboljelih od PTSP-a.
Ispitanici i metode: U istraživanje je uključeno ukupno 487 veterana. U prvi dio analize
uključeno je 250 veterana oboljelih od PTSP-a i 187 veterana bez PTSP-a, a u drugi je dio, radi
utvrđivanja prediktora SD, uključeno 300 veterana oboljelih od PTSP-a. Primijenjen je
Međunarodni neuropsihijatrijski intervju (MINI) te su ispitanici ispunili sljedeće
samoprocjenske upitnike: PTSP ljestvica za DSM-5 s kriterijem A (PCL-5), Lista životnih
događaja za DSM-5 (LEC-5), Međunarodni indeks erektilne funkcije (IIEF), Dijagnostički
upitnik preuranjene ejakulacije (PEDT), Ljestvica za procjenu zadovoljstva vezom (RAS) i
sociodemografski upitnik kreiran za potrebe ovog istraživanja. Provedeno je više hijerarhijskih
regresijskih analiza kako bi se ispitali najbolji prediktorni modeli za različite vrste SD.
Rezultati: Veterani oboljeli od PTSP-a su imali značajno veću učestalost seksualnih smetnji u
usporedbi s veteranima bez PTSP-a, i to u svim domenama seksualnog funkcioniranja (želja,
uzbuđenje, orgazam i razrješenje), kao i u zadovoljstvu seksualnim odnosom te ukupnom
seksualnom zadovoljstvu. Također, istraživanje je pokazalo da veterani oboljeli od PTSP-a
imaju češće psihijatrijske i somatske komorbiditete, kao i propisane lijekove koji mogu
pridonijeti pojavi i pogoršanju SD. Značajni pojedinačni prediktori za pojavu svih vrsta SD kod
veterana oboljelih od PTSP-a su intenzitet D skupine simptoma PTSP-a (negativne promjene u
kogniciji i raspoloženju povezane s traumom) i status u vezi/zadovoljstvo vezom za sve SD,
osim preuranjenje ejakulacije.
Zaključak: Istraživanje naglašava važnost procjene seksualnog zdravlja kod veterana oboljelih
od PTSP-a. Terapeutske intervencije trebaju biti usmjerene na D skupinu simptoma PTSP-a i
namijenjene poboljšanju funkcioniranja interpersonalnih odnosa s ciljem smanjenja učestalosti
SD. Adekvatnim izborom psihofarmaka s odgovarajućim farmakološkim profilom može se
smanjiti mogućnost pojave seksualnih nuspojava. Odgovarajuća prevencija, probir i liječenje
određenih zdravstvenih stanja mogu poboljšati seksualno funkcioniranje kod veterana oboljelih
od PTSP-a.
Abstract (english) Objectives: A growing number of studies have confirmed clinically relevant problems in the
sexual functioning of persons suffering from PTSD. The main goal of this research was to
examine the impact of PTSD symptoms on the sexual functioning of Croatian Homeland War
veterans exposed to war related traumatization and to systematically identify predictors of
sexual dysfunction (SD) in veterans suffering from PTSD.
Patients and Methods: A total of 487 veterans were included in the research. The first part of
the analysis included 250 veterans with PTSD and 187 veterans without PTSD, and the second
part, to determine predictors of SD, included 300 veterans with PTSD. The International
Neuropsychiatric Interview (MINI) was applied, and the subjects filled out the following selfreport questionnaires: PTSD Scale for DSM-5 with Criterion A (PCL-5), List of Life Events
for DSM-5 (LEC-5), International Index of Erectile Function (IIEF), Premature Ejaculation
Diagnostic Questionnaire (PEDT), Relationship Satisfaction Assessment Scale (RAS) and
sociodemographic questionnaire created for the purposes of this research. Multiple hierarchical
regression analyses were performed to examine the best predictive models for different types
of SD.
Results: Veterans with PTSD had a significantly higher frequency of sexual disturbances
compared to veterans without PTSD, in all domains of sexual functioning (desire, arousal,
orgasm and release), as well as in satisfaction with sexual intercourse and the overall sexual
satisfaction. Also, veterans suffering from PTSD have more frequent psychiatric and somatic
comorbidities, as well as prescribed medications that can contribute to the occurrence and
worsening of SD. Significant individual predictors for occurrence of all types of SD in veterans
with PTSD were intensity of PTSD group D symptoms (trauma-related negative changes in
cognition and mood) and relationship status/relationship satisfaction for all SDs, except for
premature ejaculation.
Conclusion: The research highlights the importance of assessing sexual health in veterans with
PTSD. Therapeutic interventions should be directed at the D symptoms of PTSD and intended
to improve the functioning of interpersonal relationships with the aim of reducing the frequency
of SD. Adequate selection of psychotropic drugs with an appropriate pharmacological profile
can reduce the possibility of sexual side effects. Appropriate prevention, screening, and
treatment of certain medical conditions can improve sexual functioning in veterans with PTSD.
Keywords
Posttraumatski stresni poremećaj
veterani
Seksualne disfunkcije
prediktori
Keywords (english)
Posttraumatic stress disorder
Veterans
Sexual dysfunction
Predictors
Language croatian URN:NBN urn:nbn:hr:184:563296 Promotion 2025 Study programme Title: Biomedicine Postgraduate (doctoral) study programme Type of resource Text File origin Born digital Access conditions Access restricted to students and staff of home institution Terms of use Created on 2025-02-20 09:02:01
