Sexual Dysfunction in Male Iraq and Afghanistan War Veterans: Association with Posttraumatic Stress Disorder and Other Combat‐Related Mental Health Disorders: A Population‐Based Cohort Study. (16th May 2013)

• Record Type: Journal Article
• Authors: Breyer, Benjamin N.; Cohen, Beth E.; Bertenthal, Daniel; Rosen, Raymond C.; Neylan, Thomas C.; Seal, Karen H.
• Is Part Of: Journal of sexual medicine. Volume 11:Number 1(2014:Jan.)
• Page Start: 75
• Page End: 83
• Publication Date: 2013-05-16
• Subjects: Sexual disorders -- Periodicals; Sex -- Periodicals; Sexual health -- Periodicals; 616.69005
• DOI: 10.1111/jsm.12201
• Languages: English
• ISSNs: 1743-6095

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="jsm12201-sec-0001" sec-type="section"> <title>Introduction</title> <p>Mental health disorders are prevalent in the United States, Iraq, and Afghanistan war veterans. Mental illness, including posttraumatic stress disorder (PTSD) with or without psychiatric medications, can increase the risk for male sexual dysfunction, threatening quality of life.</p> </sec> <sec id="jsm12201-sec-0002" sec-type="section"> <title>Aims</title> <p>We sought to determine the prevalence and correlates of sexual dysfunction among male Iraq and Afghanistan veterans.</p> </sec> <sec id="jsm12201-sec-0003" sec-type="section"> <title>Methods</title> <p>We performed a retrospective cohort study of 405, 275 male Iraq and Afghanistan veterans who were new users of U.S. Department of Veterans Affairs healthcare from October 7, 2001 to September 30, 2009 and had 2‐year follow‐up.</p> </sec> <sec id="jsm12201-sec-0004" sec-type="section"> <title>Main Outcome Measures</title> <p>We determined the independent association of mental health diagnoses and sexual dysfunction after adjusting for sociodemographic and military service characteristics, comorbidities, and medications.</p> </sec> <sec id="jsm12201-sec-0005" sec-type="section"> <title>Results</title> <p>Veterans with PTSD were more likely to have a sexual dysfunction diagnosis, be prescribed medications for sexual dysfunction, or both (10.6%), compared with veterans having a mental diagnosis other than PTSD (7.2%), or no mental health diagnosis (2.3%). In a fully adjusted model, PTSD increased the risk of sexual dysfunction by more than threefold (adjusted risk ratio = 3.61, 95% CI = 3.48–3.75). Veterans with mental health disorders, particularly PTSD, were at the highest risk of sexual dysfunction when prescribed psychiatric medications (adjusted risk ratio = 4.59, 95% CI = 4.41–4.77).</p> </sec> <sec id="jsm12201-sec-0006" sec-type="section"> <title>Conclusions</title> <p>Among U.S. combat veterans, mental health disorders, particularly PTSD, increased the risk of sexual dysfunction independent of the use of psychiatric medications. <bold>Breyer BN, Cohen BE, Bertenthal D, Rosen RC, Neylan TC, and Seal KH. Sexual dysfunction in male Iraq and Afghanistan war veterans: Association with posttraumatic stress disorder and other combat‐related mental health disorders: A population‐based cohort study. J Sex Med 2014;11:75–83.</bold></p> </sec> </abstract>