Prevalence of sexual desire and arousal difficulties among women veterans: A retrospective cohort design.

IF 1.9 3区心理学 Q3 PSYCHOLOGY, CLINICAL

Psychological Services Pub Date : 2023-11-01 Epub Date: 2022-12-19 DOI:10.1037/ser0000733

Alexandra B Caloudas, Amber B Amspoker, Melinda Stanley, Derrecka Boykin, Kelley Arredondo, Annette Walder, Julianna Hogan, Jan A Lindsay

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引用次数: 0

Abstract

Low sexual desire and arousal are associated with several negative health outcomes, including reduced quality of life, depression, anxiety, and relationship discord. Although women veterans have high rates of risk factors for sexual dysfunctions (e.g., elevated rates of trauma, depression, anxiety), research on their sexual functioning is lacking. Using a retrospective cohort design, we examined the prevalence of documented sexual desire and arousal disorder diagnoses or symptoms, using International Classification of Diseases, 10th Revision codes, among 790,726 women veterans receiving care in the Veterans Health Administration (VHA). In fiscal year 2020, these symptoms and disorders were documented for only 0.19% (n = 1,494) of women veterans receiving care and symptoms of low sexual desire were documented more frequently than formal desire and arousal diagnoses. Most women veterans with desire and arousal problems were married (53.88%), and most (52.28%) were prescribed antidepressants. Mental health (MH) treatment for desire and arousal difficulties was commonly delivered in person (as compared to telephone or telehealth). Psychologists primarily treated desire and arousal concerns, providing an average of 2.81 MH encounters (SD = 7.53) compared to an average of 1.62 (SD = 5.25) MH encounters by social workers and 1.22 (SD = 2.53) by psychiatrists. Problems with low sexual desire and arousal are likely underassessed and undertreated within the VHA. Better assessment of women veterans' low desire and arousal is warranted to improve their well-being and quality of life. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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女性退伍军人性欲和唤醒困难的患病率：一项回顾性队列设计。

性欲和性欲低下与一些负面健康结果有关，包括生活质量下降、抑郁、焦虑和关系不和。尽管女性退伍军人有很高的性功能障碍风险因素（例如创伤、抑郁、焦虑的发生率升高），但缺乏对其性功能的研究。使用回顾性队列设计，我们使用《国际疾病分类》第10版代码，在790726名在退伍军人健康管理局（VHA）接受护理的女性退伍军人中，检查了记录在案的性欲和唤醒障碍诊断或症状的患病率。在2020财政年度，只有0.19%（n=1494）接受护理的退伍军人女性出现了这些症状和障碍，而且性欲低下的症状比正式的欲望和唤醒诊断更频繁。大多数有欲望和唤醒问题的女性退伍军人已婚（53.88%），大多数（52.28%）服用了抗抑郁药。针对欲望和唤醒困难的心理健康（MH）治疗通常是亲自进行的（与电话或远程医疗相比）。心理学家主要治疗欲望和唤醒问题，提供了平均2.81次MH遭遇（SD=7.53），而社会工作者和精神科医生分别提供了平均1.62次（SD=5.25）和1.22次（SD=2.53）MH遭遇。性欲和性欲低下的问题可能在VHA中被低估和处理不足。有必要更好地评估女性退伍军人的低欲望和低觉醒，以改善她们的幸福感和生活质量。（PsycInfo数据库记录（c）2022 APA，保留所有权利）。

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来源期刊

Psychological Services PSYCHOLOGY, CLINICAL-

CiteScore

4.20

自引率

13.00%

发文量

216

期刊介绍： Psychological Services publishes high-quality data-based articles on the broad range of psychological services. While the Division"s focus is on psychologists in "public service," usually defined as being employed by a governmental agency, Psychological Services covers the full range of psychological services provided in any service delivery setting. Psychological Services encourages submission of papers that focus on broad issues related to psychotherapy outcomes, evaluations of psychological service programs and systems, and public policy analyses.