"Maybe if this was addressed sooner, maybe things might be different in our relationship. I don't know. But who knows?" Sexuality after TBI and its place in healthcare: A qualitative exploration of survivors' experiences.

IF 1.7 3区 心理学 Q4 NEUROSCIENCES Neuropsychological Rehabilitation Pub Date : 2024-08-02 DOI:10.1080/09602011.2024.2383340
Jill H A Hwang, Marina Downing, Jennie L Ponsford
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Abstract

Changes in sexual functioning and wellbeing after a traumatic brain injury (TBI) are common but remain poorly addressed. Little is known about the lived experiences and perspectives of individuals with TBI. Through semi-structured interviews with individuals with TBI (n = 20), this qualitative study explored their experiences with post-TBI sexuality, along with their needs and preferences for receiving sexuality support and service delivery. Three broad themes were identified through reflexive thematic analysis of interview transcripts. First, individuals differed significantly at the start of their journeys in personal attributes, TBI-associated impacts, and comfort levels in discussing sexuality. Second, journeys, feelings, and perspectives diverged based on the nature of post-TBI sexuality. Third, whilst responses to changes and preferences for support varied widely, individuals felt that clinicians were well-placed to help them navigate this area of their lives. The impacts felt by individuals with TBI, and the infrequency of clinical discussions highlight the need for clinician education and clinically validated assessment and treatment tools to improve how post-TBI sexuality is addressed and managed.

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"如果能早点解决这个问题,也许我们的关系会有所不同。我不知道,但谁知道呢?" I don't know.但谁知道呢?创伤后性生活及其在医疗保健中的地位:对幸存者经历的定性探索。
创伤性脑损伤(TBI)后性功能和性健康的改变很常见,但却很少有人关注。人们对创伤性脑损伤患者的生活经历和观点知之甚少。这项定性研究通过对创伤性脑损伤患者(n = 20)进行半结构化访谈,探讨了他们在创伤性脑损伤后的性生活经历,以及他们在接受性支持和服务方面的需求和偏好。通过对访谈记录进行反思性主题分析,确定了三大主题。首先,个体在其旅程开始时,在个人属性、创伤后相关影响以及在讨论性行为时的舒适度方面存在显著差异。其次,根据创伤后性生活的性质,他们的旅程、感受和观点也各不相同。第三,虽然对变化的反应和对支持的偏好差异很大,但个人认为临床医生完全有能力帮助他们驾驭生活中的这一领域。创伤性脑损伤患者所感受到的影响以及临床讨论的不经常性突出表明,临床医生需要通过教育和临床验证的评估和治疗工具来改善创伤性脑损伤后性行为的处理和管理。
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来源期刊
Neuropsychological Rehabilitation
Neuropsychological Rehabilitation 医学-神经科学
CiteScore
6.30
自引率
7.40%
发文量
78
审稿时长
>12 weeks
期刊介绍: Neuropsychological Rehabilitation publishes human experimental and clinical research related to rehabilitation, recovery of function, and brain plasticity. The journal is aimed at clinicians who wish to inform their practice in the light of the latest scientific research; at researchers in neurorehabilitation; and finally at researchers in cognitive neuroscience and related fields interested in the mechanisms of recovery and rehabilitation. Papers on neuropsychological assessment will be considered, and special topic reviews (2500-5000 words) addressing specific key questions in rehabilitation, recovery and brain plasticity will also be welcomed. The latter will enter a fast-track refereeing process.
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