title: Sexual changes in individuals with traumatic brain injury: a control comparison.
abstract: BACKGROUND
  Previous research has suggested that sexuality is compromised following traumatic brain injury (TBI), but there has been limited comparison with healthy samples.
  
  
  OBJECTIVE
  The aim of the current study was to compare sexuality in individuals with TBI with that in healthy controls matched for age and gender. In doing this, the current study aimed to characterize those individuals who reported a decrease in sexuality relative to those reporting an increase according to certain demographic and injury variables.
  
  
  METHODS
  A total of 865 participants with predominantly moderate to severe TBI and 142 controls completed the Brain Injury Questionnaire of Sexuality (BIQS), the Hospital Anxiety and Depression Scale, and the Rosenberg Self-Esteem Scale on one occasion.
  
  
  RESULTS
  The results indicated that there was a significant difference between participants with TBI and controls on all the BIQS subscales as well as the total score. Age, depression, anxiety, and self-esteem levels significantly differentiated participants with TBI who reported decreased sexuality from those who reported increased sexuality. Participants with TBI attributed sexual changes to various causes-most commonly, fatigue, low confidence, pain, decreased mobility, and feeling unattractive.
  
  
  CONCLUSIONS
  Further research examining the factors contributing to sexual changes is warranted.
authors: School of Psychology and Psychiatry, Monash University, Melbourne, Australia.
authors: Marina G
authors: MG
authors: Downing
authors: Rene
authors: R
authors: Stolwyk
authors: Jennie L
authors: JL
authors: Ponsford
mesh_terms: D000328:Adult; D000368:Aged; D001007:Anxiety / Q000453:epidemiology; D001930:Brain Injuries / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D003863:Depression / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function; D012649:Self Concept; D012725:Sexual Behavior / Q000523:psychology; D011795:Surveys and Questionnaires