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Introduction: Traumatic brain injury (TBI) can negatively impact intimacy, relationships, and sexual functioning through changes in physical, endocrine, cognitive, behavioral, and emotional function. Without intervention, diminished intimacy and/or sexual functioning in individuals with TBI may persist. Although most health care professionals agree that sexuality and intimacy in relationships are significant concerns and should be addressed in rehabilitation, these concerns are not typically discussed during rehabilitation and discharge planning for people with TBI. To address this gap, an expert panel of North American clinicians and researchers convened to develop evidence-informed recommendations to assist clinicians in providing a framework and guidance on how clinicians can support individuals after TBI.
Methods: A systematic search of multiple databases was conducted to identify relevant evidence published from 2010 to 2023. The INTIMASY-TBI Expert Panel developed recommendations for optimizing discussions and interventions related to intimacy and sexuality for people with TBI in rehabilitation and community-based programs. For each recommendation, the experts evaluated the evidence by examining the study design and quality to determine the level of evidence.
Results: A total of 12 recommendations were developed that address the following topic areas: (1) interprofessional team training, (2) early education on the effects of TBI on intimacy, relationships, and sexuality, (3) creating individualized interventions, (4) education, assessment, and management of the causes of sexual dysfunction, and (5) providing written materials and relationship coaching to persons with TBI and their partners. Two recommendations were supported by Level A evidence, 1 was supported by Level B evidence, and 9 were supported by Level C (consensus of the INTIMASY-TBI Expert Panel) evidence. A decision algorithm was developed to assist clinicians in navigating through the recommendations.
Conclusion: The INTIMASY-TBI Guideline is one of the first comprehensive clinical practice guidelines to offer strategies to trained clinicians to discuss the physical, psychosocial, behavioral, and emotional aspects of intimacy and sexuality with persons with TBI.
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http://dx.doi.org/10.1097/HTR.0000000000000981 | DOI Listing |
Psychol Belg
December 2024
Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium.
Increasing evidence shows how distress following sexual violence might spill over to victims' romantic relationship functioning. However, studies investigating the reverse spillover between relationship functioning and psychological distress following sexual violence are lacking. The current study therefore aimed to investigate the bidirectional association between victims' psychological distress (posttraumatic stress, depression, anxiety and stress) and emotional and sexual intimacy using a three-wave yearly survey study of a community sample of sexual violence victims ( = 274, 89% women, 3% men and 8% trans persons, = 32 years, = 10.
View Article and Find Full Text PDFJ Educ Health Promot
October 2024
Department of Islamic Teachings, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Background: Physical and emotional changes in pregnancy may reduce sexual intimacy. Pregnant women need empowerment through short-term cultural-based interventions regarding sexual intimacy for better expression of sexual beliefs and expectations. Since studies are limited regarding Islamic emotion-focused therapy (IEFT), this study was conducted to compare the effect of tele-sexual counseling (IEFT) versus tele-sexual health education on sexual intimacy in pregnant women.
View Article and Find Full Text PDFJ Hand Surg Glob Online
November 2024
Rothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia, PA.
Purpose: Compressive neuropathies such as carpal tunnel and cubital tunnel syndrome can lead to sensation loss, muscle weakness, joint contractures, and disrupted sleep. The interplay between these conditions and the effect on patients' intimacy is unknown. The purpose of this study was to examine sexual function before and after surgery in patients undergoing carpal tunnel release or cubital tunnel release.
View Article and Find Full Text PDFJ Clin Med
November 2024
Department of Neurology, King Abdulaziz Specialist Hospital, Taif 26521, Saudi Arabia.
: To evaluate the effect of bio-electromagnetic energy regulation (BEMER) therapy on erectile dysfunction (ED) in patients with multiple sclerosis (MS). A triple-blind randomized clinical trial was conducted in two different centers. Fifty-two male participants with MS were randomly allocated into two groups.
View Article and Find Full Text PDFInt J Health Plann Manage
December 2024
Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique.
Mozambique introduced its cervical cancer screening programme in 2009, but only 3.5% of the target women participate in screening annually. While previous research has focused on provision and access to service, and women's cognitive barriers to screening, this study explores the emotional factors, particularly pudor, that affect women's acceptance of screening.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!