Skip Navigation LinksHome > September/October 2014 - Volume 29 - Issue 5 > Sexual Functioning and the Effect of Fatigue in Traumatic Br...
Journal of Head Trauma Rehabilitation:
doi: 10.1097/HTR.0b013e31829cf76d
Original Articles

Sexual Functioning and the Effect of Fatigue in Traumatic Brain Injury

Goldin, Yelena PhD; Cantor, Joshua B. PhD, ABPP; Tsaousides, Theodore PhD, ABPP; Spielman, Lisa PhD; Gordon, Wayne A. PhD, ABPP

Section Editor(s): Caplan, Bruce PhD, ABPP; Bogner, Jennifer PhD, ABPP; Brenner, Lisa PhD, ABPP

Collapse Box


Objectives: The primary objective was to examine specific aspects of sexual functioning (frequency, desired frequency, importance, and satisfaction) and their relationship to fatigue in individuals with traumatic brain injury (TBI) compared with those without brain injury. The relationship of demographic variables, emotional well-being, and health-related quality of life to sexual functioning was also explored.

Participants: 200 community-dwelling adults with self-reported mild-to-severe TBI and 83 individuals without brain injury.

Measures: Participation Objective, Participation Subjective, Fatigue Assessment Instrument, Global Fatigue Index, Beck Depression Inventory, and SF-36 Health Survey.

Methods: Data were collected through administration of self-report measures and interviews as part of a larger study of post–TBI fatigue.

Results: Several aspects of sexual activity (frequency, desired frequency, and importance) were closely related to specific features of fatigue among individuals with TBI. Women with TBI reported lower frequency and lower importance of sex than men. In individuals without brain injury, the impact of fatigue was limited to the frequency of sexual activity with no sex differences observed.

Conclusions: Fatigue plays a different role in the subjective experience of sexual activity for men and women with TBI than for those without brain injuries. Fatigue and sex should be taken into account in future research and interventions focused on sexual function after TBI.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.