TY - JOUR

T1 - Clinical sexological practice at the largest outpatient clinic in Denmark.

AU - Hald, Gert Martin

AU - Kristensen, Ellids

PY - 2010

Y1 - 2010

N2 - This study investigated sexual function in women with a history of severe intrafamilial childhood sexual abuse (CSA) and the correlation between sexual problems and the severity of CSA, adult support during childhood and current psychiatric symptoms. The sample consisted of 158 women who subsequently began specialized group psychotherapy for CSA sequellae. Clinical interview and questionnaires (Present Sexual Function, Sexual and Body Satisfaction, Symptom Check List 90-R) were used for data collection in a cross sectional study design. Non-parametric analysis, linear and logistic regression analysis were applied. Of the women, 63% were unsatisfied with their current sexual life, 39% felt uncomfortable with physical endearments and 71% were unsatisfied with their body. Only 82% had an active sexual life and, of these, 73% reported at least one sexual problem, 48% orgasmic problems and 45% dyspareunia. The occurrence of sexual problems was significantly correlated to childhood physical violence, current psychological distress, flashbacks in sexual situations and discomfort with physical endearment. The prevalence of sexual pain disorders were also positively correlated to “no adult support” in childhood. The present study finds that psychiatric patients in terms of women with a history of intrafamilial CSA have wide-ranging sexual problems. It is crucial to screen for sexual problems and address them during treatment.

AB - This study investigated sexual function in women with a history of severe intrafamilial childhood sexual abuse (CSA) and the correlation between sexual problems and the severity of CSA, adult support during childhood and current psychiatric symptoms. The sample consisted of 158 women who subsequently began specialized group psychotherapy for CSA sequellae. Clinical interview and questionnaires (Present Sexual Function, Sexual and Body Satisfaction, Symptom Check List 90-R) were used for data collection in a cross sectional study design. Non-parametric analysis, linear and logistic regression analysis were applied. Of the women, 63% were unsatisfied with their current sexual life, 39% felt uncomfortable with physical endearments and 71% were unsatisfied with their body. Only 82% had an active sexual life and, of these, 73% reported at least one sexual problem, 48% orgasmic problems and 45% dyspareunia. The occurrence of sexual problems was significantly correlated to childhood physical violence, current psychological distress, flashbacks in sexual situations and discomfort with physical endearment. The prevalence of sexual pain disorders were also positively correlated to “no adult support” in childhood. The present study finds that psychiatric patients in terms of women with a history of intrafamilial CSA have wide-ranging sexual problems. It is crucial to screen for sexual problems and address them during treatment.

KW - Faculty of Health and Medical Sciences

KW - Child Abuse, Sexual

KW - Women

U2 - 10.1080/14681994.2011.622264

DO - 10.1080/14681994.2011.622264

M3 - Journal article

VL - 19

SP - 212

EP - 217

JO - Sexologies: Revue Européenne de Santé Sexuelle / European Journal of Sexual Health

JF - Sexologies: Revue Européenne de Santé Sexuelle / European Journal of Sexual Health

SN - 1158-1360

ER -