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Sexual function and pelvic floor activity in women: the role of traumatic events and PTSD symptoms
BACKGROUND: Traumatic sexual experiences can negatively affect sexual functioning and increase pelvic floor activity in women, especially when post-traumatic stress disorder (PTSD) is developed. However, little is known about the effect of other types of interpersonal and non-interpersonal, traumati...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7473031/ https://www.ncbi.nlm.nih.gov/pubmed/33029306 http://dx.doi.org/10.1080/20008198.2020.1764246 |
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author | Karsten, Matty D. A. Wekker, Vincent Bakker, Anne Groen, Henk Olff, Miranda Hoek, Annemieke Laan, Ellen T. M. Roseboom, Tessa J. |
author_facet | Karsten, Matty D. A. Wekker, Vincent Bakker, Anne Groen, Henk Olff, Miranda Hoek, Annemieke Laan, Ellen T. M. Roseboom, Tessa J. |
author_sort | Karsten, Matty D. A. |
collection | PubMed |
description | BACKGROUND: Traumatic sexual experiences can negatively affect sexual functioning and increase pelvic floor activity in women, especially when post-traumatic stress disorder (PTSD) is developed. However, little is known about the effect of other types of interpersonal and non-interpersonal, traumatic experiences on sexual function and pelvic floor overactivity. OBJECTIVE: The aim of this study was to examine the effects of lifetime traumatic experiences and subsequent PTSD symptoms on sexual function and pelvic floor activity and to investigate whether the effects differ for interpersonal and non-interpersonal trauma. METHODS: Women (N=82) with obesity and a history of infertility, participating in a follow-up study of an RCT investigating a lifestyle intervention programme, completed questionnaires on lifetime exposure to traumatic events (LEC-5), PTSD symptoms (PC-PTSD-5), sexual function (MFSQ) and pelvic floor activity (AOPFS-SV). RESULTS: A large majority of women (85%) reported exposure to at least one traumatic event during their lifetime. Sexual function and pelvic floor activity did not differ between women who experienced non-interpersonal or interpersonal (including sexual) trauma and those who did not experience traumatic events during their lifetime. Women who had developed PTSD symptoms, however, did have higher pelvic floor activity, but sexual function was not affected. Women with a positive screen for PTSD had the highest pelvic floor activity score, and individual PTSD symptoms nightmares and hypervigilance were associated with significantly higher pelvic floor activity scores. CONCLUSION: Trauma exposure is associated with pelvic floor overactivity in women with a positive screen for PTSD, such that pelvic floor overactivity is more severe with greater PTSD severity. These findings suggest that the development of PTSD after interpersonal trauma is pivotal in this association. Sexual function was unrelated to trauma exposure and pelvic floor function, perhaps related to the fact that the interpersonal trauma events reported in this study were mainly non-sexual. |
format | Online Article Text |
id | pubmed-7473031 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-74730312020-10-06 Sexual function and pelvic floor activity in women: the role of traumatic events and PTSD symptoms Karsten, Matty D. A. Wekker, Vincent Bakker, Anne Groen, Henk Olff, Miranda Hoek, Annemieke Laan, Ellen T. M. Roseboom, Tessa J. Eur J Psychotraumatol Clinical Research Article BACKGROUND: Traumatic sexual experiences can negatively affect sexual functioning and increase pelvic floor activity in women, especially when post-traumatic stress disorder (PTSD) is developed. However, little is known about the effect of other types of interpersonal and non-interpersonal, traumatic experiences on sexual function and pelvic floor overactivity. OBJECTIVE: The aim of this study was to examine the effects of lifetime traumatic experiences and subsequent PTSD symptoms on sexual function and pelvic floor activity and to investigate whether the effects differ for interpersonal and non-interpersonal trauma. METHODS: Women (N=82) with obesity and a history of infertility, participating in a follow-up study of an RCT investigating a lifestyle intervention programme, completed questionnaires on lifetime exposure to traumatic events (LEC-5), PTSD symptoms (PC-PTSD-5), sexual function (MFSQ) and pelvic floor activity (AOPFS-SV). RESULTS: A large majority of women (85%) reported exposure to at least one traumatic event during their lifetime. Sexual function and pelvic floor activity did not differ between women who experienced non-interpersonal or interpersonal (including sexual) trauma and those who did not experience traumatic events during their lifetime. Women who had developed PTSD symptoms, however, did have higher pelvic floor activity, but sexual function was not affected. Women with a positive screen for PTSD had the highest pelvic floor activity score, and individual PTSD symptoms nightmares and hypervigilance were associated with significantly higher pelvic floor activity scores. CONCLUSION: Trauma exposure is associated with pelvic floor overactivity in women with a positive screen for PTSD, such that pelvic floor overactivity is more severe with greater PTSD severity. These findings suggest that the development of PTSD after interpersonal trauma is pivotal in this association. Sexual function was unrelated to trauma exposure and pelvic floor function, perhaps related to the fact that the interpersonal trauma events reported in this study were mainly non-sexual. Taylor & Francis 2020-06-16 /pmc/articles/PMC7473031/ /pubmed/33029306 http://dx.doi.org/10.1080/20008198.2020.1764246 Text en © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Research Article Karsten, Matty D. A. Wekker, Vincent Bakker, Anne Groen, Henk Olff, Miranda Hoek, Annemieke Laan, Ellen T. M. Roseboom, Tessa J. Sexual function and pelvic floor activity in women: the role of traumatic events and PTSD symptoms |
title | Sexual function and pelvic floor activity in women: the role of traumatic events and PTSD symptoms |
title_full | Sexual function and pelvic floor activity in women: the role of traumatic events and PTSD symptoms |
title_fullStr | Sexual function and pelvic floor activity in women: the role of traumatic events and PTSD symptoms |
title_full_unstemmed | Sexual function and pelvic floor activity in women: the role of traumatic events and PTSD symptoms |
title_short | Sexual function and pelvic floor activity in women: the role of traumatic events and PTSD symptoms |
title_sort | sexual function and pelvic floor activity in women: the role of traumatic events and ptsd symptoms |
topic | Clinical Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7473031/ https://www.ncbi.nlm.nih.gov/pubmed/33029306 http://dx.doi.org/10.1080/20008198.2020.1764246 |
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