Aspectos da sexualidade em indivíduos com traumatismo crânio–encefálico: revisão da literatura
DOI:
https://doi.org/10.11606/issn.2317-0190.v18i1a103501Palavras-chave:
Traumatismos Encefálicos, Sexualidade, Comportamento SexualResumo
Os transtornos sexuais após lesão encefálica traumática são pouco abordados na literatura científica. O impacto na sexualidade dos pacientes, na parceria, na família e na sociedade ainda é pouco compreendido pelos profissionais de reabilitação. Diante disto, fez-se uma revisão da literatura sobre diversos aspectos da sexualidade após trauma de crânio. Este estudo teve por objetivo investigar a epidemiologia, a etiologia, os diagnósticos, a classificação, as modalidades terapêuticas que vêm sendo adotadas e o prognóstico dos transtornos sexuais de portadores de traumatismo craniano. Realizou-se uma revisão de 39 artigos selecionados nas seguintes bases de dados científicas: MEDLINE, Cochrane Library, LILACS e Scielo, usando como descritores: brain Injuries; traumatic brain Injury; sexuality, sexual behavior; sexual dysfunction psychological; sex education; sexual violence, referentes à pacientes maiores de 18 anos, de ambos os gêneros, no período de janeiro 1966 a maio 2011, nas línguas inglesa, espanhola e portuguesa. Alguns artigos e livros de referencia devido à relevância histórica neste assunto foram incluídos. Os autores abordaram os aspectos clínico-funcionais, psicológicos e sociais da sexualidade desses indivíduos. Conclusão: a avaliação completa por profissionais capacitados na área de sexualidade é recomendada durante o processo de reabilitação para uma melhor reintegração na sociedade. São necessários mais estudos para delinear as disfunções sexuais apresentadas por esses pacientes e suas parcerias, a fim de desenvolver estratégias de tratamento que contemplem suas necessidades possibilitando melhora no relacionamento, satisfação sexual e conseqüentemente na qualidade de vida.
Downloads
Referências
Gray WG. Abnormal patterns of sexual behavior following brain trauma. Med Leg Bull. 1966;15(7):1-6.
Hierons R, Saunders M. Impotence in patients with temporal-lobe lesions. Lancet. 1966;2(7467):761-3.
Weinstein EA. Sexual disturbances after brain injury. Med Aspects Hum Sex. 1974;8(10):10, 16, 18.
Kosteljanetz M, Jensen TS, Norgård B, Lunde I, Jensen PB, Johnsen SG. Sexual and hypothalamic dysfunction in the postconcussional syndrome. Acta Neurol Scand. 1981;63(3):169-80.
Graber B, Hartmann K, Coffman JA, Huey CJ, Golden CJ. Brain damage among mentally disordered sex offenders. J Forensic Sci. 1982;27(1):125-34.
Miller BL, Cummings JL, McIntyre H, Ebers G, Grode M. Hypersexuality or altered sexual preference following brain injury. J Neurol Neurosurg Psychiatry. 1986;49(8):867-73.
Simpson G, Tate R, Ferry K, Hodgkinson A, Blaszczynski A. Social, neuroradiologic, medical, and neuropsychologic correlates of sexually aberrant behavior after traumatic brain injury: a controlled study. J Head Trauma Rehabil. 2001;16(6):556-72.
Rees PM, Fowler CJ, Maas CP. Sexual function in men and women with neurological disorders. Lancet. 2007;369(9560):512-25.
DeLisa JA, Gans BM, Walsh NE, Bockenek WL, Frontera WR, Geiringer SR, et al. Physical Medicine & Rehabilitation: Principles and Practice. 4th Edition. Philadelphia: Lippincott Williams & Wilkins; 2005.
Johnson C, Knight C, Alderman N. Challenges associated with the definition and assessment of inappropriate sexual behaviour amongst individuals with an acquired neurological impairment. Brain Inj. 2006;20(7):687-93.
Crowe SF, Ponsford J.The role of imagery in sexual arousal disturbances in the male traumatically brain injured individual. Brain Inj. 1999;13(5):347-54.
Sandel ME, Williams KS, Dellapietra L, Derogatis LR. Sexual functioning following traumatic brain injury. Brain Inj. 1996;10(10):719-28.
Langevin R. Sexual offenses and traumatic brain injury. Brain Cogn. 2006;60(2):206-7.
Bezeau SC, Bogod NM, Mateer CA. Sexually intrusive behaviour following brain injury: approaches to assessment and rehabilitation. Brain Inj. 2004;18(3):299-313.
Blanchard R, Kuban ME, Klassen P, Dickey R, Christensen BK, Cantor JM, Blak T. Self-reported head injuries before and after age 13 in pedophilic and nonpedophilic men referred for clinical assessment. Arch Sex Behav. 2003;32(6):573-81.
Sipski ML, Behnegar A. Neurogenic female sexual dysfunction: a review. Clin Auton Res. 2001;11(5):279-83.
Simpson G, Blaszczynski A, Hodgkinson A. Sex offending as a psychosocial sequela of traumatic brain injury. J Head Trauma Rehabil. 1999;14(6):567-80.
Gorman DG, Cummings JL. Hypersexuality following septal injury. Arch Neurol. 1992;49(3):308-10.
Fyffe CE, Kahng S, Fittro E, Russell D.Functional analysis and treatment of inappropriate sexual behavior. J Appl Behav Anal. 2004;37(3):401-4.
Lawrie B, Jillings C. Assessing and addressing inappropriate sexual behavior in brain-injured clients. Rehabil Nurs. 2004;29(1):9-13.
Simpson G, McCann B, Lowy M. Treatment of premature ejaculation after traumatic brain injury. Brain Inj. 2003;17(8):723-9.
Berthier ML, Kulisevsky JJ, Gironell A, López OL. Obsessivecompulsive disorder and traumatic brain injury: behavioral, cognitive, and neuroimaging findings. Neuropsychiatry Neuropsychol Behav Neurol. 2001;14(1):23-31.
Katz S, Aloni R. Sexual dysfunction of persons after traumatic brain injury: perceptions of professionals. Int J Rehabil Res. 1999;22(1):45-53.
Elliott ML, Biever LS. Head injury and sexual dysfunction. Brain Inj. 1996;10(10):703-17.
Zencius A, Wesolowski MD, Burke WH, Hough S. Managing hypersexual disorders in brain-injured clients. Brain Inj. 1990;4(2):175-81.
Sipski ML. Central nervous system based neurogenic female sexual dysfunction: current status and future trends. Arch Sex Behav. 2002;31(5):421-4.
Kreuter M, Dahllöf AG, Gudjonsson G, Sullivan M, Siösteen A. Sexual adjustment and its predictors after traumatic brain injury. Brain Inj. 1998;12(5):349-68.
Aloni R, Katz S. A review of the effect of traumatic brain injury on the human sexual response. Brain Inj. 1999;13(4):269-80.
Góscínski I, Kwiatkowski S, Polak J, Orlowiejska M, Partyk A. The Kluver-Bucy syndrome. J Neurosurg Sci. 1997;41(3):269-72.
Bianchi-Demicheli F, Rollini C, Lovblad K, Ortigue S. "Sleeping Beauty paraphilia": deviant desire in the context of bodily self-image disturbance in a patient with a fronto-parietal traumatic brain injury. Med Sci Monit. 2010;16(2):CS15-7.
Layman DE, Dijkers MP, Ashman TA. Exploring the impact of traumatic brain injury on the older couple: 'yes, but how much of it is age, I can't tell you...'. Brain Inj. 2005;19(11):909-23.
Aloni A, Keren O, Cohen M, Rosentul N, Romm M, Groswasser Z.Incidence of sexual dysfunction in TBI patients during the early post-traumatic in-patient rehabilitation phase. Brain Inj. 1999;13(2):89-97.
Gutman SA, Napier-Klemic J. The experience of head injury on the impairment of gender identity and gender role. Am J Occup Ther. 1996;50(7):535-44.
O'Carroll RE, Woodrow J, Maroun F. Psychosexual and psychosocial sequelae of closed head injury. Brain Inj. 1991;5(3):303-13.
Bell KR, Pepping M. Women and traumatic brain injury. Phys Med Rehabil Clin N Am. 2001;12(1):169-82.
Gill CJ, Sander AM, Robins N, Mazzei DK, Struchen MA. Exploring experiences of intimacy from the viewpoint of individuals with traumatic brain injury and their partners. J Head Trauma Rehabil. 2011;26(1):56-68.
Dolberg OT, Klag E, Gross Y, Schreiber S. Relief of serotonin selective reuptake inhibitor induced sexual dysfunction with low-dose mianserin in patients with traumatic brain injury. Psychopharmacology (Berl). 2002;161(4):404-7.
Britton KR. Medroxyprogesterone in the treatment of aggressive hypersexual behavior in traumatic brain injury. Brain Inj. 1998;12(8):703-7.
Simpson G, Long E. An evaluation of sex education and information resources and their provision to adults with traumatic brain injury. J Head Trauma Rehabil. 2004;19(5):413-28.
Organizaçao Mundial de Saúde. CID - 10, traduçao do Centro Cola-borador da OMS para a Classificaçao de Doenças em Português. 9 ed. São Paulo: EDUSP, 2003.
Downloads
Publicado
Edição
Seção
Licença
Copyright (c) 2011 Acta Fisiátrica
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
