Research Reports - Relationships between risky sexual behaviour, dysexecutive problems, and mental health in the years following interdisciplinary TBI rehabilitation

Neuropsychol Rehabil. 2016 Feb 12:1-23. [Epub ahead of print]

Moreno JA(1), McKerral M(1).

Little is known about the long-term consequences of traumatic brain injury (TBI)
regarding risky sexual behaviour. The objectives of the study were (1) to compare
risky sexual behaviour in a sample of individuals with TBI having received
interdisciplinary rehabilitation with that of healthy controls, and (2) to
explore the relationships between risky sexual behaviour, executive functions,
and mental health in individuals with TBI. The study group consisted of 42
individuals with TBI with a mean age of 37.9 years (SD = 9.7), 12.8 years of
education (SD = 3.3), and 3.3 years post-injury (SD = 4.3). Healthy controls
consisted of 47 participants, with a mean age of 37.6 years (SD = 10.7), and 13
years of education (SD = 3). Risky sexual behaviour was measured with the Sexual
Risk Survey and executive function with the Dysexecutive Questionnaire. Mental
health measures included the Generalised Anxiety Disorder Scale, and the Patient
Health Questionnaire for depression. Compared to healthy controls, individuals
with TBI reported more dysexecutive and mental health problems, without
differences in risky sexual behaviour. In individuals with TBI, risky sexual
behaviour was associated with behavioural, cognitive and emotional dysexecutive
problems, but not with anxiety or depression. It was concluded that special
attention should be given to individuals with TBI showing difficulties in
executive functions given their association with risky sexual behaviour. 

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