ABSTRACT

Although sexuality has been shown to be negatively impacted in up to half of individuals who sustain traumatic brain injury (TBI), few studies have sought to evaluate the efficacy of targeted interventions. Gaining insight into the participant experience of undergoing treatment for post-TBI sexuality changes is a crucial aspect of intervention evaluation. This study aimed to investigate participants with TBI experience of undergoing eight sessions of a novel CBT intervention designed to help both couples and singles improve sexual wellbeing after TBI. Eight participants (50% male) with moderate-severe TBI, and a mean age of 46.38-years (SD = 13.54), completed a qualitative interview. A six-phase reflexive thematic analysis approach was used. Despite variability in participant characteristics, the findings suggested that participants with TBI experience reflected that of a positive treatment journey characterized by high levels of enjoyment and satisfaction. Key themes identified included contextual factors that preceded treatment, factors that facilitated treatment engagement, outcomes derived from the treatment experience, and feedback provided on reflection. The results not only provide an enriched understanding of the client experience of the intervention but provide corroborating preliminary evidence of efficacy for this novel CBT intervention in addressing complex and persistent sexuality problems after TBI.

摘要

尽管已证明多达一半的创伤性脑损伤 (TBI) 患者的性行为受到负面影响，但很少有研究试图评估针对性干预措施的效果。深入了解参与者接受 TBI 后性行为改变治疗的经历是干预评估的一个重要方面。本研究旨在调查患有 TBI 的参与者接受八次新型 CBT 干预的经历，该干预旨在帮助夫妇和单身人士改善 TBI 后的性健康。八名患有中重度 TBI 的参与者（50% 为男性），平均年龄为 46.38 岁（SD = 13.54），完成了定性访谈。使用了六阶段反思性主题分析方法。尽管参与者特征存在差异，研究结果表明，有 TBI 经历的参与者反映了积极的治疗过程，其特点是高度的享受和满意度。确定的关键主题包括治疗前的背景因素、促进治疗参与的因素、治疗经验得出的结果以及反思提供的反馈。结果不仅丰富了客户对干预体验的了解，还为这种新型 CBT 干预措施在解决 TBI 后复杂且持续的性问题方面的功效提供了确凿的初步证据。促进治疗参与的因素、治疗经验得出的结果以及反思提供的反馈。结果不仅丰富了客户对干预体验的了解，还为这种新型 CBT 干预措施在解决 TBI 后复杂且持续的性问题方面的功效提供了确凿的初步证据。促进治疗参与的因素、治疗经验得出的结果以及反思提供的反馈。结果不仅丰富了客户对干预体验的了解，还为这种新型 CBT 干预措施在解决 TBI 后复杂且持续的性问题方面的功效提供了确凿的初步证据。