{"id":"https://openalex.org/W3179834412","doi":"https://doi.org/10.1016/j.jsxm.2021.05.011","title":"Relationship Between Posttraumatic Stress Disorder and Sexual Difficulties: A Systematic Review of Veterans and Military Personnel","display_name":"Relationship Between Posttraumatic Stress Disorder and Sexual Difficulties: A Systematic Review of Veterans and Military Personnel","publication_year":2021,"publication_date":"2021-07-10","ids":{"openalex":"https://openalex.org/W3179834412","doi":"https://doi.org/10.1016/j.jsxm.2021.05.011","mag":"3179834412","pmid":"https://pubmed.ncbi.nlm.nih.gov/34257051","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/8726013"},"language":"en","primary_location":{"id":"doi:10.1016/j.jsxm.2021.05.011","doi":"https://doi.org/10.1016/j.jsxm.2021.05.011","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.jsxm.2021.05.011","pdf_url":null,"source":{"id":"https://openalex.org/S159512450","display_name":"The Journal of Sexual Medicine","issn_l":"1743-6095","issn":["1743-6095","1743-6109"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of Sexual Medicine","raw_type":"journal-article"},"volume":null,"type":"review","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/8726013","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5036332711","display_name":"Elizabeth R. Bird","orcid":"https://orcid.org/0000-0002-9309-8451","observed_orcids":["https://orcid.org/0000-0002-9309-8451"]},"institutions":[{"id":"https://openalex.org/I4210094549","display_name":"VA Puget Sound Health Care System","ror":"https://ror.org/00ky3az31","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210094549","https://openalex.org/I4210138024"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Elizabeth R. Bird","raw_affiliation_strings":["VA Puget Sound Healthcare System, Seattle Division , Seattle, WA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"VA Puget Sound Healthcare System, Seattle Division , Seattle, WA","institution_ids":["https://openalex.org/I4210094549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021308012","display_name":"Marilyn L. Piccirillo","orcid":"https://orcid.org/0000-0002-4616-5180","observed_orcids":["https://orcid.org/0000-0002-4616-5180"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]},{"id":"https://openalex.org/I4210094549","display_name":"VA Puget Sound Health Care System","ror":"https://ror.org/00ky3az31","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210094549","https://openalex.org/I4210138024"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Marilyn Piccirillo","raw_affiliation_strings":["University of Washington, Department of Psychology , Seattle, WA","VA Puget Sound Healthcare System, Seattle Division , Seattle, WA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Washington, Department of Psychology , Seattle, WA","institution_ids":["https://openalex.org/I201448701"]},{"raw_affiliation_string":"VA Puget Sound Healthcare System, Seattle Division , Seattle, WA","institution_ids":["https://openalex.org/I4210094549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019496700","display_name":"Natalia M. Garcia","orcid":"https://orcid.org/0000-0003-2722-8438","observed_orcids":["https://orcid.org/0000-0003-2722-8438"]},"institutions":[{"id":"https://openalex.org/I4210094549","display_name":"VA Puget Sound Health Care System","ror":"https://ror.org/00ky3az31","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210094549","https://openalex.org/I4210138024"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Natalia Garcia","raw_affiliation_strings":["VA Puget Sound Healthcare System, Seattle Division , Seattle, WA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"VA Puget Sound Healthcare System, Seattle Division , Seattle, WA","institution_ids":["https://openalex.org/I4210094549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032331147","display_name":"Rebecca K. Blais","orcid":"https://orcid.org/0000-0002-2483-1576","observed_orcids":["https://orcid.org/0000-0002-2483-1576"]},"institutions":[{"id":"https://openalex.org/I121980950","display_name":"Utah State University","ror":"https://ror.org/00h6set76","country_code":"US","type":"education","lineage":["https://openalex.org/I121980950"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rebecca Blais","raw_affiliation_strings":["Utah State University, Department of Psychology , Logan, UT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Utah State University, Department of Psychology , Logan, UT","institution_ids":["https://openalex.org/I121980950"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5010119348","display_name":"Sarah B. Campbell","orcid":"https://orcid.org/0000-0003-1303-8107","observed_orcids":["https://orcid.org/0000-0003-1303-8107"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]},{"id":"https://openalex.org/I4210089489","display_name":"Health Services Research & Development","ror":"https://ror.org/0083hz885","country_code":"US","type":"facility","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210089489"]},{"id":"https://openalex.org/I4210094549","display_name":"VA Puget Sound Health Care System","ror":"https://ror.org/00ky3az31","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210094549","https://openalex.org/I4210138024"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sarah Campbell","raw_affiliation_strings":["Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine , Seattle, WA","Seattle-Denver Center of Innovation in Veteran-Centered and Value-Driven Care, Health Services Research and Development, VA Puget Sound Health Care System , Seattle, WA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine , Seattle, WA","institution_ids":["https://openalex.org/I201448701"]},{"raw_affiliation_string":"Seattle-Denver Center of Innovation in Veteran-Centered and Value-Driven Care, Health Services Research and Development, VA Puget Sound Health Care System , Seattle, WA","institution_ids":["https://openalex.org/I4210089489","https://openalex.org/I4210094549"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5036332711"],"corresponding_institution_ids":["https://openalex.org/I4210094549"],"apc_list":{"value":3250,"currency":"USD","value_usd":3250},"apc_paid":null,"fwci":1.3552,"has_fulltext":false,"cited_by_count":64,"citation_normalized_percentile":{"value":0.78475826,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":100},"biblio":{"volume":"18","issue":"8","first_page":"1398","last_page":"1426"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10459","display_name":"Sexual function and dysfunction studies","score":0.9678000211715698,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10459","display_name":"Sexual function and dysfunction studies","score":0.9678000211715698,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10242","display_name":"Posttraumatic Stress Disorder Research","score":0.017899999395012856,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12335","display_name":"Sexuality, Behavior, and Technology","score":0.011599999852478504,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/posttraumatic-stress-disorder","display_name":"post-traumatic stress disorder","score":1.0},{"id":"https://openalex.org/keywords/sexual-dysfunction","display_name":"sexual dysfunction","score":0.800000011920929},{"id":"https://openalex.org/keywords/veterans","display_name":"veterans","score":0.8489999771118164},{"id":"https://openalex.org/keywords/military-personnel","display_name":"military personnel","score":1.0},{"id":"https://openalex.org/keywords/sexual-desire","display_name":"sexual desire","score":0.7540000081062317},{"id":"https://openalex.org/keywords/sexual-satisfaction","display_name":"sexual satisfaction","score":0.9129999876022339},{"id":"https://openalex.org/keywords/sexual-distress","display_name":"sexual distress","score":0.9860000014305115},{"id":"https://openalex.org/keywords/sexual-arousal","display_name":"sexual arousal","score":0.7059999704360962},{"id":"https://openalex.org/keywords/erectile-dysfunction","display_name":"erectile dysfunction","score":0.8149999976158142},{"id":"https://openalex.org/keywords/premature-ejaculation","display_name":"premature ejaculation","score":0.984000027179718},{"id":"https://openalex.org/keywords/sexual-pain","display_name":"sexual pain","score":0.9020000100135803},{"id":"https://openalex.org/keywords/avoidance-symptoms","display_name":"avoidance symptoms","score":0.7089999914169312}],"concepts":[{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.645343005657196},{"id":"https://openalex.org/C2779549880","wikidata":"https://www.wikidata.org/wiki/Q5542226","display_name":"PsycINFO","level":3,"score":0.5959718823432922},{"id":"https://openalex.org/C2775871022","wikidata":"https://www.wikidata.org/wiki/Q7458776","display_name":"Sexual function","level":2,"score":0.5802217721939087},{"id":"https://openalex.org/C2778093883","wikidata":"https://www.wikidata.org/wiki/Q1137463","display_name":"Sexual dysfunction","level":2,"score":0.5727381706237793},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.56783527135849},{"id":"https://openalex.org/C2779207875","wikidata":"https://www.wikidata.org/wiki/Q5887","display_name":"Orgasm","level":3,"score":0.5414429306983948},{"id":"https://openalex.org/C2778577535","wikidata":"https://www.wikidata.org/wiki/Q215127","display_name":"Sexual arousal","level":3,"score":0.48559683561325073},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.4724445939064026},{"id":"https://openalex.org/C2780733359","wikidata":"https://www.wikidata.org/wiki/Q331769","display_name":"Mood","level":2,"score":0.46475425362586975},{"id":"https://openalex.org/C189708586","wikidata":"https://www.wikidata.org/wiki/Q1504425","display_name":"Systematic review","level":3,"score":0.44129088521003723},{"id":"https://openalex.org/C2779929075","wikidata":"https://www.wikidata.org/wiki/Q184674","display_name":"Erectile dysfunction","level":2,"score":0.4314543604850769},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.3956024646759033},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2377820909023285},{"id":"https://openalex.org/C2993290233","wikidata":"https://www.wikidata.org/wiki/Q608","display_name":"Sexual behavior","level":2,"score":0.15106594562530518},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C11171543","wikidata":"https://www.wikidata.org/wiki/Q41630","display_name":"Psychoanalysis","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008889","descriptor_name":"Military Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008889","descriptor_name":"Military Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008889","descriptor_name":"Military Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008889","descriptor_name":"Military Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012725","descriptor_name":"Sexual Behavior","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012725","descriptor_name":"Sexual Behavior","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012725","descriptor_name":"Sexual Behavior","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012725","descriptor_name":"Sexual Behavior","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013313","descriptor_name":"Stress Disorders, Post-Traumatic","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D013313","descriptor_name":"Stress Disorders, Post-Traumatic","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D013313","descriptor_name":"Stress Disorders, Post-Traumatic","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D013313","descriptor_name":"Stress Disorders, Post-Traumatic","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D014728","descriptor_name":"Veterans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D014728","descriptor_name":"Veterans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D014728","descriptor_name":"Veterans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D014728","descriptor_name":"Veterans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1016/j.jsxm.2021.05.011","doi":"https://doi.org/10.1016/j.jsxm.2021.05.011","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.jsxm.2021.05.011","pdf_url":null,"source":{"id":"https://openalex.org/S159512450","display_name":"The Journal of Sexual Medicine","issn_l":"1743-6095","issn":["1743-6095","1743-6109"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of Sexual Medicine","raw_type":"journal-article"},{"id":"pmid:34257051","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/34257051","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The journal of sexual medicine","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:8726013","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/8726013","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"J Sex Med","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:8726013","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/8726013","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"J Sex Med","raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"sustainable_development_goals_aurora":[{"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10","score":0.5299999713897705}],"study_designs":[{"display_name":"Systematic Review","id":"https://openalex.org/study-designs/systematic-review"}],"awards":[{"id":"https://openalex.org/G1246834675","display_name":null,"funder_award_id":"CDA 19-208","funder_id":"https://openalex.org/F4320309610","funder_display_name":"Health Services Research and Development"},{"id":"https://openalex.org/G2930695870","display_name":null,"funder_award_id":"CDA 19-208","funder_id":"https://openalex.org/F4320306127","funder_display_name":"U.S. Department of Veterans Affairs"},{"id":"https://openalex.org/G6095024821","display_name":null,"funder_award_id":"IK2 HX002891","funder_id":"https://openalex.org/F4320306127","funder_display_name":"U.S. Department of Veterans Affairs"}],"funders":[{"id":"https://openalex.org/F4320306127","display_name":"U.S. Department of Veterans Affairs","ror":"https://ror.org/05rsv9s98"},{"id":"https://openalex.org/F4320309610","display_name":"Health Services Research and Development","ror":"https://ror.org/05rsv9s98"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":120,"referenced_works":["https://openalex.org/W88103725","https://openalex.org/W657996225","https://openalex.org/W1505864312","https://openalex.org/W1524466936","https://openalex.org/W1543958488","https://openalex.org/W1554160645","https://openalex.org/W1788852004","https://openalex.org/W1796582759","https://openalex.org/W1829878951","https://openalex.org/W1893139473","https://openalex.org/W1897201963","https://openalex.org/W1902151198","https://openalex.org/W1922989481","https://openalex.org/W1926419804","https://openalex.org/W1943704507","https://openalex.org/W1953150748","https://openalex.org/W1958663359","https://openalex.org/W1964647850","https://openalex.org/W1976692440","https://openalex.org/W1979247738","https://openalex.org/W1981578733","https://openalex.org/W1982532378","https://openalex.org/W1990727941","https://openalex.org/W1991282419","https://openalex.org/W1996894095","https://openalex.org/W2005177378","https://openalex.org/W2005470536","https://openalex.org/W2013099569","https://openalex.org/W2021067039","https://openalex.org/W2032737307","https://openalex.org/W2037476811","https://openalex.org/W2037989771","https://openalex.org/W2038705357","https://openalex.org/W2039889738","https://openalex.org/W2046977827","https://openalex.org/W2049070000","https://openalex.org/W2053736517","https://openalex.org/W2055093221","https://openalex.org/W2064551062","https://openalex.org/W2070209771","https://openalex.org/W2078649401","https://openalex.org/W2079054560","https://openalex.org/W2086240335","https://openalex.org/W2087481471","https://openalex.org/W2090716160","https://openalex.org/W2103924434","https://openalex.org/W2106554227","https://openalex.org/W2112997260","https://openalex.org/W2113782367","https://openalex.org/W2114915995","https://openalex.org/W2122568127","https://openalex.org/W2129162500","https://openalex.org/W2136265003","https://openalex.org/W2142356461","https://openalex.org/W2143133116","https://openalex.org/W2151849431","https://openalex.org/W2157476855","https://openalex.org/W2159011576","https://openalex.org/W2162862450","https://openalex.org/W2171499783","https://openalex.org/W2174561539","https://openalex.org/W2207286159","https://openalex.org/W2257818166","https://openalex.org/W2280126663","https://openalex.org/W2329647250","https://openalex.org/W2342707854","https://openalex.org/W2461675940","https://openalex.org/W2511250611","https://openalex.org/W2531135712","https://openalex.org/W2561526811","https://openalex.org/W2610515140","https://openalex.org/W2612891587","https://openalex.org/W2760883393","https://openalex.org/W2769393727","https://openalex.org/W2771759142","https://openalex.org/W2786165002","https://openalex.org/W2789428486","https://openalex.org/W2792683891","https://openalex.org/W2795070663","https://openalex.org/W2795265905","https://openalex.org/W2807673492","https://openalex.org/W2887214150","https://openalex.org/W2897410696","https://openalex.org/W2901573020","https://openalex.org/W2906253013","https://openalex.org/W2909338067","https://openalex.org/W2917142752","https://openalex.org/W2929931542","https://openalex.org/W2935479251","https://openalex.org/W2950210926","https://openalex.org/W2954509131","https://openalex.org/W2956645981","https://openalex.org/W2967459795","https://openalex.org/W2968294943","https://openalex.org/W2969782533","https://openalex.org/W2973072291","https://openalex.org/W2979167808","https://openalex.org/W2979283139","https://openalex.org/W2999881329","https://openalex.org/W3010971713","https://openalex.org/W3013119105","https://openalex.org/W3014562953","https://openalex.org/W3020806010","https://openalex.org/W3021439440","https://openalex.org/W3027585276","https://openalex.org/W3032961627","https://openalex.org/W3039107020","https://openalex.org/W3048150051","https://openalex.org/W3054910300","https://openalex.org/W3080206186","https://openalex.org/W3090504124","https://openalex.org/W3102061349","https://openalex.org/W3159237124","https://openalex.org/W4229052400","https://openalex.org/W4240435398","https://openalex.org/W4247665917","https://openalex.org/W4250024569","https://openalex.org/W4255396331","https://openalex.org/W4285719527","https://openalex.org/W6621956231"],"related_works":["https://openalex.org/W1554160645","https://openalex.org/W1524466936","https://openalex.org/W2068321987","https://openalex.org/W1979247738","https://openalex.org/W4384565696","https://openalex.org/W2954509131","https://openalex.org/W4382279791","https://openalex.org/W2935479251","https://openalex.org/W4410759311","https://openalex.org/W2342707854"],"abstract_inverted_index":{"BACKGROUND:":[0],"Posttraumatic":[1,318],"stress":[2],"disorder":[3],"(PTSD)":[4],"is":[5,260,274,301],"associated":[6,96,111,155,275],"with":[7,97,112,220,276],"sexual":[8,43,78,105,114,116,118,121,127,135,140,156,173,189,193,251,266,277,283,287,294,297],"difficulties":[9,44,278],"but":[10],"the":[11,38,213,229,282],"nuances":[12],"of":[13,28,67,77,100,139,145,225,228,241,250,265,327],"this":[14,91],"relationship":[15,39,292],"remain":[16],"elusive.":[17],"Research":[18],"has":[19,209],"increased":[20,98],"in":[21,31,45,57,72,150,175,212,306],"recent":[22],"years,":[23],"most":[24,109,153],"notably":[25],"following":[26],"publication":[27],"several":[29],"reviews":[30],"2015.":[32],"AIM:":[33],"This":[34,201],"systematic":[35,50,202],"review":[36,51,203],"examines":[37],"between":[40,235],"PTSD":[41,68,70,94,107,142,178,236,242,259,273],"and":[42,59,87,120,137,147,164,180,183,192,217,237,243,248,253,289,321,329],"veterans/military":[46],"personnel.":[47],"METHODS:":[48],"A":[49,324],"was":[52,95,108],"conducted":[53],"using":[54],"PRISMA":[55],"guidelines":[56],"PsycINFO":[58],"PubMed":[60],"databases":[61],"for":[62,90,126],"studies":[63,81,159,219],"examining":[64],"a":[65,75,263],"diagnosis":[66],"or":[69],"severity":[71],"relation":[73,176],"to":[74,177,222,262,280,293,303],"range":[76,264],"difficulties.":[79,157],"Forty-three":[80],"were":[82,124,152],"identified":[83],"that":[84,208,272],"met":[85],"inclusion":[86],"exclusion":[88],"criteria":[89],"review.":[92],"RESULTS:":[93],"risk":[99,224],"experiencing":[101],"at":[102],"least":[103],"one":[104],"difficulty.":[106],"clearly":[110],"overall":[113],"function,":[115,130],"desire,":[117],"satisfaction,":[119],"distress.":[122],"Results":[123],"mixed":[125],"arousal,":[128],"orgasm":[129],"erectile":[131],"dysfunction,":[132],"premature":[133],"ejaculation,":[134],"pain,":[136],"frequency":[138],"activity.":[141],"symptom":[143],"clusters":[144],"avoidance":[146,182],"negative":[148,184],"alterations":[149],"cognition/mood":[151],"commonly":[154],"Few":[158],"compared":[160],"results":[161],"by":[162,187],"gender":[163],"trauma":[165,244],"type.":[166],"CLINICAL":[167],"IMPLICATIONS:":[168],"Clinicians":[169],"should":[170],"inquire":[171],"about":[172],"health":[174],"symptoms":[179,186],"target":[181],"mood":[185],"incorporating":[188],"exposure":[190],"assignments":[191],"activation":[194],"exercises":[195],"when":[196],"appropriate.":[197],"STRENGTHS":[198],"&":[199],"LIMITATIONS:":[200],"synthesizes":[204],"an":[205],"extensive":[206],"literature":[207,231,270],"grown":[210],"substantially":[211],"past":[214],"5":[215],"years":[216],"includes":[218],"low":[221],"moderate":[223],"bias.":[226],"Limitations":[227],"existing":[230],"include":[232],"challenges":[233],"differentiating":[234],"depression,":[238],"inconsistent":[239,246],"measurement":[240,249],"histories,":[245],"operationalization":[247],"outcomes,":[252],"largely":[254],"cross-sectional":[255],"study":[256],"designs.":[257],"CONCLUSION:":[258],"linked":[261],"outcomes.":[267],"The":[268],"current":[269],"suggests":[271],"related":[279],"both":[281],"response":[284],"cycle":[285],"(ie,":[286],"desire)":[288],"one's":[290],"emotional":[291],"activity":[295],"(eg,":[296],"distress).":[298],"More":[299],"research":[300],"needed":[302],"increase":[304],"confidence":[305],"findings.":[307],"Bird":[308],"ER,":[309],"Piccirillo":[310],"M,":[311],"Garcia":[312],"N,":[313],"et":[314],"al.":[315],"Relationship":[316],"Between":[317],"Stress":[319],"Disorder":[320],"Sexual":[322],"Difficulties:":[323],"Systematic":[325],"Review":[326],"Veterans":[328],"Military":[330],"Personnel.":[331],"J":[332],"Sex":[333],"Med":[334],"2021;18:1398-1426.":[335]},"counts_by_year":[{"year":2026,"cited_by_count":13},{"year":2025,"cited_by_count":21},{"year":2024,"cited_by_count":12},{"year":2023,"cited_by_count":11},{"year":2022,"cited_by_count":6},{"year":2021,"cited_by_count":1}],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2021-07-19T00:00:00"}