{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T03:43:31Z","timestamp":1780976611348,"version":"3.54.1"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2023,1,4]],"date-time":"2023-01-04T00:00:00Z","timestamp":1672790400000},"content-version":"vor","delay-in-days":2591,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Department of Veterans Affairs, Veterans Health Administration, South Central MIRECC"},{"DOI":"10.13039\/100015620","name":"Center for Innovations in Quality, Effectiveness and Safety","doi-asserted-by":"crossref","award":["CIN 13-413"],"award-info":[{"award-number":["CIN 13-413"]}],"id":[{"id":"10.13039\/100015620","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Sexual health is an integral aspect of quality of life with important implications for satisfaction with intimate relationships, emotional well-being, and life as a whole. Veterans returning from Iraq and Afghanistan frequently encounter a wide range of known risk factors for sexual health concerns.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>This article seeks to examine the overall frequency, important covariates associated with sexual difficulties, and the relevant domains of sexual dysfunction among a group of recent US veterans of Iraq and Afghanistan.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This is a retrospective chart review of 247 veterans of conflicts in Iraq and Afghanistan evaluated for an initial visit at the post-deployment clinic of a large veterans affairs medical center (VAMC). Patient demographic and medical characteristics were calculated using descriptive statistics. The prevalence and burden of sexual health issues in our patient sample were calculated using descriptive statistics from these veterans' responses to a self-report measure of sexual functioning. Item-level regression analyses were then conducted between sexual functioning responses and other patient data.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main Outcome Measures<\/jats:title>\n                  <jats:p>The main outcome measures used were the responses to the Arizona Sexual Experience Scale (ASEX).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Almost 18% of veterans screened positive for sexual functioning difficulties. Self-reported sexual dysfunction was most strongly associated with depression, posttraumatic stress disorder, female sex, and service connection rating. Co-occurring characteristics varied with specific areas of sexual functioning.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Screening using an empirically validated self-report instrument indicates that there is a high prevalence of reported sexual dysfunction among recently deployed veterans. Analyses indicated that there are specific characteristics associated with both overall self-reported sexual dysfunction and specific subtypes of sexual dysfunction. Active assessment of specific aspects of sexual dysfunction concerns may allow providers to identify and implement more precise sexual functioning interventions.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/sm2.92","type":"journal-article","created":{"date-parts":[[2015,11,2]],"date-time":"2015-11-02T11:13:59Z","timestamp":1446462839000},"page":"287-294","source":"Crossref","is-referenced-by-count":5,"title":["An Exploration of Returning Veterans' Sexual Health Issues Using a Brief Self-Report Measure"],"prefix":"10.1093","volume":"3","author":[{"given":"Gregory R.","family":"Beaulieu","sequence":"first","affiliation":[{"name":"Psychology Service , Houston, TX, \u00a0 USA"},{"name":"Mental Health Care Line , Houston, TX, \u00a0 USA"},{"name":"Michael E. DeBakey Veterans Affairs Medical Center , Houston, TX, \u00a0 USA"},{"name":"Menninger Department of Psychiatry and Behavioral Sciences , Houston, TX, \u00a0 USA"},{"name":"Baylor College of Medicine , Houston, TX, \u00a0 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David M.","family":"Latini","sequence":"additional","affiliation":[{"name":"Menninger Department of Psychiatry and Behavioral Sciences , Houston, TX, \u00a0 USA"},{"name":"Baylor College of Medicine , Houston, TX, \u00a0 USA"},{"name":"Scott Department of Urology , Houston, TX, \u00a0 USA"},{"name":"Baylor College of Medicine , Houston, TX, \u00a0 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Drew A.","family":"Helmer","sequence":"additional","affiliation":[{"name":"War Related Illness and Injury Study Center , East Orange, NJ, \u00a0 USA"},{"name":"VA New Jersey Health Care System , East Orange, NJ, \u00a0 USA"},{"name":"Department of Medicine , Newark, NJ, \u00a0 USA"},{"name":"Rutgers University\u2014New Jersey Medical School , Newark, NJ, \u00a0 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Powers-James","sequence":"additional","affiliation":[{"name":"Department of Palliative, Rehabilitation, and Integrative Medicine"},{"name":"The University of Texas MD Anderson Cancer Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheryl","family":"Houlette","sequence":"additional","affiliation":[{"name":"Social Work and Transition Care Service Line , Houston, TX, \u00a0 USA"},{"name":"Michael E. DeBakey Veterans Affairs Medical Center , Houston, TX, \u00a0 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael R.","family":"Kauth","sequence":"additional","affiliation":[{"name":"Menninger Department of Psychiatry and Behavioral Sciences , Houston, TX, \u00a0 USA"},{"name":"Baylor College of Medicine , Houston, TX, \u00a0 USA"},{"name":"VA South Central Mental Illness Research, Education, and Clinical Center (SC-MIRECC) , Houston, TX, \u00a0 USA"},{"name":"Michael E. DeBakey Veterans Affairs Medical Center , Houston, TX, \u00a0 USA"},{"name":"Center for Innovations in Quality, Effectiveness and Safety , Houston, TX, \u00a0 USA"},{"name":"Michael E. 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