Affiliations: [a] Center for Interdisciplinary Research in Rehabilitation-Centre de Réadaptation Lucie-Bruneau, and Centre de Recherche en Neuropsychologie et Cognition (CERNEC), Department of Psychology, Université de Montréal, Montréal, QC, Canada | [b] University of Deusto, IKERBASQUE, Basque Foundation for Science, Bilbao, Spain | [c] Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada | [d] Clinique Universitaire de Psychologie, Université de Montréal, Montréal, QC, Canada
Correspondence:
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Address for correspondence: Jhon Alexander Moreno, Université de Montréal, Département de Psychologie, Centre de Recherche en Neuropsychologie et Cognition (CERNEC), CP 6128, succursale Centre-Ville H3C 3J7, Montréal, QC, Canada, Clinique Universitaire de Psychologie, Université de Montréal, Montréal, QC, Canada. Tel.: +1 514 343 6532; Fax: +1 514 343 7725; E-mail: jhon.alexander.moreno@umontreal.ca
Abstract: Brain injury can directly and indirectly affect important aspects related to sexuality and sexual function. In this critical review of the literature, traumatic brain injury (TBI) and sexuality are examined. A general review of the concept of sexuality and the neurological correlates of sexual function are proposed as a framework to understand the cognitive, behavioral and physical effects of TBI on sexuality and sexual function. Studies are then classified according to the participants enrolled and findings are presented from the professional's, the survivor's, the patient/partner's, and the non-injured spouse's perspectives. Results are discussed taking into account methodological limitations and knowledge gaps. Next, implications for sexual rehabilitation for individuals with TBI are discussed. Finally, suggestions for future research and their pertinence for improving rehabilitation outcomes are considered.
Keywords: Traumatic brain injury, sexuality, sexual function, disability, rehabilitation, sexual therapy
