Peculiarities of emotional sphere in the military with diseases of the nervous system complicated by sexual dysfunctions

Relevance. Diseases of the nervous system considerably complicate professional performance of military men. Employees of the EMERCOM and other military are constantly engaged in stressful activities; hence, pathology of the nervous system is often associated with sexual dysfunctions. Intention – To study sexual and emotional dysfunction and personality accentuations in themilitary with diseases of the nervous system.

Methods. The research was focused on a group of 146 men 25–55 years old with pathology of the nervous system. Standard clinical and neurological examination was carried out with assessment for sexual dysfunctions using questionnaires “Male sexual function” and “Male copulative function”. Emotional sphere was assessed via psychological tests: Well-being– activity–mood, Eysenck Personality Inventory, State-Trait Anxiety Inventory, Leonhard–Schmieschek questionnaire.

Results and Discussion. Associated sexual dysfunctions (decreased neurohumoral, mental, erectile and ejaculatory components of copulation cycle) were found in 60.3 % of patients irrespective of specific neurologic pathology, age or sexual constitution. Statistically significant (p < 0.05) decrease in overall well-being and mood, as well as high state and trait anxiety and neuroticism were revealed in those with sexual dysfunctions. A direct link between sexual dysfunctions and emotive, pedantic, dysthymic person accentuations are noted. At patients with sexual dysfunctions gradual decrease in health status, activity, mood and increase of situational and personal anxiety, and also a high level neuroticism in comparison from patients without sexual frustration is revealed. Personality accentuations, such as stuck, pedant, exalted, emotive, demonstrative, were most common in patients with sexual dysfunctions, that is consistent with data of other authors. However, they result from a combined influence of adverse factors, rather than personality disorders.

Conclusion. Sexual dysfunctions significantly aggravate a course of neurological diseases, are associated with affective disorders and increased personality accentuations. For effective treatment of neurological diseases, it’s important to reveal and timely correct psychological and sexual dysfunction in the military. “Male copulative function” questionnaire is optimal for rapid diagnosis of male sexual disorders. 

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