Sexual Satisfaction in Fully Ambulatory People with Multiple Sclerosis: Does Disability Matter? (original) (raw)
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Annals of General Psychiatry
Background Multiple sclerosis profoundly affects the sexual aspects of patients’ life, especially in women. Various coping strategies are used by women with multiple sclerosis to overcome, tolerate, or minimize these sexual effects. The present study aimed to assess the relationship between sexual satisfaction, sexual intimacy, and coping strategies in women with multiple sclerosis. Methods This cross-sectional study was performed on a sample of 122 married women who were members of Iran’s MS society in Tehran, Iran. The study was conducted from December 2018 to September 2019. Data were collected using the Index of Sexual Satisfaction (ISS), the Sexual Intimacy Questionnaire (SIQ), and the Folkman and Lazarus Coping Strategies Questionnaire. Frequency, percentage, mean and standard deviation were used to explore the observations. Independent t-test and logistic regression were applied to analyze the data using the SPSS-23. Results The majority (n = 71, 58.2%) used an emotion-focuse...
Rehabilitation Psychology, 2011
Purpose: Sexual dysfunction and low sexual satisfaction are common among individuals with multiple sclerosis (MS); however, little is known about factors that influence sexual satisfaction within this population. As such, the purpose of this study was to investigate the extent to which changes in negative and positive partner support predict sexual satisfaction levels over time in individuals with MS. Design: Eighty-one individuals with MS completed measures of sexual dysfunction, sexual satisfaction, partner social support, and depression. Data from baseline and posttreatment follow-up were obtained from a larger randomized clinical trial of telephone-administered psychotherapy for depression in a population with MS. Multiple regression analyses were conducted with change in overall sexual satisfaction from baseline to posttreatment as the outcome variable. Results: After controlling for age, gender, sexual dysfunction, years diagnosed with MS, and depression severity, those with increased positive partner support reported significant improvement in sexual satisfaction over time ( ϭ .50, p Ͻ .001), as did individuals with decreased negative partner support ( ϭ .36, p Ͻ .01). Conclusions: Results provide evidence that both positive and negative partner support have a distinctive role in the outcome of sexual satisfaction for individuals with MS. Understanding the unique role of positive and negative forms of partner support on sexual satisfaction will help lead to future interventions to improve sexual satisfaction among couples.
Female Sexual Problems in Multiple Sclerosis and Its Association with Quality of Life
Journal of Urmia Nursing and Midwifery Faculty, 2013
Background & Aims: Multiple sclerosis (MS) is the most common cause of progressive neurological disability in young adults. Sexual problems (SP) are often experienced by people with MS. As women with MS are 2-3 times more than men, the aim of this quantitative study is to examine female sexual problems and its association with quality of life in Iranian MS Society. Materials & Methods: One hundred and thirty-two women with MS filled out Multiple Sclerosis quality of life-54 Questionnaire, Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 and demographic and medical history questionnaire. Data were analyzed by using SPSS 16 software and Pearson correlation coefficient was used to examine relationships between quality of life subscales and SP items. Results: Delayed orgasm, pain and concern about partner's sexual satisfaction were the most frequent symptoms of primary, secondary and tertiary sexual problems respectively. Statistically significant negative correlations wer...
Journal of Clinical Medicine
Despite being a common issue in people with multiple sclerosis (pwMS), sexual dysfunction is still underinvestigated. This work aims to assess the potential determinants of sexual dysfunction in pwMS by considering its relationship with disease severity (in terms of global disability), illness perception, and depressive symptoms. In this multicenter study, 1010 pwMS responded to an online survey. A serial mediation model considering negative illness perception and depressive symptoms as mediators of the relationship between disease severity and sexual dysfunction was conducted using the SPSS PROCESS Macro with bias-corrected bootstrapping (5000 samples). Disease severity exerts an indirect effect on sexual dysfunction via illness perception, both independently and through depressive symptoms. However, the results indicated that illness perception plays a more crucial role in sexual dysfunction in pwMS with mild disability than in pwMS with moderate-severe disability. This study sugg...
Sexual dysfunction in women with multiple sclerosis: prevalence and impact on quality of life
BMC Urology, 2020
Background Sexual function is a component of quality of life, and sexual dysfunction entails reduced satisfaction with life and impaired mood and quality of relationships and affects not only the individual’s quality of life, but her partner’s life as well. Since Sexual Dysfunction (SD) is among the most common complaints of patients with Multiple Sclerosis (MS), this study was conducted to determine the prevalence of SD among women with MS and its effect on quality of life. Materials and methods This cross-sectional study was conducted in 2018 on 300 women with MS aged 22–50 years in Isfahan, Iran, selected through systematic random sampling. Data were collected using the standard Female Sexual Function Index (FSFI) and MSQOL-54 and analyzed in SPSS using descriptive and analytical statistics. Results The overall prevalence of SD was found as 69.8% in women with MS, with the dimension of sexual desire being affected in 38.6% of the cases, sexual arousal in 38.6%, lubrication in 23....
Sexual Rehabilitation and Relational Satisfaction in People with Multiple Sclerosis and their Partners, 2023
Sexuality is an integral part of our existence. Multiple Sclerosis (MS) can complicate the lifelong course of sexual development and the ways in which one defines and expresses sexuality. Unfortunately, these issues are not adequately addressed by the health professionals involved in the rehabilitation process. Present research attempts to study the effect that can arise on the sexual and relational satisfaction of couples having a partner with MS after the implementation of a sexual rehabilitation program. 60 couples where one partner has MS and the other does not, were divided into three groups and accepted the PLIS-SIT (PLISSIT stands for Permission, Limited Information, Specific Suggestions, Intensive Therapy) sexual rehabilitation program as follows: Group a (n = 40, control group) completed self-referencing questionnaires at three times (initial measurement, after 10 weeks and 6 months later), group b (n = 40) did 10 weeks of sexual counselling and completed the same questionnaires at the same times and group c (n = 40) followed the PLISSIT programme and was evaluated in the same way at the same times. The implementation of PLISSIT improved Sexual Dysfunction (SD) levels, increased sexual satisfaction between partners along with general relational satisfaction. PLISSIT can be used by professionals involved in the management of the disease as a comprehensive psychosexual rehabilitation program for MS patients and their partners.
Basic human needs in patients with multiple sclerosis: intimacy and sexuality
Central European Journal of Nursing and Midwifery
Aim: To analyse the occurrence of sexual dysfunction in patients with multiple sclerosis. Design: A quantitative cross-sectional study. Methods: The study was conducted in cooperation with the Croatian Association of Patients with Multiple Sclerosis, in the form of a questionnaire. A total of 106 patients responded: 24 (23%) male and 82 (77%) female. All subjects were in the age group 21-63 years. Data were analysed using descriptive statistics and the Mann-Whitney test, Kruskal-Wallis test, ANOVA test, and Spearman's rank correlation coefficient. Results: Primary sexual dysfunction (lack of sexual interest and desire), Secondary sexual dysfunction (the occurrence of bladder or urinary symptoms), and Tertiary dysfunction (caused by emotional aspects of MS) were present in most patients. There were no statistically significant differences between subjects within individual categories. Conclusion: Sexual dysfunction is very common among patients suffering from multiple sclerosis, significantly impairing quality of life since sexual and intimate expression are basic human needs which persist in spite of disability or illness. However, patients are reluctant to talk about this highly sensitive issue.
Sexual Motivation in Persons with Multiple Sclerosis: A Controlled Cross-Sectional Study
Degenerative Neurological and Neuromuscular Disease
Sexual motives are major determinants of sexual behaviour. It has been known that sexual motives may vary according to circumstances. Multiple sclerosis (MS) is a chronic disease causing a broad range of symptoms and disabilities, that often interfere with sexual activities. We aimed to investigate the sexual motives in persons with MS. Patients and Methods: Cross-sectional study in 157 persons with MS and 157 controls matched for age, gender, relationship, duration of relationship and educational status via propensity score matching. The Reasons for Having Sex (YSEX) questionnaire assessed the proportion with which a person had engaged in sexual intercourse for each of 140 distinct motives to have sex. Estimated mean differences in scores for four primary factors (Physical, Goal attainment, Emotional, Insecurity) and 13 sub-factors, and sexual satisfaction and importance of sex were calculated as Average Treatment Effect of the Treated using 99% confidence intervals. Results: Persons with MS reported a lower proportion of engaging in sex compared with the controls for the factors Physical (−0.29), Emotional (−0.23) and Insecurity (−0.10); and for the physical sub-factors Pleasure (−0.48), Experience seeking (−0.32), Stress reduction (−0.24), and Physical desirability (−0.16), the emotional sub-factors Love and commitment (−0.27) and Expression (−0.17), and the insecurity sub-factor Self-esteem boost (−0.23). In the control group seven of the top 10 sexual motives were physical versus five in the MS group. The importance of sex was lower in the MS group (−0.68). Conclusion: Findings of this controlled cross-sectional study suggest a reduction in the number of sexual motives in persons with MS, especially of physical motives related to pleasure and experience seeking. Health care professionals may consider assessing sexual motivation when dealing with persons with MS who suffer from decreased sexual desire or another sexual dysfunction.
Sexual dysfunction in women with multiple sclerosis: Dimensions and contributory factors
Journal of Research in Medical Sciences, 2014
Sexual dysfunction (SD) is a common reported problem in patients with multiple sclerosis (MS). to examine frequency and distribution of SD dimensions and to determine whether SD is related to various clinical and demographic variables in female patients. A total of 271 MS women (age: 19-50 years) participated in this cross-sectional study. We used a structured demographic and clinical interview and Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19). Disability was rated by Expanded Disability Status Score (EDSS). 63.5% (n = 173) of women had SD included 142 (52.4%) women with primary SD, 102 (37.5%) women with secondary SD and 120 (41%) women with tertiary SD. The most common SD-related complaint was orgasmic problem (41.2%). Women with primary SD were significantly older and had higher EDSS score. No significant relationship was found between primary SD and disease duration. Fatigue (OR = 2.69, 95% CI: 1.352-5.385, P = 0.005), memory and concentration complaints ...