Literature DB >> 25388531

Psychological impact and sexual dysfunction in men with and without spinal cord injury.

Ana I Cobo Cuenca1, Antonio Sampietro-Crespo, Miguel Virseda-Chamorro, Noelia Martín-Espinosa.   

Abstract

INTRODUCTION: The World Health Organization recognizes sexual health as a fundamental right that should be guaranteed to all individuals. Sexual dysfunction affects various aspects in the lives (physical, psychic, and social) of affected persons. AIMS: To assess the different types of sexual dysfunction, the quality of life (QOL), depression, anxiety, and levels of self-esteem observed in 165 men with sexual dysfunction, both with and without spinal cord injury (SCI).
METHODS: Case control study of 85 men with SCI and sexual dysfunction, and 80 men without SCI that have sexual dysfunction. MAIN OUTCOMES MEASURES: The Sexual Health Evaluation Scale, the Fugl-Meyer Life Satisfaction Questionnaire scale, the Hospital Anxiety and Depression Scale, the Evaluation of the Sexual Health Scale, and Rosenberg's Self-esteem Scale were all used for data collection.
RESULTS: Of the members in group A (with SCI), 89.4% (76) showed erectile dysfunction, and 75.2% (64) reported anejaculation. In group B (without SCI), 75 (96.8%) showed erectile dysfunction, and 58.7% (47) had disorders of sexual desire. In group A, 16.47 % (14) showed signs of depression, and 35.3% (30) had signs of anxiety. In group B, 30% (24) had elevated scores regarding depression, and 48.75% (39) had high scores for anxiety. All of the participants reported a high general QOL and a high satisfaction with their QOL but reported that their satisfaction with their sexual lives was only at the acceptable level. Social QOL is significantly higher in the SCI group (t Student P=0.031). The QOL, self-esteem, and anxiety and depression levels are significantly correlated.
CONCLUSIONS: Men with sexual dysfunction strive to adapt to their situations, with the relationship between the type of sexual dysfunction and the QOL, mood (depression), and self-esteem all being important considerations. Sexuality and employment status are the areas where men with spinal cord injuries report less satisfaction.
© 2014 International Society for Sexual Medicine.

Entities:  

Keywords:  Anxiety; Depression; Erectile Dysfunction; Quality of Life; Self-Esteem; Sexual Dysfunction; Spinal Cord Injury

Mesh:

Year:  2014        PMID: 25388531     DOI: 10.1111/jsm.12741

Source DB:  PubMed          Journal:  J Sex Med        ISSN: 1743-6095            Impact factor:   3.802


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Review 3.  Anxiety prevalence following spinal cord injury: a meta-analysis.

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4.  The relationship between anxiety, depression and religious coping strategies and erectile dysfunction in Iranian patients with spinal cord injury.

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6.  Positive sexuality in men with spinal cord injury.

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7.  Erectile Function Predicts Sexual Satisfaction in Men With Spinal Cord Injury.

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Review 8.  Surgical Neurostimulation for Spinal Cord Injury.

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Review 9.  Spinal cord injury and male infertility-a review of current literature, knowledge gaps, and future research.

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Review 10.  Sexual Health in Men With Traumatic Spinal Cord Injuries: A Review and Recommendations for Primary Health-Care Providers.

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