Sexual Satisfaction and Associated Biopsychosocial Factors in Stroke Patients Admitted to Specialized Cognitive Rehabilitation
Vikan, Jannike; Snekkevik, Hildegun; Nilsson, Marie I.; Stanghelle, Johan K.; Geirdal, Amy Østertun; Fugl-Meyer, Kerstin S.
Peer reviewed, Journal article
Published version
Date
2021-08-30Metadata
Show full item recordCollections
- Publikasjoner fra Cristin [3593]
- SAM - Institutt for sosialfag [524]
Original version
Sexual Medicine - Open Access. 2021, 9 (5), . https://doi.org/10.1016/j.esxm.2021.100424Abstract
Introduction: The consequences of stroke on sexual life in stroke patients in need of specialized cognitive rehabilitation have been limited explored. A biopsychosocial perspective in post-stroke sexuality studies is warranted to capture the complex picture of stroke consequences and sexual life after stroke and sexual satisfaction is an important outcome measure when exploring such multifactorial associations.
Aim: To explore sexual satisfaction and associated biopsychosocial factors in stroke patients admitted to specialized cognitive rehabilitation.
Methods: A cross-sectional study was performed including 91 consecutive stroke patients admitted to specialized cognitive rehabilitation. Data were collected from medical records and by face-to-face interviews using a structured interview guide and questionnaires. Descriptive and inferential statistics were applied.
Main outcome measures: A wide range of biopsychosocial variables including medical and sociodemographic characteristics, social support, sexual complaints, aspects of sexual life, psychological distress and life satisfaction were analyzed in relation to the main outcome “Satisfaction with sexual life.”
Results: Only 33 % were satisfied with sexual life. Prevalence of sexual complaints was high, more frequent in women (84%) than in men (64%). Three-quarters were less sexually active than before stroke. Multivariable analyses showed that anxiety, sleep problems, manifested sexual complaint, decrease in sexual activity and fear of partner rejection were significantly associated with low odds of sexual satisfaction, while affectionate support and partnership satisfaction were significant for sexual satisfaction. When combined in a biopsychosocial multivariable model only fear of partner rejection (OR 0.07; 95 % CI: 0.01−0.42) and decrease in sexual activity (OR 0.11; 95 % CI: 0.02−0.58) showed significant contribution to sexual satisfaction.
Conclusion: The variety of predictors for sexual satisfaction indicates that therapeutic actions need to be individualized and points towards a broad assessment and interventional approach to meet the sexual rehabilitation needs of stroke patients with cognitive impairments in need of specialized rehabilitation.
Publisher
ElsevierSeries
Sexual Medicine;Volume 9, Issue 5, 100424Journal
Sexual MedicineCopyright
© 2021 The AuthorsRelated items
Showing items related by title, author, creator and subject.
-
Sexual Victimization in the Digital Age: A Population-based Study of Physical and Image-based Sexual Abuse among Adolescents
Pedersen, Willy; Bakken, Anders; Stefansen, Kari; von Soest, Tilmann (Archives of Sexual Behavior;, Peer reviewed; Journal article, 2021-01-20)Adolescents increasingly use social media platforms, and these practices open up new forms of sexual victimization, in particular image-based sexual abuse (IBSA). Few studies have examined prevalence rates and correlates ... -
Exposure to physical and sexual violence, mental health and help-seeking behaviors among Norwegian youth: A cross-sectional study using data from Ungvold, 2015.
Adu-Mensa, Francis (Master thesis, 2019)This thesis is written with consideration of adolescents’ mental health by looking at the connections with help-seeking and two types of violence, physical and sexual. The purpose was to investigate the association between ... -
Moving toward or away from sexuality
Schneider, Marthe (Master thesis, 2018)Background: The vulvovaginal pain disorder Provoked vestibulodynia (PVD) affects a significant health problem among women in Norway and the West overall. Although research to date shows that PVD pain is associated with ...