Efficacy of Sexological Healthcare for People With Chronic Diseases and Physical Disabilities

Kedde, Harald; Wiel, van de Harry; Schultz, Willibrordus Weijmar; Vanwesenbeek, W. M. A.; Bender, Jim

doi:10.1080/00926231003719798

Cited by 11 publications

(5 citation statements)

References 23 publications

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“…Psychological interventions for the sexual consequences of cancer show significant improvement in body image, sexuality and psychological well‐being (Brotto, Yule, & Breckon, ; Kalaitzi et al., ), but have not been applied in advanced cancer. However, advanced cancer patients share some characteristics with people with physical disabilities such as spinal cord injury or chronic pain (Kedde, van de Wiel, Schultz, Vanwesenbeek, & Bender, ), who benefits from interventions on body image and sexuality. Complementary therapies including “prehabilitation” approaches and touch‐oriented therapies, such as massages, exercise, breathing training or relaxation therapy, can also improve mood and physical symptomatology in advanced cancer patients (Ernst, ; Jensen, Bialy, Ketels, Bokemeyer, & Oechsle, ; Noel & Montagnini, ).…”

Section: Discussionmentioning

confidence: 99%

Predictors of psychological distress in advanced cancer patients under palliative treatments

et al. 2016

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This work aims to investigate the factors associated with psychological distress in advanced cancer patients under palliative treatment. We comprehensively assessed the demographic, psychosocial and health factors of 158 advanced cancer patients. Patients with high and low distress, according to the Hospital Anxiety and Depression Scale, were compared. A regression analysis was built to identify the best predictors of distress. Patients with high psychological distress (81%) were more likely to have lung cancer, suicidal ideation, hopelessness, low quality of life and poor body image than those without. In the multivariate model, only poor emotional functioning (OR = .89; 95% CI = .83-.95; p ≤ .001), hopelessness (OR = .86; 95% CI = .78-.94; p ≤ .001) and body image distortions (OR = .77; 95% CI = .68-.85; p = .005) were retained. High levels of hopelessness, impaired emotional functioning and body image distortions are the main factors associated with psychological distress in patients with advanced cancer. Potential interventions to modify these factors in palliative units are discussed.

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Section: Discussionmentioning

confidence: 99%

Predictors of psychological distress in advanced cancer patients under palliative treatments

et al. 2016

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“…One of the reasons that doctors don’t discuss sexuality with their patients could be that they think that there are no interventions for sexual dysfunction. However, sexological healthcare was found to be beneficial in patients with chronic diseases [ 39 ]. Furthermore, doctors can provide adequate information and take away fears that patients could deal with that withholds them from engaging in sexual activities.…”

Section: Discussionmentioning

confidence: 99%

Sexual function is impaired in women and men with pulmonary hypertension

et al. 2023

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Background Sexual health related quality of life (SHRQoL) is an important pillar of health related quality of life (HRQoL). The aim of this study was to investigate sexual functioning in men and women with pulmonary hypertension (PH). Methods and results In this cross-sectional study, a total of 78 patients were included, 49 were diagnosed with pulmonary arterial hypertension and 29 with chronic thromboembolic pulmonary hypertension (median age 53 [IQR: 46–67 years], 66.7% female). All patients completed SHRQoL questionnaires; for women: ASEX, FSFI, and FSDS and for men: ASEX and IIEF. A PH-specific SHRQoL questionnaire was created based on 4 semi-structured interviews to investigate PH-specific barriers in sexuality. More than half of the patients experienced symptoms during sexual activity, mainly dyspnea (52.6%) and palpitations (32.1%). Sexual dysfunction was present, according to the FSFI-questionnaire, in 63.0% of women. All of the men experienced at least mild dysfunction in one of the domains of the IIEF and erectile dysfunction was present in 48.0%. Sexual dysfunction occurred more often in both men and women with PH than in the general population. PAH-specific medication was not associated with sexual dysfunction, nor was subcutaneous or intravenous pump therapy (OR 1.14, 95%-CI: 0.75–1.73). Diuretics were associated with sexual dysfunction in women (OR 4.01, 95%-CI: 1.04–15.41). Of all patients committed in a relationship, 69.0% would like to discuss sexuality with their healthcare provider. Conclusion This study showed a high prevalence of sexual dysfunction in men and women with PH. It is important for healthcare providers to discuss sexuality with patients. Graphical abstract

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“…However, specific therapy suggestions concerning single symptoms might be useful for the individual patient, for example exercise therapy to improve mobility and thereby indirectly improve sexual health or interventions directly improving sexual health such as medical treatment of erectile dysfunction. Health professionals often hesitate to communicate about sexual health with their patients, but it is still essential that they have good skills in this field 9,25 . Knowledge and openness are the basis for good communication between health professional and patient about sexual health issues, even if health professionals can experience barriers in approaching the subject.…”

Section: Discussionmentioning

confidence: 99%

Muscular dystrophy and sexual health

Josefsson¹

2013

OA Musculoskeletal Medicine

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articles that had high relevance had different scopes and methodology. One study compared levels of hypogonadism and erectile dysfunction (case-control study), another studied adult life with muscular dystrophy (cross-sectional study) and the third explored reproductive outcome and family planning after genetic counselling (combining interviews and questionnaires). Discussion The existing literature is scarce and there is a need for further research concerning sexual health and muscular dystrophy in order to explore how persons with muscular dystrophy experience their sexual health. Conclusion It is necessary to develop clinical advice for how health professionals working with persons who have muscular dystrophy can support the patient's sexual health and give relevant information to patients/ partners/relatives. Despite the lack of knowledge concerning sexual health and muscular dystrophy, models for communication and openness about sexual health among health professionals could probably improve care for this group of patients. to the breakdown of muscular cells and replacement with connective tissue or fat 3. If the muscle cells are replaced by fat, the shape of the muscles can have normal proportions even if the muscle capacity is severely reduced. The disease can also include endocrine disorders, cataracts and intellectual impairment. It often gives symptoms such as severe pain, fatigue, and physical and psychological disability 4 , which affect patients' whole life situation, and quality of life moreover decreases with disease duration 5. The most common muscular dystrophies are myotonic

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Efficacy of Sexological Healthcare for People With Chronic Diseases and Physical Disabilities

Cited by 11 publications

References 23 publications

Predictors of psychological distress in advanced cancer patients under palliative treatments

Predictors of psychological distress in advanced cancer patients under palliative treatments

Sexual function is impaired in women and men with pulmonary hypertension

Muscular dystrophy and sexual health

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