Sexual Distress, Sexual Dysfunction and Relationship Quality in Women with Systemic Sclerosis: Correlation with Clinical Variables

Rosato, Edoardo; Rossi, C; Molinaro, Ilenia; Digiulio, Maria Anna; Trombetta, A.C.; Marra, Alessandro Maria; Gigante, Antonietta; Barbano, Biagio; Quarta, Silvia; Pisarri, Simonetta; Afeltra, Antonella; Salsano, Felice

doi:10.1177/039463201402700216

Cited by 18 publications

(27 citation statements)

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“…Both baseline and progression of capillary loss were found to be associated with incident SSc-PAH [1,2]. Both studies reported an association between baseline abnormal capillary morphology and incident SSc-PAH [1,2]. No association with incident SSc-PAH was found between capillary dimension nor presence of haemorrhages [1].…”

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confidence: 96%

“…Both studies reported an association between baseline abnormal capillary morphology and incident SSc-PAH [1,2]. No association with incident SSc-PAH was found between capillary dimension nor presence of haemorrhages [1]. Concerning qualitative assessment, Avouac et al reported worsening to a late NVC pattern over time to be more commonly associated with incident SSc-PAH [1].…”

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confidence: 99%

“…Its prevalence in Europe is 3.3% in men and 9.9% in women, affecting 15.5% of patients with hand osteoarthritis 1,2 . EO causes a significant loss of function in the hands, with more severe inflammatory signs and affecting almost exclusively the PIP and DIP joints, usually avoiding the TM and MCP.…”

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confidence: 99%

“…Finally, only 5 fulfilled the predetermined eligibility criteria. Two high-quality longitudinal studies were identified [1,2]. Both baseline and progression of capillary loss were found to be associated with incident SSc-PAH [1,2].…”

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confidence: 99%

“…Two high-quality longitudinal studies were identified [1,2]. Both baseline and progression of capillary loss were found to be associated with incident SSc-PAH [1,2]. Both studies reported an association between baseline abnormal capillary morphology and incident SSc-PAH [1,2].…”

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confidence: 99%

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Fri0344 sexual Function in German Women With Systemic Sclerosis Compared to Women With Systemic Lupus Erythematodes and Evaluation of a Screening Test

Schmalzing

Nau

Gernert

et al. 2019

Scleroderma, Myositis and Related Syndromes

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BackgroundFew studies have been conducted to address the impact of systemic lupus erythematodes (SLE) or systemic sclerosis (SSc) on sexual function (1,2), and so far none in Germany.ObjectivesTo assess and compare sexual dysfunction (SDF) in female patients with SLE or SSc, to correlate sexual function with disease characteristics and depression, and to evaluate a short questionnaire (Qualisex) as a screening test.MethodsFemale patients with systemic lupus erythematodes or systemic sclerosis in two German tertiary university hospitals were evaluated with a self-designed questionnaire on various sexual and gynaecological aspects, a 19-item version of the Female Sexual Function Index (FSFI), the 9-item questionnaire Qualisex, and the Beck’s depression inventory in a prospective study.Results171 female patients were included into the study. Among them 83 suffered from SSc (mean age 48.50 years), and 88 from SLE (mean age 39.65 years). Organ involvement and immunosuppressive medication was frequent in both groups. 34.9% of SSc patients and 28.4% of SLE patients ever received cyclophosphamide. Disease duration was significantly longer in SLE patients (13.17 vs 9.85 years in SSc patients, p=0.021). No significant differences between SSc and SLE were found as to educational background, BDI depression categories, marital status, or number of children. Only 9.6% of SSc patients and 14.8% of SLE patients had ever discussed sexual problems with their physician, whereas 52% of all patients thought that these were relevant in relation to their disease. Significantly more SSc patients would wish to discuss sexuality with their physician more intensively (37.3% vs 28.4% in SLE patients, p=0.011). 79.5% of SSc patients and 79.4% of SLE patients were in a constant relationship; 62.6% (52 of 83) of SSc patients and 67.0% (59 of 88) of SLE patients were sexually active. Impeding factors like vaginal stenosis, sicca, impaired mobility of pelvis, or pain did not differ significantly between SSc and SLE. Among the 51 sexually active and evaluable SSc patients a mean FSFI of 25.53 (±5.06) was found, with a FSFI value below the cut off defining SDF (<26.55) in 49% of patients, which did not differ significantly compared to SLE patients (n=59, mean FSFI 26.92 (±5.17), SDF in 45.8%). More patients who suffered from SDF had at least mild depression defined by BDI than patients without SDF (71.2% vs. 46.4%, p=0.016). SSc patients showed a numerically better Qualisex than SLE patients (2.98 (±2.24) vs. 3.16 (±2.45) with 0 meaning no impairment and 10 severe impairment). The Qualisex correlated significantly with the FSFI (r=-0.367; p<0.001) with numerically better correlation in SSc patients (r=-0.407, p=0.001 vs r=-0.340, p=0.004).ConclusionSexual Dysfunction (SDF) is a frequent problem in female patients with SSc and SLE. Frequency and nature are comparable between the two entities. Addressing sexual issues during medical consultation is an unmet need. The Qualisex constitutes a short questionnaire, which is suitable for SDF screening.Refe...

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