Sexual Dysfunction After Spinal Cord Injury

Ali, Aleena; Ibrahim, Emad

doi:10.1007/s11930-020-00296-y

Cited by 4 publications

(3 citation statements)

References 63 publications

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“…Spinal cord injury (SCI) can significantly impact sexual functioning (Ali & Ibrahim, 2020) with up to 95% of men (Aikman et al, 2018) and 87% of women (Ali & Ibrahim, 2020) living with a SCI experiencing sexually related challenges. People living with SCI (PLwSCI) are encouraged to continue with sexual activity postinjury (Hess & Hough, 2012), but this may require enhanced clinical/care support, patient–partner understanding, and sexual education (Sharma et al, 2006).…”

Section: Theoretical Frameworkmentioning

confidence: 99%

Sexual activity (re-)engagement following spinal cord injury: Identifying behavior change targets for intervention development.

Barrett,

Ho,

Finlay

2024

Rehabilitation Psychology

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Objectives: This study used the behavior change wheel to identify the priority behavioral factors for a tailored intervention to support (re-)engagement in sexual activity following a spinal cord injury (SCI). Research Method/Design: Forty-eight semistructured interviews were conducted with participants from three outpatient/carer/clinician populations in the United Kingdom: people living with SCI, their partners/spouses, and healthcare professionals working in SCI rehabilitation. To identify potential strategies to facilitate (re-)engagement in sexual activity, the behavior change wheel (BCW) and behavior change technique taxonomy Version 1 were applied to code behavior change techniques (BCTs) present in interview transcripts. Results: Six intervention functions, three policy categories, and 21 BCTs were identified as primary targets for interventions to support sexual (re-)engagement post-SCI. Increasing physical-related skills and training would promote physical capability, while sex-related knowledge and the understanding of sexrelated health consequences would elevate psychological capability. A supportive healthcare team, alongside peer support and targeted environmental resources about sexual activity/well-being facilitate physical and social opportunities for sex. Motivation to (re-)engage in sexual activity comprised goal-driven reflective motivation to enhance beliefs about capabilities, and automatic motivation via emotional support and reward-based reinforcement. Conclusions: This study outlines the key BCW and theoretically-derived intervention targets which now provide the foundation for innovative future interventions in SCI and sexual activity. Targeting these highly specific BCTs increases the likelihood that sexual satisfaction can become universally accessible after SCI. Impact and ImplicationsResults of this study demonstrated the significant strength of combining the capability, opportunity, motivation for behavior model and behavior change technique taxonomy in order to offer a practical and structured framework for formulating sexual activity interventions. The priority domains of the behavior change wheel were physical and psychological capability, physical and social opportunity, reflective and automatic motivation. Future interventions for sexual (re-)engagement post-spinal cord injury (SCI) must first target these domains. Theoretically informed interventions optimize the implementation and acceptability of sexual well-being and sexual satisfaction interventions for people with SCI, their partners, and the healthcare professionals delivering the intervention. Twenty-one key behavior change techniques (BCTs) were identified, specifically pertaining to sexual well-being and sexual satisfaction after SCI: Without including all of these BCTs, future interventions risk weaker psychosocial and behavioral outcomes.

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Section: Theoretical Frameworkmentioning

confidence: 99%

Sexual activity (re-)engagement following spinal cord injury: Identifying behavior change targets for intervention development.

Barrett,

Ho,

Finlay

2024

Rehabilitation Psychology

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“…They are produced by visual or mental stimuli and occur independently of direct penile stimulation. Psychogenic erections are often disrupted due to injury to the thoracic and cervical spinal cord [14][15][16][17].…”

Section: Sexual Health After Sci 21 Erectile Dysfunction 211 Erection...mentioning

confidence: 99%

Sexuality, Intimacy, and Reproductive Health after Spinal Cord Injury

Zizzo

Gater

Hough

et al. 2022

JPM

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Spinal cord injury (SCI) is a life-altering event often accompanied by a host of anxiety-provoking questions and concerns in the minds of affected individuals. Questions regarding the ability to resume sexual activity, partner’s satisfaction as well as the ability to have biological children are just a few of the unknowns facing patients following the devastating reality that is SCI. As a result of advances in SCI research over the last few decades, providers now have the knowledge and tools to address many of these concerns in an evidence-based and patient-centered approach. SCI can impair multiple components involved in sexual function, including libido, achieving and maintaining an erection, ejaculation, and orgasm. Many safe and effective fertility treatments are available to couples affected by SCI. Finally, learning to redefine one’s self-image, reinforce confidence and self-esteem, and feel comfortable communicating are equally as important as understanding functionality in regaining quality of life after SCI. Thus, this review aims to highlight the current state of SCI research relating to sexual function, reproductive health, and the search for meaning.

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“…Studies in SCI suggest that psychogenic arousal in females and males are mediated through the sympathetic nervous system [44]. Injuries above the thoracolumbar region will typically have preserved reflexogenic erections with minimal capacity for psychogenic erections.…”

Section: Sexual Dysfunctionmentioning

confidence: 99%

Urogenital dysfunction following neurotrauma

Saraf

Panicker

2022

Current Opinion in Neurology

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Purpose of reviewTrauma affecting the nervous system can have widespread consequences, depending on the location and severity of injury. The sensorimotor and cognitive deficits due to neurotrauma have been studied extensively. Although the overall mortality due to neurotrauma has reduced, the disability and morbidity due to neurotrauma has not significantly reduced and focus on urogenital disturbances in these patients has been limited. This article reviews the limited evidence and scientific literature on this topic. Recent findingsLower urinary tract symptoms are commonly reported in patients with neurotrauma, both acutely and over the long term. Multiple medical and surgical approaches are available for managing bladder dysfunction in these patients. Sexual dysfunction and changes in sexual behaviour are reported by patients with neurotrauma and are usually multifactorial. Treatment options for sexual dysfunction are available and their management requires a holistic approach. SummaryUrogenital dysfunction contributes significantly to the overall functional outcome and impaired quality of life in patients with neurotrauma. A better understanding of the mechanisms behind the urogenital abnormalities is needed for efficient management and treatment.

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Sexual Dysfunction After Spinal Cord Injury

Cited by 4 publications

References 63 publications

Sexual activity (re-)engagement following spinal cord injury: Identifying behavior change targets for intervention development.

Sexual activity (re-)engagement following spinal cord injury: Identifying behavior change targets for intervention development.

Sexuality, Intimacy, and Reproductive Health after Spinal Cord Injury

Urogenital dysfunction following neurotrauma

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