Sexual dysfunction after stroke—A biopsychosocial perspective

Na, Yuuki; Htwe, May; Rehman, Chaudhury Abdul; Palmer, Tracy; Munshi, Sunil

doi:10.1111/ijcp.13496

Cited by 10 publications

(6 citation statements)

References 16 publications

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“…Sexual dysfunction after stroke is underrecognized. It affects over half of stroke survivors and it is not solely attributed to the physical effects of stroke 165 . Fewer than 10% of patients receive any advice, despite 90% of patients hoping for advice relating to sexual dysfunction in stroke.…”

Section: Sexual Dysfunctionmentioning

confidence: 99%

Brazilian Academy of Neurology practice guidelines for stroke rehabilitation: part I

Minelli

Bazan

Pedatella

et al. 2022

Arq. Neuro-Psiquiatr.

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The Guidelines for Stroke Rehabilitation are the result of a joint effort by the Scientific Department of Neurological Rehabilitation of the Brazilian Academy of Neurology aiming to guide professionals involved in the rehabilitation process to reduce functional disability and increase individual autonomy. Members of the group participated in web discussion forums with predefined themes, followed by videoconference meetings in which issues were discussed, leading to a consensus. These guidelines, divided into two parts, focus on the implications of recent clinical trials, systematic reviews, and meta-analyses in stroke rehabilitation literature. The main objective was to guide physicians, physiotherapists, speech therapists, occupational therapists, nurses, nutritionists, and other professionals involved in post-stroke care. Recommendations and levels of evidence were adapted according to the currently available literature. Part I discusses topics on rehabilitation in the acute phase, as well as prevention and management of frequent conditions and comorbidities after stroke.

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Section: Sexual Dysfunctionmentioning

confidence: 99%

Brazilian Academy of Neurology practice guidelines for stroke rehabilitation: part I

Minelli

Bazan

Pedatella

et al. 2022

Arq. Neuro-Psiquiatr.

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“…Biopsychosocial perspective has been suggested as the greatest comprehensive strategy for figuring out how physical, neurophysiological, psychological, and social elements influence sexuality [ 28 ]. In order to account for the complexity of stroke patients’ well-being and life satisfaction, here we provide evidence sustaining this new perspective about SDs in stroke patients.…”

Section: A Biopsychosocial Perspective: Toward a Standardized Evaluat...mentioning

confidence: 99%

Talking about Sexuality in Stroke Individuals: The New Era of Sexual Rehabilitation

Contrada

Cerasa

Pucci

et al. 2023

JCM

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One of the largest causes of mortality and disability worldwide is stroke. In the last twenty years significant objectives have been achieved in the early and chronic treatment of motor and cognitive dysfunctions, increasing the quality of life in patients and their caregivers. However, there is an unresolved clinical issue that remains: sexual dysfunctions. Multiple etiologies, including organic (such as lesion localization, premorbid medical problems, and drugs) and psychosocial (such as fear of recurrences, loss of self-esteem, role shifts, anxiety, and depression), are associated with sexual deficits. In this perspective review, we reported the last piece of evidence about this crucial topic which drastically affects the quality of life of these patients. Indeed, although patients may often not disclose their sexual concerns, literature demonstrates that they seek help concerning this issue. On the other side, clinicians working in the rehabilitation field are not always comfortable or prepared to deal with sexuality and sexual function in neurological patients. A new phase of the training course should be launched including different physicians, nurses, rehabilitation specialists, and social workers, to learn how to deal with topics related to sexuality. As a result, professional sexual counselors should now become a structured part of stroke settings and rehabilitation with new effective tools (i.e., PLISSIT model; TDF program) for improving quality of life.

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“…A biopsychosocial model best explains the SD associated with stroke. 17 Sexual activity may be impacted by muscular weakness, paraesthesias, incontinence, immobility, fatigue, and pain. Post stroke depression and cognitive symptoms add to the sexual morbidity.…”

Section: Psychiatry and Neurologymentioning

confidence: 99%

Psychosexual Health and Sexuality: Multidisciplinary Considerations in Clinical Practice

Tandon

2023

Journal of Psychosexual Health

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Sexual functioning is a bio-psycho-social process. Sexuality is at the core of social interactions, couple relationships, intimacy, and reproduction. General medical conditions are commonly associated with sexual problems. Erectile dysfunction (ED), premature ejaculation, hypoactive sexual desire disorder, and dyspareunia are commonly associated with general medical illness. ED precedes the development of chronic coronary artery disease by a minimum of 3 years. Massachusetts Male Aging Study concluded that both type 1 and type 2 diabetics are at 3 times greater risk of ED. Sexual disorders in females involve aspects of desire, arousal, and orgasm. Prevalence of female sexual dysfunction is more common in diabetes which is mainly linked to psychosocial factors. Hypothyroidism, hyperthyroidism, hypogonadism, and hyperprolactinemia are commonly associated with ED. Various medications are also associated with sexual problems.

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Sexual dysfunction after stroke—A biopsychosocial perspective

Cited by 10 publications

References 16 publications

Brazilian Academy of Neurology practice guidelines for stroke rehabilitation: part I

Brazilian Academy of Neurology practice guidelines for stroke rehabilitation: part I

Talking about Sexuality in Stroke Individuals: The New Era of Sexual Rehabilitation

Psychosexual Health and Sexuality: Multidisciplinary Considerations in Clinical Practice

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